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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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

Does This Kid Need Medication? with Ron Taffel

Meds: Myths and Realities: NP0035 – Session 3

Do you feel like you could be a more effective therapist with your younger clients? Do you find it hard to determine when interventions--psychological and pharmacological--might be needed? Join Ron Taffel and learn to identify key diagnostic signs that indicate medications could be helpful when dealing with depression, anxiety, AD/HD, and affective disorders. 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.
Networker Excel Clubs
Beyond the Consulting Room - Page 4


I count myself in the small but growing community of committed citizen- therapists, and I've begun training others. Perhaps the following pointers from my journey—some of them carryovers from a Networker article I wrote after the 2004 election and some of them brand-new—will help you on your own journey.

Discover Your Passion and Connect It to the Larger Picture

The reason we therapists are so well situated to be change agents is that we hear real stories of personal pain in a troubled world. We don't get our material secondhand from newspapers and academic research articles. So the first step of getting involved is to ask yourself which clinical issues in your practice grab your interest most and then start seeing the personal problems you treat within their larger social context—what C. Wright Mills called the public dimensions of personal discontents.

For example, the problem of "over-indulgent parenting" can be viewed strictly as a matter of personal habits and parenting skills, or as part of a larger social issue—in this case, a generation of educated but anxious parents worried about their children's success in a competitive world. Depression in an immigrant African community is more than a clinical problem. It's connected to the perennial challenges of immigration and the enduring impact of war and trauma—events that the community can't speak about. Eating disorders and self-image problems among young women go beyond DSM diagnostic categories into the social fabric of modern commercial societies.

As you think about the issues raised in your practice, here's an axiom to remember: all clinical problems treated by therapists are thoroughly interconnected with larger public issues—all of them. But the public dimensions of psychological problems and the civic action that could be appropriate to take don't appear in our treatment manuals.

My own first foray into community activism emerged from my concern that we're turning middle-class childhood into a rat race of overscheduling and overachievement, and that parents have come to see themselves as service providers to their children. I saw this disturbing development in my practice and everywhere in my local community. The desire to get involved came when I began to see this problem as not just a particular family's issue, but as organically connected to larger social forces (the invasion of competitive, market-driven individualism) and to community institutions (the sports leagues and ballet schools that have increasingly taken over children's lives). Once we look outside our windows, it's easy to see how the problems we treat in our offices are integrally connected to broader community issues.

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