O'Grady Psychology Associates

Psychotherapy, Marriage Counseling, Neuropsychological Assessment

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How Anger Hurts Relationships

Getting angry…is easy and everyone can do it; but doing it . . . in the right amount, at the right time, and for the right end, and in the right way is no longer easy, nor can everyone do it. —Aristotle, Nicomachean Ethics (II.9, 1109a2

Managing Conflict Rather than Eliminating Conflict

Conflict is inevitable in any long-term relationship. In the Gottman approach to couples counseling, we help clients understand that conflict is normal. Rather than eliminating conflict, we help them learn to manage it. Why can’t all conflicts be resolved? Because backgrounds and personalities don’t match exactly. Couples will always have some areas of disagreement: neat/tidy, disorganized/scheduled, emotionally expressive/keeps feelings inside, to name a few. Even two tidy people may disagree on who does more work around the house or, perhaps, what cleaning routine to follow.

By the time couples come to counseling, they have often been having the same argument in different forms for many years. The issue has become gridlocked—and just as drivers stuck in traffic feel angry and frustrated, partners who can’t move beyond an issue start having negative feelings about each other and the relationship.

Learning to Listen Without Anger

Anger is often the result of feeling misunderstood. When one partner feels like they are not being heard on a particular issue, and they likewise have trouble listening to their partner’s point of view, anger simmers, sometimes for years—finally coming to a roaring boil.

Jim and Joan came to counseling because she felt he stopped participating in the family years ago. Meanwhile, Jim felt disenfranchised. His views and opinions on how they were raising the kids were ignored and he felt he was “just a paycheck.” Joan felt he had checked out and was uninterested in her, the kids, or their home. They were both angry; they both felt the other was wrong. When they tried to discuss this problem it always escalated to screaming and yelling, often within earshot of the kids.

When they started couples counseling, they had had this same fight many, many times. Jim would withdraw; Joan would become more focused on her friends and the women in the neighborhood, whom she confided in and got support from. Joan and Jim were emotionally estranged. Not surprisingly, intimacy, both emotional and physical, had come to a grinding halt.

Gridlocked Problems: Begining to Compromise

When I listened to them discussing a variation of this gridlocked problem, I saw that each became angry quickly, and the result was they stopped listening to the other. Joan would lecture and Jim would face the other way, clamming up. People have many ways of expressing anger: he was seething inside quietly, and she was ranting loudly, but both were angry.

I stopped them when this happened and had them take just a few minutes to calm themselves. To go from anger to calm by learning to self-soothe is an important skill in all relationships, but especially in marriage. It can take just a few minutes to do this. This isn’t about swallowing or denying anger; the trick is to then re-engage in the conflict discussion with a more receptive and less defensive tone.

Staying angry is much easier, but “doing it in the right amount, at the right time, and for the right end, and in the right way” (as Aristotle said) produces quite different results when dealing with a perpetual problem. It is okay to be angry. But understanding why you are angry, and learning to express your feelings in a way that is clear and void of the four horsemen will lead to a very different conversation with a different outcome. Once Joan and Jim learned to talk about their conflicts without getting flooded, they listened to each other with deeper respect for the other’s feelings. This is the first step in learning to compromise.

Practicing self-soothing is something you can do at any age, and at just about any time. Listen to this simple three-minute ”breathing space” to feel the difference in your thoughts, feelings, and physical sensations when you take just a few minutes out of a difficult situation. For it is not just the repeated, unmanaged fights that damage the relationship, but the skewed and distorted perceptions that keep you stuck in gridlock, stewing, for years—over the same issue.

Try this brief relaxation exercise:  Three Minute Mindfulness

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140 Characters or Less: The Three-Sentence Rule in Communication

 

Couples frequently come to therapy complaining of communication problems. Conflicts don’t get resolved. Intimacy has left the relationship. They lead parallel lives. The focus is on the kids, or their work or friends, but not each other.

During the first session of couples counseling, I take a history of the relationship and ask them to talk about a current problem for ten minutes. Invariably one partner will dominate the discussion. In subsequent sessions, I see the same thing.

For instance, Jody and Tom came to couples therapy because Jody feels Tom never listens to her. She is upset because he tunes her out and doesn’t open up about his thoughts and feelings. Observing Jody and Tom for a few minutes gives an important clue to why they have come to this place in their relationship: Jody talks a lot. In fact, she talks in paragraphs—even pages. She is animated, eager to express herself. Tom sinks into the sofa, shoulders hunched in resignation as Jody takes over the conversation. There is no doubt that she has important points to make and makes them well, but Tom doesn’t get a chance to speak. When I prompt Jody to let Tom speak, he gets a couple of sentences out, and then Jody interrupts, speaking for him.

Who Talks More in Your Relationship?

I have seen this scenario over and over again in my work with couples. Do women talk more than men? This is a controversial issue and many factors come into play. American neuropsychiatrist Louann Brizendine reported that the average man speaks about 7,000 words a day, while the average woman clocks in at 20,000. My observations would bear that out, although admittedly, I see a skewed sample. However, I don’t think it is a genetic or neurological issue so much as a relationship one.

The very thing that Jody wants from Tom is closeness, but she doesn’t give him a chance to talk. The pattern gets further entrenched as Tom’s unexpressed resentment grows and he retreats into his own thoughts, which often see Jody in a negative light. This perpetuates the cycle, with Jody seeing him in turn as distant and aloof. Furthering the pattern is a subtle dynamic at play: as Jody sees Tom’s discomfort and reluctance, she talks for him—letting him off the hook, so to speak.

They each have a role to play in this dynamic but are not aware of their roles.
Using a variety of interventions, I have Jody and Tom change the way they talk and listen. I frequently invoke what I call the “three-sentence rule” for the partner who dominates the conversation. When they come to see the pattern, this rule is met with chuckles and relief. Jody doesn’t really want to do all the talking, and Tom wants a chance to be listened to.

Reciprocity is Essential to Good Communication

Lately, because of the popularity of Twitter, I suggest a rule of 140 characters or less. Tech-savvy couples know this means to limit talk to the most pertinent points, usually in three sentences. Pause. Give your partner a chance to respond. Resume. Reciprocity is essential to good communication. As Tom expresses himself more, Jody can relax and feel less need to control the conversation. In this way, couples learn more about each other, bringing closeness and, in time, greater intimacy. Couples are often surprised to see their patterns of communication are changeable.

So if you catch yourself speaking in paragraphs abounding with run-on sentences, stop and let your partner have a chance to speak. You may be surprised by what you learn from each other.

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Do Opposites Attract? How what once attracted us can begin to repel

We Seek Wholeness in Ourselves When we Choose our Mate

The adage “opposites attract” is often true before marriage and well into the first few years of a relationship. However, as I have seen in many years of providing marriage counseling, the powerful attraction that once drew you to your mate can fade over time. If personality differences are misunderstood, then the initial attraction will turn to ”opposites repel,” leading to negative feelings for the person you were deeply drawn to when dating.

 Using the Myers-Briggs Type Inventory in Couples Counseling

I sometimes have my couple clients take a True-False test called the Myers-Briggs Type Indicator (MBTI), a questionnaire based on the work of Carl Jung that assesses different psychological types according to four pairs of preferences: extraversion vs. introversion, sensing vs. intuition, thinking vs. feeling, and judging vs. perception. We all use all four functions, but some are more dominant than others.

The MBTI is used by, for example, vocational counselors to help people select occupations that best suit their temperaments. It has also been widely used by employers and managers to appreciate differences in workers with the aim of functioning better in teams, thus avoiding misunderstanding and increasing efficiency by reducing personality conflicts.

Decision making in marriage can be challenging when partners are opposite on some personality traits. When I was ready to buy my new car I decided what I wanted, test drove it and did some quick online research to see what the inventory was, and at what price. I went to our local dealership and was quoted a price that seemed fair. I was prepared to purchase the car then and there, but since we believe that big purchases should always be discussed and agreed on, I took my decision to my partner for the final green light. He immediately jumped into the decision-making by polling every dealer within 100 miles of us and reading every consumer report written on the car.

My psychological preference is Feeling and my husband is Thinking. Both approaches have to do with decision making, and each is valid. Feeling types seek harmony with people. Thinking types seek objective clarity. Because I felt that the car salesman was honest and nice, I trusted his price quote. I didn’t want there to be discomfort or tension.

When all was said and done, he came to me with the exact price I was quoted, saying it was a good price, giving his approval. Because we respected each other’s differences, we came to an agreement.

When Jeff and Lynn came to marriage therapy they were stuck in gridlock about how to spend time in their retirement. Jeff wanted to spend time at home, tinkering with projects in the garage and watching old home movies—something he wasn’t able to do when he worked six days a week. Jeff is a typical Introvert, someone who needs alone time to recharge his batteries and who is drained by too much socializing. Lynn, in contrast, was bored with staying home and wanted to travel and see the many sights that they hadn’t had time or money for before retirement. Lynn is an Extrovert, someone who gains energy from social contact and feels drained without it. These differences made even smaller decisions difficult for Lynn and Jeff. For instance, Lynn wanted to entertain friends and loved putting on big dinner parties, but that made Jeff uncomfortable. He much preferred to have one couple over and play Pictionary. Lynn was furious at Jeff for what she considered to be thwarting her dreams. Jeff felt overwhelmed and withdrew from her when their discussions turned to these issues.

We seek what we want to complete us when we choose a mate. This is largely unconscious. When Jeff first met Lynn he was mesmerized by her vitality and adventurous spirit. He loved how she could talk to anyone. He was invigorated by her constant energy. Lynn was in love with Jeff’s calm and his ability to love the simple things in life. They were attracted to the very traits that were undeveloped in themselves.

Life transitions such as retirement often bring out differences in how a couple will make decisions. When life is routine, these personality difference can be dealt with, even masked. But with challenges such as the birth of a child or a move, the traits that you loved in your partner become the very things that drive you crazy.

The MBTI is a valuable test to help couples understand why they sometimes fight about the same things over and over again. I like it because unlike many psychological tests, the MBTI is non-pathologizing. There are no good or bad traits. Every one of the sixteen types indicates a difference in how one gathers information, organizes their life, how they like to spend their time, and how they think (or feel) through the various decisions that confront them.

After giving Jeff and Lynn the MBTI I was able to help them understand Jeff’s introversion and Lynn’s extroversion. Neither of them was wrong; they just needed to understand and appreciate their differences. We worked with ways they could get their individual needs met, and still find things to do together in retirement. They began to keep a list of activities they each wanted to do and then found ways to compromise about how to going about doing them together, honoring each other’s interests and dreams. This was immensely reassuring. Once you realize that your partner is not wrong, or odd, you can start talking compromise.

Despite my husband and I having opposite types for Feeling and Thinking, we can come to the exact same decision, as with buying the car, but we do it differently. Understanding each other saves a lot of time in the long run!

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Turning Toward in Relationships: Express Affection and Admiration

 

Turning Toward with Affection
Love at Any Age

When my mother turned 92 a couple of years ago, she fell in love for the fourth time, with a younger man—he was 90. Watching these lovebirds together was admittedly annoying at times, but mostly inspiring and touching. They would coo and kiss and very publicly say how much they loved each other. Then last fall, after they’d dated for two years, he died suddenly (if not unexpectedly) at the age of 92. At the memorial, after all his grown kids and grandkids introduced themselves and described their memories, my mother gingerly went up to the podium and said quite distinctly, “And I am his girlfriend.”

At 94, my mother lost her fourth great love. Although she was widowed twice and this romance lasted only two years, it taught her much about love. The note she read at his memorial summed it up: “Some people come into your life for a season, some people come into your life for a reason.” She learned a lot from this love —even at her advanced age—and what she tells me she learned is this:  be physically affectionate,  express your love frequently, and play. It seems simple, but we often let life’s demands pull our attention away from our partner in preference for work, routine daily tasks, and a myriad of other distractions, leading your partner to feel taken for granted. The need to feel loved –to be treated with respect and care– if unmet, will lead to slow erosion of love, landing the neglected partner in an affair, or in a divorce attorney’s office.

 The Magic Five and One-half Hours a Hours a Week

This advice is a large component of the couples counseling I do. Using a Gottman intervention called “The Magic Five and One-half Hours a Hours a Week,” I explain to couples the importance of making time in busy schedules to turn toward each other every day. https://ogradywellbeing.com/?p=634

Life is often so complicated with work, kids, financial worries, dentist appointments, teacher conferences, and even pet care, that we overlook the simplest ways of nurturing our relationships.

The NY Times recently profiled the marriage of an older couple who took a chance at love in their later years.

 

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Amour: Keeping Marriage Strong After a Stroke

How Marriage Can Survive Health Problems

The French film Amour is a touching, realistic window into the world of a committed marriage in which one partner has suffered a stroke.

The elderly couple are music lovers, their apartment chock-full of music books, records, and CDs, plus a concert-size grand piano. Yet the film has no musical score, just the mundane sounds of everyday life. The couple’s need to cope with change is so profound that the music of life fades, replaced by the clinking of forks against plates, sweeping away crumbs from the kitchen table, or shower noise as a caregiver washes Ann’s back. The story gently unfolds, depicting the couple’s commitment and love as the outside world shrinks, startlingly magnifying their life lived in three rooms. There is no shaking of fists at their plight, no angry outbursts from either partner.

How Stroke Affects Marriage

When giving talks on how stroke affects marriage, I say, “When one partner has a stroke, both partners have a stroke.” The stroke survivor grapples with loss of bodily function, speech, and often dignity, and the caregiving spouse must come to terms with the magnitude of the change in their lives.

A stroke can alter two people’s lives in an instant. For the person with the stroke, simple tasks suddenly become difficult or impossible. For the person’s partner, life revolves around the stroke survivor’s needs, requiring many adjustments.

And while stroke (like any chronic medical problem) affects marriage, it can also open a gate to improving communication and building and strengthening skills that were taken for granted.

Empathy on both sides is needed for the marriage to survive. Learning new ways to communicate fondness and appreciation serve as protective factors. Building new rituals of connection and remembering the positive aspects of your marriage before the stroke are necessary to keep your relationship healthy.

Coming to Terms with Suffering

While stroke can create strain, frustration, and distance in your marriage, coping with its effects is an opportunity to reset your priorities and goals. You may be able to strengthen your marriage as you and your spouse work together on common problems you will face. It is by accepting the limitations that life imposes on us that we can overcome them. As we learn to carry our burdens well—in the yielding and in the striving—we become whole.

Viktor Frankl was a psychiatrist who survived the Holocaust; his parents, brother, and pregnant wife did not. In his remarkable memoir, Man’s Search for Meaning, he discusses how people face unavoidable burdens. Why did some crumple beneath the horrors of the death camps, while some comforted others and gave away bread?

“When a man finds that it is his destiny to suffer, he will have to accept his suffering as his task; his single and unique task. He will have to acknowledge the fact that even in suffering he is unique and alone in the universe. No one can relieve him of his suffering or suffer in his place. His unique opportunity lies in the way he bears his burden. . . . The way in which a man accepts his fate and all the suffering it entails, the way in which he takes up his cross, gives him ample opportunity—even under the most difficult circumstances—to add a deeper meaning to his life. It may remain brave, dignified, and unselfish. Or in the bitter fight for self-preservation, he may forget his human dignity.”

I do not mean to minimize the great accommodations that must be made in marriage when a stroke occurs. But there is a phenomenon seen in marriage counseling that often predicts good prognosis; therapists term it “glorifying the struggle.” This describes a couple that comes to therapy with a crisis, but they can talk about how they see the struggles that they have gone through as ways to grow and that they can grow together. The likelihood of that couple being able to keep their marriage whole and strong is better than when there is bitterness and resentment toward their marriage struggles.

Of course, sometimes caregivers can’t look after a stroke survivor at home. In Amour, the husband was the caregiver until he could no longer tolerate bearing her pain for her. In the United States, if a caregiver is no longer available and/or funds have run out, the best option is a skilled nursing facility (or SNF in the medical jargon). But in many families, life must go on: living together, but with tremendous challenges for both partners.

Ways to Cope When Stroke Strikes

Here are some issues to consider in coping with the aftermath of a stroke.

1. Spousal support: This is a powerful aid to stroke recovery for several reasons, including a spouse’s ability to improve the stroke survivor’s mood and increase physical and social activity levels.

2. Role changes and division of labor: Most couples must change their usual division of labor. Tasks and duties that were previously performed by one spouse may need to be reassigned. Outside help should be considered when possible.

3. Emotional support: High levels of emotional support lead to the best possible recovery after a stroke, and support is most effective when it is seen by the stroke survivor as meeting his or her particular emotional needs. Empathy—your ability to see things from the other person’s perspective—is important for both partners. Even a stroke survivor with speech problems (aphasia) can still listen. To truly listen is a great gift, even when your replies are non-verbal.
4. Counseling and group support: Both partners can benefit. There are many great agencies that offer classes following a stroke, and ongoing groups to help maximize coping.

In the best of circumstances, marriage is challenging. When couples face chronic medical problems such as stroke, the marriage vows -in sickness and in health are tested to the limit. Compassion by both partners for each other, as so tenderly shown in the film Amour, is imperative to preserving love.