O'Grady Psychology Associates

Psychotherapy, Marriage Counseling, Neuropsychological Assessment

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The Fourth Horseman: Stonewalling

"The Great Wall"During lectures about marriage, I have used this photo of the Great Wall of China to illustrate Gottman’s fourth horseman of the apocalypse: Stonewalling.

When we were in China a few years ago, we had the good fortune to see this magnificent stone wall when there were no other people around. It helped that our driver got hopelessly lost, and we ended up going several hours out of our way. But happily, we ended up at this stretch of the Great Wall that was not on the typical tourist path.

Putting up Walls

Walking up the steep steps gave me a view of the entire countryside, but scaling a partner’s emotional wall isn’t that easy. I reflected on why we put up walls and how these walls get maintained over the years. Walls are built for protection—to keep others out—and to keep control. In marriage, partners who have trouble with emotional self-regulation get overwhelmed emotionally, but also physiologically, even if they’re unaware of the raised heart rate and adrenaline that are making them feel literally attacked.  That’s why they put up walls.

Learning to Self-Soothe During Difficult Conversations

Emotionally checking out of the conversation creates the illusion of safety. Ignoring the difficult discussion, looking or turning away, or even leaving the room, puts the overwhelmed person back in control, but doesn’t solve anything. Learning to be aware of uncomfortable feelings, then how to self-soothe and maintain composure, helps partners stay in a heated conversation and also to listen and respond. That way, the discussion can move ahead without getting gridlocked.

A good technique for self-soothing to manage anxiety is Mindfulness-Based Relaxation Training, something I often recommend to clients who want to stop stonewalling. Learning this form of meditation is very useful in helping stay in control, calmly, without having to create a distancing wall—even when discussing the most upsetting topics. 

 

 

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The Four Horsemen of the Apocalypse: Shortcutting Criticism

In the biblical Book of Revelations, the Four Horsemen of the Apocalypse signal the end of the world through conquest, war, famine, and death. The Four Horsemen that Dr. John Gottman’s research has identified as signaling the end of a relationship are criticism, contempt, defensiveness, and stonewalling—communication styles that threaten a marriage’s health and longevity.

When I first see a couple for relationship counseling, I assess their communication behaviors by using a set of questionnaires developed from the research of Dr. Gottman. To evaluate criticism, for example, each client answers yes or no to statements such as “I feel attacked or criticized when we talk about our disagreements” or “My partner uses phrases like ’you always’ or ’you never’ when complaining.”

Defensiveness is seen in statements like “Many of our issues are just not my problem” or “I have to defend myself because the charges against me are so unfair.” Statements such as “I try to point out the flaws in my partner’s personality that need improvement” or “I feel disgusted by some of my partner’s attitudes” assess contempt. Stonewalling is when one partner just tunes out and ignores the other, usually after a barrage of criticism. Putting up a wall of silence is an attempt to protect the stonewaller from getting flooded by physical and emotional over- reactivity. Of all the Horsemen, Dr. Gottman says this is the most likely to end a relationship.

The good news is that each of these Horsemen has an antidote. The first step is recognizing these interactions when they occur. Often when couples are stuck in a cycle of negative communication, each person is unable to see his or her own part in the problem. But with gentle coaching, clients learn to notice when they are criticizing, being contemptuous, on the defensive, or stonewalling.

Next, I show couples alternative ways to expressing themselves by using a specific antidote to each Horseman. Today, let’s talk about the antidote to criticism.

Learning to complain without blame is key to short-circuiting criticism. Any relationship may give rise to legitimate complaints. But the key to avoiding defensiveness in your partner is to complain in a way that does not place blame.

The formula is pretty simple: “When _________ happens, it makes me feel____________. What I would like from you is_________________.” For instance, when Judy says to Mark, “You’re always putting your parents’ needs before mine. You’re such an inconsiderate jerk,” the likely response from Mark might be, “I do not! And if I do, it’s because you don’t take any time to connect with them, so I have to do it all!” Placing blame just engenders defensiveness, continuing the cycle of criticism.

Helping Judy to find a different way to express her feelings might sound something like this: “Mark, I miss feeling connected to you when we are with your family. Do you think that this weekend when we see them, we can stay close? It would help me if you’d check in with me every once in a while.”  In this version, Judy takes responsibility for her feelings and then asks directly for what she wants without making Mark out to be the bad guy. Mark, in turn, can listen to Judy’s request without feeling he has to justify and defend.

Antidotes to the other three Horsemen will be taken up in another post. But understanding how these concepts affect communication in marriage goes a long way to helping couples manage conflict.

 

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Preventing infidelity: Open the sliding door to love

 Dr. John Gottman recently sent me a complimentary copy of his latest book, What Makes Love Last? I read it with great interest. Couples often come to my office struggling with trust and betrayal. While infidelity is a common reason couples seek counseling, it does not have to portend the end of the marriage. Before an affair strikes, women and men adamantly proclaim that they would divorce their partner if they caught them cheating. The discovery of an affair has been described as ”waking up to one’s worst nightmare.“ There is no doubt that this fundamental betrayal produces cataclysmic changes in the relationship. But what comes as a surprise, after the initial shock, is that couples often fight for their marriage, not so quick to divorce as they assumed.

How to Prevent Affairs

In What Makes Love Last?: How to Build Trust and Avoid Betrayal by John Gottman and Nan Silver (Simon & Schuster, 2012), Dr. Gottman makes the case that trust is a powerful protective antidote in keeping marriages healthy and affair-resistant. This seems obvious. But there are clear ways to encourage trust within a marriage. How does trust develop? What keeps it alive? And how do you rebuild it once it has been damaged? In this blog post and the next, I’ll address these questions.

Developing Trust is Central

Central in developing trust is how individuals in a relationship react to what Dr. Gottman refers to as “sliding-door moments.” where “one partner expresses a need for connection [and] the other’s response is either to slide open a door and walk through or keep it shut and turn away” (32). These expressions, or “bids for contact” in Gottman’s phrase, happen all the time as partners ask each other in words and deeds for support and understanding. A small bid would be something like, “Hey, isn’t that a lovely flower?” or as intimate as “I need you” after a difficult day. Each one offers a chance to step through the door.

All committed relationships have an abundance of sliding-door moments, and of course, partners will not always be able or want to step through. They could be busy, preoccupied, angry, or just not paying attention. What puts a relationship in trouble is when most of these moments end poorly. If over time, bids are ignored without the benefit of discussion, one or both partners may begin to wonder if they matter in the marriage. Compounded, these lost opportunities for connection will lead to feeling unloved and unappreciated.

Feeling that way creates fertile ground for an affair. For example, a co-worker shows interest and understanding during a time when a partner is absorbed in their own life stressors. What starts as an innocent work friendship can lead to betraying the marriage as the unmanaged conflict between a couple chisels away mutual trust and struggles become set in stone.

Negative Sentiment Override

Research shows that we are more likely to remember things that are unfinished—such as an argument that never gets resolved or discussions that end poorly with misunderstanding and hurt. The memory of the event leads to an increase in negative attitudes about the marriage. This is referred to as negative sentiment override (NSO). The friendship couples once felt is diminished and they see each other in an increasingly negative light. This NSO leads to one partner feeling threatened—perhaps her partner is involved with someone else?

When Joe and Lisa came to therapy for the first session, she was convinced he was having an affair. While his outside relationship had not become sexual, the risk was high that it could do so if they didn’t attend to their relationship. Many years of poorly managed communication about the division of labor conflicts led to feelings of being unappreciated and unloved by both Lisa and Joe. The more Lisa complained the more Joe pulled back—which served to make Lisa more insecure. During one session they described a recent tussle. After a particularly exhausting week, Lisa spent all Saturday cleaning and grocery shopping. She prepared Joe’s favorite dinner. But Joe was frustrated with Lisa because earlier in the day, when he needed her help getting their daughter ready for swim lessons, Lisa continued to Skype with her sister, ignoring him. By the time they sat down to eat, Joe was steaming, Joe has trouble expressing his feelings when he feels them. In this case, he stewed for most of the day. By the time they sat down to dinner, Joe was boiling mad. He didn’t realize that Lisa was trying to create a sliding door moment for them to connect at dinner. She didn’t know that Joe felt ignored.

Loss of Emotional Intimacy

This dynamic is not uncommon when couples start therapy. The loss of emotional intimacy is usually preceded by years of a subtle weakening of the friendship system in the marriage. Couples stop sharing their intimate feelings. Criticisms, gripes, and defensiveness erode fondness and admiration. Rather than thinking loving thoughts about each other, their thoughts are dominated by what therapists call “distress-maintaining thinking” In other words, the more you see your partner and your marriage in a negative light, the more distress you feel. In turn, the negative thinking gains traction, leaving little space for thoughts and behaviors that would increase expression of fondness and appreciation. If Lisa doesn’t express appreciation to Joe for the time he spends with their daughter, and Joe can’t express what he feels, both the loving and difficult feelings, they will grow apart. The door will shut tight. When sliding door moments are repeatedly missed, negative thoughts about the marriage will slip in, squeezing out affection and love.

The good news is that you can take definite steps to build back trust and protect your marriage from betrayal. Couples therapy is often the first step toward building back the foundation of your relationship. Stay tuned for the next post to see how you can protect your relationship.

 

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The College Transition: Things to Talk About

 College is a rite of passage, a transition into adulthood. It’s a transition for parents, too, who can no longer sleep in the room down the hall with ears half-cocked and one eye open. It’s all the more important, then, for parents to have conversations with their kids about how to deal with the common, normal changes and stresses likely to arise in these early years of living away from home.

As high-school friendships shift and fade, college students must forge new social connections or risk social isolation. Kids who have poor coping and social skills before starting college might seek unhealthy solutions, like partying, playing computer games, or holing up in their dorm rooms with their laptops

If these solutions, healthy or unhealthy, don’t work, college kids often isolate, deny, pretend, and find all sorts of other ways to conceal their loneliness. To be lonely is shameful. Instead, many tend to brood over stressful experiences and feelings, a process called rumination. The lonely, anxious person ruminates on negative thoughts: reliving past injuries, flubs, or missed opportunities; feeling apprehension about social events, and anticipating distressing outcomes.

Anxiety, Rumination, and Depression in College

Rumination and anxiety create a cycle where each promotes and prolongs the other. The effect of this is that a stressful experience (such as, say, being snubbed at a party) does not end when the stressful situation ends, but can continue on in one’s thoughts and moods. So it is not only the exposure to the initial stress but also exposure to the recurring representation of that event in the mind that results in a depressed mood. Over time, this anxious rumination leads to negative self-esteem and depression.

Apart from such dangers, loneliness doesn’t just feel bad; lonely people are at greater risk for poor health. Social support mediates health: It is well known that when someone has close family and friends, they will be encouraged to seek medical attention when needed, and they will take better care of themselves in general.

One simple thing to look at when considering college students, loneliness, anxiety, and stress is the role of sleep. Good sleep is the cornerstone of mental health. Most of the clients I see—college students or otherwise—suffer from some form of sleep disturbance. Difficulties getting to sleep or staying asleep are common in both depression and anxiety. (Oversleeping, too, can be a problem when it’s used to avoid situations that may provoke difficult feelings.)

In the recent issue of Health Psychology, researchers examined the mechanisms that underlie the relationship found between depressed mood and poor sleep quality in college students. They found that found that rumination and anxiety are strongly connected to loneliness and depressed mood as well as poor sleep quality.  The authors conclude that psychotherapists and college counselors need to assess loneliness in kids at school.  It is not enough to look at depression and anxiety.  Parents, teachers, college counselors need to look at sleep quality and social isolation, in addition to symptoms of anxiety and depression.

(Zawadzki, M. J., Graham, J. E., & Gerin, W. (2012, July 23). Rumination and Anxiety Mediate the Effect of Loneliness on Depressed Mood and Sleep Quality in College Students. Health Psychology. )

Of course, the image of a college student pulling an all-nighter, or partying until dawn, is a common one, and it’s true that college-aged kids need less sleep than adults. For vulnerable kids, however, poor sleep can lead to severe psychological problems. And as we’ve seen, college can be a vulnerable experience in itself. Add to this that students trying to solve their sleep problems don’t always choose healthy options. Some college kids I’ve worked with use combinations of stimulants and caffeine to stay awake, and anti-anxiety medications to sleep. This leads to drug dependence, and in vulnerable kids, will cause emotional problems ranging from depression to delusional thinking.

Whether problems are caused by too much social media, partying, or are the result of depression and anxiety, we need to pay attention to how these activities are affecting emotional well-being.  Find time to talk with your college-bound kid about some of these issues.  Enjoy the fun of shopping for dorm room stuff, but don’t neglect the crucial conversations about what to expect during this first year away from home. Some basic topics to discuss could include: how to deal with being lonely, how to contact the college counseling center if they feel anxious or depressed, limiting social media, how to get sleep when distractions inevitably occur, and of course, “call us when you feel down.”

Originally published here.


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Updating Your Love Maps—Keeping Friendship in Your Marriage

“You like tomato and I like tomahto”

Know your partner well to keep friendship in marriage.
Cherry tomatoes, late summer harvest

Last night I made a salad for dinner.  I picked fresh lemon cucumbers and baby lettuces from the garden, topping it with a grilled chicken breast we had cooked the night before.  David added whole red cherry and yellow pear tomatoes still warm from the garden.At the end of the meal, the tomatoes were left uneaten, because while I love sliced cherry tomatoes, I don’t like them whole.  “Ah,” I jokingly told David, ”time  to update your love map!”

What is a love map, and why does it need updating?

When couples first get to know each other, they have deep, intense talks, learning everything they can about one another. As they’re courting (or going through the “mate selection process,” to use the sociological jargon) they learn each other’s history, concerns, preferences, and world views, while yet undistracted by jobs, maintaining a home, childrearing, or finances. They keep a cognitive map of the relationship and its history.

In his book The Seven Principles for Making Marriage Work, Dr. John Gottman calls these cognitive spaces “love maps.” Making cognitive room for the marriage involves remembering major events in each other’s history and updating this information—the love map—as the facts and feelings of your partner’s world changes. Partners with good love maps know each other intimately and are well-versed in each other’s likes and dislikes, personality quirks, hopes, and dreams.

Why it is Important to Know Your Partner Well —Friendship in Marriage Depends on Updating Love Maps

But couples don’t always update their love maps. All kinds of stresses, personal problems, and life events can intervene in a couple’s positive regard for each other, and even destroy the deep friendship that is the basis for a good marriage. Anger and resentment can create “negative sentiment override,” in which everything—every conversation, mistake, action—gets interpreted more and more negatively. By the time couples enter counseling, they have forgotten what they love about each other and have stopped keeping track of relevant information about each other, meaning their maps are out of date. When partners stop paying attention to what is important to one another and instead keep a mental scorecard of mistakes, slights, and offenses, the positive perspective turns sour.

Because love maps are so important, one of the first homework assignments I suggest in couples therapy is the Love Map Exercise. For anyone old enough to remember the TV show “The Newlywed Game,” it’s the same idea. The questions are simple and fun. For instance, “Name your partner’s two closest friends,” or “What is your partner’s favorite music?” It is usually an easy assignment.

Updating your love maps requires communication about your likes and dislikes, and this is true for both partners. Do you like your cherry tomatoes sliced or whole?  After all these years, my partner didn’t realize I don’t eat whole cherry tomatoes.  But it is my responsibility to tell him this. If I don’t, he’ll keep adding them to our salads without slicing them first, and I’ll keep leaving them behind.

It may sound simple, but any map needs updating to stay relevant—even if the new information is just tomatoes, tomahtoes.

Reference:

Gottman, John; Silver, Nan (1999). The Seven Principles for Making Marriage Work. New York, NY: Crown Publishers imprint (Three Rivers Press).

Originally published here.