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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
The Art of Self-justification - Page 5


Aronson and Tavris say that all of us—world leaders and ordinary individuals alike—are at the mercy of cognitive dissonance, and that we also practice "confirmational bias": we seek evidence that "confirms" or supports the decisions we make, while ignoring other facts. So we naturally lie to ourselves when we find ourselves in unpleasant circumstances. Not only does "confirmational bias" help us lie to ourselves, say the authors, but it has another, annoying quality: it makes us believe that we can see clearly, even if others can't.

According to Aronson and Tavris, no one is immune from cognitive dissonance, including therapists. Like everyone else, they want to protect their egos and reputations when they're wrong, as they did during the scandals of repressed memory and the hysterias of imagined child abuse in daycare centers (the authors devote a chapter to these low moments in the history of psychology).

Like many books that present a vast, overarching problem, the only solution to the ethical dilemmas posed by cognitive dissonance theory is, once again, that noble and often elusive goal: we need to be aware. They urge us to "rethink our own muddles." We must be vigilant about a virus that destroys politics, marriages, relationships, and nations. Who can argue against awareness? But can it stand up to our blind urge to self-justify?

The problem here is that in the rush to deploy social psychological generalities, individual differences sometimes can be shortchanged. Does cognitive dissonance theory explain why some conflicted people say no, despite the social pressures applied to them? Why some people really are able to put aside self-justification in difficult circumstances and admit that they were wrong?

With this caveat, I must say, this is a good, readable book with lots of ­marvelous stories about the pickles everybody (but me) gets into. I, by contrast, see clearly and wisely at all times. Pity. If only people could see what I see, we wouldn't need cognitive dissonance theory to explain how screwed up we are.

Richard Handler is a radio producer with the Canadian Broadcasting Corporation in Toronto, Canada. Contact: rhandler@sympatico.ca. Letters to the Editor about this article may be sent to letters@psychnetworker.org

Mistakes Were Made (But Not by Me): Why We Justify Foolish Beliefs, Bad Decisions, and Hurtful Acts
Carol Tavris and Elliot Aronson
Harcourt Books. 292pp. ISBN 978-0-15-101098-1

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