My Couple Therapy
Assumptions
There are many ways to do couples
therapy. David Schnarch, Ph.D. wrote that many
people can't tolerate the intensity of an intimate
relationship. There is a great deal of truth to
this. In many, but not all cases, my approach is
to work more intensely with a couple for larger
chunks of time--but with larger breaks in between
sessions--to allow them to get to core issues more
rapidly, and to prevent dependency on the
therapist. When couples "save up" their conflicts
for their next therapy session, they aren't
learning to have a relationship. While I do not
use this method in every case--it may not be
practical in all cases and situations--I have
found couples to move through their issues more
rapidly and effectively using this approach.
I begin by going over your Intake
Form, taking a history of your relationship,
framing up the problems that you want to work on,
and mapping them out on the large flip chart in my
office. My initial question is "What brings you
two in today?" At some point early on, I do a
fairly detailed genogram or "map" of each of your
original family systems, which will actually speed
up our work in the long run and will allow the two
of you to begin to identify the unconscious rules
that you brought into the relationship in the
first place. Come prepared to learn how to
identify and express what you are feeling, in the
moment, not just what you are thinking.
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