differences – Relationship Therapy for Couples & Individuals

November 7, 2023

THE HUDDLE

I am not a big sports fan, which is odd considering how I regularly bring up “huddles” in my couples therapy sessions. But when I do this, I assure you we are not really talking about football or soccer! What we are talking about is teams, specifically how a team wins, and the huddle, which I will discuss in this article, is a key element in any team’s approach to winning.

We didn’t used to think of couples in a relationship as a team–the individuals were more like employees in the same company, but each in charge of different departments. In the old days, men made the money and doled out discipline to the children, while women managed home and child care. While this worked at times to keep a home and family going, both men and women suffered because individual needs were not part of the overall plan (this is why so many men got individual needs met outside the marriage, while women would take sedatives).

Today, we have mostly moved beyond that stilted and misogynistic model, forging a new version of what home and family looks like and how they can thrive. Many of the relationship experts, including the Gottmans and Stan Tatkin, have stressed that today’s couples have to work like a team rather than as co-employees. I want to explore what that means for couples, and why it is beneficial to them both as a couple and as an individual . Are you ready? Hut, hut, HIKE!

WHAT IS A HUDDLE? I’ll be honest with you–I had to look this one up. While there is the definition I use with couples, I thought I should at least verify that what I tell them is accurate before writing an article about it! So here is how Webster’s defines a huddle as applied to football:

huddle: to gather away from the line of scrimmage to receive instructions (as from the quarterback) for the next down

What does this definition tell us about huddles? That they are a gathering away from where the action is happening in order to make a plan for how to move forward. In this definition, the instructions come from the quarterback, but in a relationship all members act as quarterbacks. I will add to this the purpose of making this plan–to win the game by getting closer to, and ultimately over, the goal line.

One main question addressed in a huddle is: “What do we do next?” Maybe the team starts by identifying what did not work previously, but there is little time for pointing fingers or blame–the focus is on what’s next! In other words, let’s look briefly at what didn’t work and then decide what might work now. The team does not get distracted by anything that could pull them away from their main objective: to win. And, judging by their continued use by football and soccer teams worldwide, huddles work.

WHY DO THEY WORK? In his book In Each Other’s Care, Dr. Stan Tatkin says the following about relationship success:

“People make their relationship difficult when they do not orient to a two-person psychological system full of collaboration and cooperation. That lack of a two-person orientation is at the center of all difficulty in couple unions.”

What is another name for a two-person psychological system? A team! There may not be as many members in a relationship team as there are on a sports team, but the point is that the rules work across the board. Here is my understanding of these rules:

The needs of the team supersede the needs of the individual members: The team (relationship) always comes first.
The blame game and defensiveness serve no purpose other than to stop forward movement: Avoid blame and defensiveness.
If you want your team to win, the individual members must be strong and care for their individual development: Be accountable for what’s yours.
If one person messes up the plan, the whole team suffers; if one person succeeds, the whole team benefits: You either win or lose together as a team.
The focus is on what to do next to gain or re-gain ground, always with the intention of winning: The important question to explore is “How can we do better next time? What does our relationship need to thrive?”

What I love about huddles is that they are quick and purposeful–no need to talk until 4 in the morning! They work because they focus on what did work and what will work next. Can you imagine if that was the priority in the conversations you have with your partner(s)?

HOW TO DO HUDDLES IN YOUR RELATIONSHIP: One of the biggest challenges couples therapists face is how to get their clients to use the skills they develop in sessions at home. In fact, John Gottman wrote about this nearly 25 years ago in his book The Marriage Clinic, describing how only about 35% of couples who do therapy experience meaningful positive changes, but after only a year, 30-50% of these couples relapse into the old patterns.

Given that, the challenge I face is two-fold:

Making a tool or skill appealing to couples so they will use it
Looking for any emotional obstacles to using the tool or skill (a topic for a whole article in itself)

Regarding the appeal of huddles, I approach this challenge by first looking for times when a couple is already doing them without knowing they are doing them. Any instance when we have been pressed for time and have to make a decision quickly is an instance where we have likely used the huddle, quickly exploring these things:

What do we currently know?
What do we need to do right now?
How are we doing to do it?

When decisions need to be made quickly, there is little time for blame, regret, or criticism! You come together and make a plan to get back on track as soon as possible–this is a version of the huddle! Bringing awareness to, and reinforcing, behaviors you are already doing successfully is one way to ensure a tool will be used outside the therapy room.

Secondly, I spend some time exploring how good it feels for couples on the other side of the huddle–when they have their new direction and are headed there together, connected. Emphasizing how the outcome will feel good is a powerful way to motivate us to do something difficult. Without a desirable sense of reward, couples will not use the tools, period.

Lastly, it is my job to look for anything in a client’s history or relationship dynamic that will get in the way of them practicing new skills. This could be resentments, past trauma, depression, or lack of commitment to the relationship. If one or more of these factors are identified, I will either do individual work with them in the couples session, schedule an individual session apart from the couples work, or refer them to outside individual therapy. This is critical! If the obstacle is not addressed and removed, the work will atrophy at home.

***

Here is the secret I hope my clients will experience for themselves: doing huddles at home is fun! Or at least it can be. I recommend practicing them on everyday situations where there is no anger or resistance. Then you will be ready when the stakes are higher. As an example, let’s say that you are going to the movies, but when you get to the theater the film you want to see is sold out. You could do a quick huddle to decide what to see instead by using the three questions:

What do we currently know? What movies are there still tickets for and when do they start?
What do we need to do right now? Save the evening! Choose an alternate movie and buy tickets, or go somewhere else.
How are we doing to do it? Agree on a film we have not seen and both want to see, and laugh off the fact that we did not get tickets beforehand.

When you are dealing with a heavier issue or conflict, using the same process can actually lighten the weight, ensuring that partners stay regulated and connected. When regulated and connected, couples can get to the other side of any problem.

Remember, if you don’t make it something that you both enjoy or benefit from, you will not do it–so imagine how you will feel towards each other when you have successfully navigated a difference in this way. I think anyone can agree that this feeling is preferable to anger, resentment, and hurt! And just like the sports teams that huddles, practice, practice, practice.

Huddle up!

May 10, 2023

IS PORN OKAY?

We all have ways to “get through the day”, don’t we? But I notice that some coping behaviors are more acceptable in relationships than others. One that seems to cause problems on a regular basis is the use of pornography.

I chose to write about porn, finally, because the topic comes up almost universally at some point in couples work. Why is it such a divisive issue? Why is it often seen as a form of betrayal, or a sign that one’s attraction for their spouse has decreased or disappeared, when other individual interests don’t trigger these reactions?

Porn, like many things tied to human sexuality, can be misunderstood and simplified, but it is my opinion that the use of it represents a lot more than just “a way to get off”. Not that there is anything wrong with that! I just think that it is more likely that porn, like many coping mechanisms, is often a salve for unmet emotional needs by being an outlet for our fantasy lives. The fantasy is just the vehicle, though, not the final destination. In other words, porn is a means, not an end in itself.

This should be reassuring to those who see porn as a threat to their relationship’s sex life, since it suggests that porn is not actually a substitute for sex!

What needs, then, might porn be helping the viewer attend to? And why is sexual fantasy an effective way to do this? How can the threat of porn be dismantled in relationships and instead embraced and accepted as an individual or joint exercise toward relational satisfaction and individual development? How can we embrace porn viewing as a healthy means to an end?

WHERE IT CAME FROM AND WHY: Sexual imagery has always existed, from the earliest time that humans were able to create drawings or write words. One definition of the word pornography suggests that it originally depicted, through words and drawings, the life of prostitutes. Since the many definitions are not consistent with one other, there is not just one story of its history. But most will agree that in order to be considered pornographic, the words and/or images have to be illegal or illicit, as opposed to any culturally accepted erotic material. This can get confusing, of course–as in the recent disagreement over whether the Statue of David is art or pornography.

Some form of sexual imagery has been around forever, though the functions of such imagery have changed over time. It is for this reason that I want to focus on the purpose(s) it serves today, in modern sexuality and relationships, and what happens when it is the cause of conflict between relationship partners.

GOOD OR BAD? RIGHT OR WRONG? IT DEPENDS: In my work with couples, I avoid using the words good, bad, right, or wrong. I do this so that I am not imposing any moral judgements on the actions of my clients. What I personally think about their actions is none of their business, unless they are a danger to themselves or another. But what they think about themselves is definitely my business, since this is often the internal conflict bringing them into my office!

In order to create a non-judgmental space where we can explore problematic behaviors and move towards understanding, compassion, and a plan for change, I focus simply on whether the behaviors are working or not working for the client. How do I do this? Well, I let them tell me! What I have found is that this determination depends on clients’ values: what is important to them and what gives their lives meaning.

There is a therapeutic saying that goes like this: “It’s not a problem unless it’s a problem.” If we apply this approach to porn, then the following question will come up when it is presented as a problem: Does your porn usage have a negative impact on your health, work, finances, or relationships? A “yes” answer in any of these areas of impact lets me know that, in that area or areas, porn is not working for them, and we have to take a deeper look.

The bottom line is that in order to do my work, I have to set aside any moral judgement and find out what matters to the clients, and what is getting in the way of them moving towards that. But if you want my personal opinion, here it is. Porn is not bad or wrong, it is instead a way to feel connected–to our sexuality, to our aliveness, to our eroticism, to sex, to ourselves, to another. It is a way to connect to the moment when our head is spinning from the workday. It is a way to connect to a fantasy world where we are not old or sick or tired. It is a way to connect to our imagination. It is all these things, and more.

***

For clients who report that it does not work for them in their relationships, I have to first find out what meaning each partner assigns to it so I know what the real conflict is (porn as the vehicle, not the destination). For example, a user might be watching porn in order to connect to their own erotic life. This can happen after an illness or surgery, after giving birth, or during a period of grief or depression. They might also be using it to find out more about their sexuality or sex in general–we are often not even sure what turns us on!

Next, I look for areas where the couple is actually fighting for the same thing—shared values obscured by conflict. This is not as hard as it sounds. Who doesn’t want to feel any one of the connections I listed two paragraphs up? Where there is conflict about porn usage, the work is about helping the couple to talk about, and understand, differences, so they don’t feel threatened by what is not familiar to them or not what they like.

Finally, I help them to find a compromise that involves the relationship winning rather than one individual or the other. Any successful compromise will ask that each partner be willing to give up some of what they want so that they both win. This is why I have previously written about the importance of putting the relationship first–if you don’t, then you will fight to win rather than to connect.

A compromise like this will increase closeness because it requires that couples talk to one another to increase mutual understanding of differences, which often reveals that they are not that different after all. Though porn may not be a familiar vehicle for some, some of the needs it meets are universal to all of us. A recognition of this commonality can turn fear, judgement, and resentment into compassion, understanding, and closeness.

HOW TO NURTURE YOUR RELATIONSHIP WITH OR WITHOUT PORN: If porn is a way to feel alive, sexy, desirable, and vibrant, then it is good to know that it is not the only way! In a society where sex and self-pleasure are often associated with shame and guilt, it is my opinion that porn provides a safe way to avoid the finger-pointing of others–this is why it is usually viewed in private. Porn does not have to be a private enterprise–but the use of it is not usually celebrated publicly. It may be seen as a weakness, or a guilty secret.

But if you don’t want to be shamed for something, it helps to not engage with it shamefully! This is why I encourage couples to bring the topics of sex, sexuality, sensuality, turn-ons, and turn-offs into their discussions together. One of the great benefits of creating a relationship together is that it is an opportunity to create your own personal culture, and if you grew up in a sex-shaming community, you don’t have to carry that legacy into your own home. The irony is that when couples are willing to talk to each other about their needs, it strengthens what many call “traditional family values”: commitment, fidelity, and trust!

So whether you use porn or not, my recommendation is that you learn how to talk to your partner about your inner erotic world. Sharing porn preferences with one another is only one way to express turn-ons, but not the only way. A skilled couples and sex therapist can help you to navigate these conversations, but there is absolutely nothing wrong with saying to your partner: “I want to be able to talk to you about sex and desire, but I don’t know how and I feel shame even brining it up.”

Sometimes the best first step is admitting, and expressing, what is going on with you in the moment. Remember that sharing vulnerability invites shared vulnerability. This is how a relationship is nurtured.

***

I am encouraged seeing the reduction of the stigma attached to porn, due primarily to its increased availability online–no longer do magazines have to be hidden under the bed and in closets! I have hope that this accessibility motivates couples to more openly discuss topics that used to be considered private. The reason for doing so is this gives our partners valuable information about the activities, fantasies, words, and thoughts that take us out of our heads and into our bodies and pleasure centers. While our private inner world will always be a place to enjoy oneself in acts of self-pleasure, there are valid and enticing reasons today for inviting a loved one inside to join you: heightened pleasure, trust, connection, and discovery.

Ethically produced porn itself is neither good nor bad–it depends on the meaning assigned to it. If porn is a problem for you in your relationship, start by questioning the purpose it serves you or your partner, and asking if that purpose fulfills not only the user’s needs, but also the needs of the relationship. If the answer to the latter question is “yes”, then by all means, press “PLAY”!

May 3, 2022

THREE POSSIBLE OUTCOMES WITH COUPLES THERAPY

Premium Photo | Choosing a path. the junction, three forest roads converge into one.

My last article was about how relationships are the hardest thing you will ever do, and I outlined some of the main reasons for this. In this article I want to present the ways couples therapy can help with these difficulties by discussing three possible outcomes of the work. I hope this exploration will demystify some of the “mystery”, helping readers to understand that the success of couples therapy has more to do with the couple seeking it than the therapist administering it. This is not an attempt to make a couple responsible for any failure of couples therapy, but rather to emphasize their role in its success–to up their skin in game, so to speak.

There was a time when couples therapy was seen as the last resort for a broken marriage. Today, there continues to be more of a stigma toward couples work than individual work. Fortunately, that perception is changing over time, with many couples now seeking assistance at the beginning of their relationships, as a way to avoid issues down the road.

However, there continue to be misconceptions about what couples therapy can actually do. What it can’t do is:

“fix” your relationship
decide for you if you should stay together or break up (though it may help you to make a decision about this)
improve the sex (or re-start it) in your relationship if neither partner is willing to make some changes

Simply put, the work of a couples therapist is to help couples have difficult conversations. The main difficult conversations that couples struggle to have often concern sex, money, parenting, and respect. These conversations can be difficult to have because having them requires that we set aside defensiveness and criticism, and examine what we are willing to “give up” so that the relationship, not the individual, can “win”. This can be very challenging if a couple have opposing values in these areas, but it is not impossible!

So let’s look at what can happen when a couple comes into therapy for help with their difficult conversations. What are the possible outcomes?

NOTHING CHANGES: Let’s start with the bad news. Simply put, change requires an action, not just an intention. Many couples truly want their relationships to improve, but then find themselves running into obstacles when they try to change their behavior. Those obstacles can come from inside or outside the individuals in a relationship, and can be so discouraging that the process is stopped before it even gets going.

However, not all is lost when obstacles show up. They can be a sign that something is moving. Obstacles are often negative beliefs that individuals have carried for years, which they have brought into the relationship with them. Negative beliefs are shameful ways of thinking about ourselves that are either handed to us by others, institutions, or culture, or conclusions that we make about ourselves based on how the world responds to us. We are not always aware of them until they show up in relationships or when we are trying to embrace change.

Regardless of why we resist action, without it nothing will change. This is why I want to be sure that a couple is willing to take action before working with them in therapy, because without that willingness, they will be disappointed by the lack of results and take that as a sign the relationship is hopeless and should end.

BREAK-UP OR DIVORCE: While this is an option that many choose without coming into couple therapy, it is still an option even while working together with a therapist on your relationship. However, couples who choose to break-up or divorce after a course of couples therapy are more likely to be doing so for the right reasons, whereas most other couples end their relationships by mistake.

There are two primary reasons that a couple will break-up in the course of doing couples therapy:

They realize that they no longer (or perhaps never did) have shared values/goals/relationship dreams, making them a poor fit who would be better served moving on from one another.
They find out that there is no longer any relationship to save.

As their therapist, I never make this decision for them–but I may ask questions about what I observe in the room. It is up to the couple do decide whether they want to stay together or not. One thing I always tell them is a phrase I got from my mentor, Dr. Walter Brakelmanns, who would tell couples “I will fight for your relationship until you give me a good reason not to.”

Many couples break-up because of “incompatibility”. I am here to tell you that this concept is a myth! Incompatibility suggests that differences in interests divide couples, and yet the reality is that many couples have long and happy marriages while having wildly dissimilar interests. Rather, it is a wide difference in values that can signal a mismatch.

Values signify what is important to us, and some examples are: having a family, living near parents, honesty, mutual respect, spirituality, loyalty, trustworthiness. We usually have 3-5 non-flexible values, but even those are subject to change over time, so finding someone whose values match yours is no guarantee for the long run, but it can’t hurt! Values conversations are just one more way of showing interest in your partner’s inner world, and how it may change over time.

Though relationships work best when they share key values, it is not an automatic deal-breaker with they don’t. It all comes down to respect–and the willingness to be curious about each other rather than judgmental or critical. Values can change over time, but that does not mean that a relationship has to end–it can change too.

***

The second reason that couples might break-up in couples therapy is because they come to realize that the relationship is already dead. What lets us know this? Lack of interest.

When I notice that one partner is sharing a painful emotion or event, and I see a lack of empathic response from the other partner, I start to worry about the relationship. Lack of response can show up for many reasons, but if it is happening because the person no longer cares about how their partner is suffering, then the relationship has lost its emotional connection. There is no relationship for me to save. This happens not because one partner is a cold, uncaring person, but because they no longer care about their partner’s inner life. This can happen for a number of reasons, and often happens over a period of time.

This will present as a couple who come in because the relationship is still alive for one, but not for the other. This can be very painful, but it is even more painful to stay in with someone who no longer has interest in you. I think it is easier to survive a break-up than a bad marriage. These couples can still do work in couples therapy, but the focus shifts from connecting them to problem-solving–what do they need to figure out in order to move on from one another?

What makes a relationship lose its connection? Well, the main causes I see are unresolved resentments that have turned into contempt, breaches of trust that are seen as “unforgivable”, lack of mutual respect and understanding, and certainly undiagnosed mental illness, domestic violence, or substance abuse. The loss can occur over a long period of time or in response to a specific breach, but it is up to each individual to choose to work toward reconnection, otherwise the relationship will start to disconnect and die.

Couples therapy can help couples to set aside blame and reflect on the role they each had in their relationship getting to this place, while also helping to create new understanding about each other’s actions, leading to greater understanding. This understanding it the beginning of empathy, rebuilt trust, and reconnection.

DO THE WORK: To round out our exploration of the three outcomes of couples therapy, let’s look at the optimal outcome–doing the work! The reality is that this option is really the only thing that brings about change in a couples relationship. It does not matter how brilliant or skilled the therapist is, if the couple does not take the work home and into their interactions, nothing will change.

So what is the work? Well, in my office I first get the couples’ agreement that I can do my job–which is to guide them to having more successful difficult conversations. Sometimes that means that I need to interrupt what they are trying to say–and that can be a challenge for some. The work in this instant is for the client to regulate themselves and “set aside” whatever feelings are coming up for them in the moment. This is harder than it sounds! But without this willingness, the conversation will be derailed and nothing will change.

Secondly, the couple has to change what they are doing at home. This can entail a whole list of things, or perhaps just a couple adjustments, but without some action towards practicing the skills at home, again, nothing will change. Couples don’t have to turn the whole house upside down–John Gottman says that it is more important that we do “small things often” as a way to keep the engine of relationship connection running on idle, rather than having to restart it each time we need to communicate.

Another action that can help a great deal is when the individuals pursue their own work with an individual therapist. As we reveal the vulnerabilities that each partner brought into the relationship, it is up to each partner to attend to these rather than holding the other responsible for “fixing” them. Individual therapy can be a great adjunct to couples work so that in the couples session, the focus can be on the relationship instead of the individual.

I get some pushback from couples when I tell them that there is work involved in having a healthy relationship. I can understand why. We are raised to believe that love does not take work–that it is some sort of magic glue that sustains itself, and that is absolutely not true unless you are speaking of the love a parent has for a child. Real love take effort to sustain, because it is effort that indicates caring and interest in another, not passivity. Real love is a verb, not a noun! It is caring in action. And when couples embrace that framing of effort, they see it as a romantic gesture rather than an obligation or duty.

The bottom line is that it works. So do the work!

***

Anytime a person wants to improve or change their life, some action and effort is required, even if that action or effort is to do less. And for those who do not know what actions to take, it is considered wise to seek out an expert for guidance and support. This is what a couples therapist can offer, but a good therapist will also assess whether or not a couple is ready and willing to do the work, in the same way a personal trainer will evaluate your commitment to an exercise program.

Therapists can guide your progress, but the couple has to start the engine, and this is why I present these three choices to every couple that comes into my office–I want to invite them to work as hard as I will to improve their relationship.

Which choice will you choose?