Describing my Work with Couples

Recently, a client in couple’s therapy, who was obviously struggling with our work, asked me about the purpose of therapy and how it works. I thought it was a good question, and, surprisingly, one that I had been asked directly only a handful of times in my many years of working with couples. With his wife also in the therapy session, the three of us discussed his questions, but it was a brief conversation and left me wanting to give a more complete response. That led me to begin thinking more about how I would describe what actually happens in couples therapy and how I would capture that in writing. Below is my attempt to do so.

I think of this as a draft that will continue to be re-written and updated through time. Having articulated these ideas, having put them on paper, lets me step back and consider them from a little distance.

Returning to Hot Conversations

How do you have a conversation that helps you better understand and address the complexities and difficult patterns of your relationship when those same complexities and patterns can jump up and derail the conversation at any time? Further, how do you have such a difficult conversation when life interrupts you every time you get started?

STOPPING

In an earlier piece I wrote about a couple who developed their ability to STOP when a difficult-but-familiar pattern was threatening to take their marriage down a painful, destructive path.

Narrating Intentions

How can couples break away from those familiar conversations that get stuck in point-and-counterpoint, accusation and defense? Conversations where the content is lost to a frustrating, confusing process? 

One answer might be found at the movies, in the voice of the narrator: that disembodied voice that speaks from outside the movie or on top of its action, that helps set the historical context, explains a key plot point, or conveys thoughts that would otherwise be only “in the head” of a character. 

The voice of the narrator came to mind recently when working with a married couple, Maria and George, who were frustrated by a regularly occurring conversation that would lead to nowhere but misunderstanding, defensiveness and distance.