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How Therapy Enhances Psychopharmacology

Frank Anderson On The Process That Gets A Client’s Body On Board

NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
Editor's Note

 

September/October 2008

By Rich Simon

Inspired by this issue's cover story on the evolution of the human brain, our mild-mannered creative consultant, Dick Anderson, a 30-year veteran of the Networker, added an unexpected jolt of primal excitement to one of our recent staff meetings. He launched into a story about the time he was walking down a deserted street and a vicious dog darted out in front of him and started snarling menacingly. Suddenly, he heard a huge roar come out of his own mouth, a noise so loud, sudden, unexpected, and terrifying that it scared both him and the dog, which skulked silently away. Afterward, his jaw aching and throat sore, he wondered, "Where did that come from?"

Where indeed? That experience of visceral fear and the instinctive readiness to fight for his life was coming from the deepest, darkest, oldest parts of Dick's brain. Even after many millions of years of evolution, our modern neocortex—the thinking, reasoning, "civilized" part of our brains—awkwardly coexists with much more primitive parts that still have the power to vanquish our most determined efforts at high-mindedness. And it's a good thing! It wasn't the ability to think wonderful thoughts and make chitchat at dinner parties that allowed our predecessors to evolve from worms to fishes to reptiles to mammals to various forms of ape and apelike hominids and, finally, to our glorious, present selves. Rather, it was that vast, unconscious network of blind instincts for finding food, fighting or fleeing enemies, and mating that kept humans and their ancestors alive for hundreds of millions of years.

Generally, the primitive serpent brain, the ancient mammalian brain, and the late-blooming rational brain we think of as our "real self" seem to get along all right, until they don't. When they don't—when the two lower orders erupt on their own, without warning—there's all hell to pay. This is where psychotherapy often comes in.

For more than a century, therapists have focused on psychological theories concerned primarily with individual stories of personal identity. What the new brain science is teaching us, however, is that what we think of as purely our individual or family stories, even our social and ethnic narratives, are themselves enclosed within a much older, deeper story, situated along an inconceivably long timeline. This far bigger narrative, encompassing the whole history of humankind, as well as that of the furry and scaled ancestors that preceded our Johnny-come-lately species, transcends the puny narrative of our own small lives.

All very interesting, you say, but how can this ever-more-astonishing field of brain science actually help therapists practice their craft right now? In this issue, you'll hear from a group of contributors who are attempting to find answers to that provocative question in their consulting rooms. Whatever the ultimate answers may be, we're already discovering that learning about the brain can fundamentally expand our understanding not only of what's happening inside our clients, but also of what's happening inside us during therapy.

Our growing understanding of the brain offers the tantalizing promise of an entirely different kind of relationship with ourselves, as we, quite literally, get to develop a more intimate friendship with our own nervous systems. Some of this issue's contributors even suggest that understanding how we can better affect our own brains is becoming increasingly important for our survival as a species. At least, we stand to gain a salutary sense of humility about our self-aggrandizing place in the world and realize that—whatever our hunger for transcendence and meaning—in the end, we're biological creatures, whose existence depends on our ability to survive among other living creatures.