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Angry Women, Withdrawn Men

Jette Simon on Breaking Through in Couples Therapy

PP0004: Treating Anxiety: The Latest Advances

Dramatically shorten treatment time and improve clinical effectiveness with a new powerful motivational approach to anxiety and other presenting problems. Join David Burns as he uncovers and dispels resistance to treatment and enhances collaboration between therapist and client. Learn how to clearly convey neuroscience information to clients in ways that can have a calming effect and enhance treatment effectiveness. Join Margaret Wehrenberg as she reviews how brain science has allowed therapists to match treatment to the brain structures characterizing anxiety and discusses why it is helpful for clients to have an understanding of neuroscience in treatment. Expand your understanding of the sources for different kinds of anxiety along with your repertoire of interventions. Join Danie Beaulieu as she explores what metaphors, visual images, and multisensory messages you can use to more fully engage clients and achieve greater impact than is possible with purely word-bound communication. Learn techniques drawn from Neuro-Linguistic Programming that target the auditory and visual representations that clients make. Join Steve Andreas as he brings about immediate and enduring changes in clients perceptions and feelings as they deal with anxiety. Learn the 3-step program to help parents and children deal with anxiety. Join Lynn Lyons as she teaches exercises that help normalize anxiety (de-catastrophize it), externalize it (turn the internal state into external metaphors that can be dealt with more readily), and experiment with it (find innovative, playful ways to deal with it). Join Reid Wilson as he explores a step-by-step approach that helps clients shift their relationship with panic so they can overcome their anxiety. By gradually learning to approach, exaggerate, personify, and caricature panic, the client is able override the responses that perpetuate anxiety. 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.

Creating Multiple Streams of Income with Casey Truffo

Expand Your Practice: NP0037 – Session 3

Learn how to leverage your time and energy by distinguishing between having a job and running a business. Join Casey Truffo as she discusses how to increase your income, include new offerings in your practice, and still deliver your therapeutic services. 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.

Whatever Happened to Parental Authority?

Parental AuthorityBy Rich Simon It seems astonishing that even just two or three decades ago, parents not only pretty much knew what was expected of them to turn their offspring into civilized adults, but they could actually count on society to back them up. Even more astounding, kids seemed to understand this, too. Even if they rebelled against, yelled about, or sullenly resented how “unfair” adults were, they seemed to acknowledge adult authority and realize that they would just have to wait until they turned 18 to get for themselves the keys to the kingdom of grown-up independence.

Why Clients Will Pay More For An Intensive Session

Casey Truffo On Structuring A Therapeutic Intensive

Fantasy in Couples Therapy - Page 4


But there's a danger of seeing sharing fantasy as a "one size fits all" intervention. In 35 years of practice, I've found that sexual fantasy plays a varied and complex role in people's lives. We all know that when some couples go to a romantic movie, they're very likely to come home feeling erotically charged. To give a dated example, who knows how many men of my era went home imagining themselves Charles Boyer while their wives fancied themselves Ingrid Bergman. They didn't talk about it. Verbalizing it would have broken the spell.

Fantasy has enormous erotic potential, but sharing it may be dangerous. I've treated a number of men who believed that they were bisexual. One of them, a clergyman who loved his wife, his family, and his profession, described the positive effects of keeping his fantasies private. He often fantasized about a man (or boy) to whom he was attracted for. As he and his wife made love, he sometimes imagined that she was that man or boy, and it was a powerful sexual experience for him—and for his wife, who loved his passion and felt a part of it. Encouraging fantasy sharing with this couple might have yielded disastrous results.

Age, culture, ethnicity, religious beliefs and traditions are a few of the many elements that define our patients' contexts. The couple who enjoy Sex in the City may respond quite comfortably to the question "What are your favorite sex fantasies?" For people who grew up in a different context, the question may seem bizarre or deeply insulting. Orthodox Jews, people who grew up in Asian cultures, and devout Catholics are but a few who might react poorly to that degree of directness. Encouraging sexual fantasies is fine—as long as therapists remember that the sharing of sexual fantasies is fine with some couples, but can be destructive for others.

Finally, I'd take some issue with Nelson's broad assertion that "couples who are satisfied with their sex lives are happier than those who aren't." In some marriages, people have great sex but little emotional connection, and in others, it's the reverse.

Authors' Response

British sexologist Havelock Ellis said that modesty is one thing that people of all cultures and ages have in common, and he defined one aspect of modesty as the fear that others would be "disgusted" by one's fantasies. So it's understandable that couples hesitate sometimes to share their inner desires directly with their partner, for fear that their partner won't show empathy or understanding.

The intense intimacy that's developed from sharing fantasies is different than "true confessions"—when one shares fantasies with a partner in an attempt to create animosity, distance, or jealousy. Sharing sexual fantasies in the context I develop here has more to do with the idea that a romantic, committed relationship includes the erotic, regardless of whether people experience that aspect of their relationship as satisfying at the moment. Without it, they may feel like roommates and report less passion and connection.

The question for people of all cultures isn't "What's your favorite sex fantasy?" as this implies that they have sex fantasies. The question for all couples is more about "What do you desire?" Shared desires can be acted out, or simply used as a way to explore the other.

Sexuality is something we all share. What separates from other mammals, whose sexuality is merely biologically driven, is our capacity to be erotic and to use our imaginations.

What I imagine is that couples can learn to share their desires without creating pain in the relationship, and—this is a fantasy of mine—and that these techniques will create emotional connection, and not be merely a way to alleviate sexual boredom. n

Tammy Nelson, M.S., the founder and director of the Center for Healing, a holistic psychotherapy center, is a certified Imago Relationship therapist. She's the author of Getting the Sex You Want and What's Eating You, a publication for young people with food issues. Contact: healhere2@aol.com.

Don-David Lusterman, Ph.D., is adjunct clinical supervisor at the Ferkaug Graduate School of Psychology of Yeshiva University and has taught at Hofstra University. He's the author of Infidelity: A Survival Guide and Bridging Separate Gender Worlds. Contact: psy95@msn.com.

Letters to the Editor about this department may be e-mailed to letters@psychnetworker.org.

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