Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Peter L. Sheras
and
Phyllis R. Koch-Sheras
2005007444
Contents
ACKNOWLEDGMENTS
INTRODUCTION
PART I. A NEW PARADIGM FOR RELATIONSHIPS:
COUPLE AS AN ENTITY
vii
3
17
Chapter 1
Chapter 2
PART II.
41
Chapter 3
Commitment
63
Chapter 4
Cooperation
97
Chapter 5
Communication
119
Chapter 6
Community
151
PART III.
Chapter 7
Chapter 8
171
173
213
REFERENCES
229
INDEX
239
255
Acknowledgments
We have been together for many years as a couple, family, and
therapy team. This book is the culmination of decades of thought,
work, and experience together. We owe a huge debt of gratitude
to our professors, supervisors, mentors, clients, and family members for their insight, support, and nurturance throughout the
years. They are too numerous to mention by name here. However, among those who have truly changed us are our mentors
at the VA Medical Center in Palo Alto, CaliforniaElizabeth
Richards, MD; Jay Mann, PhD; Sheldon Starr, PhD; and our great
friends and collaborators from Couples Coaching CouplesHugo and Vialla Mendez and Kate Husband and Doug Ferguson.
With these kindred souls, we have worked, played, and created
together. Special thanks also to Michael Murphy for helping us
shape this manuscript and keep our eyes on the prize.
Introduction
ax and Mary arrive at your office for the first session,
M
spending most of the time interrupting each other. Married
only a few years, they can't seem to get along. They are perfectly
nice and reasonable individually, but it is almost like they enjoy
hurting each other. They tell their stories to you and want you
to mediate.
Louise and Bart say they love each other but are "just too
different" to be married. He wants kids and a wife who works
part-time. She wants a career and full-time childcare. They ask
your opinion as to what is the right thing for them to do.
Danny has just told his wife Janine that he has been having
an affair. They say they have been happily married for the past
15 years and love their two beautiful children. He seems sorry,
but Janine seems unwilling to continue their marriage. She is
upset, hurt, and distraught. Danny wants you to make it better
for them.
These are common scenarios presented in couples therapists'
offices every day.
Never have couples been more in need of support. Never have
psychotherapists been more in need of effective techniques for
helping couples. Whereas the general efficacy of couples therapies for improving relationship satisfaction has been empirically
validated (Baucom, Shoham, Mueser, Daiuto, & Stickle, 1998;
Christenson & Heavey, 1999; Jacobson & Addis, 1993), nothing
to date has really been able to turn the tide from separation and
divorce to lasting and fulfilling relationships. Though divorce
has been predicted reliably (Gottman, 1994), the creation or maintenance of marital satisfaction is yet to be predicted or even
addressed with the same precision. Even in the most empirically
supported marital treatment, traditional behavioral couple therapy (TBCT), at least one third of the couples were treatment
failures and among those improving, many, over the course of
2 years, did not maintain improvement (Jacobson, Christensen,
INTRODUCTION
examples, including the research by Gottman (1994) on predictors of divorce, of the value of "throwing out all that is irrelevant
while we zero in on what really matters" (p. 34): "What you
avoid . .. are all the confusing and complicated and ultimately
irrelevant pieces of information that can serve to screw up your
judgement" (p. 37). Similarly, focusing on the Four Cs enables
both the therapist and the couple more easily and faithfully to
accomplish their goals of treatment. They "thin-slice" the therapeutic process.
The fundamental elements of the Four Cs are consistent, and
the benefits of following them have been powerful and convincing to us, our clients, and our trainees over the past 3 decades.
CPT allows each individual to relate to the couple as a separate
entity in itselfone built on a strong foundation of commitment,
fostered by cooperation as a team, empowered by effective communication and language, and supported by a community of
peers. In brief, commitment is used here to mean not a commitment to another individual, but a shared commitment to the
entity of couple and what is possible for that unit. Cooperation
refers to the ability to be a team working together to meet a
common goal where each person does not necessarily perform
the same behaviors but coordination of activity is required. Effective couple communication is the act of speaking, listening, and
acting in such a way that the same meaning is understood by
both parties. Finally, community is the experience of common
feelings and shared goals of groups of couples living in physical
or psychological proximity.
We call the basic elements of the couple power model tasks,
rather than solutions or techniques, because the model goes beyond
things to do or learn for correcting something wrong; rather, the
Four Cs provide the couple with a structure for ways of being
and identifying themselves as a couple entity and living in that
entity together in their lives. The tasks build on the couple's
strengths to create the ongoing expression of their unique couple
identity. This identity has a character and personality of its own
that we refer to here as the couple entity or couple as an entity.
Usually we refer to the relationship as just couple without the
article a or the. The use of the term couple in this way emphasizes
the importance of language in describing a relationship as a joint
INTRODUCTION
commitment to a way of being together, rather than a commitment to an individual or a thing. Although it may seem awkward
at first, this linguistic maneuver is a reminder of the paradigm
shift that we are attempting to produce in seeing couple as an
entity. After a while, we find that the use of the term couple
becomes second nature and that clients can easily distinguish
between what is meant by couple and a couple.
Both couples and therapists alike often mistakenly begin with
the premise that a relationship in need of help must be corrected
or fixed in some way. They have probably read a book or seen
a program that defined the "right" partnership or the "perfect"
mate, and they are discouraged that they cannot achieve that
ideal. This is an example of the kind of obstacle the popular
media creates by portraying unrealistic standards for couples to
live up to. By presenting a framework of tasks for the couple
to accomplish during therapy, rather than problems to fix, the
therapist guides them to choose what they want to pursue. This
allows the couple to focus on creating positive possibilities and
visions for the future, rather than getting caught up in problems
of the past. The therapist identifies and builds on the strengths
and competencies that are inherent in the couple itself to help
the partners reach their goals. This possibility-based perspective
on couples work is consistent with strategic, structural, and narrative therapy models. It is primarily these approaches that we
have drawn on in the process of developing CPT, as we discuss next.
We began our work with couples armed with the traditional
psychodynamic training we had each received in graduate
school. Both of us received additional training in using principles
of behavior modification and behavioral therapies while working
with children and families in a variety of settings. We met while
on our clinical psychology internship at the Veterans Administration (VA) Medical Center in Palo Alto, California, where we
learned both brief strategic theories and family therapy skills.
In addition to our training at the VA Family Study Unit that
included techniques of fair fight training (Bach & Bernhard, 1971)
and family therapy techniques of Satir (1972), we were exposed
to the cutting-edge work occurring at the Mental Research Institute in Palo Alto in the early 1970s. It was there and through
INTRODUCTION
10
INTRODUCTION
11
with great longevity had long since come to grips with their
differences, and even with the fact that they didn't like each
other sometimes. What looked like acceptance or selective inattention at first was really something more. It was a belief in the
institution of marriage and their commitment to it. After a while,
it was clear to them that they would stay married. Given that
circumstance, the couple would have to take on the difficulties,
differences, and individual problems together. The relationship
was the entity to which they were committed after all those
years, not just the other person. We began to understand that
the commitment to the entity was the primary requisite for a
lasting relationship.
From our experiences and research, we concluded that the
basis for effective couples therapy and for the establishment and
maintenance of a successful couple was learning how to build
a strong foundation for the relationship (as an entity) beginning
in the present moment. Sometimes it was possible to uncover
an old or existing foundation, perhaps an earlier more positive
time in their relationship to return to. As with any edifice under
construction, a solid foundation is crucial to the integrity and
design of the structure. No architect or contractor would build
a house without being sure it was supported by a solid foundation. The same is true of a couple relationship. It is not enough
just to teach couples how to communicate better. We have already seen how that kind of one-pronged approach has been
insufficient to create meaningful change, and ineffective in
achieving long-term results (Jacobson et al., 2000). In our clinical
experience, such isolated techniques can even make matters
worse unless other factors are considered and included in the
treatment. If a couple or therapist naively assumes that love or
communication is enough, the couple may find that the relationship they created is missing some crucial elements and could be
vulnerable to deterioration and collapse. If the relationship is
grounded in a solid foundation, however, beginning with a commitment not to the individual per se but to the relationship, it
can handle most any situation that may occur. That is what
completing the tasks of the Four Cs is designed to accomplish.
Over the decades of our working with couples, we also came
to see that whereas commitment was the foundation for a lasting
12
INTRODUCTION
13
14
INTRODUCTION
15
16
I
A New Paradigm
for Relationships:
Couple as an Entity
Chapter
1
Redefining Couple:
Shifting the Paradigm
efore we describe new techniques for couples work, it is
necessary to examine the prevailing ideas in psychology and
Western culture about what a couple is or ought to be. The term
couple refers to a specific type of relationship in society. It has
been, most traditionally, a marriage; it has recently grown to
include the identification of any two people in a committed,
intimate, and loving pair. What a couple is expected to be like
and how the members of the couple are supposed to behave is
conveyed through modeling and socialization by the culture in
which they live. The prevailing description of a healthy couple
derives from the current cultural paradigm. This paradigm directly influences how couples feel they measure up to the ideal
they expect and whether or not they may need help or guidance
in achieving it. It may also determine how therapists view the
aspirations of their couple clients and what constitutes a successful outcome of treatment.
For us to understand how to succeed in achieving a couple's
goals or to decide if the goals are attainable or even necessary,
it is first important to look at this prevailing paradigm of couple;
then we may determine whether a new paradigm might be more
useful. A shift in the paradigm about the ideal couple can open
up new opportunities for clients. It may also open the therapist's
eyes to new perspectives and create possibilities for different
approaches to working with couples.
19
20
REDEFINING COUPLE
21
22
did not require the kind of sex they thought was necessary,
alternatives for sexual pleasure and procreation became apparent. They created a different paradigm for intimacy, couple, and
family. Seeing their options in a different way made them feel
happier and more successful. It opened up new possibilities for
their couple.
REDEFINING COUPLE
23
24
REDEFINING COUPLE
25
Fear of Intimacy
Many people enter their relationship with little understanding of
what it takes to function together successfully. During childhood
and adolescence, they developed an identity based on personal
uniqueness, engrossed in the struggle to become superior to their
peers and independent of their parents. During the school years,
emphasis is placed on individual grades and personal achievement. Even while struggling with pressures to conform and
strong needs to affiliate, teenagers try to be themselves, original
and one-of-a-kind. It is no wonder that when they begin to
consider being part of a couple, they are concerned about losing
what they have so recently gainedwhat they consider to be
their separate sense of self. This intense desire to maintain the
unique self leads to the fear that their identity might be submerged, taken over, or negated by the force of their partner's
identity.
In the early stages of a relationship, this interplay of two selves
is usually playful, flirtatious, and competitive. When the time
comes for a long-term commitment to be made, to decide whether
to stay together, marry, and have children, the challenge to the
sense of individuality reemerges. This challenge may form a
barrier to creating a couple and to successful treatment as well.
Although we as therapists often attempt to create some space
for individual time and some for the couple (my time, your time,
and our time), conflicts over apportioning this time are often
quite intense and threatening to a sense of the independence our
clients seem to desire. For example, having one's own space,
room, checking account, and the like may seem to be protection
of personal identity, but it may really just be a hedge to prevent
the person from confronting their fears of committing to a relationship fully and trusting the couple to protect them.
Egocentrism
If each member of a couple is a unique individual, as the prevailing cultural paradigm insists, then occasions will arise
when what one person wants differs significantly from what
the other wants. These conflicts of interest cause a mismatch
26
REDEFINING COUPLE
27
be. Many couples feel that they are willing to make a sacrifice,
but want to be assured that their partner is making an equivalent
concession. In many cases, the sacrifice that one person makes
is either unacknowledged or undervalued by the other, which
creates a sense of martyrdom or resentment.
Jason and Jodi, a young married couple with one child, came
to therapy at her insistence. He had to give up his Wednesday
night softball games to come. Jason wasn't sure what she wanted
and was clearly feeling hassled. She explained that for years she
had been taking care of the house and their young daughter as
well as managing the checkbook while he was out most nights
with his friends, playing sports and having fun. She did not see
him very much, and when he was home, either he was distracted
watching TV or she was exhausted from doing her chores. In
the past year, she had taken on a part-time clerical job to help with
the finances, but she felt unacknowledged for her extra work.
Jason said that he was confused by Jodi's feelings. He worked
hard during the week and brought in a fair amount of money.
He felt that he needed his time at home to rest. He felt that she
did not have a full-time job, so that, though she did manage the
household, she had more time to do her own things during
the day while he was at work. He felt that his main job was
professional work, and hers was to be at home. She might want
to have a career later, after their daughter Lorna was out of
elementary school. This was the way it had been with his parents
when Jason was growing up.
Jason thought that changing their patterns would mean that
he would have to give up what he believed in. He thought he
needed to use his free time to have fun and recuperate from
work. Jodi felt she had to sacrifice her own desires to do what
he wanted. She said that she saw her own mother do what her
father wanted all the time, giving up a promising career as an
artist. Jodi decided she was unwilling to do the same. She was
tired of giving things up for Jason, and he seemed unwilling to
do so for her. Each one did not want to make a sacrifice for the
other person to make them happier. When this became clear in
therapy, it became the immediate focus of their sessions.
For some couples, sacrifice seems like an intense form of compromise in which what they must give up is extremely costly to
28
REDEFINING COUPLE
29
30
REDEFINING COUPLE
31
Barb and Daniel had been dating for 2 years and went to
couples therapy to explore a "deeper commitment." Dan had
some nagging concerns about trusting Barb to be both financially
and emotionally responsible in their relationship. They had tried
to make a joint budget and even plan a vacation but always
argued about the details. Dan was not sure whether they were
really a coupleor just two people who had fun doing things
together. The therapist shifted the emphasis from what each
person wants to creating the couple as an entity.
T: What is it that you would like from Barb?
D: I want to know that I can trust her completely.
T: If you could trust her completely, what would your couple be like?
D: What do you mean, what would our couple be like?
T: What would your couple be like together as a unit? How
would you be as a couple?
D: Well, we would trust each other. I could ask her to do
anything and she would do it, or at least tell me why she
couldn't at the time.
B: And vice versa. I could ask you and you would do it.
And we could talk about it.
D: Yeah, I guess so.
T: So together you might be able to decide what you
would do?
B: And if we really understood each other, I wouldn't ask
him to do anything outrageous. And he could trust me.
T: Why don't you do that this week, Dan? Why don't you
do everything that Barb asks, whatever it is, and see what
happens. That way you might see if you can trust her to do
what is best for your couple.
Dan was anxious about the task, to say the least, but reluctantly
agreed. When they returned at the next session, Dan reported
that, to his surprise, Barb's requests were very reasonable and
not at all irresponsible or impossible. She said that she knew
32
that the requests she made were really not for her alone, but for
their couple. He saw that he could tell her to ask for anything
because she would never ask for anything that was not consistent
with being couple.
The Goals of Therapy
Couples therapy may be an effective vehicle for addressing individual problems or dysfunctions. The treatment of these difficulties often significantly influences the overall happiness of a
couple or marriage by enhancing the happiness of one of the
partners. Although treating individual issues may be useful in
its own right, CPT focuses on the interventions and tasks that
foster the health of the overall marriage or relationship itself.
The concept here is that this therapy is treatment of and for
the relationship, not primarily for the individuals per se. Even
though it is likely that a positive relationship helps support
individual progress, the focus here is on creating and maintaining
the couple partnership. The basic principle of the couple power
model is that a relationship that is functioning well is the bedrock
of mental health in most aspects of a person's life. Most therapies
assume that healthy individuals are necessary to produce a
healthy couple. This new paradigm encompasses the idea that
a healthy, well-functioning relationship supports the health of
the individual. In some ways, CPT could be considered a source
of healing and support to help families deal with their issues,
and to help individuals deal with their issues as well. Luquet
(1996) stated, for instance, "Healthy conscious relationships may
be the means for individuals to reclaim their 'wholeness' and
pass on a peaceful consciousness to future generations" (p. 13).
A couple that shares problems and supports its own general
well-being can't help but support the health of the individuals.
For instance, a couple might create a commitment to healthy
nutrition or lifestyle and together produce a more complete
healthful environment, more than can be created by one of them
alone, even for the sake of the other.
Why study or work with the functioning of the couple in
particular rather than the individual or the family as a whole?
We believe that the couple is the essential element in overcoming
REDEFINING COUPLE
33
34
it and has a model for explaining it, presents the new paradigm
to them. Introducing the four basic tasks of couple, or the Four
Cs of Couple Power, is the best way to begin. It is important to
accomplish these tasks in sequence, and all participants should
understand how each of these tasks reflects the paradigm shift
described above. Each of the Four Cs counters the negative force
of individualism as it builds couple. Whereas Part II describes
in detail how to accomplish the Four Cs, we provide a brief
summary in the context of the new paradigm here.
The first task to accomplish is the establishment of commitment
to the couple as an entity. This is separate and distinct from
committing to each other as individuals. It is the task of the
therapist to create the awareness of this entity and the vision of
what a true couple relationship is for the partners. This includes
the process of asking them to consider what sort of relationship
would be possible for them, and then committing to it. Once
couple is established or recognized, helping the partners in therapy is much simpler because they do not question the existence
of their couple. Commitment to being a happy couple becomes
paramount, as opposed to commitment to personal happiness.
By the way, it has been our experience that couples who are
happy as couple are usually happy as individuals as well.
Once commitment to the couple entity is established, the next
task is to teach the partners how to meet the stated goals of their
couple. This is accomplished by learning the second C, the task
of cooperation. Despite what most couples think, they usually
do not know how to operate effectively as a team to achieve
common goals. They may not have been able to even generate
common goals that they each can believe inusually because
they have been socialized to compete as individuals and have
never had to practice teamwork together. Although individually
they may have had the experience of working on a team in sports
or business, they do not generally apply the skills from these
areas to common goals in their couple. Partners often attempt
to compromise by giving up something. It is unlikely that
compromising will satisfy either partner completely. Someone
usually ends up feeling guilty, resentful, or compromised. Cooperation as couple involves learning such concepts as teamwork,
REDEFINING COUPLE
35
goal setting, and coaching. These skills are described in subsequent chapters.
The need to speak clearly to a partner and to be understood
is very important in any healthy relationship. Most people think
that communication is the most important factor in a relationship.
To communicate effectively, however, the partners first have to
create a framework for the purpose of supporting the couple as
a committed entity. This is in contrast to communicating just
to meet the needs of the individuals; that kind of communication is based on self-centeredness and the paradigm of individualism rather than cooperation. The new paradigm, on the other
hand, allows partners to communicate through their commitment to couple versus the individual. Only when this has been
accomplished can communication (the third C) be effectively
accomplished.
The last of the Four Cs is community. Together with the first
C (commitment), these two concepts form the frame or bookends
of the new couple paradigm. People need the supportive structure and collective group identification that a larger group or
community is able to provideeven when they are already in
a satisfying relationship. Communities may include a number
of generations, including elders or parents, or they may be comprised predominantly of peers, those in the couple's age group,
neighbors, friends, or relatives. The first form of community
might be called vertical, and the second, horizontal. In past generations, when couples were created in a context of a larger community of shared values and goals, the focus of being together
both within generations and with peerscould go beyond the
individual or just the relationship itself. Today, people are often
more motivated by a sense of individual entitlement than a sense
of connection; they are more concerned with the satisfaction of
their personal needs than with developing a sense of community
with others. At the same time, whether single or in couples,
people desperately need and seek connection with others.
The diagram that follows briefly portrays the four basic tasks
to be accomplished in treatment (see Figure 1.1). After the establishment of commitment, therapy provides the skills of cooperation and then aids the partners in communicating clearly. Finally,
36
COMMITMENT
COOPERATION
COMMUNICATION
COMMUNITY
Figure 1.1.
REDEFINING COUPLE
37
well. This task involves more than just looking at countertransference issues with particular clients. It means examining feelings
about their own relationships and values. Practitioners may come
to see that their own expectations about relationships may limit
the possibilities of client couples. In fact, the practitioners themselves may actually be a part of the problem they are trying
to help alleviate. Questions that need to be asked include the
following: Are the goals in treatment geared to individual change
or a change in the paradigm of the couple problem? When feeling
frustrated or blocked by clients, how do I as a therapist think
about the problem?
In the context of treating couples, it is useful for us to see
therapists as agents of change. First, we teach clients to view the
world differently, and then we support them in finding ways
to operate inside the new paradigm they have adopted. In his
description of scientific revolutions, Kuhn (1970) described the
process of change as a "relatively sudden and unstructured
event" (p. 62). This "aha" experience is possible only if we,
as therapists, are willing to view things differently ourselves.
Practitioners need to view relationships from a different perspective than they have in the past: They need to look at what is
possible in the futurenot just to look for the problems, but to
see possibilities as well. That requires not looking for what is
wrong, but for what is possible for the couples with whom
we work.
Likewise, we should look at what is possible for couples therapy in the future, and not be overly critical about what has
failed. "One of the most common fallacies about change is the
conclusion that if something is bad, its opposite must necessarily
be good" (Watzlawick et al., 1974, p. 19). Attempting to shift a
paradigm by trying to facilitate the opposite behaviors of clients
may represent only a first-order solution.
For example, the couple that argues over the fact that the
husband will not pick up his dirty underwear from the bedroom
floor may work with a therapist to find a way to change this
behavior. One suggestion might be that he pay a fine each time
he leaves his briefs around, or be rewarded every time he puts
them in their proper place. These solutions are predicated on
the assumption that this is a problem and that the husband is
38
REDEFINING COUPLE
39
Chapter
2
The Cocreating Couple:
A New Possibility
anaging problems of inflexibility when working with couples is often the first challenge for the couples therapist.
The partners must be open and flexible enough to consider new
ways of thinking and behaving. Causing change or creating new
perspectives involves assessing past and current patterns of
behavior. Helping a couple to be more flexible is essential to
exploring new possibilities and effecting successful therapeutic
outcomes. In this chapter, we describe what flexibility in a wellfunctioning couple relationship (i.e., the cocreating couple) might
look like and compare it with common fixed patterns often seen
in couples coming for treatment.
42
43
Extreme case examples often help to elucidate a point. A powerful example of a couple's need to be flexible and overcome
blame is dealing with the death of a child. A traumatic event
like that has a strong negative impact on the well-being of the
individuals and the couple, often leading to divorce. It has been
shown that the effects of such a loss are ameliorated with spousal
support (Broman, Riba, & Trahan, 1996).
Helen and Jamie, a happy couple for 8 years, experienced a
traumatic impact on their lives when a drunk driver hit the car
Helen was driving, killing their only child. Both partners were
emotionally shattered by this crisis. They each worked on their
grief individually, sharing with therapists and friends. At one
point, they considered splitting up but, instead, looked for new
ways to relate to each other. They had the idea of getting in
touch with old friends who had known them early on in their
relationship. These old friends could help them remember and
reconstruct their original couplebefore they had a child. This
helped give them enough strength to heal, grieve together, and
create new options. They used this process to build a new vision
and possibility for their coupleincluding having more children
(eventually having three more).
Couples like Helen and Jamie operate with flexibility. They
are able to deal with change by looking at what is possible rather
than what is wrong, and by living with a focus on the future
rather than the past. What enables cocreating couples to maintain
the quality of their relationship over time is their ability to see
their couple as an ongoing processnot a static end point to be
reached. These kinds of couples realize that the commitment to
their relationship does not end with their wedding vows, at
which point in time they will automatically live happily ever
after, as in a fairy tale.
The cocreating couple is constantly evolving and adapting
realistically to changing circumstances. That is why we call it
cocreating, not cocreative, which implies a static state. Each of the
partners realizes that what is at stake is being happy and fulfilled
in the relationship most of the time. Helen and Jamie's marriage
would certainly have died with their child if they had not had
the stamina and vision to create something different for their
44
45
46
47
48
It is important to distinguish the flexible way in which cocreating couples like Carol and Ravi and Jamie and Helen worked
with each other to handle the issues in their couples from traditional behaviors common in other types of relationships. These
traditional behaviors often represent the rigid pattern of expectations or attitudes of an individualistic culture that limits the
adaptability of couples over time. These behaviors may be a
developmental stage that couples pass through or expectations
that result from cultural or familial experiences. These recognizable patterns become problematic when they prevent more flexible alternatives from becoming possible.
Couples often experience one or more patterns of interaction
over time. They may, in fact, manifest several of these throughout
the course of their relationship. Sometimes they are stuck in a
particular developmental phase and cannot progress. For example, a partner might say, "Everything is great between us, except
he does not seem willing to commit to marriage." Recognizing
and understanding the most frequently occurring couple patterns and working to create additional, more expanded or healthier ones makes therapy much more efficient and effective.
Here are three examples of patterns or identities that we have
observed in couples in our clinical practice over the years. We
have noticed that these patterns often correspond to typical manifestations of the paradigm of individualism in relationships. Each
of the following three examples may limit the spontaneous emergence of new cocreating behaviors within the relationship. A
brief description of these couple patterns and how they differ
from the cocreating couple follows.
The Romantic Couple
Romance is a basic characteristic of a healthy couple. For some
partners, however, this romantic aspect of their couple becomes
their dominant and nearly exclusive way of operating over time.
When people first get together, they may experience infatuation
and intense physical and sexual attraction, as well as a desire
to be with the other person all of the time. These couples often
describe themselves as "lost in each other." It is as if they are
so wrapped up in each other that they lose sight of anything or
49
50
51
52
53
changed, an agreement has been broken, or an unspoken dissatisfaction has come to light. The supporting partners may realize
that the agreement to switch roles at some point (to go back to
school or work on a career) is not going to happen, and they
feel cheated or betrayed. In other couples, the supporting person
had expected to be able to remain supportive indefinitely, but
has had a change of heart or become burned out. In any event,
the supporter may no longer be willing to toil without acknowledgment or appreciation. On some occasions, the supported partner needs the other now that they have renegotiated their goals.
This kind of couple may have difficulty and want to change
the "rules" to make the system seem more fair. Consider the
following case:
Case example. Marion and Zack met as undergraduates during college. They dated for 2 years and were married following
graduation. Zack enrolled in medical school, and Marion took
a job in a day-care center to help pay the bills and pay Zack's
tuition. The medical school experience was difficult and timeconsuming for both Marion and Zack. They both worked hard
and tried to spend as much time together as they could. Although
Marion wanted to continue her own education by getting an
MBA and starting a business career, she deferred her plans to
support Zack. He promised then that when his residency was
finished and he had more time, she could then return to school
while he was making enough money to support them. They
decided that they would postpone having any children until
Marion was out of school and working in her career.
Marion and Zack came into marital therapy following their
seventh anniversary. Marion said that if he did not come with
her to see a therapist, she was going to leave. She was angry
and impatient. Zack had finished his residency and was working
in a practice. He was gone long hours, but felt that after a few
years he would be established enough to cut back on his schedule.
Marion felt that Zack's work was more important to him than
their relationship and that he had broken his promise to her. He
said he had only deferred his promise for a few extra years. He
said she was being selfish and that she liked her current job
anyway. Marion felt hurt and betrayed. She did like her job, but
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it was not the career that they agreed on when they got married.
She had supported him all these years and wanted her chance
now. He tried to get her to compromise or give up her threats
to leave, but she would not. She said that his refusal to keep his
promise about her further education made her question her love
for him.
Comparison with the cocreating couple. Unlike the role-defined couple, cocreating partners cooperate and support one
another in a common task: to continually establish the goals of
the life they share together. Cocreating couples live, work, and
play cooperatively together, continuously discovering new
things, evolving and experimenting with what is possible for
their couple. They are defined by an ability to be adaptable and
flexible. They see that expectations about their respective roles
can be changedif they choose to do so. They can create trust
or new possibilities by agreeing to do so together, rather than
depending on expectations from the past.
The Independent Couple
Increased emphasis on individualism has led to increased desires
to remain independent and self-sufficient, while still being in a
meaningful relationship. The combined wish to be together and
independent at the same time has given rise to what we call the
independent couple pattern.
Professional or dual-career couples often exhibit this kind of
pattern. They may be supportive of each other's endeavors but
are primarily committed to their own. It is as though they stand
back to back: They lean on each other to help each other be
successful in the world but rarely turn to face one another or be
together in an intimate way. To those who observe them from
afar, they may appear to be productive, competent, and resilient.
Within their relationship, however, they may feel distant, cold,
and disconnected.
The independent couple may be a dual-career couple in the
same or different fields, with individual career aspirations. Two
athletes, for instance, may not compete head-to-head in the same
sport, but they lead competitive lives, each trying to be successful
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56
57
In Helen and Jamie's case, it might have been easier for them
to avoid their painful memories and start their lives over independently after the death of their son. Instead, they worked
through their grief together and looked for a way to get support
for re-creating the excitement they had for their relationship
before they had a child. By contacting people who knew them
in the romantic stage of their relationship, they kept the primary
focus on their couple rather than on their individual goals.
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Chapter
3
Commitment
he cornerstone of CPT is the establishment or reaffirmation
of commitment to the relationship. Without a solid commitment, none of the other tasks of the Four Cs are truly accomplished. Without this commitment, the best a therapist is able
to do is act as a mediator between two separate parties. Like
Erikson's (1950) first stage of development, basic trust, commitment is essential to the continuing growth of the couple. As the
cornerstone of individual development is built on basic trust,
so almost all positive functions in couple derive from a basic
commitment. Without it, the health and life of the couple are in
jeopardy. Embarking on a relationship without a strong commitment is like going on a major expedition without a reliable map:
The travelersboth the couple and the therapistare likely to
get lost.
The truth of the matter is, however, that many of the couples
we see in therapy, even those who have been together a long
time, have never accomplished this primary task of establishing
a strong base of commitment. People are usually not even aware
that they need to have a map, or committed direction, for their
relationship, or that they should consult it regularly to make
sure they stay on their desired path. When this kind of commitment exists in a couple, both the therapy and the couple relationship stand a much higher likelihood of success. As Cordova and
Jacobson discovered in their research, "If the couple is committed
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commitment in CPT provides an alternative for serial relationships and gives support for dealing with the inevitable difficulties
and frustrations that arise in a relationship. As Hudson and
O'Hanlon (1991) stated, "We encourage couples not to stay together and be miserable, but to work actively on making their
relationships satisfying while staying through the times when
they feel discouraged" (p. 167).
66
rather than as her problem, they were able to make progress with
sex and many other areas of their life. They went through a
program of sex therapy together, and Beth began to initiate and
enjoy sex more often.
As couples therapists, how do we get our clients to take on
the perspective of couple and create commitment to couple as
an entity? First, we need to create our own commitment and
vision for the couple; without this, the therapy is likely to drift
on, without a clear direction. An important question to ask at
this point is how to tell if there is genuine hope for a couple.
(By this, we mean a real possibility rather than passive hopefulness.) One clue is the feelings expressed by each partner. If there
is a great deal of sadness or ambivalence expressed about ending
the relationship, this is often a sign that the partners are open
to considering some other possibilities for the couple. The next
step is to clarify early on in the therapy the importance of being
committed by asking each member of the couple to verify his
or her commitment to the relationship and to the therapy. If
either person is unsure about committing to the relationship, he
or she may agree to work in couples or individual therapy for
a certain period on what might be possible for the relationship
and to deal with their own anxiety or resistance. The more committed partner should also be supported in exploring ways to
enroll his or her partner in the therapy. The couple might begin
to develop a sense of commitment just by agreeing to work
together in the therapy.
The crucial step of committing to the therapy as couple may
require one or both of the partners to give up something that is
in the way of making such a commitment, such as drugs, alcohol,
work and recreational priorities, or a current affair. It is our
experience that if addiction or an affair is currently a factor for
either partner, a true commitment cannot be made. The therapy
is sabotaged from the start. So it is important to ask about affairs
and addictions and to discuss the effects of such behaviors on
the relationship. Then the therapist needs to be clear with the
couple about what the therapy entails and about the commitment
that it requires from them. If an addicted partner agrees to get
treatment for an addiction, the couple entity supports the treat-
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vision t h a t . . . is a much stronger bond than any hope or obligation" (p. 100).
Successful businesses know the value of a mission statement
for any project the organization undertakes. In a similar manner,
the goals of an individual are much more likely to be accomplished if a clear statement of goals has been made ahead of
time. The same kind of inspiration is possible for couples in
proclaiming the goal or vision they are committed to reaching
for their couple. Several clinicians have recently noted the importance of stating a vision in the practice of psychotherapy (Markus
& Nurius, 1986). Marital therapists have found that "Making
statements that highlight mutuality and connection. .. can create
the same positive expectations that a good report from a physician creates" (Hudson & O'Hanlon, 1991, p. 44). Some authors
focus on developing a vision of what to commit to work on in
the therapy, either in a specific solution-oriented way (de Shazer,
1985) or in a more general, possibility-focused manner (Waters
& Lawrence, 1993). The additional component in CPT that is
crucial for the design and maintenance of the cocreating couple
is that the partners continually create powerful statements of that
vision themselvesin words that are unique and motivating to
them as a couple.
The cocreating couple is brought into being through the use
of language. The power of language is the cornerstone of the
couple power model. The statement of their goals is a verbal
affirmation of the vision that the couple has for themselves. The
focus on language is consistent with modern theories of narrative
and brief therapy (Epston & White, 1995; Watzlawick et al., 1974;
White & Epston, 1990) as well as neurolinguistic programming
(Bandler & Grinder, 1979). It is also similar to the declaration
process used in Couples Coaching Couples (see chap. 6, this
volume).
Using analogies from the couple's own experience can be useful
in illustrating to them the power of language. For instance, biblical
writings declared, "First there was the word." In the Emancipation
Proclamation, Abraham Lincoln freed the slaves just by declaring
their freedom. Declaring it to be so, brings it into existence. Such
powerful statements inspire actions that might not otherwise have
taken place. In the American Declaration of Independence, the
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otherwise have taken place. The therapist can help the couple
reach their goal by keeping the focus on the words of the vision
they have proclaimed. Keeping this dream in sight allows the
partners to overcome short-term difficulties by looking at longterm possibilities. After all, civil rights activists do not abandon
the goals of the Emancipation Proclamation whenever they encounter prejudice or injustice. They keep the greater vision alive
to overcome the immediate problems. Couples with proclamations are able to do the same. Their commitment to being happy
together is not derailed during or after therapy because of occasional setbacks.
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Before the next session even began, the change was noticeable.
They entered the room arm in arm and laughing. The therapist
led them through an in-session ceremony. They told the therapist
how much fun it had been to rewrite new vows as they ate cake
and removed rice from their hair. They agreed that they would
like to do this exercise regularly, perhaps every week.
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fere with fulfilling the task of commitment will need to be addressed as they emerge. Following are the basic principles and
procedures for assisting the couple with the design of their
proclamation.
Positive Statement for the Present Moment,
Not Wish for the Future
The first step in creating a proclamation is to explore a description
with the clients of their ideal couple for the present moment. To
help them move from using their original wedding pledge to
creating a new vision and proclamation for their life together,
the therapist has to orient them to focus more on the present
and less on the past or future. The idea is not to try to fix or recreate what the couple envisioned in the past, but rather to create
a whole new possibility. The proclamation may be viewed as a
dream come trueone that is happening right now.
One way to access the couple's dreams is through asking the
"miracle question" (Berg & de Shazer, 1993). For example: "If a
miracle occurred in your relationship now that enabled it to be
exactly as you wanted it to be, what would it look like?" The
therapist brainstorms with the couple together during the session. Later, at home, the couple shares about both their individual
and joint visions for their relationship.
Responding to the miracle question was the turning point in
therapy for an elderly couple, who were both married for a
second time. They were so discouraged about their relationship
that all they could do was talk about divorce. In discussing what
a miracle would look like for them, they both came up with the
same answer almost immediately. They saw themselves loving
and supportive of each other as they faced the current difficulties
in their lives. Tears came to their eyes, and they very quickly
moved to creating the powerful couple proclamation "We are
soul mates for each other."
In brainstorming the content of their proclamation, be sure to
steer the couple in a positive direction. They need to frame their
vision in terms of what they appreciate about each other and
their couple, rather than what they want to avoid. Studies of
hypnosis have shown that the brain does not respond to verbal
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cues given in the negative form; instead, the brain registers everything but the not of a statement, thereby reinforcing the negative
message (Bandler & Grinder, 1979). So a couple should proclaim,
for example, "We are joyful" rather than "We are not angry."
This positive direction for the vision statement can be facilitated
by having the couple first acknowledge what they appreciate
about each other.
The therapist should also direct the couple to keep their proclamation brief and to the point, that is, one relatively short sentence.
If it contains too many words, it will lose its impact, and the
couple is likely to forget it. The therapist could assist the couple
in phrasing their proclamation by taking notes during the session
of particularly powerful words and phrases that they use while
sharing their acknowledgments and exploring the description
of their vision. These are then offered back to them for possible
inclusion in their final statement. For example, during a session
with John and Linda, a young couple in the middle stage of their
therapy, the therapist tracked the following process: They were
feeling "up against the wall," like they needed to "get over a
major hurdle." In looking for inspiration, they recalled a friend
who had "climbed to the summit" of a mountain. The therapist
read these phrases back to them, and they came up with the
statement "We're climbing to the summit." When they tried
repeating that statement together, they said it felt like they were
too far away from reaching their goal. They then modified it
and came up with the proclamation "We're at the summit."
Other sources for a proclamation could be important projects
that the couple wants to accomplish, or particular areas of their
relationship they would like to impact, such as sexuality or finances. The partners might also be encouraged to think of songs
or poems or other couples that inspire them and look for what
it is about them that they find exciting. The notion of a dream
come true may also be used more literally by exploring the
couple's night dreams, looking for clues that they might not
notice in their waking life. By sharing their dreams, the couple
may get ideas for a proclamation that their conscious minds may
have overlooked. We have noted elsewhere that dreams can
truly open up new awareness about feelings for loved ones and
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provide powerful metaphors for couple proclamations (KochSheras & Sheras, 1998).
One hard-working young couple, Claire and Ron, found this
to be the case when they were looking for ways to relax and
have fun with each other. After Claire shared a dream with Ron
about seeing him wearing a pink shirt and tickling him as he
giggled, they created the proclamation "We are tickled pink."
They went out together, bought Ron a pink shirt, and repeated
their proclamation daily, creating more fun and spontaneity in
their lives than they had experienced in months.
Whatever way a couple may access the content of their proclamation, the goal is to come up with an inspiring and clear description of their joint vision or current intention. They should be
encouraged to state it as existing in the present momentas a
declaration of fact, rather than as an unfulfilled desire from the
past or wish for the future; for example, "We are soul mates for
each other" rather than "We want to be soul mates for each
other." Often couples begin by saying what they want rather
than affirming who they are, or what they have or can do together. They can be reminded that the Declaration of Independence is grounded in the proclamation that "All men are created
equal" rather than "We want all men to be created equal." A
statement loses its impact and creates tension between what is
and what could be when it is expressed as a wish or hope for
the future; making a proclamation as a commitment in the
present tense circumvents the unfulfilled desire and allows for
effective action in the moment. Couples often recognize that the
intention and effect of this way of speaking is similar to what
many people call an affirmation, that is, a strong, positive statement that something is already so.
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near her," he would say. With the help of their therapist, they
were encouraged to repeat their proclamation to each other before going out with friends, and whenever he was feeling isolated
or hurt by her remarks. They reported that the exercise helped
them to feel more like a couple taking on the world together.
Once the couple achieves a powerful statement of their proclamation, it is useful for the therapist to help them identify the
physical experience of the excitement that it generates. This may
feel awkward or difficult at first for both the therapist and the
couple, as "most people are not oriented to learn from their
internal experience, their somatic history" (Keleman, 1982, p. 95).
However, after working with the process of creating proclamations for a while, both therapists and clients become more sensitive over time to the power of expression, both verbal and nonverbal. Therapists could help their clients locate their physical
sensations, describe them clearly in words, and then use the
particular sensation associated with the proclamation as a physical reminder of their commitment. The positive sensation, such
as warmth or tingling, may subsequently be used as a cue or
anchor to recall and reinforce the proclamation. "You can't not
anchor. It's only a question of whether you do it in a useful way
or not" (Handler & Grinder, 1979, p. 103). Both the couple and
therapist may unwittingly be anchoring or reinforcing the couple's pain and suffering by giving more attention to it. The emphasis needs to be on the possibility of creating a positive vision
together. The design and maintenance of couple proclamations
provide a systematic way to access and anchor the pleasant
versus the unpleasant states of being a couple.
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Repeating their proclamation immediately shifted their perspective to a cooperative joint inquiry into possible solutions. During
the next session, they reported that they were saying their proclamation daily and that they were really listening to each other.
As a result, they started talking about different living arrangements for Ron's mother and grandmother. They were truly living
out their proclamation "We back each other up one hundred
percent."
In addition to reciting the proclamation together in therapy,
the therapist should give the couple assignments to bring the
act of speaking it into the routine of their daily lives. For example,
they could recite it together in the morning and evening, or leave
it as a message on each other's answering machines and e-mail.
It may seem awkward at first, but with continued practice it
soon becomes a part of the couple's ongoing vocabulary and
behavior. They may come to see it as a daily affirmation or
mantra, a phrase or word spoken repeatedly during meditation.
The repetition gives a renewed sense of calm, consistency, and
stability. Just as brushing one's teeth works best if it is done
daily, the same is true with saying a couple proclamation. Saying
the proclamation is not a matter of whether or not they feel like
doing it; it's a matter of choice and commitment to couple. The
partners can choose to be controlled by their feelings or by their
vision. Choosing to follow their commitment rather than their
feelings creates couple power. By taking committed action, the
partners eventually come to see their feelings as something they
have, not what they are (e.g., feeling depressed versus being
depressed or feeling angry versus being angry). Rather than
waiting to feel something before they say it, they are encouraged
to say it first (proclaim it) and take action, knowing that the
feelings will follow.
It is important to point out during the course of therapy that
to maintain therapeutic gains and their cocreating relationship,
couples will need to create new proclamations continually over
the life of their relationship. This ongoing practice will support
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them in keeping their commitment alive and meeting the challenges they will inevitably face. Once is definitely not enough
where the commitment to couple is concerned. Some couples
may feel that they shouldn't need to do this, especially if their
couple has already made progress. Their romantic ideals will
tell them that once they have worked things out, they should
just live happily ever after. They may also think that they are
saying something is wrong with their relationship if they need
to keep re-creating their commitment to it. We have found, however, that once they start creating new proclamations on a regular
basis, they soon come to see that the opposite is the case: The
more attention they give to revitalizing their relationship, the
more it strengthens and reinforces the power of their commitment. Variety is definitely the spice of life here.
This was the case with the couple discussed earlier, John and
Linda. When their original proclamation ceased to inspire them,
they created "We're at the summit" as their second proclamation.
The clue that they needed a new proclamation was when they
started a session saying they "didn't know what to talk about
today." They were still having a lot of difficulties in their relationship, and it became clear that they felt, in their words, "up against
the wall" and needed a new proclamation to motivate them to get
past this impasse. Just the process of creating a new proclamation
reenergized and motivated them to commit to get past their wall.
Several months later, they hit another impasse and created the
proclamation "We are moving forward." Only then did they
really begin to open up and go deeper into the more difficult
areas of their relationship, such as issues involving drug use
and sex.
A couple in their late 40s, Ray and Laurie, began to consider
divorce when Laurie decided to go to graduate school on the
other side of the country. They used several proclamations over
the next year to get through that challenge. They first created
the proclamation "We are home for each other," which reinforced
their commitment and enabled them to feel comfortable with
their plan of having Ray stay in the home they loved during the
first semester of Laurie's time away at school. A few months
later, they created the proclamation "We are creative, fearless
adventurers" to support them in figuring out ways to manage
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Assessing Commitment
Evaluating a couple for therapy is essential to determining if
couples work will be effective and where to begin it. The questions in each category below are designed as guidelines to help
the practitioner determine what work needs to be done in helping
couples complete the task of commitment. The clinician may
delete questions that are not needed or add others that may be
useful for specific couples. The basic questions are those that are
felt to be essential for evaluating the completion of the particular
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Conclusion
If therapy moves prematurely into issues of how the partners
are cooperating or communicating before the existence of commitment and the statement of vision are clear, progress will be
limited. It may be necessary to redirect the therapy back to
clarifying the couple commitment or proclamation at various
times during the therapy. Even if nothing else is accomplished
in the therapy other than the couple clarifying their commitment
to their relationship, they will still have created a more productive way of relating. Sometimes couples realize from this process
that one or both of them is not truly committed to a long-term
relationship with their partner. This realization or admission
helps them be more honest and realistic about their relationship,
enabling them to either separate or redefine their couple in a
healthier way. Sometimes creating a new proclamation helps a
couple recommit to their relationship.
This was the case with the couple who had the proclamation
"We are King and Queen together." They returned to their therapist several years after they terminated marital therapy when
they were entering retirement and having doubts about staying
together. The therapist helped them clarify their commitment
and create a proclamation consistent with their current concerns:
"We are relaxing happily together forever." Bolstered by their
proclamation, after just one session, they felt confident and motivated to take on their couple and the world again together as
a team.
When a couple creates a proclamation of their joint vision, they
construct an arena where they are free to realize their potential
together. If they cannot construct a joint vision, the couple likely
will not survive. Therapists using the four Cs are not just apply-
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Chapter
4
Cooperation
stablishing commitment to being couple is only the beginning
E
of treatment. The next major task for a relationship and for
therapy is putting commitment into practice. This behavior manifests through cooperationthe second basic component of the
Four Cs and of the structure for a lasting relationship. Cooperation is a concept well known to many couples, but though it may
be simple to talk about cooperating, it may not come naturally or
be easy to accomplish. People think they know how to do it, but
they usually do not. People are generally socialized more toward
self-interest than cooperative action in our culture. Contemporary society's emphasis on individualism undermines the practice of cooperation. Competitiveness or the desire to be right
often stands in the way of true teamwork. Cooperation, however,
is a necessary part of a happy and healthy marriage or relationship. Helping clients learn how to cooperate effectively is an
essential part of CPT.
Many couples believe that compromise is a desired goal or
outcome. However, as we discussed in chapter 1 (this volume),
compromise usually means that one or both participants must
give up something that they want. The fear of having to give in
or lose causes resistance to cooperation. They become resigned
to compromise as a dire necessity and end up resenting it. True
compromise can be a form of cooperation, however, when a
couple focuses on developing new behaviors that are mutually
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objectives and rules that direct how they can be achieved, and
teamwork practiced according to the rules moves the couple
toward success. Adherence to these rules determines many successful outcomes. During dating and relating as a couple, rules
are often not clear or explicit, so success may not be easy to
attain. Understanding the rules and having them set out in a
clear and understandable way enables the couple to develop
effective "plays" and facilitates more positive outcomes.
Making sure that the goals of the game, as well as the rules
and plays, are clear to all members of the team is essential for
success in any team endeavor, especially in a relationship. Yet
therapists consistently see members of a couple who do not want
to tell their partners what they expect of them in relation to
meeting the goals of their relationship. This situation is often
caused by the fear of finding out that there isn't much agreement
on the goals of the union, which threatens the commitment; or
the couple may realize that there are less positive feelings between them now than when they started their relationship. For
instance, a couple may come to realize that one partner wants
children and a family whereas the other may not. Their ability
to cooperate regarding financial planning or even deciding where
to live and the choice of a lifestyle may then be compromised.
Failures in cooperation may be seen by the therapist as symptomatic of problems in commitment to a common goal. If that is the
case, the focus of therapy first needs to be on commitment to
a joint vision before exercises are done to enhance the ability
to cooperate.
Goal Setting
It is important to realize that good teams have goals, short term
and long term. Goals for successful teams have to be explicit, or
success will be elusive. Goals may be problematic not only if
they are hidden, but also if they are abstract. Marital therapists
Hudson and O'Hanlon (1991) stated,
We have found that the more abstract we have to be with the
couple to find mutually agreeable goals, the more likely it is
that it will be a treatment challenge. If the only commonality
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you can identify at first is not wanting nuclear war, you know
that you are probably going to see the couple more than two
or three sessions, (p. 45)
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they went together online to look for something that met both
their expectations. Within a week, they had made a selection
that pleased them both. The process of teaching them how to
cooperate on the project made the couple more able to acknowledge each of their contributions. Soon they argued less about
many things.
Team Spirit
The final component of a successful team is team spirit and
enthusiasm. Learning cooperation is both enjoyable and exciting.
Teams are usually formed within the context of playing a game
for fun. Even though many couples come to treatment for very
serious problems, learning to cooperate reminds them that contributing together to meet a particular goal is a lot of fun. It is
possible for planning a vacation, drawing up plans for an addition to a house, buying a bedroom suite, or having a baby to
become enjoyable, rather than just stressful, experiences. Resolving an old issue often clears the way for new activities to happen.
For example, removing fears of abuse or violence may make
room for a return to trust and playfulness. The therapist may
foster this enthusiasm and team spirit by also being playful and
engaging. Watching a couple return to an earlier feeling of love
and togetherness is quite rewarding for the practitioner as well
as the couple. In many cases, the sessions that are the most fun
for the therapist are also experienced by clients to be the most
engaging and useful. These experiences represent a departure
from the despair or frustration they often felt in interactions with
each other. Team spirit becomes an important part of goal setting
and problem solving because it increases a couple's interest in
therapy and their motivation to explore new possibilities with
each other.
A spirit of cooperation is especially needed in blended families
where children may come from a variety of past relationships,
and current relationships may include other parents or siblings.
Conflicting alliances and "invisible psychological bonds are the
Ghosts at the Table" (Bray, 1998, p. 4) that often make it difficult
to create a new viable structure or maintain couple as an entity.
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For example, Anna and Jerry, a couple in their early 50s, married,
with each of them bringing children from previous marriages.
They were presented with many conflicts when they tried to
negotiate "my children" and "your children." When they agreed
to take on the project of parenting and family building as a team
and saw all the children as "our children," the conflicts between
them began to disappear. It took a while for everyone to make
the adjustment, but eventually their new family began to operate
as a team.
Cooperation, even among divorced parents, has been shown
to be the most effective parenting arrangement. Bray (1998) referred to this as cooperative coparenting, which is "a cooperative
postdivorce relationship and a mutual commitment to working
together . . . sharing the same ultimate goal: the well-being of
their child or children" (p. 232). This is a good example of goal
setting being a function of the couple's commitment to being a
couple entity.
Delivering on Promises
Many conjoint, behavioral, and brief therapies are predicated
on goal setting and the accomplishment of agreed-upon aims.
Couples often complain that their partner does not do what he
or she said he or she would do. In therapy with couples, it is
important to see that mutual goal setting represents not merely
agreeing, but creating a promise or contract to continue to work
on the goals together. Sager (1976) spoke of written documentation of such contracts made between members of the couple. It
is not only the content of the goal but also the mutual agreement
to respect and deliver on the contract that becomes an invaluable
part of treatment. For many married couples, a breach of trust
has broken the original marriage contract. This may have been
an extramarital affair, the breaking of an agreement regarding
careers, or a feeling that the implicit trust they had regarding
loyalty has been broken. Creating a new contract and pledging to keep it may restore trust to a troubled relationship.
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partners have the same goal (safely using the parachute), than
to worry that the other person might be insulted.
Metaphors involving other species are also useful. Cooperation
appears to come more naturally or instinctively to many animals.
Geese, for instance, instinctively share the duties of breaking the
wind on long flights at the head of a V-formation, thus allowing
more tired birds from their family to rest at the rear where the
air is less turbulent. Donkeys, when climbing steep grades, lean
on each other to gain support and traction. Couples can sometimes understand these simple models for cooperating that they
might otherwise have overlooked.
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115
After a week, they came to the next session and told the stories
of what had made them laugh. Following the description of a
food fight they had at dinner the evening before, they said that
they felt better about each other and more excited about their
relationship in the future. During the session, they laughed uncontrollably, and so did the therapist.
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part of the project. The contract must also include what the
measurable outcome will be and how to evaluate its success.
The therapist needs to encourage the couple to meet weekly
about their project, review their progress in sessions, coach them,
and encourage them to coach each other.
As mentioned earlier, practicing making requests and agreements also makes a good weekly assignment. Tell each of the
partners to make a request (or a number of requests) of each
other every week. Have them begin by saying, "I would like to
make a request. My request is ..." The other is to respond by
agreeing to grant the request by a certain time, modifying the
request, or declining it. Have them start with small requests and
work up to more significant ones.
Creating a vision as a homework assignment involves asking
the couple to design a cooperative future together in concrete
terms. Such a task might be to have them plan their retirement or
to create a family vacation. Ask them to be specific in visualizing,
drawing, or writing down what that future will look likefor
example, if they plan to buy a boat and go on a sailing trip, they
can bring in some pictures of the boat they will buy and some
maps showing proposed routes. When a vision is created, the
impetus to cooperate to achieve it is much greater. Writing it
down or being explicit makes the commitment to it stronger.
Jenny and Bob came to therapy after living together for 3
years. They were clear that they were in love, reported great
and frequent sex, and thought that they would get married some
time soon. Over the past 2 months, Jenny had been feeling more
and more left out of Bob's life. Her job had her traveling frequently, whereas he worked locally and was home every afternoon by 5:30. Often he had friends over and partied a lot while
she was gone. Jenny was afraid to tell Bob that she wanted more
of his time for fear that he would say that he was having too much
fun and didn't need her. He often seemed to make demands of
her to cook and clean for his friends. She was becoming more
resentful, but didn't want to sound like a complaining, nagging
girlfriend. Although they seemed committed to being together,
she did not know what else to do except bring him with her to
see a marital therapist.
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Assessing Cooperation
As with assessing commitment, assessing cooperation in a couple
can usually be accomplished by asking some basic questions of
a couple. Below are some of the common basic questions to ask
and some follow-up queries as well.
Basic Questions
1. How well do you cooperate with each other?
2. Can you do some things better together than you
do individually? What are those things?
3. How do you respond together during a crisis? Give
an example.
Additional Questions
1. What activities are you involved in together?
2. Are you competitive with each other? Who usually wins?
3. Are you engaged in team sports together?
4. Who is in charge in your relationship? What is this
person in charge of?
5. How often do you argue? About what sorts of
things?
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Conclusion
The importance of cooperation cannot be overstated. Many people think that they are cooperating merely because they seem
to be getting along or because there are few major arguments
or altercations between them, but they may miss seeing what is
possible from the art of cooperation and being a team. What
makes a team truly great is that they go beyond the goal of
cooperating to avoid losing; they go all the way to being champions together. This component of a couple produces a sense of
being more than just reasonably happy; rather, a couple becomes
something really exceptional. For a therapist, true cooperation
in a couple he or she treats is a beauty to behold, gratifying
and joyful.
Chapter
5
Communication
f you ask couples why they have come for therapy, most say,
"Our major problem is communication." One or both of them
generally feels misunderstood, insulted, not heard, or ignored.
Both couples and therapists alike, in fact, often think that learning
to communicate better is the primary task of therapy. The therapist must be cautious, however, not to just listen to couples
complain about their problems and then go directly into teaching
communication skills. Without the proper context, the couple
may do more harm than good with their speaking. In the name
of communicating, they may attack, blame, berate, and hurt each
other, serving only to reinforce the battle lines between them.
Rather than getting trapped in the cross fire, the therapist must
provide protection from the fallout by stopping this kind of
destructive communication until the structure for a more positive
way of relating is created.
It is axiomatic in virtually all treatment approaches that effective communication plays an important role. Good communication, however, is not enough to maintain a well-functioning
couple; it is of little use in bringing about effective change unless
the members of a couple are committed to being together and
cooperating to reach a mutual goal. "Therapists might be more
effective if they could help couples to identify and cultivate
underlying character strengths necessary for good communication" (Powers, 2001, p. 327). Those underlying strengths include
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Dedicated Listening
Couples therapists are trained to be good listeners to be effective
with clients. It is also important that practitioners teach listening
skills to the couples they treat. The ability to listen is essential
for powerful communication. However, though it might seem a
simple thing to do, most couples do not know how to listen to
each other effectively. Most clients do not pay attention to the
fact that communication is a two-way process, requiring both
speaking and listening. They are so concerned with saying the
right thing that they forget to pay attention to hearing the right
thing. People usually remember only a small percentage of what
is being said. Perhaps this is because listening tends to be seen
as a passive behavior in which one is given an answer or just
waits for a turn to speak.
For the cocreating couple, the key to communicating effectively
is what we call dedicated listening. It means being fully present
and attentive to the speaker's experience. This is similar to what
has also been referred to as active listening, nondefensive listening, reflective listening, or listening "with the heart" (Welwood,
1990). The listener's job is to be committed or dedicated to knowing one's partner completely and to understanding fully his or
her experiences. The partners will learn to do this as they go
deeper into committing to each other and their couple as an
entity. This particular aspect of communication is crucial for
conflict resolution, as "simply listening to each other is the most
important step ... [especially] in relationships between the
sexes" (Montuori & Conti, p. 265).
Listening Exercises
To teach and test the couple's commitment to dedicated listening,
the therapist may guide the couple through a variety of exercises
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EXHIBIT 5.1
though she would pull away. After she heard him echo what
she said, she began to lean toward him and listen carefully. Just
the process of hearing him acknowledge her feelings allowed
Margot to feel understood and supported. Uri described his
experience about how private the people in his family and country of origin were with their feelings, and she was able to understand him a bit better. This helped Margot to forgive him for
that incident as well as several similar occurrences. The therapist
also pointed out the change in their nonverbal behavior of softening and leaning toward each other. They smiled when he mentioned it.
The therapist may have couples work to overcome obstacles
to effective listening and to develop their verbal skills by doing
some written exercises as homework and then sharing their experiences with each other. We have designed two exercises for
couples: "If I Were Alone" and "Changing Places" (see Exhibits
5.1 and 5.2). These exercises focus on identifying obstacles to
sustaining couple (see chap. 7, this volume) and on opening up
new possibilities for communication and cooperation. Once the
couple has completed the exercise individually and listened to
each other's responses, encourage them to share their thoughts
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EXHIBIT 5.2
Changing Places
Complete the exercise individually and then listen to each other's responses.
Think: What things do you do each day in relation to your couple
and family that are identified with your gender? Consider this question with regard to such areas as housework, errands, child care, social life, and decision making.
Do: Write down some of the gender-related tasks you perform in
one or more of the areas described above. Pick a day this week or
next week to change places with your partner to perform these tasks.
Note: You can vary this part of the exercise by taking turns doing the other
person's tasks with him or her for a while.
Discuss: Talk about what you have learned. Did you feel at a disadvantage because of your gender? Would it be possible to share certain
tasks or to divide responsibilities differently should the need or want
arise?
honestly in the next session. Each one is asked to listen uncritically and with an open mind. Make sure they are not trying to
give the right answer, or responses designed just to please their
partner. Even if they don't agree with what the other person
says, they should focus on accepting their partner's responses
as a contribution and an opportunity to cocreate new possibilities together.
Manuel and Annette, married for 5 years, had no children
and each had very successful individual careers. Both traveled
frequently for their work; the time away was disturbing at first
but now seemed commonplace. They each reported growing
apart from the other. Their therapist asked them to remember
what it was like when they were first married, but neither was
able to recollect what they felt that seemed so wonderful back
then. She then asked them to do the "If I Were Alone" exercise.
Each was to keep track every day of things they did that involved
their partner and think, "What would I be doing now if I were
by myself and not married to my spouse?" After the first week,
Manuel reported that he was surprised at how many things he
did, even by himself, that involved Annette. Sometimes he would
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wonder what she would like for dinner when he was grocery
shopping. After another week of doing the exercise, Annette
reported thinking about Manuel when she was out of town, and
wishing that he were there with her. The importance of being
couple became clearer to them. They saw that they had both
been afraid of being rejected and had been anticipating iteven
though they didn't really want to separate. This experience began
a process of spending more time together and developing trust
in the relationship without the fear of abandonment. Even though
they were a committed couple when they began therapy, sharing
and listening to each other's insights helped remove some doubts
and insecurities that had threatened to destroy their relationship.
Dedicated Observing:
Listening for Nonverbal Communication
A crucial aspect of dedicated listening that goes on constantly
is nonverbal communication. Too often it is ignored by clients
and therapists alike. Therapists are generally trained to do talking
therapy. Some approaches do include how to pay attention to
and make use of nonverbal cues. These include neurolinguistic
programming (Bandler & Grinder, 1979), brief dynamic psychotherapy (Davanloo, 1992,1999), and somatic-emotional methods
(Keleman, 1979; Weir, 1975), all of which have proven to be
extremely effective in forwarding the therapeutic process. Much
of human experience is internal and unconscious, and a great
deal of that experience is expressed nonverbally through body
language. Bandler and Grinder (1979) pointed out, "When you
make a statement or ask a human being a question they will
always give you the answer non-verbally, whether or not they
are able to consciously express what it is" (p. 18). For many
people, in fact, processing the world nonverbally is their primary
representational system (Cameron-Bandler, 1985). Nonverbal
cues include gestures, body position, facial color and expressions,
movement, eye contact, touch, crying, or laughing. Often voice
tone and volume communicate as much or more than do words
themselves. A picture is, indeed, worth a thousand words.
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128
bedroom, he at first looked only at the therapist. When the therapist pointed this out and suggested he direct his remarks to
Margot, Uri took her hand and looked into her eyes while speaking and listening to her. Only then did she begin to cry and
respond warmly to him. It is important at intimate moments like
this in the therapy for both the couple and the therapist to respect
the power of nonverbal communication and remain quiet while
experiencing the intensity in the room.
Nonverbal Exercises
Several exercises involving nonverbal experience are widely
available for use as homework or during a couples therapy session (Bach & Bernhard, 1971; Gordon, 1993). The intention of
many of these nonverbal experiences is to foster trust. One of
these includes taking turns doing a blind walk, in which one
partner closes his or her eyes and is led silently on a walk by
the other.
The purpose of this exercise is to experience being led and
leading in the context of a "trust test"a way of checking
out feelings of relying on one another. ... After the "Blind
Walk" partners share their observations and feelings. Were
you a responsible, trustworthy guide? Did you feel comfortable being led? The relationship between power (dependency) and trust may be discussed. (Bach & Bernhard, 1971,
p. 90)
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EXHIBIT 5.3
The Body Journey Guided Fantasy
Read this fantasy to your partner. Then have your partner read this fantasy
to you. When you have both finished, share the reactions, memories, and
messages that you got from the various parts of your bodies.
Prepare to take a journey. Just close your eyes slowly and relax. I will be
your guide. This journey is very close to homethrough your own body.
Begin now by paying attention to the sensation of your body resting in the
chair. .. . Notice any parts of your body that you feel yourself tensing or
numbing. Pay attention to those parts of your body. . . . And now, let me
guide you as you go through each part. .. . Pay attention first to your head.
(The guide mentions all the parts of the head next, and then goes through
every other part of the body, including the genitals, down to the toes.) Now
that you have traveled through your whole body, notice any part of your
body that may still feel tense or numb. .. . Go to that part of your body
now, and have it give you a message. . . . Take whatever you get. . . . And
now take a deep breath. As you inhale, feel yourself breathing energy into
those parts of your body that feel numb or deadened. .. . Take another deep
breath. As you exhale, feel yourself releasing tension from those parts of
you that feel tense. . . . As you complete your journey, thank the parts of
you that have communicated with you, and let them know that you will
make use of their messages, even if they don't make sense to you now, to
help yourself and your partner now and in the future. .. . Notice the sensation of your body resting against the chair. ... Imagine the room you are in.
. .. Take a few deep breaths, and on the count of three open your eyes.
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Dedicated Speaking
For communication to be effective, the therapist should teach
the couple to balance nonverbal awareness and dedicated listening with verbal expression and dedicated speaking. It is not
enough just to verbalize one's wants or desires, however. To be
heard, each partner must operate from the intention to talk to
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each other, not at each other, in a way that both of them can be
understood completely. This requires the couple to commit or
dedicate themselves to the task of cocreating the conditions for
productive speaking in the relationship. Following is a description of these conditions and how to facilitate them in couples
work.
Taking Responsibility
Perhaps the most difficult thing for couples to learn in achieving
effective communication is to take full responsibility for the current status of their relationship. Rather than looking at their
couple communication as something that just happens, each partner must operate proactively from a joint vision of how he or
she wants it to be. As they did with dedicated listening, the
couple needs to practice dedicated speaking, which means being
fully aware and responsible for what each of them says as well
as how it is perceived. The therapist must teach the partners
what is likely for them to be two new ways of thinking about
responsibility. The first is a recognition that what is communicated arises from the individual's own unique world view and
not from the way things just are. The second is based on a
perception of the self as an active agent rather than as reacting
to the control of others.
Most couples enter therapy maintaining a passive attitude
toward their relationship, depending on their partner or the
therapist to fix it. Instead, the couple needs to be encouraged to
take responsibility for creating a new vision and possibility for
their couple. This is done, initially, through the use of language.
Having the partners declare their commitment out loud in a
powerful and positively stated proclamation (see chap. 3, this
volume) teaches them to take responsibility for the condition of
their relationship early on in the treatment. By supporting the
couple in this task, the therapist instructs them to see that they
are not the victims of circumstance but the directors of the fate of
their relationship, continually creating new possibilities through
their speaking.
Teaching this kind of responsible behavior is easier said than
done. Our culture and our language are not set up to support
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people in taking responsibility for the success of their relationship. Having been taken care of since birth, people often continue
that expectation into adulthood, arriving for therapy with a desire to have their partner or the therapist take the role of a parent.
That arrangement may work well for some people up to a point,
such as with the role-defined type of couple (see chap. 2, this
volume). Eventually, however, one or both partners may get
tired of that arrangement, which leads to conflict. They develop
stories from their own point of view to explain the conflict, based
on their own interpretations rather than a joint commitment to
the couple. The goal of treatment is to have the couple "take
their stories less seriously or generate ones that support their
relationships and help them resolve their conflicts" (Hudson &
O'Hanlon, 1991, p. 20).
Even more challenging than the partners taking joint responsibility for the condition of their couple is having them take individual responsibility for their own part in the state of the relationship. In working on the second C, the task of cooperation, the
couple learns that being couple is not a 50/50 proposition; it
requires operating from a place of 100%/100%. In accomplishing
the third C, the task of communication, each partner takes on
full responsibility in speaking and behavior for the current state
of the couple.
A direct but challenging way to accomplish this responsibility
is to have the partners make I statements rather than you statements to each other. The use of I statements is one of the most
commonly used methods for enhancing communication (Gladding, 2002; Hahlweg, Baucom, & Markman, 1988; Satir, 1972). It
requires constant vigilance on the part of the therapist and couple
to monitor the wording of each sentence spoken to or about
one's partner. This process enables the individual to take responsibility for his or her own perceptions, rather than projecting
them onto the partner. This kind of language and perspective
helps to avoid blame and guilt, as no one person is at fault. It
also creates an opportunity for the partners to be generous to
each other. They gradually gain greater insight into their own
motives through the responsible use of language. This way of
speaking, referred to by Weir (1975) as percept language, states,
"I discover my uniqueness by taking ownership of myself and
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Soon after that, she accepted Carl's apology and was able to
express her forgiveness to him.
Expressing Forgiveness
The expression of forgiveness, as seen above relating to the issue
of infidelity in the case of Carl and Jane, is often crucial to the
resolution of conflict between the members of a couple. In fact,
"Clinical experiences . . . indicate that forgiveness has significant
value in diminishing the betrayal and pain and enabling couples
to work at resolving emotional conflicts that predispose their
marriage to infidelity" (Enright & Fitzgibbons, 2000, p. 212).
The therapist needs to help the clients realize that forgiveness
involves forgiving oneself and one's partner as well as asking
for forgiveness for one's own actions. The precondition for forgiveness (which literally means giving as before) is usually a genuine apology of some sort. Although it may seem relatively simple
to do, as in Carl and Jane's case, unfortunately it is often very
difficult for couples to apologize and forgive each other to both
partners' satisfaction, especially in Western culture. "American
society allows people to manifest a substantial amount of anger.
Not forgiving is socially acceptable" (Enright, 2001, p. 13). One
or both partners may be holding on to their hidden payoff and
be reluctant to let the other person off the hook. They may also
believe in the romantic notion that "Love is never having to say
you're sorry" (Segal, 1970). The therapist must help the couple
get past that illusion by reminding them of the importance of
taking responsibility for the state of their relationship through
their dedicated speaking. In The Art of Forgiving, Lewis Smedes
(1996) pointed out the important connection between responsibility and forgiveness:
When we forgive, we get new courage to recall what happened even though it wounded us badly and even though
it was done by the ones in our lives we most trusted to do
us good. We also dare to recall our own responsibility for
what happened to us ... and what we did to add to our
pain. (p. 173)
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had been married for nearly 10 years, they could not remember
ever getting along or agreeing about anything. When the therapist would suggest that they do something or gave them an
assignment, they would argue about it at home or even during
sessions. After a few weeks, the therapist became frustrated and
thought the couple might be untreatable. He shared his disappointment with them and acknowledged that he had been drawn
into their story that they could never get along. He said that he
was committed to their experiencing cooperation and creating
a new possibility for their couple. He asked for the couple's help
in doing that and asked their advice. They asked that he remind
them frequently about the potential he saw and not to give up
on them. Over the course of the next 6 months in treatment, the
therapist did remind them frequently that he saw possibility for
them as couple. Slowly they began to report they felt more hopeful and began to speak the possibility of staying together.
Accepting Conflict and Negative Feelings
A crucial part of taking responsibility for conflict in a relationship
is acknowledging that it exists. Couples need to be reassured
that conflict is not only inevitable but also necessary for the
maintenance of a fulfilling relationship. The therapist should
help them learn to look at it as an opportunity to create new
methods for meeting their needs and taking their couple to a
higher level of communication. It is helpful to let couples know
that their level of discomfort over a conflict between them is, in
fact, commensurate with the level of their commitment to their
relationship. Many people avoid facing conflict, however, for fear
of losing their partner or of being hurt emotionally, physically, or
economically. They then suffer the costs of playing it safe
losing intimacy, honesty, joy, passion, and satisfaction in their
relationship.
Many couples are afraid to acknowledge their negative feelings
of anger, hostility, jealousy, or aggression. They may be concerned about maintaining their own level of control or about their
partner's reaction. Often they will go outside the relationship to
complain or get support from someone else. It may be useful
for the therapist to point out that when members of a couple
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140
EXHIBIT 5.4
Unfinished Business (Modeled After Fair Fight Training; Bach &
Bernhard, 1971)
This exercise will help you learn how to share unfinished feelings from the
recent or distant past with your partner in a constructive manner. In doing
this, both the speaker and the listener will learn to understand each other's
feelings and gain important information for the couple.
Exercise
Each of you thinks of some unfinished business you have with your partner. You may start with the most urgent business or flip a coin to determine
who will be speaker first.
SPEAKER:
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SPEAKER:
LISTENER:
Sharing intimate feelings is a gift. You are thanking your partner for being
willing to share his or her inner experience, not necessarily the content of
what was shared.
If unfinished business is positive:
LISTENER: "What was there about what I said or did that you particularly liked?"
SPEAKER: Tell the listener what you liked most about what he or
she said or did during the event.
LISTENER:
SPEAKER:
LISTENER:
It is advisable to wait a while before switching roles to avoid using the exercise as a rebuttal for the first partner's sharing his or her feelings.
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Acknowledging
Perhaps the most important element of creating true partnership
through dedicated speaking is the communication of acknowledgment, the process of noticing and appreciating something
positive that a person has said or done. This simple act of attention is what people need most, even more than love, to function
well (Barren, 1988). Basic principles of behaviorism have demonstrated clearly that rewarding and reinforcing positive behavior
is much more effective than punishing or trying to change unwanted behaviors: What is reinforced tends to reoccur and persist; what is ignored tends to disappear. Gottman (1994) has
demonstrated, in fact, that happy couples communicate positive
statements to each other five times more often (a ratio of 5:1
positive to negative statements made to the partner) than do
unhappy couples (a ratio of 1:1).
The dictionary definition of acknowledge is a good reference
point for assessing a couple's level of progress in achieving dedicated speaking and listening. If they are practicing acknowledgment in both meanings of the word, they are on the right track.
The primary definition given by Webster's Dictionary (1975) is
"to own or recognize by avowal or by some act." Although not
found in all dictionaries, this definition speaks about the essential
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148
very good dancer, and he and his wife had started taking dance
lessons a few weeks earlier. He told the group that in the dream,
he saw himself and his wife along with the rest of the group
dancing together, "coordinated in unison." Then he cried and
told those present how much he missed his Vietnam buddies
and how valuable the experience of being in the group had been
for him and their couple.
Opportunities for sharing positive attention and acknowledgment are prevalent. However, couplesand sometimes therapists as wellare often stingy with it at times when it could be
very helpful. Couples usually come in to therapy talking about
what they don't like or want in the relationship. Therapists often
reinforce this kind of communication by asking questions about
their complaints. This makes it harder to direct the conversation
toward acknowledging anything positive, let alone in a way that
has some real impact. If something positive is shared, it is often
expressed in such a vague or reluctant way that it is ultimately
ineffective in reinforcing the desired behavior.
Some practitioners may have learned in their clinical training
to see giving acknowledgment directly to clients as inappropriate; they may also not have received it personally in their own
supervision or elsewhere. Without some modeling and experience of acknowledgment in their lives, it may be difficult for
therapists and clients alike to include it in their repertoire of
behavior. Certainly, therapists need to be judicious and careful
about giving acknowledgment to clients or supervisees, but we
often fail to use its power when it can be most effective.
Exercises and assignments. From the perspective of the couple
as an entity, teaching and practicing specific exercises in acknowledgment is very powerful. Most couples have come into therapy
too angry, depressed, or distracted to take the time and attention
to acknowledge each other regularly. To overcome these tendencies, the therapist may ask the couple to acknowledge each other
every day for a week as homework, or they may build such a
practice into an ongoing couple contract or a proclamation. One
couple created a proclamation, "We appreciate each other,"
which reminded them to acknowledge each other every day.
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Assessing Communication
Assessing communication skills is something that therapists do
as a matter of course. Most have training in identifying when
this skill is lacking, both verbal and nonverbal, though many
ignore the nonverbal and sexual areas. Below are a few guiding
questions to ask about the presence and the quality of communication in a couple.
Basic Questions
1. How well do you feel that your partner understands you?
2. How well do you communicate with each other?
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Additional Questions
1. Do you argue about little things?
2. Do you often guess what your partner is thinking?
3. Does your partner think he or she can read your
mind most of the time?
4. Are you embarrassed by your partner in front of
other people?
5. Does your partner berate you, put you down, or
talk down to you?
6. Are you completely honest with each other?
7. Do you often avoid conflict by being quiet?
8. Do you share your feelings and affection openly?
9. Are you satisfied with your sex life?
10. What is your favorite way of touching each other?
Conclusion
Many factors create obstacles to the effective expression of feelings both in and out of the therapy session. Thus, it is important
that therapists include some specific communication training
about expressing thoughts and feelings, both positive (acknowledgement and affection) and negative (anger and hurt), during
this third C phase of the therapy. Again, it is crucial that the
tasks of commitment and cooperation be accomplished before
proceeding in detail or depth with communication practices.
Without these cornerstones of the couple as a cooperative entity
in place, any communication may be resisted, fall flat, be ineffective, or even destructive.
Chapter
6
Community
he fourth component of a well-functioning couple, which is
rarely addressed in traditional therapy, is community. We
became aware of the importance of community for couples several years ago during interviews with people who reported being
happily married for long periods. A common theme that emerged
regarding their ability to stay together was that they all had a
powerful sense of connection with another couple or group of
couples with whom they were close friends. In many cases,
couples became friends with other couples, which led to the
development of groups of couples in neighborhoods or through
connections with extended families.
As significant as being a part of a community seems to be, we
have found that it is missing in the lives of a large number of
struggling couples. A number of factors seem to be involved.
The cultural preoccupation with individualism may contribute
to a breakdown in relationships both within and between couples. In addition, social and physical mobility make it difficult
to form stable ongoing relationships with other couples and
families. Changing jobs, neighborhoods, or geographical regions
makes it problematic to sustain the closeness necessary to maintain friendships. The high frequency of divorce and unhappy
marriages also adds to the problem of maintaining meaningful
ongoing connections between couples.
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154
Looking for potential friends who were already in good relationships proved helpful to them, and they rapidly found two new
families with whom they could share time and activities together.
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Like the dialectical question regarding individualism and collectivism, once couple entities are formed, as illustrated in the case
above, cultural and social forces often still prevent them from
coming together in viable communities. Whereas facilities exist
to support individuals in forming couples, such as singles bars
or match-making vacation opportunities, there is an erroneous
assumption that once they have formed a couple, there is little
need for the support of a larger community. Honeymoon hotels
or romantic getaways are designed for a couple to be together
with one another and family resorts arrange communal activities
for children, but rarely are there collective venues designed for
couples to be together in association with other couples. Where
such opportunities do exist, such as in churches, in clubs, or
elsewhere, they appear to be educational programs to preserve
or fix relationships, rather than providing a chance to celebrate
couplehood together or just enjoy a larger sense of community.
They are designed to help couples survive more than to thrive.
Participation in community groups, civic activities, politics,
clubs, and even group recreation and group socializing continues
to decline in the United States, for individuals as well as couples.
In his book, Bowling Alone (2000), Putnam noted that though
more people were involved in activities such as bowling, fewer
people were joining leagues or group activities. He cites many
factors that contribute to this trend away from community
involvement, including (a) more dual-career couples (making it
difficult to have friends for dinner when no one is at home to
prepare it); (b) increased demands for productivity (resulting in
less time to spend at the bar with friends); (c) more commuting
time required (leading to less time to spend in a club activity);
(d) more financial pressure to earn money to sustain everyday
life (resulting in less time or resources to have a hobby or play
on a team); and (e) the advent of television and air conditioning
(keeping people inside and more isolated). Individuals are more
likely than ever to engage in recreational activities by themselves,
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160
are very dynamic, and couples are constantly learning new things
about their partners and themselves. Therefore, it is important
to point out to clients that getting together with other couples
to share insights together with a positive intent creates a sense
of security, warmth, and optimism.
Developing a community of couples is something that definitely aids therapy by providing additional information and support to clients. It is also important to be certain that couples
leaving therapy either prematurely or after finishing treatment
are able to benefit from continuing community connections. This
sense of connectedness, spoken of by Putnam (2000), Powers
(2001), Zaiss (2002), Montouri and Conti (1993), and others, is
necessary for the well-being of the couple as well as the
individual:
Common sense and a lot of good theory strongly suggest
that a lack of sense of connectedness, of a feeling of wider
belonging and purpose, and of a feeling of making a difference in the world fosters chronic tension, chronic irritability
and anger, emotional isolation, frustration and impatience,
and cynicism or despair. These feelings and attitudes undermine individual well-being directly, and do so indirectly by
eating away at the social fabric of family, work environments,
and community life. (Richardson & Zeddies, 2001, p. 215)
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Discovering Communities
For many couples, communities already exist around them.
These communities may involve parents and extended family
members, what we call vertical communities, or they may involve
peers and friends, or horizontal communities. Clients may, however, be unaware of them, for a number of reasons, or be unwilling to join them. The most common communities for couples
are friends, family members, church or temple members, neighbors, and colleagues from work or school. The people in these
groups may not be in committed relationships, but in most cases
at least one community with a few couples in it can be found.
The therapist should encourage the couple to look carefully for
these communities in places they least expect. They may be used
to looking for individuals to relate to and not accustomed to
finding others in relationships. People tend to meet individuals
and only secondarily determine if they are in couple relationships. It might be easy to get a cup of coffee or have a drink
with a friend at a local bar, but where do groups of couples hang
out where they can talk?
It is common in individual therapy to give a client the assignment of meeting new people or trying to identify potential friends
in the workplace or elsewhere. The same may be done for the
couple entity. (This involves some cooperation and communication on the couple's part, so both of these tasks should already
have been addressed.) The therapist might suggest that couples
begin by working together to create ways to find another couple
to make friends with. Then the therapist may suggest they do
something together with that couple; their relationship can be
the topic of dinner conversation, and they can share stories of
how they met. People often hear some amazing stories and are
even surprised by how their own couple's saga is seen by others.
This dinner conversation will likely turn out to be much more
interesting and diverting than a discussion of current events or
problems at work.
Brainstorm with your clients to find some places to look for
community. Have them talk about the qualities they would look
for in other couples with whom they might feel comfortable.
This process is very revealing. Notice if their skills at cooperating
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Creating Communities
Couple communities do not always occur naturally or spontaneously, however. As a result of social mobility or transience related
to work or career, many couples often find themselves in new
or unfamiliar places. The stresses they experience as a result of
new social or physical surroundings may make it difficult to
spend time together as a couple. When leisure time is possible
for the two of them, it may be problematic to find other couples
or communities to be with. Even a couple, not just an individual,
may experience a sense of isolation, which often puts more stress
on the relationship to meet all the intimacy and interpersonal
needs of the partners. Couples often come to therapy following
a move to a new place and disconnection with a previous community, such as a family group or close friends. Establishing a new
community for their couple to live in may seem like a low priority
in the face of marital conflict or unhappiness, but support from
a community will help them get through the difficult adjustment
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period more effectively. Just as making a new friend often lightens one's mood, making couple friends does the same for a
relationship.
If there is no obvious, attractive, or available community for
a couple to join as described above, it is necessary to support
clients in creating their own. Most clients do not realize that
communities are usually started by someone getting together
with someone else. It merely takes some interest and initiative
to do so. Like a tradition, a community starts with a single act
or idea to reach out to someone, in this case as a couple. If clients
complain that there is no neighborhood feeling where they live,
suggest that they sponsor a block party or a community barbeque. One couple who felt this way arranged a get-together in
their neighborhood social hall, and it became an ongoing activity
for many couples in their community. As they begin to feel
stronger in treatment and resolve their issues, let couples know
that they have the power to attract others to them. We often say,
"You are a powerful couple now; other couples will want to be
like you." They have the power to create community around
them.
Not all client couples may be ready to reach out on their own
right away. Some may need more therapeutic support. Another
way of creating communities for couples is through the development of couples therapy groups. Eric Berne (1961) believed that
couples groups were the most effective and powerful of all therapeutic practices. We often refer committed couples to such
groups after seeing them alone if their skills in maintaining their
relationship are still a bit fragile or if, for some reason, they are
physically or emotionally isolated.
Jill and Rob were members of a couples therapy group. They
had been married for nearly 25 years and lived in a rural area
where she was a teacher, and he was a farmer. Unable to have
children of their own, they adopted three young children with
significant learning and behavior problems. Since the time of the
adoptions, Jill and Rob had dealt with one crisis after another
with their children, who were now in their late teens and early
20s. They often disagreed on how to respond to the challenges
of parenting and fought about which of them should take responsibility for their children's continuing problems. Everything they
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EXHIBIT 6.1
Couples Croup Agreements
1. Each couple will make a 3-month commitment to the group.
2. One month's notice will be given in the group prior to termination.
3. Each group member is financially responsible for all group sessions to
which they have committed. This includes sessions missed.
4. Payment for the sessions is due on the last of each month for the
preceding month's sessions.
5. Each group member or couple will give notification of any sessions they
will miss.
6. Each group member is responsible for bringing to the group all
significant contacts made with other group members outside the group
sessions.
7. Each group member will write a contract of what they are committed to
work on while in the group. The contract will reflect the group norms for
contracts.
8. All identifying information about any person in the group or mentioned
in the group process is confidential.
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others, as was seen with Jill and Rob. The couples are models for
dealing with both positive and negative outcomes. The therapist
merely focuses and directs the energy of the members, and clients
are often surprised to see the common experiences they share
with other couples regardless of age or experience. Although it
is helpful to have cotherapists, married or not, to serve as a
model, it is not necessary to do so. An individual therapist with
experience in couples and group therapy may accomplish the
work as well. It is important for one or both therapists to work
with a couple for several sessions before they enter the group
until the commitment to their relationship is affirmed and their
preparation for group work is completed.
Clients who complete group treatment are more confident
about their ability to go back home and create supportive couple
communities for themselves. Couples have started a regular dinner gathering with friends, organized a couples bridge club, and
reached out to their extended families. Jeremy and Jack, for
instance, had just moved when they came in for therapy. They
had been together in a gay relationship for 2 years and felt
committed to each other. They argued frequently, however, and
were very jealous of each other. When one returned home late,
the other was always angry, regardless of the excuse. They had
moved from a community on the West Coast where they met.
They reported feeling close to a lot of people there and spent
time regularly with a group of couples at the beach or at someone's house. The therapist realized that Jeremy and Jack were
feeling the loss of community more than anything else. Each
became afraid that they would lose the other, which led to jealousy and anger. With support from the therapist, they entered
a couples group where they heard many other couples (mostly
heterosexual) expressing similar concerns about fears of abandonment. From their experience in group treatment, they were
encouraged to find other communities. They took on a fundraising project together for a local HIV/AIDS residence and began to feel more accepted by others. They found a group of
friends with whom they had a lot in common and completed
group therapy. In this case, the fourth C, community, had been
the missing piece in their treatment.
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Assessing Community
Here are some of the questions that might be used in assessing
community in couples. Most couples who present for therapy
will not have a sense of community. If they do, it can represent
a real strength for them when they are ready to use it.
Basic Questions
1. How much time do you spend doing things with
other couples?
2. Do you ever share with your friends about your
relationship?
3. How do you meet other couples?
Additional Questions
1. Do you feel close to your families?
2. Are you most comfortable when it is just the two of
you doing something?
3. Were your parents divorced or unmarried?
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Conclusion
Supportive community programs such as those mentioned above
serve to enhance the functioning of relationships during therapy
as well as before or after couples are in need of treatment. Such
programs may become an important focus of attention for therapists interested in making a long-term contribution to improving
the relationships of their clients. The task of community is essential for the ongoing maintenance of couple. Without a connection
with other groups and couples who support their commitment,
a couple may be like a fish out of water. A community of support
creates the context for the couple's commitment, which, in turn,
supports the other tasks of couple. Thus, the Four Cs can be
seen as a circle, with the last element linked to the first, where
it all startsthat is, commitment to couple. When in doubt or
trouble, then, the therapist can always "go back to one" (Kopp,
1977): "Learning to go back to one by returning to fundamentals
of Work [sic], the therapist is helped to feel comfortable simply
being in charge of the therapy" (p. 15).
Chapter
7
Obstacles Along the Way:
Challenges for Clients
and Therapists
"In this transitional time we have the task of fitting the kinds
of relationships we want into a society that may not only
fail to support our vision but often actively oppose it."
Boston Women's Health Book Collective (1998, p. 191)
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together, let alone for therapy. Maintaining intimacy in a relationship may not seem as pressing a need as meeting a deadline or
recovering from an intense workweek (Reynolds & Norman,
1988). One obvious casualty of work-related fatigue is physical
intimacy or a satisfying sex life. Fatigue itself may actually affect
the ability to perform sexually and be a cause of sexual dysfunction. Many couples may just be too tired or too busy to have
time for any kind of intimate communication, verbal or physical.
"There isn't time," "I don't have the energy," "It's just not something I think about": Therapists hear all of these statements
regularly. To counter these messages, therapists may encourage
couples to commit to setting up a brief time each day to be
together. They may use this time to communicate about things
that are important to them, or just relax togetherwhich may
eventually lead to more physical intimacy as well. Therapists
may suggest that couples begin this time together by stating
their proclamations, and that this time not be used to discuss
logistics or household chores. This is to be a time for their couple
just to be couple.
A common scenario in therapy is the dual-career couple who
finds it increasingly difficult to find time for sex with each other.
When one is interested in being intimate, the other often is not,
which results in constant anger and frustration between them.
Each feels unappreciated by the other for the job he or she is
doing and for the income it generates for both of them. The
combination of unrequited desire and frustration may eventually
give way to lack of attraction or interest. This situation is, unfortunately, prevalent among most couples. An estimated 40% to 50%
of men and women in this country report sexual apathy, with
working couples much more likely to experience this lack of
desire (Davidowitz, 1992). Highly motivated career-oriented individuals are often uncertain where to place love and romance
on their priority list. Again, individualism encourages the view
that career achievement is more important than personal fulfillment in an intimate relationship. Assertive, high-performance
people may find it especially hard to switch gears and become
passionate, compassionate, nurturing, and loving when they
arrive home at night. "While readily sympathizing with each
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Idealized Images
Everywhere we look in our culture we are confronted with idealized, romanticized images of the perfect woman, man, or relationship. These images permeate educational systems and the
media, leading to unrealistic or unachievable expectations of
partners and nearly insurmountable pressures on couples in a
variety of ways. These preconceived notions make it more difficult for partners to be flexible and open in therapy to possibilities
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Leslie and Bob have been married for 25 years. Leslie has been
resentful for all that time, because she has never been able to
have an orgasm during intercourse. Even though Bob stayed
erect for 3 to 10 minutes before ejaculation, she considered him
to be a premature ejaculator. They both felt hopeless and abnormal. She would blame him, and he would feel so guilty that
they stopped having sex altogether. With the help of the therapist, they saw that having enjoyable sex could be the project of
their couple, not the individuals. This reduced the anger and
guilt and allowed them to begin new and interesting sexual
explorations. By repeatedly stating their commitment to couple,
he became less afraid and she less hostile.
Television often contributes to romantic illusion and unrealistic expectations by presenting either overly idealized couples
unrelated to real family situations or portraying couples as striving to achieve a better quality of relationship but falling short.
Rarely do we see behaviors of acceptance, warmth, empathy, and
emotional intimacy portrayed as sufficient cause for happiness.
Rather, particularly in soap operas and reality shows, lack of
attachment is encouraged and even romanticized, as in one series
that included scenes of spouses set up to cheat on each other.
Moreover, when couples appear on talk shows together they are
often encouraged to express "pathological levels of anger . . .
[and] are treated as though their rages were completely normal
and acceptable" (Enright, 2001, p. 13). The general premise of
most sitcoms and television dramas, in the Father Knows Best
style, is finding something wrong with the perfect family, and
then one spouse fixing it. The television-episode format gives
the impression that problems are always resolved in a timely
mannerthat is, conveniently within a 30- or 60-minute show
(including commercials). The proliferation of new channels now
further encourages the notion that if you don't like what you
see, just switch to another channelor relationship. Programs
in which couple struggles are presented as a necessary part of
human existence are rare but when broadcast have often been
quite popular. Rather than giving a quick fix through a titillating scenario, such shows leave the viewer with more intriguing
questions at the end than at the beginning, such as "What kind
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Jack and Betty have been together for 7 years. During that
time, Jack felt that Betty needed to dress and look a particular
way before and during sexual relations. He developed this image
from looking at magazines and sexually explicit videos. Betty
was uncomfortable with how he wanted her to dress. Because
of this discomfort, she no longer wanted to have sex with him
at all. In working with a therapist, they were able to see that his
images of sexuality were not really his own, but those manufactured by the media. With the common goal of fun and enjoyable
sex without fear of disappointing each other, they found other
ways they could become intimate and aroused.
Gender Stereotypes
As with the ethos of individualism, a restricted context for accomplishing the Four Cs is created in our culture by gender
stereotyping, a subject of much study in recent years (Bern, 1993;
Denmark, Shaw, & Ciali, 1985; Eckes & Trautner, 2000; Tannen,
1990; Wolf, 1997). "A woman's place is in the home" and "Boys
will be boys" are examples of "discourses and social practices
. . . organized around the lens of ... gender polarization" (Bern,
1993, p. 143).
One of the areas in which gender role limitations are often
problematic is in communicating about sex. Certain sexual behaviors are considered culturally appropriate or ideal for women
and others for menwhat has come to be called the double
standard. Men can be aggressive and play around sexually, and
it often is accepted; if women do the same, they are often considered promiscuous. This double standard may cause difficulty
for the traditionally raised woman with idealized gender expectations, particularly if she is unassertive and marries a rather
nonassertive man.
For example, a young couple in a couples therapy group, Linda
and Terry, married for 4 years, were having sexual relations very
infrequently, partly because of the wife's shyness and discomfort
with sex. Terry was reluctant to initiate sex anymore for fear of
being rejected by Linda and upsetting her. With support and
good-natured feedback from the therapist and other couples in
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Feminism
The pressure to create more egalitarian and flexible gender roles,
although productive, has created some of its own obstacles. The
heightened expectations of women for both themselves and their
partners generated by the advent of feminism has led to an ideal
of "superwoman" trying to do and have it all. The contemporary
American woman often thinks she must be physically fit, mentally brilliant, a great lover, homemaker and parent, and champion bread winner. On top of this, she feels she has to juggle
all of these activities and responsibilities with grace and ease.
Advertising has created the image of the liberated woman as
the well-groomed, efficient executive who comes home to take
care of her children and husband and dogs, and then cooks a
gourmet dinnerstill smiling, of course! Research has shown,
in fact, that the wives of dual-career couples do 75% of the
housework (Hochschild, 2003). The disorder stemming from
these expectations has been identified as the superwoman syndrome, "a range of physical, psychological, and interpersonal
stress symptoms experienced by a woman as she attempts to
perform perfectly such multiple and conflicting roles as worker
or career volunteer, wife, mother, and homemaker" (Shaevitz,
1984, p. 15). When a woman is unable to live up to these expectations, one or both members of the couple may experience intense
disappointment, anger, or guilt. This may lead to as much deterioration of the relationship as that caused by following traditional
gender roles.
Evidence of these responses can be seen in the many female
clients who seek therapy either to find out why they cannot live
up to their ideal of success or to get help in coping with all the
pressures on their couple caused by their multiple roles. It has
been demonstrated that it is the women's husbands, particularly
traditional men, who have been most disturbed by their spouse's
juggling (Crosby, 1991). It seems that challenging traditional
gender roles and idealized images, even when successfully done,
is unsettling and even frightening to many men, creating yet
another potential barrier to the couple that needs to be addressed
in therapy.
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troubled couple, Gary and Tanya, with their first child less than
a year old, went several sessions without ever talking about their
child, let alone their difficulties and disagreement in caring for
him. Guiding them to create a new proclamation that focused
on working together as a team ("We work together") helped
Gary and Tanya to be better parents.
Another contributor to obstacles regarding children is the tendency in the past 2 decades for parents to give higher priority
to their child than to their couple. "This is the new American
ideal ... based on the nefarious notion that the more attention
you pay, the more involved you are with, the more you do
for your child, the better a parent you are" (Rosemond, 2004).
Certainly, a child needs to feel safe and loved by the parents,
but couples in Western society, it seems, have gone overboard,
which often results in less satisfied couple relationships and
more self-centered demanding children with no model for taking
care of oneself or a marriage.
Many dual-career couples express sadness and guilt at being
away from their children because of work commitments, feeling
the need and pressure to be with them at all other times to
compensate for time away, even at the expense of their own
needs or intimate time as couple. In fact, their couple usually
comes last, after time for oneself, the home, and extended family.
Partners trapped in acting according to such idealized images
of caretakers or mother and father need to be encouraged by the
therapist to relate to each other more as husband and wife.
(Homework to go on a date or the like is quite helpful in this area.)
Children require immense time and energy that, like a career,
often leave parents without the time or energy to devote to their
couple. "There are only so many hours in a day," said one mother
to the therapist. "My husband and I, together, get whatever's
left over. Usually, that's not much." Marriage and parenthood
compete for personal resources. Physical and emotional energy
and money must now be distributed between the needs of new
family members and the preexisting needs of the couple. Given
the feelings of attachment, responsibility, and urgency that children engender in their parents, often little time and energy are
left for the couple itself. With less time to communicate and
more people to blend into the communication they do have, the
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my wife," one client told us. "But by the time we get home from
work, the kids want our attention, and to be honest, it's hard
not to feel like a part of a crowd. I think we're both guilty of
letting the presence of our kids get in the way of having any time
together as a couple." Having this couple say their proclamation
when they got home helped them create a special space of intimate connection that helped take them through the rest of the
evening with a more positive and hopeful attitude.
With the added sense of responsibility that comes with having
children, couples often tend to move toward more role-defined
or "safe" models of parenting, which reduce their flexibility and
creativity. Whether the result of biology or behavior learned at
her own mother's knee, a woman, especially, may feel pulled
toward a traditional nurturing role, often sacrificing her own
needs and the needs of the couple for the needs of her child.
When one role in the couple changes, the other role is invariably
affected. The close bond between mother and baby, for instance,
might cause the father to feel jealous, excluded, or alienated from
his new family. This feeling of exclusion can start even before
the baby is born. Bill and Judy, married for 3 years, came to
therapy when they were expecting their first child. Judy told Bill
that she did not want him in the delivery room, because she was
embarrassed at how she would look, and, besides, her mother
never did that. He was disappointed and angry until the therapist
helped both of them get clear about their couple priorities, and
they worked it out to be together in the delivery room.
Parents sometimes even compete for their children's affection,
deflecting the underlying issue of finding time and energy to
have affection within the couple. As children enter various developmental stages, there are new surprises to contend with. This
is particularly true when a child reaches adolescence, a time
when parents often feel inadequate, vulnerable, and incompetent. Aldous (1987) argued that the stresses of adolescence "feed
back on husband and wife relationships making them less
pleasant." Sheras, Abidin, and Konold (1998) demonstrated that
relationship difficulties also impact how stressful parenting a
teenager can be. In short, the roles of parent and spouse often
seem incompatible.
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Compatibility
Another problem that makes it difficult for couples to achieve
a positive relationship is perceived incompatibility. Both couples
and therapists usually expect that two people who have different
values, different personalities, and different personal histories
are incompatible. The assumptions learned from the culture are
that similarity breeds support. Even in couples therapy groups,
couples are often surprised that they connect so easily with other
couples that seem so different from them in age, background,
or experience. As couples strive for similarity and compatibility
between themselves, and with other couples as well, they often
commit themselves to boredom and predictabilitya real barrier
to intimacy and ongoing couple satisfaction.
Idealized concepts of compatibility with others develop early
in life. People observe models, such as parents or popular idols,
and train themselves to find these compatible characteristics in
those with whom they relate. They often radically narrow the
field of those they see as potential partners, which makes their
attempts to be in relationships even more difficult. (Sometimes
in rebellion against cultural values, adolescents or young adults
choose the opposite of these traditional models, an alternative
just as narrow and limiting as trying to re-create the past.) It
may be, in fact, that couples often work together better as a team
and learn more from others who are different than themselves
if they commit themselves to listen. Teaching them dedicated
listening and speaking within the context of commitment helps
them overcome perceived incompatibilities and fosters intimacy.
Diversity in Couples
Working with any couple that is outside the mainstream traditional male-female model of couple involves additional obstacles
to accomplishing the Four Cs. In addition to all the other cultural
factors mentioned above, such couples may have to deal with
prejudice, discrimination, or alienation from their families or the
culture at large. This may create added difficulties in therapy in
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marriage that heterosexual couples have. This lack of an institutionalized relationship makes it difficult for them to know how
to define their commitment and their couple to othersor even
to themselves. Depending on where they live or how comfortable
they feel about their sexual identity, gay couples will have varying opportunities for creating a relationship or support for maintaining it. A lesbian couple called a therapist they knew who
lived in another city to ask for help with their relationship of 2
years, because they said that they had no oneeither friends or
mental health professionalsthey felt they could talk to in their
own hometown about their gay relationship. A few phone consultations with the therapist helped them get back on track.
Without that assistance, they said, they thought they would have
broken up. They were guided to use the Internet to find other
resources to support their couple.
Another lesbian couple, Betts and Bobbie, felt that no one
really cared about their relationship either. They were deeply in
love and had been together for 7 years, sharing a house and
running a small business together. In attempting to adopt a child
recently, they were confronted by a legal system in their state that
did not recognize their relationship. They became very depressed
and thought it might not be worth it to stay together if they
could not get the child they wanted to make them a family.
Working in therapy, they were able to see that as a committed
entity they could see themselves already as a family. They created
the proclamation "We are a family" and again took on finding
a way to adopt a child as a couple. Although it was still a difficult
process, their support for each other as part of family allowed
them to feel more powerful. They found some other couples faced
with a similar predicament and started an e-mail correspondence
with them.
Intercultural Challenges
Similar complications and barriers to creating couple occur when
partners come from intercultural backgrounds or diverse ethnic,
racial, religious, or national groupsa situation that has dramatically increased since World War II (Falicov, 1995; Ting-Toomey,
1994). Although differences in customs and religious practices
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with the supervision group helped him maintain proper boundaries and manage the transference and countertransference issues. The support of the group gave him encouragement and
lifted his mood as well.
Perhaps a more pervasive therapeutic obstacle may be related
to the individually oriented training discussed above that most
therapists receive. Doherty (1997) described how therapists, because of a common view of the primacy of individual happiness,
may not be supportive of marriages or committed relationships
that might actually be able to be made healthy again. He sees
that poor training in marital therapy is often the problem. Many
therapists with no specific training or clinical supervision in
marital therapy still see couples. If therapists are trained to look
only at individuals or at intrapsychic variables, they may ignore
the significant impact of culture and systems factors on the couple
relationship, or they may not see possible ways that community
may support the couple. Family therapist Michael Solomon
(1973) described three consequences of individual psychoanalytic therapy in treating a spouse that can "miserably interfere"
with the marriage:
Often divorce results, and the patient becomes cumbersomely
dependent on the psychotherapeutic relationship. If we are
not successful in splitting up the marriage, a premature termination occurs. A third result may be that the marital partner
seeks out psychotherapy, and the battle of the therapists who
over identify with their patients begins to take form and
becomes a factor in the marital relationship, (pp. 180-181)
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The mental health profession has often promoted the "disguised ideology" (Richardson, Powers, & Guignon, 1999) of satisfying self-interest and individual goals at the expense of social
responsibility and commitment to relationships with others. In
addition, social scientists "not only fail to question this myth
(ideology) but also endorse it by conducting research that assumes the centrality of the individual and sees marriage primarily as a source of individual benefit (Powers, 2000, p. 97). Several
authors since the 1970s (Cushman, 1990; Frank, 1978; Rubin,
1996) have pointed to the deleterious effects of therapies coming
out of the psychoanalytic and human potential movements.
Lasch (1979) described the "psychological man" of modern times
as seeking only personal "peace of mind" and accused therapists
of defining "love and meaning simply as the fulfillment of the
patient's emotional requirements . . . [without] encouraging the
subject to subordinate his needs and interests to those of others,
to someone or some cause or tradition outside himself" (p. 13).
Most therapists and counselors have, in fact, been trained to
look at individual dynamics and needs. Some may have received
training in family therapy, but rarely did that include a theory or
language for dealing with the couple as an entity. Thus, although
many therapists see a couple together in a session, they may still
treat each person as an individual with separate problems and
goals rather than as partners jointly responsible for their lives
as a unit. This individualized therapeutic focus can have an
iatrogenic effect on the couple by accentuating their differences
and intensifying "the new narcissism" or "isolation of the self"
(Marin, Stanley, & Marin, 1975). Seeing members of dysfunctional couples individually rather than as a couple can often
isolate them from one another, promoting their separation outside as well as within the therapy, thereby further undermining
their relationship. Thus, it is important in such cases to assess
whether couples therapy might be the treatment of choice instead
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In the above instances, couples therapy has a very low probability of success because at least one of the Four Cs likely cannot
be fulfilled. It is important to note that in some of the cases listed
above therapy could proceed, but only if the clients are willing
to consider the possibility of change and the idea of commitment.
If they are unwilling to even try on the idea of things being
different, it is difficult to imagine any progress in treatment
together. It may mean that referral for individual therapy or
substance abuse treatment is indicated, with the hope that the
clients may consider couples work at a later date when the above
conditions are satisfied.
Knowing when not to do couples therapy is just as important as
practicing the therapy itself. To keep using a particular technique
when it is not working would be like being stuck in traffic and
not getting on another road where traffic is moving more quickly
and smoothly. In the process of doing CPT, therapists should
operate knowing their basic direction and keep that focus while
exploring alternative routes to get there. The therapist has a
vision, but does not let it become tunnel vision. Otherwise, the
therapist will be like the man who lost his keys and has people
looking for them under a lamppost without success: Someone
finally asks him why he's looking only there, and he says, "Because this is where the light is." When things are not going well,
you may need to get off the track you are on, no matter how
drawn to it you may be, and try out other options. Then you
may find the key to what you, as well as the couples you are
treating, are searching for. An example may prove useful.
Sandra and Dirk, who each had been married before, had been
married to each other for 3 years. Dirk suggested treatment and
asked Sandra to come in with him. From the outset, she seemed
unwilling to participate. She had recently become involved with
a coworker and noted that she was in part responding to Dirk's
earlier infidelity. (In fact, their own marriage was a product of
211
an extramarital affair they had with each other while still married
to other people.) She felt that his affair marked the beginning
of the end for their relationship. She did want to hear what the
therapists had to say about Dirk's behavior, however. It was
clear from the outset that Dirk wanted to rebuild their relationship. Both he and the therapist asked Sandra if she was willing
to give it another try. This would involve terminating her affair
and concentrating on recommitting to Dirk and to their marriage.
In the first session, the therapist carefully questioned both
partners about how they saw their future together. It was clear,
however, that Sandra was not interested in recommitting. In fact,
she wanted to stay in her new relationship and saw the therapy
as a chance to get support for her notion that she was doing the
right thing by leaving the marriage. Dirk did not believe her at
first and reminded her repeatedly about how much in love they
had been only recently. But she could see no future with him,
and her commitment to treatment was not a commitment to their
couple. The therapist suggested individual therapy for Dirk to
address his issues of loss; the therapist also suggested that Sandra
consider therapy to address her own behavior patterns, but
she declined.
This couple may appear at first to be a good candidate for
couples therapy in some ways, as there are many couple issues.
However, for CPT to be truly effective, the partners must be able
to agree on the possibility of committing to being couple together.
This couple's lack of commitment constituted an insurmountable
obstacle for effective treatment at that time. All concerned were
better served by spending their time and energy elsewhere. A
therapist may need to see that attempts to continue with a couple
in treatment to rescue their relationship may not be in anyone's
best interest or constitute good practice. Sometimes the most
important thing to know about couples therapy (or any therapy
for that matter) is when not to do it.
Chapter
8
Creating a New Future
for Couples: Expanding
Couple Consciousness
nce the tasks of the Four Cs of CPT are fully realized,
O
there is another taskperhaps a metataskthat may be
accomplished that will empower marital satisfaction and enable
a "couple revolution" to thrive over time. We call that task couple
consciousness, that is, a way of looking at oneself, one's relationship, and the world with the concept of couple as the source or
bedrock. Each couple and couples therapist must address for
themselves the issue of how they develop couple consciousness.
With the fragile state of couples and the individualistic social
climate in the world today, mental health professionals have
a responsibility to help people create and maintain successful
relationships. As responsible therapists and community members, we must not ignore the power of genuine relatedness available through couple and marital relationships.
This power of creating relationship entities has to be approached carefully, however. Numerous authors mentioned earlier (Bellah et al., 1985; Lasch, 1979; Richardson, 2001) have
pointed out how our profession has systematically or unconsciously over the years promoted an ethos of individualism regarding relationships, leading to a "rather 'thin' conception of
a good marriage" (Powers, 2001, p. 336). The perspective of the
couple as an entity described in CPT gives both therapists and
couples a new possibility for a richer, multilayered, and more
substantial notion of marriage and relationships. Operating from
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216
n
D
n
D
D
D
n
D
217
spoke with a realtor and learned how much a house they wanted
might cost them. They set up a budget and a monthly savings
goal. They talked to friends who had children and found that,
in the short run, raising a family was not that expensive. They
began to practice being prosperous by renting a cottage at the
beach for a weekend during the off-season at a reduced rate.
The therapist had them visualize themselves as financially secure, and they began to talk about their relationship as "abundant." They were not waiting for prosperity to happen to them,
but began to notice where it already existed in their lives.
Once a couple like Will and Naomi begins to develop couple
consciousness, behaviors such as creating visions and making
proclamations become a part of their everyday life together.
Anything they encounter can be made into a vision. Proclamations can be invented all the time, every day, not just on special
occasions or to handle specific problems. For example, Brian and
Jan were married for many years when they first came into
couples therapy. They had no children, but both had very highpowered jobs that brought them home exhausted at night after
work. Twice a year they would take vacations together and have
a wonderful time; they returned relaxed, refreshed, and reluctant
to go back to the stresses of the workplace. During therapy
sessions, they talked about how oppressed they felt at work.
T: Coming back from vacation seems to be a real downer
for you both.
J: We had such a great time on vacation, we didn't want
to come back.
T: What is it that you enjoyed most while you were on
vacation?
B: I am not really sure what one thing was our favorite.
What do you think, Hon?
J: We certainly ate some great food, and those walks after
dinner in the moonlight were really wonderful, so romantic
and relaxing.
B: I think we just had fun being together without having
to worry about work.
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by social scientists and practitioners, what might the consequences be for the culture at large? If world leaders and social
movements understood the power and joy that might really
be available through cocreating relationships, what would the
future look like? If every couple learned to operate from couple
rather than individual consciousness, the world would be very
different. There would be a new cultural vision of what is possible
for a relationshipone that is hopeful and productive, not stressful and arduous. Being in a relationship would make life easier,
not more difficult. People would be optimistic about relationships and the divorce rate would probably be significantly lower.
"And perhaps if we do our jobs right, couples therapists will be
seen as Nature's agents who brought evolution back on course"
(Luquet, 1996, p. 290).
As a couples therapist, you could begin expanding couple
consciousness as an outward source by encouraging the couples
you see in therapy to share their visions and therapeutic gains
with others. Couples should be encouraged to get involved with
their larger community. They might create gatherings or parties
for other couples, families, and friends. The partners may serve
as an example in their church, neighborhood, or service club of
people who are working effectively together and having fun in
the process. In this way, they present themselves not only as
happy, fulfilled, and enriched individuals, but also as couples
that are supportive and helpful to their partner and others.
The couple also needs to be warned, however, that many
communities may not expect them to function well as couple.
They may be seen in terms of the old individualistic paradigm of
two individuals who may get along well together or complement
each other, not as a unit functioning as a single entity in the
context of a larger community. In the face of such skepticism,
the couple may be guided by the therapist to present themselves
as a model of how truly to be a couple by sharing with others
how their couple unselfishly takes on tasks or projects together.
They may be encouraged to find ways to be leaders, participants,
or even spectatorsas a couple. Even when only one of them
is present, in a therapy session or in their outside life, that partner
can be there as couple, sharing and creating visions for the couple entity.
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224
into consciousness and the client can think and speak it naturally
and comfortably. The vision then becomes an active process that
manifests in a plan for action. For example, a young single
woman talked about a night dream she had while in individual
therapy of being in the home of a famous political figure, and
of being very attracted to him. At first, she described feeling as
though "I do not deserve his attentionI am not good enough
for him." At the end of the dream, she tells her friends, "I am
going to have a relationship with this man." She was helped to
bring this intention into her waking life by creating the proclamation "I am the kind of person that a famous man is attracted to."
After this, she felt much more confident to pursue relationship
options in her life, which she did with great success.
In addition, couple consciousness can serve as a support to
an individual whose partner has died. The surviving partner
may draw strength from continuing to envision what they had
created together. This may be helpful in dealing with grief and
developing a positive attitude about the future. One woman in
her 70s whose husband had recently passed away used this
kind of couple consciousness with the help of her therapist. The
woman reported the following dream: "I'm in bed with my
husband's arms around me. I feel warm and content as we sleep
together. I am pleased and excited when I wake up." The therapist helped her to see that she could continue to keep the pleasant
experience of couple with her even in her husband's absence by
keeping that couple part of her alive in her vision, dream, and
even waking life. She was able to enjoy the experience without
hanging on to the painful desire that he return. Later she shared
this dream experience with her friends who felt sad when their
deceased spouses appeared in their dreams, helping them as well.
The tasks of the Four Cs also support couple consciousness
both inwardly and outwardly. George and Ann, a couple who
struggled for years in their marriage, both had issues of control,
and each wanted to be the one to make the major decisions for
their couple. They often fought over small things, just to assert
their dominance. They had tried to alternate major tasks such
as bill-paying and housework to learn each other's perspectives,
but their efforts were fruitless. They both thought they had done
225
a better job than the other on everything and that their autonomy
was being threatened. They finally sought the help of a therapist.
With the therapist's help and direction about seeing their couple as an entity, they were able to design a new understanding
of their relationship that allowed each partner to be powerful.
They developed the proclamation "We are king and queen, ruling
our realm together." This notion of couple as a team allowed
them to create the vision of a "realm" or single entity jointly
ruled with power and generosity. As "royalty," they lived as a
partnership defined by commitment, cooperation, communication, and community. Each had a role to play in controlling their
world as equals, but with different duties. Their responsibilities as heads of the realm resulted in more cooperation and
effective communication. This was necessary for them to be fair
and compassionate rulers. They were able to see the world in
which they lived not as two individuals but as a couple unit,
not as a separate king or queen but as a "royal family." Rather
than giving up power or control, each of them was now "more
able to be himselfwho he really isin the presence of the intimate other. Being close to the partner supports being a distinct,
separate person" (Scarf, 1987, p. 374).
226
There are numerous opportunities for mental health professionals to question current practices and to create the future of couples and relationships. Many of us are teachers and role models
in our communities. We speak to groups, work in civic affairs,
and make media appearances. We may have clinical supervisees
or students who will benefit from our perspectives or listen to
our case presentations. To be part of the couple revolution, we
must follow up on these opportunities and demonstrate our
commitment to the principles of healthy relationships. We must
challenge restrictive stereotypes of couple, marriage, husband,
and wife in Western society and around the world: " . . . if we
227
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REFERENCES
237
Index
Accomplishment
in cocreating couple, 56-57
in independent couple, 55
Accountability, of therapist, 136-137
Acknowledgment
of couple, at termination of
therapy, 147-148
in couples therapy group, 165-166
exercises in, 148-149
as expression of appreciation, 146
from joint vision vs. individually,
146-147
of partner, 104, 145, 197
reception and experience of by
other partner, 147
in reinforcement of behavior, 145
as taking responsibility, 145-146
by therapist, 148
Active listening. See Dedicated
listening
Addiction
commitment to therapy and,
66-67
to excitement, 187
Adolescence
effect on roles of parent and
spouse, 198
Affairs
Carl and Jane, 69, 85, 134-135
commitment to therapy and, 66
therapy and, 209, 210-211
Aggression, impact vs. hostile, 138
Agreements, 112
in couples groups, 165
Aldous, ]., 177,198
Androgynous behavior, 46-47
Appreciation (see acknowledgment)
of partner's contribution, 105
Asking. See Requesting
240
INDEX
Case(s), continued
cocreating couple, 43, 45, 46
commitment
and sexuality: Beth and Sam,
65-66, 68-69, 129
and unfinished business: Uri
and Margot, 67-68
conflict
and blind walk exercise: Gail
and Norman, 128-129
and fear of abandonment:
Brenda and John, 139
conflict of interest: Carlos and
Wanda, 26
control issues: George and Ann,
224-225
cooperation
in car purchase: Carrie and
Lonnie, 105-106
in spouse's debt: Reese and
April, 178-179
and role expectations: Jim and
Susan, 104
couple consciousness
Brian and Jan, 217-218
Will and Naomi, 216-217
couple proclamation, 85-86
couples community: Jan and
Rebecca, 152-154
creation of couple as entity: Barb
and Daniel, 31-32
dedicated listening: Uri and
Margot, 122-123
distancing of partners: Manuel
and Annette, 125-126
fear of abandonment: Jeremy and
Jack, 166
flexibility in death of child: Helen
and Jamie, 43, 45, 57
gender stereotyping and sex:
Linda and Terry, 190-191
hidden payoff: Cal and Jane,
133-134
independent couple: Cal and
Judy, 55-56
INDEX
241
Cocreating couple
adaptability of, 54
death of child and, 43, 45
evolution of, 4344
flexibility of, 41-47, 54
inquiring and discovery and, 142
intercultural example of, 46, 47,
61
as process vs. static behaviors, 42,
43
romantic couple comparison with,
51
vision statements of, 71
as way of being vs. goal to
achieve, 42
Cocreation
defined, 4-5
inquiry and discovery in, 142-143
Collaboration
in couple proclamation, 82
inquiry and, 142
Commitment, 36
assessment of, 92-94
casual sex and, 191-192
of cocreating couple, 56
to common goals, 44
as cornerstone, 63, 65
to couple as entity, 11,15, 34, 65-69
in couple power therapy, 64
couple proclamation and, 78
in couple statement, 72
couple visions and statements,
70-73
defined, 6
exercises and assignments, 74-77
as foundation, 11
importance of, 10
to joint vision, 44-45
lack of as contraindication to couple power therapy, 209,
211-212
models of, 157-158
past problems and unfinished
business and, 67-68
questioning of original: Gwen
and Jeff, 76-77
242
INDEX
Commitment, continued
to relationship, 66
restating marriage vows and,
73-74
of therapist to vision for couple,
66
to therapy as couple, 66-67
in traditional couples therapy, 64
Communication, 12, 36
assessment of, 149-150
assumptions in, 122, 123
barriers to
legal system, 180
in cocreating couple, 45-46
dedicated listening in, 121
dedicated observing in, 126-128
dedicated speaking in, 131-148
defined, 6
fatigue and, 183
gender stereotype effect on, 193
in interracial marriages, 204
listening exercises in, 121-126
nonverbal, 122, 123-129
partnership context for, 120-121
in relationships, 20
sexual, media and, 191
through commitment to couple
vs. individual, 35
in traditional vs. couple power
therapy, 10
Communitarianism and individuality, 154-155
Community, 36
assessment of, 168-169
benefits of, 157-160
commitment models in, 157-158
couple involvement in, 220, 221
couples group as, 153
creating, 162-166
decline in group participation
and, 155-156
defined, 6
discovering, 161-162
feedback from couples in, 158
function of, 12
generational or peer, 35-36
horizontal, 161
importance of, 151
interest in problems vs. success of
couples in, 153
lack of, 151, 152
lack of support from, 152-154
need for, 154-157
problem solving in, 159
sharing of common experiences
in, 159-160
supportive, 227
in support of gay and lesbian
couples, 200
vertical, 161
Compatibility
cultural assumptions about, 199
idealized concepts of, 199
perception of incompatibility and,
199
Competitiveness
vs. cooperation, 97
Compromise, 2
cooperation and, 34
cooperative, 98
negative vs. positive, 97-98
as opportunity, 29
as sacrifice, 28
Confidant
outside couple vs. partner, 138
spouse as, 138
Conflict
acceptance of, 137-142
acknowledgment of, 137
avoidance of, 137
money issues in, 182
Conflict resolution
dedicated listening in, 121
fair fighting in, 139
forgiveness in, 135
schools and, 185
unfinished business in, 139-141
Connectedness
with community, 160
Consciousness
communitarian vs. individualistic
perspective on, 214215
INDEX
Context
for exercises and assignments, 75
Conti, L, 120, 121
Contract
assessment of achievement, 109
criteria for, 108
for joint project, 116
witnessing of, power of, 108
to work on goals, 107
Cooperation, 11-12, 36
among divorced parents, 107
assessment of, 117-118
in blended families, 106-107
in car purchase project, 105-106
characteristics of, 98
of cocreating couple, 54
concepts in, 34-35
defined, 6
in formation of bond, 98
homework in, 100, 101
with humor, 113-115
individualism vs., 97
Reese and April, 178-179
interfaith marriages and, 203-204
in joint project, 109-110
joint project assignment, 115-116
positive perspective for, 113-114
requests and agreements in,
110-113
respective strengths and contributions in, 105-106
skills of, 100
team spirit in, 106-107
teamwork in, 98-107. See also
Teamwork
Cooperative coparenting, defined,
107
Cordova, J. V., 63-64
Couple
as being vs. doing, 30
birthing of new, 78-79
children effect on, 196-197
cocreating. See Cocreating couple
collectivist view of, 44, 45, 47
in current cultural paradigm, 19
243
244
INDEX
INDEX
245
defined, 174
individualistic
fixed couple patterns in, 48
identity in, 41^12
influence on couples, 176
influence on therapist, 176
interpersonal development and,
174-175
as obstacle to couple relationship,
174
paradigm of individualism in,
176-184
Dalai Lama, His Holiness, 9
Dedicated listening. See also
Listening
Changing Places exercise, 125
comparison with active listening,
121
defined, 121
If I Were Alone exercise, 124,
125-126
perception of incompatibility and,
199
written exercises for spoken sharing, 124-125
Dedicated observing, in communication, 126-128
Dedicated speaking
accepting conflict and negative
feelings in, 137-142
acknowledgment in, 145-148
expressing forgiveness in, 135-136
hidden payoff and, 134-135
inquiring in, 142-143
intention to communicate and,
131-132
reframing in, 143-145
taking responsibility in, 132-134
therapist accountability in,
136-137
Diversity
gay and lesbian couples, 200-201
intercultural, 201-204
Divorce
children and, 177
246
INDEX
Divorce, continued
individualism and, 179-180
normalization of, 179
rates of, 4
therapist's and, 205-206
Doghouse Release, 136
Domestic violence
criminal justice system and
couple, 180
Dreams
couple proclamation and, 80-81
Dreyfus, H. L., 219
Dual-career couple
children and, 196
communication in, 183
expectations of feminism and,
194-195
job change and, 182
refocusing on couple entity in,
184
sexual intimacy and, 183-184
sexual intimacy in, 183-184
Durrant, M., 58
Echoing, as listening exercise, 122,
123, 124
Egocentrism, conflicts of interest
and, 25-26
Electronic communication, community and, 152
Empowerment, in couple as entity,
30
Enright, R. D., 135, 188
Entitlement, 177
vs. community, 35
Epston, D., 8
Etzioni, A., 154-155
Expectations
clarification of, 103
cultural, 20
family, 193
in individualism paradigm, 28
individualistic, 208
partner's, 64
role, 104
therapist's, 37
vision os., 46
of women, feminism and, 194
Externalization
benefits of, 175
Fairbairn, W. R., 174
Fair fighting, 138, 139
Falicov, C. J., 202
Fear of abandonment, 126, 139
couples therapy group for, 166
Four Cs and, 178
Fear of intimacy
in independent couple, 55
individualism and, 24, 25
Fear of rejection
communication and, 126
Fear(s)
in individualism, 178
loss of identity, 223
of negative feelings, 137-138
Feedback exercise, for listening, 122
Feminism
effect on men, 194
idealized woman in, 194-195
Fishman, C. H., 9
Fitzgibbons, R. P., 135
Fixed couple pattern(s), 47-48
as developmental stage, 48
independent couple, 54-57
individualistic culture and, 48
role-defined couple, 52-54
romantic couple, 48-51
Flexibility
in cocreating couple, 41^7
death of child and, 43
in parenting roles, 197
Forgiveness
asking for, 135
expressing, 135-136
fair-fight training ritual, 136
forgiving self and, 135
responsibility for, 135-136
Four Cs, 5, 6
commitment, 5, 6
communication, 5, 6
community, 5, 6
INDEX
cooperation, 5, 6
of couple power, 34-36
focusing on, 6
independent couple and, 178
in sequence, 12-13
as tasks of couple power therapy, 5
Powers, B. J., 15, 23, 29, 98,119,138139,160, 207, 209, 213, 226
Fox, G. L., 182
Fromm, E., 213, 225-226
Gawain, S., 92,134
Gay and lesbian couples
adaptation in, 201
discrimination against, 200
as family, 201
lack of community and institutional support, 200-201
nonconformity to role norms in,
192-193
stresses in, 201
Gender roles
danger of, 104
in marriage, 103, 192
rigid, 103
Gender stereotypes
communication about sex and,
190-191
communication and, 193
formal education and, 185
Gladwell, M., 5-6
Goals
assessment of, 33
commitment to common, 44
of couple as entity, 29
in couple power therapy, 33, 59
of couple relationship, 30
in couples group, 165
in individualism paradigm, 24
individual vs. relationship needs,
24
requirements for, 99-100
statement of, 71
teamwork and, 98-99
of therapy, 133
in couple paradigm, 32-36
247
248
INDEX
INDEX
commitment to, 65
couple proclamation of, 81
Jordan, T. J., 186
Keleman, S., 86
Killiam, K. D., 204, 209
Kingston, A., 189, 227
Koch-Sheras, P. R., 30
Kowalski, K. M., 58
Kroeger, L., 187
Kuhn, T. S., 37
Landry, T., 101
Language
change and, 8
of creative unconscious, 8
importance of, 6-7
power of, 71
of self-responsibility, 8
in shift to couple consciousness,
215-216
example of, 216-217
therapeutic as obstacle, 208
Lasch, C, 23, 177,192, 207
Lederer, W. J., 192
Lee, 138
Legal system
communication and, 180
divorce and, 179
separation and, 179-180
welfare laws and, 179
Lerner, M., 208
Lesbian. See Gay and lesbian
couples
Listening. See also Dedicated listening
exercises in, 121-126
individual issues in therapy and,
69
Love, social vs. individualistic, 214
Loyalty, job vs. family, 181
Luquet, W., 218, 219
Madsen, R., 176
Marital satisfaction, 3
249
Marriage
child-free, 195
in competition with parenthood,
196-197
in current paradigm, 20
educational view of, 185
gender roles in, 192
myth of, 23
open, 50
psychological remarriage and, 78
religious training for, 185
serial, 64-65
traditional, roles in and effect on
women, 103
Marriage therapy
couples therapy vs., 13-14
therapist training as obstacle, 206
Marriage vows
in process of creating couple
vision, 74
repetition of as homework, 78
restatement of, 73-74
updating for the present: Gwen
and Jeff, 76, 77
as vision statement and commitment to couple, 73
McCormick, M., 186
McFarlane, A. C., 72
McGoldrick, M., 73-74, 103, 185
Media, the
couple model in, 70, 186
romantic couple in, 189
Men, feminism effect on, 194
Mental health profession
individualism and, 213
paradigm change and, 36-37
promotion of self-interest and
individualism vs. social
responsibility and commitment, 207, 208
Metrick, S. B., 74
Michaels, S., 200
Milardo, R. M., 156
Mind check, as listening exercise,
122, 123
Minuchin, S., 9
250
INDEX
Miracle question
in proclamation design, 79
Montuori, A., 120, 121
Movies
idealized image of sex in, 187
Narcissism, 177, 207
Narrative, cultural, 175
Narrative therapy, 8
Negative emotions
resentment and, 139
Negative feelings
fear of, 137-138
News shows
career/financial success vs. family
values in, 189
Nock, S. L., 29
Nonverbal communication
blind walk exercise in, 128-129
cues in, 126
exercises in, 128-131
for sexuality issues, 129-130
Obstacle(s)
casual sex, 191-192
for couple power therapists,
205-209
culture as, 174-176
diversity in couples, 199-204
educational system, 185-186
gender stereotypes, 190-193
idealized images, 184-199
media-generated, 7, 70, 186-190
paradigm of individualism,
176-184
paradigm shift and, 227
as possibilities, 59
therapist as, 205, 206, 208
O'Hanlon, W. H., 15, 65, 67, 71, 75,
99-100, 127, 133, 143, 144, 147
Open marriage, 50
Paradigm(s). See also named, e.g. Individualism paradigm
changing of, 36-38
INDEX
in couple power therapy, 7
in relating, 9
Practice
assignments for, 101
of cooperation skills, 100
of couple proclamation, 101
meanings of, 100-101
Prather, H., 214
Prejudices
of therapist, 205
Print media
beliefs about relationships in,
186-187
Problems
externalization in culture, 175-176
Problem solving
communities of couples in, 159
Promises
delivering on, 107-110
Psychoanalytic movement
therapies based on, 207
Purcell, D. W., 200
Race
taboo against discussion of, 204
Referral
to couples therapy group, 163
to couple support in interracial
marriage, 204
to individual therapy, 210
Reframing
of complaints as progress,
144-145
in dedicated speaking, 143-145
of negative feelings, 143
of problem as result of obstacle,
143-144
at termination of treatment,
147-148
by therapist, 144
therapist's role in, 144
Relationships
perspectives on, 8
in print media, 186-187
Relationship skills
educational system and, 185-186
251
252
INDEX
Taking responsibility
for conflict and negative feelings,
137-142
as couple, 132-133
for forgiveness, 135-136
for hidden payoff, 134-135
as individual, 133-134
INDEX
I statements vs. you statements in,
132
for own perceptions, 133-134
therapist accountability as, 136
Talk shows, anger of couples on,
188
Task(s). See also Four Cs
commitment, 34
communication, 35
community, 35-36
completion and mastery of, 13
cooperation, 34-35
in couple power therapy, 6, 13,
15-16
in exercises, 75
Teamwork
coaching for, 101-102
of cocreating couple, 45
comparison of committed relationship with playing a game,
98-99
goals and rules of game and,
98-99
goal setting in, 99-100
identification of respective
strengths and contributions,
105-106
practice in, 100-101
role clarification for, 102-104
team spirit in, 106-107
Television
idealized couples on, 188
Therapist
as agent of change, 37
biases and prejudices of, 205
commitment to vision for couple,
66
couple as entity and, 207
and cultural differences in couple,
203
humorous insights of, 114
individual therapy for spouse in
marital conflict, 203
influence of culture on, 176
paradigm shift in relationships
and values, 36-37
253
254
INDEX
Work ethic
vs. couple ethic, 181-182
Workplace
family well-being and, 181
Wyden, P., 138