Michele McCormick, Ph.D.
PACT Level III candidate
Newport Beach, CA
The body tells the story. In contrast with traditional psychoanalysts, PACT-trained therapists need not take an extensive life history in the first session to discern how a client’s past affects how he or she relates to his or her partner. Sure, early histories eventually emerge during the highly interactive Partner Attachment Interview. However, for a PACT therapist, the way a couple interact in the realm of the body becomes a powerful early assessment of where they are with each other. Are they securely attached? Are they safely in one another’s care?
Alex came to therapy to fight for his 6-year relationship. He described feeling neglected by Cindy. They had not had sex in more than a year, and he longed for intimacy. He believed Cindy did not love him and he demanded she agree to marry him within the next 30 days to prove her devotion. Cindy’s belief was that she did love him, but felt his temper drove her to keep her distance.
Making use of the body through PACT’s Toward and Away intervention, this couple’s comfort with physical proximity told a very different story than presented in their initial verbal narrative: Alex stood silently still in one corner of the office while I directed Cindy to, “Walk toward him and stop where you think you should.” She stopped four feet from him.
When I asked her to gradually step closer, Alex became increasingly agitated. When Cindy was within a foot, he suddenly turned his body away from her, his discomfort palpable. Alex broke the silence: “Can we stop? This is just too weird for me.” While his avoidance of closer contact might indicate past trauma, in that moment, it showed the couple that Alex may not have been as ready for the intimacy and commitment as his demands indicated.
Because PACT’s approach incorporates the importance of neurobiology and arousal regulation between partners, couples actively and efficiently learn right there in the office what blocks them and what heals them. PACT is so much more than a “he said, she said” talking cure with the therapist playing the role of judge and determining who’s right and who’s wrong. Instead, a couple’s metaphorical and very real relational dance is revealed through posture, proximity, facial expression, pupil dilation or constriction, the capacity to sustain eye contact, hand gestures, a dip of the chin, and facial micro movements. As a couple sit in rolling chairs facing one another, arousal regulation takes center stage. While I remain interested in what they are saying, I am even more enthralled with how they are moving. I have come to respect the phrase “The body never lies”.
When Marie and Steven initiated therapy, they were on their seventh couple therapist. Married for 18 years, they claimed they were living parallel lives in a sexless marriage. Steven was an accomplished engineer and bronze sculptor, and lived very much in his head. He showed up for therapy highly motivated. Marie came in kicking and screaming. She was all about wanting to feel it. His motto was “You’ve got to work at it, and here’s my three-step plan.” Her mantra was “If I’m not feeling it, I just can’t do it.”
Not yet trained as a PACT therapist, I initially used a traditional seating arrangement with this couple. Each week, they came in and sat down at either end of the couch, as far apart as possible. Steven rarely reached out to or moved toward Marie. While his body was often turned toward her, his gaze stayed fixed on me despite my attempts to redirect him toward her. Her body typically turned slightly away from him.
Invoking the language of a Shakespearian tragi-drama, I thought Steven “did-est proclaimeth too much”. The relentlessness of his expressed love for Marie in no way matched his physical proximity seeking. His body and his mind told very different stories. While Marie was clear about her entrenched ambivalence, Steven appeared to be equally ambivalent about actualizing intimacy. If I had focused exclusively on words I would have missed the centrality of his ambivalence, which ultimately informed my interventions.
With PACT’s strategic use of rolling chairs, I was able to orchestrate more face-to-face contact for this couple. Even then, they initially began each session rolled back and away from one another. I then introduced them to simple eye-gazing—both in session and at home—which was the shift they needed to once again find their couple bubble.
As a therapist informed by PACT’s integrative theoretical model, I continue to analyze my clients’ narrative content. These brief case examples, however, also illustrate the importance of reading the body. My understanding of how neurobiology informs PACT’s dynamic interventions has radically increased my ability to move couples in the direction of secure attachment and deeper intimacy. The body knows how to love!