The PACT Institute Blog

Repairing Distress through Vulnerability

By Jason Polk, LCSW, LAC 
PACT level II Therapist 
Denver, CO 
https://coloradorelationshiprecovery.com/

Repair is one of the most important things for couples to master. If there was an incident or argument that caused one or both of you distress, repair moves you back into harmony, or at least to a neutral state where you’re both calm and are no longer lobbing hurtful words or actions at each other. 

Repair is the place where you reconnect as lovers, or at least as partners. In order to repair and reconnect, we have to give something for our partner to connect to. And what we can’t connect to is anger, blame, or self-pity. So, we need to pause and become aware of what’s underneath this protective armor and share that. This is called vulnerability. In PACT, it can be called taking care of our self.  

If you take the time to self-reflect on the feeling that your anger is protecting, through the lens of PACT, you’re activating what Dr. Stan Tatkin (2011) has dubbed your “ambassadors.” Our ambassadors are the smart parts of our brain that are less reactive, and flexible enough to come up with a win-win solution. We may call this self-reflection, relational mindfulness, or creating a bigger space between our feelings and behavior. To find what your anger is protecting, you may have to take space. 

For a relationally skilled move, you can tell your partner, “Please give me some space so I can collect my thoughts, and then I’ll come back.” The idea is, when you come back to the table and lead with vulnerability, you’re providing the best opportunity to reconnect and repair.  

Initiating repair is one of the most difficult things we do because, in a way, we have to lower ourselves. In We Do, Tatkin (2018) talks about how other mammals lower themselves in some manner to convey friendliness. One way we humans lower ourselves and convey friendliness is by sharing vulnerability. Here’s an example from my practice: 

Bob and Nancy were in my office working on ways to avoid their conflicts escalating out of control. Bob has a sensitivity to losing connection, and Nancy has a sensitivity to feeling trapped or controlled. Bob has indulged in anger to protect what is vulnerable to him—that is, feeling that he’s not a priority when Nancy wishes to spend time with others. Bob has yet to express that in a vulnerable way, in a way that Nancy would be receptive to. Since he has not lowered himself and has only led with anger, Nancy defends herself with anger. Her anger protects her own vulnerability, or fear of feeling trapped and controlled. And so their negative cycle ensues.   

The reality, however, is that Nancy does want to spend time with Bob. She’s just yet to learn skillful ways to preserve her autonomy and her relationship and unwittingly thinks they are mutually exclusive. Nancy’s work has been to understand that she can stand up for her autonomy without anger.  

In therapy, Nancy has begun to understand the origin of Bob’s raw spot, which has increased her empathy. She has also learned to speak to that raw spot—that sensitivity to losing connection.  

We replayed a recent conflict. Nancy planned an evening with her friends, and she was getting ready to leave. Bob was staying home that night and his vulnerable feelings began to arise as he was feeling that she had chosen another night with others and not him. Bob was asked to self-reflect on what was underneath his anger. When he found it, he was asked to face Nancy. He said, “The actual reason I was mad was because when you go out a lot with your friends, I feel like you don’t want to spend time with me.” His voice was calm, and his words were from the heart.  

This was a huge move for Bob, and it provided the opportunity for Nancy to connect with him and respond in a manner different from their cycle. With some coaching, she was able to respond in a way that kept her autonomy and a positive relationship with Bob. She said, “Bob, you know it’s important for me to spend time with my friends. Tonight I’m going out with them, but tomorrow I’m all yours.” Bob’s vulnerable move gave Nancy the space to speak to his fear by saying, “Tomorrow I’m all yours.” Even though this was a reenactment, when she said that, there was visible relief for Bob as well as for Nancy.  

Nancy could also have initiated repair by self-reflecting and stating, “Bob, I love you dearly. When you’re upset about me spending time with my friends, I feel trapped and controlled.”  

Although these repair initiations are not 100% surefire, when they’re accompanied with friendly body language such as tilting of the head, eye contact, or touch, the chances of a fruitful conversation increase dramatically.  

If a first attempt at repair doesn’t work, simply continue with a friendly frame and just go with, “How can I make this better?”  

The next time an argument causes you and your partner distress, take some time to self-reflect on what your anger, blame, or self-pity is protecting. In this way, you take care of yourself. Sharing what you find in a friendly manner is how you take care of your partner. Practicing such relational mindfulness is how you handle conflict and repair in a secure functioning relationship.  

1727808_small_1_

References 

Tatkin, S. (2011). Wired for Love: How Understanding Your Partner’s Brain and Attachment Style Can Help You Defuse Conflict and Build a Secure Relationship. Oakland: New Harbinger Publications. 

Tatkin, S. (2018). We Do: Saying Yes to a Relationship of Depth, True Connection, and Enduring Love. Boulder: Sounds True. 

Self-Regulation and the PACT Therapist

By Carolyn Sharp, LICSW
PACT Level III Therapist
http://www.carolynsharp.com/

After laughing with Marty about the wonderful date they had, Peter adds, “Of course we had to go to the restaurant you wanted.” With that slight emphasis on going to Marty’s restaurant pick, they go from shared laughter to bulging eyes and hostile voices, following each other out of connection and into attack. All it takes is one wrong comment to spin into the dynamic this high-arousal and high-conflict couple came to address. My heart rate increases and my throat tightens as my mind imagines the session going out of control. With my own arousal rising, I’m in danger of losing my capacity to be helpful.

Christina and Sam stare listlessly at the floor during extended pauses after my questions and comments. Their passivity and disconnection are in charge here, and neither partner makes a move toward closeness or engagement. I feel a yawn forming and can hear every sound outside my window, as boredom threatens my effectiveness. This couple will continue to do what they always do if I don’t activate the energy in the room.

In both these cases, the couple’s work together depends on my ability to self-regulate—to calm myself in the former and to self-activate in the latter. With PACT’s embodied approach (whereby the therapist uses the live felt-experiences of a couple to help them learn new ways of being with one another), my job is to help the couple learn to co-regulate each other’s nervous systems so they can find connection and safety. Their ability to do this is central to forming a secure-functioning relationship.

As a PACT therapist, self-regulation allows me to set the tone for the sessions and to create the frame and expectations for partners’ behavior. Additionally, when I am self-regulated, I have the capacity to marshal all my resources to respond helpfully with any interventions needed. I can’t fall outside my own window of tolerance or allow myself to react from emotion. Central to the skill of self-regulation is awareness of the strengths, challenges, and triggers within my own arousal system. The volume and speed of a couple’s speech can be irritating to my system, but tone and emotion are what cause my heart rate to spike. In the other direction, the slowness of their responses can be lulling, but disengagement between partners is the cause of a drop in my attention and attunement. Being aware of these triggers is the key to my ability to notice and take action.

The use of deliberate practice and repetitive skill-building exercises to automate responses to calm or activate myself when stressed has been enormously helpful to my self-regulation (Rousmaniere, 2016). I practice resetting my system when excited or bored so I can do so in session, without pause. Developing the emotional muscle memory to calm or excite myself makes it more likely that I can do the same in times of stress or in overwhelming situations.

Two of the simplest and most reliable means of self-regulation are exhalation and simple grounding (i.e., the ability to return my attention to my body and the room quickly). Using these has proven invaluable, and I often invite couples to practice them with each other when the room goes “high temperature” or “frozen” (the vernacular I share with couples). Lastly, the PACT serenity prayer serves as a powerful grounding in my role and responsibilities as a therapist. Through self-regulation, I am present with the couple before me and I allow them to practice being in each other’s care. The skills of self-regulation were useful in sessions with the two couples I described.

Peter and Marty came to PACT to learn to head off their explosive conflicts, as well as to help each other get through those conflicts safely. Through attunement and better co-regulation they are learning to do this. My self-regulation is integral to their process as I stay present and tuned in, while fully in my own window of tolerance. With a long, slow whistle on my exhale (indicating a nonverbal “wow” to Peter’s comment about the restaurant), I catch their attention. They are immediately connected through their mutual irritation at my interruption, followed quickly by amusement as they realize I just distracted them from their escalating fight. Being tuned into the energy in the room and its impact on me allows me to use a distraction to help regulate this couple and move them back within their window of tolerance and into each other’s care. Following a repair to one another, we talk about the things they have been practicing at home to get out of these scenarios, and then they practice regulating each other.

Christina and Sam came to therapy for help reigniting the passion and connection they lost over time as they focused all their energy on things outside their connection. Helping them requires me to activate the energy in the room, so I stand up and have them join me and take each other’s hands. Sam follows my request and begins to describe Christina’s face. Tears come as Christina feels Sam’s presence. Describing him, in turn, elicits a big smile, the first he has shown today. I watch them squeeze each other’s hands and then move into a hug. I vocalize the shift made when moving to each other. The listlessness I felt when I paid attention to my own response alerted me to the direction I needed to take to help them move toward each other.

Couple therapy can vacillate between high and low energy, between conflict and disengagement. Unregulated, therapists can quickly follow clients down any number of unproductive paths. Remaining grounded and regulated is our most powerful tool in maintaining our focus on facilitating secure-functioning couples.

B

Reference

Rousmaniere, T. (2016). Deliberate practice for early career psychotherapists. Psychotherapy Bulletin, 51(3), 25–29.

Looking for the Baby

By Lisa Rabinowitz
LCPC, PACT Level 2 
https://www.baltimorecounselor.com

We have all been in situations in which we feel misunderstood by our partner. We might be left scratching our head, wondering why our partner just doesn’t get us. PACT therapists recognize that such misunderstandings or misattunements to nonverbal and verbal cues are similar to what can happen with babies and their primary caretaker(s). We know from attachment theory that if the caretaker is unresponsive, punitive, anxious, or inconsistent, then the baby may fear abandonment or withdraw or overreact, developing an insecure attachment. On the other hand, if the caretaker responds in a consistent and reliable manner, then the baby will develop secure attachment, believing the caretaker will be there for him or her in the future. As adults, this kind of signal-response system affects our romantic relationships, whereby we repeat the patterns of our childhood—either with inconsistent and unreliable responding partners or with partners who are reliable, loving, and responsive.   

Each of us has a “baby” inside us, and PACT therapists often encourage partners to look for the baby in each other as a way to achieve greater connection and intimacy. As adults, we have an opportunity to respond to that baby in our partner, who wants to be held, cared for, connected to, talked with, cuddled, reassured, encouraged, or comforted. We can also miss each other’s cues and fail to interpret the signals made by the baby. When we miss the baby, an argument may ensue, causing the baby to lock him or herself behind a protective wall, feel scared to come out, scream, rant, or leave the scene of the fight. If we miss seeing the baby, then we can repeat the cycles from childhood. We may be scared to get too close to our partner out of fear that he or she will not take care of the baby inside us, just as our parents failed to do. In our romantic relationship, we can finally get it right and care for and be cared for by our partner, but only if we hear and see the baby in each other.  

Sometimes when couples are upset and feeling hurt, their comments become more and more negative and attacking. This can result from reading each other’s faces as negative instead of neutral. For example, if you blankly stare at your partner or pause after your partner asks you a question, your partner’s brain may interpret your face as negative and fill in the pause with all sorts of negative statements. That doesn’t mean you always have to smile (fake smiles are also taken as negative) and make small talk while you try to think how to answer the question, but you need to be aware of how your partner is interpreting your face and your pauses, along with your tone of voice and body posturing.  

When we interpret a cue as a threat, we can respond in a fight, flight, or freeze manner: (a) we attack, criticize, or dismiss our partner; (b) we leave the room, or (c) we don’t respond. As the conflict escalates, we act as if our partner is an enemy, seeing any action or statement in a negative light. 

Consider the example of Lila and Roberto, who are in the kitchen, preparing for dinner. 

Lila: (reaches out for connection) Hey, do you want to spend time together tonight?  

Roberto: (looks away) We’ll see. 

Lila: (interprets his look as withdrawal) What? You never want to spend time with me! You always want to play on your phone.  

Roberto: (misses her need for closeness) It’s not that I don’t want to spend time with you, but (pauses) I’m tired from work.  

Lila: (doesn’t know how to create connection, so continues the argument) You always are tired. When are you ever going to make time for me?  

In this exchange, Roberto lost an opportunity for connection when he missed the baby in Lila as she reached out. She responded with a fight response, and he continued to overlook the baby. In the following replay, we see how this can be corrected:  

Lila: (walks over to Roberto, waits for him to turn and look at her) Hi, honey. Is this a good time to ask you a question?  

Roberto: (sees the baby in her) Sure. What did you want to ask?  

Lila: (cues that she wants connection) I was wondering if we could spend 15 minutes together after the dishes?  

Roberto: (continues to see the baby, offers connection and responsiveness) I was hoping to watch my favorite show for 30 minutes after the dishes, so can we spend time together right after that?  

Lila: I’d really appreciate that. Thanks. 

The next time things start to get heated between you and your partner, take that as an opportunity to stop, listen, and care for each other. By taking care of the baby within you, you can repair hurts from childhood and strengthen the bonds of your romantic relationship. Here are three tips: 

  1. Stop, listen and look: stop talking, listen to your partner, and look for nonverbal cues from your partner that reveal his or her baby. 
  1. Ask yourself: “What are the nonverbal cues telling me?” “What does the baby need?” “What does my partner need right now?”  
  1. If the argument has started already and you are miscommunicating, replay: ask your partner if you can restart the conversation and take care of the baby inside of him or her. 

Processed with VSCO with s1 preset

 

 

Moving From Misattunement to Coregulation

By Beth Newton, LCSW, LCAS
PACT Level II, PACT Ambassador
Durham, NC
https://newtoncounseling.com/

Every week I sit in my office watching couples struggle with coregulation. Coregulation is defined as warm and responsive interactions that provide support and that help someone understand, express, and modulate his or her feelings, thoughts, and behaviors (Gillespie, 2015). Through coregulation, children learn how to manage their attention and emotions in order to complete tasks, control impulses, and solve problems (McClelland & Tominey, 2014). This requires them to attune to subtle cues of distress, curiosity, bids for attention, fear, and joy. The concept of coregulation can also be applied to adult relationships.  

As a therapist, I often work with couples in which one or both partners experienced parental misattunments, neglect, or abuse. The fear and insecurity they experienced as children led to poor self-regulation (internal) and coregulation (with another) skills, resulting in stress and lack of attunement in their current relationship. Moreover, if adults experienced chronic childhood stress, their hypothalamic pituitary adrenal (HPA) axis habituated and sustains activity. This “on switch” can lead to underdevelopment of the prefrontal cortex, which moderates social behavior, complex thinking, and decision making (Kumar et al., 2014).  

As a PACT therapist, I know that when an individual is not skilled at coregulation—and by extension, self-regulation—he or she will often report that a partner is not safe. Moreover, when the HPA axis is in overdrive, the individual cannot attune to self or a partner. When a partner has experienced dysregulated parents, he or she lacks the capacity to pivot toward a choice that balances the relationship. In the PACT model, we evaluate each partner’s regulatory capacities, and then help the couple deal with compromised skills and capacities.  

I work with a couple named Bill and Diego. They have been married for 5 years and have seen at least three couple therapists in that time. Bill’s mother had depression and a personality disorder. His job was to soothe her and ignore his own needs. He reported she did not do anything for him that “wasn’t really about her.” Diego learned at an early age that his homosexuality did not fit into his strict religious household. He reported a great deal of pressure to be good and nice, with no room for self-expression. Both partners developed the belief they would be punished for expressing their own needs and desires.  

These men are locked in a cycle of fear that their needs will not be met by their partner. When one begins to talk about a need, the other interrupts with his own need. In our early sessions, they exhibited disorganized behaviors, such as over-control and mild collapse, resistance to receiving or giving compassion or repair, attacking bids for connection and repair, and numerous withdraws from each other and me. This only turned around after I recognized my out of countertransference and stepped in to become the master regulator for Bill and Diego.  

To challenge their acting out, I began setting limits for the session. I helped them see that they were rejecting me in the same way that they rejected each other. We agreed that the following behaviors would help them gain control: 

  • Cooperate with therapy and their PACT therapist 
  • Agree to take breaks and practice slowed breathing while on break 
  • Return from break and determine readiness to receive repairs or help 
  • Agree to accept regulation by the therapist in the form of (a) stopping attacking behavior, (b) coaching for repairs, (c) guidance on emotional expression, (d) encouragement, (e) accountability, (f) repetition of skills  

The structure I created each week helped me offer warmth and sincerity when things were really challenging. My ability to act as a regulated parent allowed me to attune to Bill’s and Diego’s underlying fears and to express compassion. They learned how to self-regulate during breaks, accept help, and allow coaching when they did not know what to do. My ability to step in as master regulator moved them toward greater attunement to their own and their partner’s needs.  

I still work with Bill and Diego. When they are on break, I continue to help them with breathing, tracking objects or sounds, and muscle relaxation. They work on coregulation during break by practicing statements such as “I love you. I am taking a break so I can come back to us. I promise I’ll be back in 10 minutes.” I use my ability to ground them through structure, compassion, and good-natured challenge, so they can develop coregulation and secure functioning.  

Processed with VSCO with s1 preset

References 

Gillespie, L. (2015). It takes two: The role of co-regulation in building self-regulation skills. YC Young Children, 70(3), 94–96.  

Kumar, S., Hultman, R., Hughes, D., Michel, N., Katz, B. M., & Dzirasa, K. (2014). Prefrontal cortex reactivity underlies trait vulnerability to chronic social defeat stress. Nature Communications5, 4537.  

McClelland, M. M., & Tominey, S. L. (2014). The development of self-regulation and executive function in young children. Washington, DC: Zero to Three.  

Tatkin, S. (2017). How couples change: A psychobiological approach to couple therapy (PACT). In M. Solomon & D. J. Siegel (Eds.), How people change: Relationships and neuroplasticity in psychotherapy (pp. 221–246). New York, NY: W. W. Norton. 

 

 

 

 

All People Are Difficult, But You Shouldn’t Be Too Difficult

by Stan Tatkin, PsyD, MFT

As a couple therapist, I know how difficult people can be. Actually, as a person on this planet and a romantic partner to my wife, Tracey, I count myself as one of those difficult people. Indeed, in no way do I put myself above any of the other annoying people out there. Yet here I am, writing about how to be less of a pain in the ass. Well, while I know I can be difficult, I know how not to be too difficult. And the line between them is actually clearer than you might think. Here’s how not to cross it.

When I work with couples, our goal is for them to become secure functioning. Secure functioning partners are least difficult with and toward each other. That’s because they understand their purpose: To ensure each other’s absolute, unequivocal sense of safety and security. Partners are equal stakeholders in this endeavor, therefore, they agree to make life easier for each other, not harder. That’s one of the main principles of secure functioning relationships.

Oh, wait, you think you’re not difficult? Let me tell you, you are. Here’s why:

  1. Your brain. Though a very impressive organ, your brain is prone to lots of errors, especially in social situations. For example,
    • Your brain all too often conflates social cues (faces, voices, movements, postures, words, and phrases) with real danger.
    • Your brain is mostly automatic, memory-based, and therefore confuses current events with previous experience via a lightning fast memory and recognition system.
    • Your brain constantly replaces missing evidence with made up “facts.”
    • Your brain imagines things that are not there.
  2. Your biology. Your development plays a considerable role in how difficult you are. Your biology affects your ability to:
    • Manage your impulses.
    • Tolerate frustration.
    • Shift your attention at will.
    • Manage your state of arousal.
    • Socially-emotionally act and react appropriately under stress.
    • Make decisions.
    • Override what feels good for what does good.
    • Remain self-aware in real time.
  3. Nature. You are genetically predisposed as a homo sapien to be aggressive, self-interested, and prone to dislike people who are “too familiar to ignore, but too different to tolerate.”1
  4. Nurture. Your experiences and memories shape who you become.   If you experienced any trauma, especially in early childhood that remains unresolved, you are likely to be hyper-reactive to threat cues, both internally and externally.

This is not an exhaustive list. The ways to be difficult are limitless. However, that you and I are difficult is not a problem. It’s when we cross the line and become too difficult, that is the problem. How does focusing on secure functioning help?

Secure functioning partners co-create their own kind of social contract which protects them from each other. These are “golden rules” in that they are, if agreed upon, undisputable and therefore help partners rein in difficult behavior.

One golden rule could (and should) be, “We protect each other in public.” Keri and Dave, for example, agreed to this principle. They both decided that it served both a personal and mutual good. In the example below, they are out to dinner with another couple. Dave is an actor and he received news that he won a co-starring role in a major motion picture. He told Keri that he signed a non-disclosure agreement and to keep it to herself.

Keri: [to the other couple] The other night Dave got news that he’s doing the next (fill in the blank).

Dave: [turns his head away in anger]

Keri: What? [raising her shoulders and hands in a disdainful, questioning manner]

Dave: [quietly in her ear] Remember what I told you earlier. Don’t talk about this.

Keri: [out loud] Oh come on. It’s great news. I’m proud of you.

At this point, Keri has stepped over the line and has become too difficult. That she reflexively said something that he explicitly told her not to say breaks an agreed upon principle. However, that she continued to violate the principle when reminded by Dave – that is what defines being too difficult. It also shifts Dave’s experience of Keri from annoying to threatening.

Here’s how it should have gone:

Keri: [to the other couple] The other night Dave got news that he’s doing the next (fill in the blank).

Dave: [turns his head away in anger]

Keri: [covering her mouth in horror, turns to Dave] I’m so sorry. I forgot. I’m so sorry, really I am. [to the other couple] I just betrayed Dave by telling you that. [back to Dave] I am so very sorry I did that.

Dave: [to couple] I’m under an NDA so no one is supposed to know this. Keri’s very excited for me about this. Please, keep this to yourselves.

Keri: [whispers in Dave’s ear] I’m so sorry.

Now that is an example of repair and recognition of being difficult.

Other examples of being too difficult include:

  • Persistently not releasing your partner after a satisfactory repair.
  • Not being willing to bargain with your partner.
  • When bargaining, not providing alternatives following the word “no.”
  • Being unwilling to admit your wrongs and make amends.
  • Being unwilling to see your partner’s point of view.
  • Not being curious.
  • Persistently stubborn.
  • Persistently inflexible.
  • Persistently conflict avoidant.
  • Continually failing to check with your partner when discussing them in public.
  • Continually disregarding your partner when together in public.
  • Persistently (and unapologetically) failing to keep your word.
  • Persistently talking too much.
  • Persistently talking too little.

Again, this is by no means a definitive list. But notice the wording in here. It’s not about reflexively doing something that makes you difficult for your partner. It’s about the refusal to stop when cued that makes you too difficult. It’s also about the refusal to repair the hurt and makes things right.

We are all fundamentally automatic creatures – all day, every day. Our brain cannot possibly remember the countless changes in behavior our partners require under various circumstances. That’s why telling your partner to never again embarrass you in public, while understandable, can never work. Your partner will do something again, and likely without any malicious intent. It will be far more effective to remind your partner just before entering a public situation. “When we go in, please don’t make any jokes at my cost, okay?” If your partner is not too difficult, they will comply. If they don’t, well, now you have a problem. If they slip (which should not happen), and remain unapologetic, it’s likely time to move on.  

Because we are all mostly automatic, we shouldn’t be faulted for many of the knee-jerk behaviors we do without thought and, at times, without intention. We are, however, responsible for what we do after we do something stupid, thoughtless, or insensitive. We are all difficult in one way or another. The challenge for secure functioning couples is in not crossing the line to becoming too difficult.

Processed with VSCO with s1 preset

NOTES:

  1. Harari, Yuval Noah. Sapiens: A Brief History of Humankind (p. 18). HarperCollins. Kindle Edition.

Pause, Allow, Soften, Breathe, Appreciate: PACT Therapist Self-Care

Uri Talmor, M.A., L.P.C.
PACT Level II
Boulder Colorado
http://www.consciousheartintegration.com/

A couple come into my office, already in argument mode. They emanate Neanderthal-reptilian contempt, talking over each other, and perceiving most of what comes out of the other’s mouth as an attack.

Immediately, some snarky down-the-middle possible responses fill my mind: “You two are really good at hurting each other.” Or “You’re both really good at making the other person wrong.”

I take a deep breath, soften a little on the inside. It hurts to watch them; there is so much pain. I wonder, “Is this what their children feel? Is this what I felt growing up?”

She’s crying now, but he’s continuing to talk. Why hasn’t he slowed down? Where’s his sensitivity to her pain? He’s missing her. Doesn’t he see she’s gone?

With some couples, these types of mis-attuned moments are chronic. They seem to be trapped in altered states of angst, unable to fully see the human they’re partnered with. Usually I take for granted that these people care about each other, based on where I’ve seen them go in previous sessions, but there are periods when the care has been sucked clear out of the room.

In such moments, I turn to the tools I’ve learned from PACT that can help me shift these mis-attunement ruts. In particular, I juxtapose these couple therapy moments with a memory of volunteering for a Level II demo with Stan. It was a short demo but made a powerful imprint on me.

There I was, sitting in front of a male colleague (for context, I’m heterosexual) and Stan was watching us. We made eye contact, role playing a couple I had asked a question about. Stan threw out a couple of comments, and in a matter of what seemed like seconds, I felt like I had entered a relationship wind tunnel. The rest of the room fell away, and I felt focused on, aware of, and connected to this colleague in a way I rarely experience with anyone. My whole being was attuned to him, to what was happening between us. It was easy; graceful; and as cliché as it may sound, a flow state.

I was stunned at how quickly Stan got us there, using cross-questions and cross-comments. His timing was perfect; his own tone of voice and regulation seemed at ease and relaxed. We could both rest in his care, as he gently prompted us to be in each other’s. The two of us shifted quickly into a state of secure functioning because we could feed off how solidly Stan was with us.

As PACT therapists, our own self-care is so important. One of the most valuable things I can bring to couples is my own ability for co-regulation. To this end, I’d like to share some tips that work for me.

  • Early bedtime. I’m a different creature on days when I’ve fallen into auto-regulating to YouTube until the wee hours. I’ve asked my partner to help hold me accountable, to drag me to bed if she has to. What self-care practice would most improve your ability to self-regulate?
  • Consistent peer consultation. I’m lucky to live in an area where PACT has taken off, so I have a handful of colleagues with whom I can get together and share cases. Every time we touch base, I feel recharged and rejuvenated. You can also do this with colleagues long distance.
  • The PACT serenity prayer. I find it to be such a simple and powerful reminder.
  • The breath. I pause and self-regulate throughout the session with my breath. Usually it doesn’t take long, especially when combined with mindful acceptance. I’ve observed Stan do this simply by getting up and grabbing his smoothie from somewhere else in the room. With some couples, that’s all it takes; with others, I need more frequent internal support so I can stay with them. Pause, allow, soften, breathe, appreciate.
  • Work on my own issues. I can’t imagine a day when I won’t be in my own therapy or doing some form of personal growth work. Most of us were born into internships; doing our work is a necessity. If you haven’t done your own PACT therapy, I recommend putting that high on your priority list.

it-wasnt-supposed-to-end-like-this_t20_8B9WYz.jpg

How Learning to Facilitate PACT for Couples Helped Me Finally Meet the Love of My Life

By Sefora Janel Ray, MFT
Berkeley, CA
http://therapytothrive.com/

I had no idea when I took the PACT training to become a couples therapist that it would affect my personal life so dramatically. I can confidently say now that the reason I’m in a secure relationship is because I took the PACT training and learned how my attachment style affected my dating life. Through PACT, I gained the understanding and skills that helped me to find the love of my life and to create a fully supportive partnership.

I’m a therapist, so I knew for years that I had what is known in PACT as the wave style of attachment (also called the anxious ambivalent or the angry resistant attachment style). My parents divorced when I was five; both my parents worked full time, and I didn’t get the individualized attention and care from them that I craved. They were both very angry and critical of each other, which sometimes leaked onto my sister and me. In adulthood, I was aware that the lack of attention—from my father, especially—affected my attachment style in relationships with men, but I generally interpreted that to mean I was attracted to the wrong kind of man. I wasn’t sure what else I was doing that was recreating my wave attachment style.

Then PACT taught me a number of things:

1. Being a wave led me to overly rely on talking to regulate my nervous system.

Before PACT, I frequently reached out to people I was dating to “talk,” thinking I wanted to connect with them. In reality, I was trying to regulate my experience of feeling anxious. I wanted to talk about what wasn’t working for me… or how I felt disconnected… or my need for reassurance. The talking was more about feeling dysregulated than about connecting with the other person.

Through watching couples and their styles of attachment in the PACT training, I started to see that I was not taking responsibility for how I was regulating my nervous system. When I began to take full responsibility for my anxious feelings, I took a lot more of those conversations to friends instead of bringing my anxiety to the people I was dating.

2. I realized I was dating a lot of islands. 

In other words, I was dating people with an avoidant style of attachment who didn’t crave a sense of connection. They were more comfortable being on their own, and generally felt uneasy with talking, relating, and connecting as a way to support their own nervous systems. They wanted to be alone when they were upset, which was the exact opposite of what I needed from a partner.

I began to identify and understand islands. Whereas I previously had an unconscious attraction to them, I developed an aversion to this style of attachment and stopped choosing them for relationships.

3. I learned to ask questions that showed me someone’s attachment style.

I was being trained to ask questions of my clients to help me identify their attachment styles, so I knew what questions to ask my dates.

I started casually bringing those questions into my early dates, mixed in with conversation and banter: What do you do when you’re stressed? How do you handle conflict? What was your relationship like with your parents? How did your parents respond when you needed something? The answers to these questions were extremely illuminating.

4. I began to visually, somatically, and energetically understand what securely attached people felt and looked like.

This helped me pick them out in crowds and even with just a picture on their online dating profile. Ultimately, this helped me pick out my partner. The training showed me what it looks like when a securely attached partner responds to his or her partner’s cues in a relationship, and I began to expect someone to respond to me in that way.

5. I let go of people who were not meeting my needs.

The PACT training helped me to clarify my needs so well that I stopped trying to fix the person I was dating to fit my attachment style. I also became better at communicating when it was clear that a potential partner and I had different styles of relating and we ultimately weren’t going to be compatible.

6. I noticed my pattern of being angry and disappointed.

I did more concentrated therapy sessions on my anger and my disappointment as these related to my parents and to people I dated. Therapy helped me understand how I brought my disappointment with my dad into my dating life. I created unfair expectations for the people I was dating, right out of the gate. In particular, I expected men who were like my father to change into what I needed, which constantly led to disappointment. Instead, I began to understand that those men would likely never relate to me the way I needed.

7. I practiced receiving.

I started to pay attention when love and attention were given to me, instead of focusing on the lack of love I perceived. I made a practice of appreciating the love and attention my friends and community gave me, and I created a meditation for myself in which I visualized receiving and taking in the care and help I deserve.

8. I slowed down in dating.

Though it was difficult, I started to see that I didn’t need to make the perfect relationship happen all at once. I realized that if someone was interested in me, he would facilitate the next connection or next date, and I didn’t need to make it happen all the time. In the past, my wave attachment style led me to try to connect and get close very quickly with dates in order to know I was okay. As I recognized this tendency, I was able to discern more quickly that someone wasn’t right for me.

9. I was able to recognize my securely attached partner and love of my life.

I was able to recognize from the earliest of interactions with my partner that he was someone I could count on and someone with whom I could be in a secure relationship. He was even a little bit wave oriented: he wanted to talk about things and feel connected, and he was more interested in being with me than being apart.

Even though I recognized that our attachment styles aligned, I still went slower with him than I had in the past. I concentrated on connecting with him purely because I wanted to be connected to him, and less as a means of calming my anxiety. But our attachment styles aligning meant I didn’t feel anxious with him. He wrote to me often, planned dates, communicated, and showed up.

Today, I am incredibly grateful to PACT for supporting my growth and helping me identify and understand how my attachment style affected in my dating life. I continue to use that information to support couples in their relationship dynamics, and I use PACT frequently with my single clients who are trying to find a secure relationship.

Power Dynamics and Management of Thirds: Avoiding Triangulation in Therapy

Debra L. Kaplan, MA, LPC, CSAT-S
PACT level 1
Tucson, AZ
debrakaplancounseling.com

Couple therapy is challenging, and some clinicians find it too intimidating to attempt. They worry, for example, that a misattuned observation could alienate not just one but both partners. There are also potential issues involving tact, timing of interventions, and poor management of session structure. For a PACT therapist, the greater challenge lies not in working with what is known but rather in what often underlies why couples seek therapy: their inability to tolerate and regulate individual and dydadic stress. Addressing the early development of partners’ attachment experiences with their primary caregivers provides the PACT therapist with vital information about intrusions in the couple bond, as well as helps to assess the partners’ capacities for coregulation (the ability to manage their emotions, as well as know when and how to soothe or excite each other).

Intrusions into a relationship might be due to children, work, family, or other life stressors and are a normal part of life. Secure-functioning couples tolerate these interruptions and maintain coregulation, even if the intrusions stress their ability to preserve their couple bond. However, some partners are unable to tolerate this and turn to a “safe third” outside the relationship—such as a person, place, or thing. This is called triangulation. Individuals who experienced insecure attachment by caregivers are more likely to use triangulation in adult romantic relationships. This can create betrayal and abandonment if one or both partners focus prolonged attention on a safe third, to the exclusion of the other.

A PACT therapist will address triangulation using a technique we call management of thirds. This intervention helps the couple shift toward secure functioning and coregulation.

Kristin and Leo came to couple therapy several years ago to resolve their endless arguing. She shared that they often included their son in their arguments, and now they were on the brink of separation.

Kristin was an only child, and her parents divorced when she was young. Her childhood was fraught with tension and hostility due to her parents competing for her attention. She remembers feeling lonely and invisible when her parents argued about her, which is similar to how she feels when she and Leo argue.

Leo’s mother was a stay-at-home mom, and his father worked at the family business. Leo’s father had several affairs, which led to violent arguments in the home. To make matters worse, Leo’s mother vented her anger about the affairs to Leo, and he felt caught in the middle.

Early in our work, Kristin and Leo arrived at a session in the throes of an argument about the previous evening. They took their place in the office and continued the fight.

Leo: [to therapist] She does this to me every time. She makes me out to be the heavy. Do you see what I have to put up with? Maybe you can talk some sense into her.

Kristin: [to therapist] And he’s worried about my behavior! Why can’t he see what he does? It was when he decided to get involved that our son couldn’t take it and stormed off and locked himself in his room.

Leo: [to therapist] Wise kid, right? He’s learning early.

Therapist: I’m curious. Most if not all of your arguments focus on your son, correct?

Leo: [to therapist] I’m telling you. She doesn’t see what she does, but our son certainly does. He’s smart to run from her.

Therapist: From what I can tell, he runs from both of you.

Leo and Kristin: What do you mean?

Therapist: You’re both trying to win my approval in this session and not trying to communicate with one another. I’m not surprised your son runs for cover. I suspect you use your son just like you are using me—for his approval.

Leo: That sounds like a lot of pressure for him to have to deal with.

Kristin: I feel awful.

Therapist: You both use me much like you were used by your parents. Kristin, you felt lonely and invisible. Leo, your mother vented her anger to you about your father. Maybe it’s time you speak directly to each other and begin to recognize and honor each other. You don’t need your son’s approval, but he needs you to learn how to handle your own problems. Let’s begin with what you need from each other.

After this session, Kristin and Leo started the tough but valuable work of caretaking their relationship. Their childhoods had not taught them about healthy dyadic communication or emotional regulation. I helped them see that they used their son much in the same way their parents used them. Moreover, their triangulation included using me, their therapist, as a safe third. When they turned to address me, I redirected them into the care of their partner, where their focus needed to be. The PACT technique of  management of thirds interrupted their triangulation by helping them coregulate and operate as a securely functioning two-person system.

 

One Way Memory Impacts Your Relationship (and it might not be the way you think) 

Inga Gentile, MFT
PACT faculty
Oslo, Norway
www.ingagentile.com

“Why does she always seem to get clingy right when I have to go out of town for work?”

“Why does he lock himself in his office after work and watch Netflix while I’m alone in the living room?”

Many couples experience confusion and frustration related to often repeated scenarios like these. But it’s not a sign that your partner doesn’t love you. Or that you’re not the right fit.

There’s actually a psychobiological reason these scenarios play out among couples everywhere. It’s called implicit memory. Implicit memory begins at birth and is unconscious and nonverbal. It precedes declarative memory, which refers to the conscious recollection of facts and events. Implicit memory, on the other hand, because it involves older, more primitive parts of your brain, operates rapidly and largely outside of your awareness.

How does implicit memory play out in your relationships? One way is through your attachment style. Your attachment style is based on your experiences early on in life, and the type of care you received from your parents or first caregivers. Those experiences – especially in the first two years of life as the brain structures needed to support declarative memory develop – become stored as implicit memory and drive much of the way you act and interact with those closest to you. These implicit memories can be activated by everyday events, like separations and reunions, and because there isn’t an awareness that you are remembering something as there is with declarative memory, it can be mystifying.

Seen in this light, a partner who clings at the moment her loved one is leaving isn’t intentionally trying to make her partner’s life difficult; she may have early experiences of separation that induce distress and in turn activate her attachment system to seek proximity and comfort.

If your partner is sensitive in this way, move towards them, physically or verbally. Embrace them, look them in the eyes and say something like, “I know you get anxious when I go away.  I want you to know I’ll never leave you.” If you’re the one in distress, be aware of your response and take responsibility. Ask your partner for what you need: “It’s hard for me when you leave. Can you please hug me tight and tell me that I’m the only person for you ever?”

The partner who locks himself in his office isn’t necessarily trying to punish his partner by being withholding but may have difficulties with transitions from one state (work) to another (home) and may lean towards “alone time” as a way to reset—again, a possible adaptation to early relational experiences.

One sensitive way to respond: Say in a friendly tone, “I know you need some time alone. Netflix together in the living room in 10 minutes, baby!” Conversely, the partner could take responsibility for his hardwired tendency by understanding that, although it might feel unfamiliar, learning to “reset” in the presence of his partner can actually be soothing, on a nervous system level.

Appreciating that memory exists in many forms—both conscious and unconscious—can help you create mutually satisfying and safe relationships: Understand what drives your own reactions. Learn what drives those of your partner. Take responsibility for your own automatic reactions. And be sensitive to those of your partner.

Learn and practice new ways of meeting and caring for one another’s implicit memories in the present and watch what happens in the future.

Back to School with the 3Rs

Allison Howe, LMHC 
PACT Level II 
Saratoga Springs, NY 
http://www.facebook.com/AllisonHoweLMHC

As PACT-trained therapists, it is perplexing when we find ourselves working with a couple who are not moving into secure functioning. There are a number of factors to consider: Is there a deal breaker that hasn’t been addressed? Are both partners truly committed? Are resources outside the therapy office allocated to restructuring the relationship? 

As we work to move couples from a one-person psychological system into a two-person system, we are facilitating the development of skills. Learning to have relaxed and mutually satisfying conversations requires skill. However, when partners demonstrate curiosity and interest in their partner, they are taking an essential step forward. Their time and attention are a precious resource and are too often in short supply.  

The changes we are endorsing require clear messaging, repetition, and lots of support. The job of a PACT therapist is to help couples gain clarity and understand that creating new neural pathways in the brain requires practice. This is the reality. The reflexive systems are deeply rooted, and it is unrealistic to believe we can create a new system without time, attention, and practice. 

In the same way a coach gives his or her athlete a training plan, I encourage couples to practice outside the therapy session. Recently, I worked with a couple who are making forward strides. However, I observed a missed opportunity at our last meeting. More specifically, there wasn’t a clear structure in place for them to reflect and review the changes that were indeed taking place. The following dialogue took place: 

Carmen: “Did you notice how I handled things differently this week? “ 

Liam: “I’m not sure what you are referring to. Are you talking about the conversation on our porch with my friend Tim? “ 

Carmen: “Yes. That is what I’m talking about. “ 

Liam: “Well, I know I handled things differently!” 

This couple was consciously considering the way they do business with each other, but I observed that as time elapsed, their memory of the event became a bit unclear in terms of detail and sequence. While positive steps in a secure direction were being taken, not sharing these experiences was a lost opportunity. So I had them do the following exercise, which is designed to gather evidence of progress. 

Exercise: REVEAL, RECOGNIZE, REINFORCE 

Instructions for therapist: Have couple sit face to face. Encourage both partners to keep their messages friendly and succinct.  

Step 1: REVEAL: 

Partner A: Take a moment to reflect on your recent interactions or experiences with your partner. Identify a behavior aligned with your secure-functioning goals. Examples include but are not limited to distress relief, quick repair, contact maintenance, or management of thirds. Reveal the behavior to your partner.  

Step 2: RECOGNIZE: 

Partner B responds to Partner A by acknowledging this positive step.  

Step 3: REINFORCE: 

Discuss together how this change is positive for the relationship. This is a moment to feel good together. Switch and repeat the steps with Partner B moving to Step #1.  

When Carmen and Liam used this exercise in our session, the following dialogue occurred. 

Carmen: “Remember when Tim was visiting? Well, I did what I usually do. I became sarcastic and made a joke at your expense. Tim noticed. I’m sure you did. But that’s not the change!” 

Liam: “What did you do differently?” 

Carmen: [REVEAL] “I came up to you before bed, looked into your eyes, and said I was sorry for it. It’s not okay for me to do that anymore.” 

Liam: [RECOGNIZE] “I do remember you coming up to me and apologizing. I appreciated it. Thank you, and it matters to me that you are paying attention.” 

Carmen: [REINFORCE] “I want to repair things quickly the way I did that night. That’s so much better for us. I also want to quit being snarky with you. I know these changes are good for us.” 

Liam: “I agree. This feels so much better than the old ways. Now can I tell you my change? [REVEAL] I was bothered by your joke, especially in front of Tim. I made a conscious decision in that moment that I wanted to change how I handled it. You know, I withdraw from you when this kind of thing happens. I decided that has to stop. I decided I was going to let this go and not punish you with my silence. If I was feeling upset the next morning, I promised myself to talk to you about it.”  

Carmen: [RECOGNIZE] [smiles] “Thank you. I have suffered a lot when you pull away from me. I know that is a big change for you.” 

Liam: [REINFORCE] “A big change. And a good one.”  

Carmen: [REINFORCE] “This feels like a big deal. We are on a better path.” 

What does this exercise accomplish? Having the couple face one another while mutually amplifying the positive enables coregulation. Learning to uphold Grice’s maxims for the quality, quantity, relevance, and manner of the message fosters secure functioning. Additionally, focusing couples on true behavioral changes makes the implicit fully explicit. This exercise encourages increased interdependence, with a focus on both self and other. Finally, with the focus on positive change, the exercise can bring much needed vitality to a couple as they make sustainable change.