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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Editors Note

 

May/June 2008

By Rich Simon

One of the hardest lessons that's been forced down our throats in the last decade or two has been the intransigence of tribal, ethnic, religious, and racial hatred. In instances around the world involving hundreds of millions of people, collective fear and loathing have been enough to justify the most horrendous acts of violence. For those of us who blithely assumed that material values and individualism had increasingly come to supersede traditional cultural heritage, it's come as a shock to learn, time and again, that whether a person is Sunni or Shia, Hutu or Tutsi, Kikuyu or Leuo, Turk or Kurd could still so often prove to be a matter of life or death. Complicating, contradicting, or perhaps provoking this story of crosscultural hostility is the parallel reality of the unprecedented intermingling and intermarrying of different peoples from different backgrounds in our newly globalized human community.

In case you were under the impression that group and tribal loyalties dominated life only in less advanced and enlightened countries than ours, you'd be wrong again. Just listen to how raw the whole immigration "debate" has become in the U.S. Of course, nativism is an old and ongoing story at the dark margins of American history. What newcomers haven't had their turn at being bashed by "real" Americans (themselves most likely descendants of once-despised outlanders)?

Even in our supposedly "individualistic" society, people identify deeply with their group or "tribe." Particularly in times of social, economic, or political upheaval, many people are less concerned with their personal psychology than with their group affiliation. The deeper the crisis, the more we become our group: we think like our group, feel like our group, and are ready to fight for our group.

What does psychotherapy make of this roiling stew of boundary-dissolving human complexity? What, as professionals, do we think about the confounding impact of national, ethnic, and cultural differences on identity, self-image, and relationship? Not much, as it turns out. As a field, psychotherapy hasn't gotten with the program, to say the least. Unfortunately, with some shining exceptions, psychotherapists still seem to hold to the old model of a client as the typical eastern or western European, whose problems are exclusively such things as a troubled childhood, difficult marriage, disobedient child, and feelings of inadequacy, anxiety, or depression. This view of our client base is completely out of touch with the social changes that have taken place in recent decades. As Michael Ventura writes in "The New Social Mind" in this issue, "The world will never again be the world out of which psychology developed."

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