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August 5, 2019 by Brighton & Hove Psychotherapy 1 Comment

The language of love: how couples communicate

When working with couples I am often struck by how much they love each other!

This may sound surprising – by definition the couples I see in my practice have come to me because their relationship is in trouble.  However I rarely see couples who say they no longer love each other. In my experience the problem isn’t that love is no longer there, rather it is that the individuals no longer feel loved by each other.  

By the time couples come to see me one or both of them have been feeling unloved for quite some time.  This comes across in many different ways but often the individuals are hurt and angry. This is easy to understand.  One of our basic human emotional needs is to feel loved. As human beings when we are deprived of a primary emotional need we feel psychological pain which leads to feelings of anger and sadness. 

The emphasis here is on the word feel.  It is not enough to know that our partner loves us, we need to feel that love.  The difficulty is that what makes one person feel loved is often different to what makes their partner feel loved.  If couples are to develop and maintain long lasting intimate relationships they need to know what they need in order to feel loved and also what the desires and needs of their partners are so that they are communicating their feelings in a way their partner can understand on a deep emotional level.

According to Gary Chapman we communicate our love in 5 Love Languages.  They are:

  • Words of Affirmation
  • Quality Time
  • Receiving Gifts
  • Acts of Service 
  • Physical Touch (including sex)

However, we do not understand all 5 Love Languages in the same way.  For example an individual in couples therapy ‘A’ might express frustration that they are being accused of being unloving even though they are always telling their partner ‘B’ how much they love them – Words of Affirmation. The problem is that ‘B’s love language is Quality Time so although she is hearing the words they are not translating into the feeling of being loved.  The chances are that B in turn is using the ‘wrong’ language to express their love for A.

The situation is further complicated by the fact that very often individuals don’t actually know what makes them feel loved.  They might assume that they feel loved when their partner does nice things for them (Acts of Service) but what can emerge in therapy is that actually what makes them feel loved is being physically touched.  

Once couples have discovered what makes their partner feel loved they can then make the choice to actively love their partner in the language their partner understands emotionally.  This is necessarily an oversimplification but once individuals are giving and receiving more of what they need to feel loved by each other some of the feelings of hurt and anger dissipate leaving a healthier emotional climate in which to work on other aspects of their relationship.

 

Please follow the links to find out more about about our therapists and the types of therapy services we offer.  We have practices in Hove and Lewes.  Online therapy is also available.

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Filed Under: Gender, Relationships Tagged With: couple counselling, couple therapy, Relationship Counselling

July 8, 2019 by Brighton & Hove Psychotherapy Leave a Comment

The Therapeutic Relationship and the Unconscious

Freud believed personality and behaviour come from the unique interaction of conflicting psychological forces that operate on different levels of awareness: the preconscious, conscious and unconscious. He believed these play an important role in behaviour. During therapy, we tap into our unconscious mind to discover more.

How Therapy Works

Therapy is often referred to as a relationship. It’s an approach that focuses on the relationship between the therapist and client to work through their behavioural and psychological issues. During this relationship, the therapist will consider the client’s past and current relationships, their race, gender, sexuality and much more to ensure the client feels understood and revived.

The therapist will encourage the client to speak as freely and openly as possible and will listen to the client’s words, actions and behaviours to feed back their understanding or interpretations.

From the therapist’s training, they will be able to find patterns, words and emotions that arise for the client and how the client relates to them. When something useful has been understood by the therapist, they will share their findings.

Therapy and The Unconscious Mind

During therapy, therapists may be able to understand things without the client consciously knowing. This can be more helpful to the client; however, many find this unnerving. We assure you; this is essential in interpreting your emotions and behaviours effectively.

In our unconscious mind, there are repressed thoughts and memories and things we don’t want to know about ourselves. Although these things are known at a certain level, we use a great amount of energy trying not to know.

How We Can Help

During therapy, one of the things we will explore is the interplay between your conscious and unconscious mind. This may cause internal conflicts in the way you process thoughts and emotions. Getting to understand the unconscious parts of ourselves may be scary, but it can be a relief to know and accept these parts. Although you may think these are bad parts of yourself, they are usually normal human characteristics.

We will explore your inner conflicts and unexpressed or repressed emotions to more easily understand why they have become so ingrained.

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Face to Face and Online Therapy Help Available Now

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Filed Under: Mental health, Relationships Tagged With: Counselling, Psychotherapy, Relationships

March 25, 2019 by Brighton & Hove Psychotherapy Leave a Comment

A few questions to ask if you are having relationship difficulties

When do you think these difficulties started?

It is important to recognise when things began to change. On the other hand you might realise that to some extent it has always been like this but it is only now that you recognise that.

Think back to the time when things began to change what else was happening around that time?

Life events make different demands on different people and individuals respond differently to the same events, often we don’t realise the impact this can have on how we feel as a couple. These events might include a new baby especially a first baby; changes at work, losing a job or being promoted; a house move to an unfamiliar area; children leaving home; serious illness, caring for elderly or sick relatives or the death of a parent.

How have these events changed how you and your partner spend time together and/or communicate with each other?

Most couples, consciously or not, have regular ways that they show their care for and communicate with each other. These may part of daily life, a cup of tea in bed in the morning, a lift to the station, a chat in the bathroom. These small rituals are important in keeping the relationship ‘oiled’ and for both partners to feel reassured and affirmed.

How did you meet and get together and what was it that first attracted you to each other?

Look back to what was happening for each of you when you met and think about your expectations of each other. You might have imagined each other would bring new opportunities or offer something that was missing in the other. Maybe one of you seemed warm, expressive and sociable when the other was feeling low or lonely or maybe one of you helped the other sort out practical problems or manage a difficulty at work; perhaps you saw each other as very funny, clever or sexy. One of you might have recently been left or left a relationship and have had high hopes that this one would be very different.

 

These questions begin to reveal the underlying hopes, dreams and expectations in a relationship. These may have been unrealistic at the start, or they can become fixed and out of date. Thinking about disappointment is painful and it is easy to blame the other person for failing to live up to expectations or for changing, “You used to be thoughtful and sensitive!” “You used to care about me!” Life events make an impact and the picture keeps changing. Things that seemed important have drifted into the background, something new is brightly lit in the foreground and you can sense things emerging at the edges.

As a couple it is important to be responsive to life and what it brings for each of you, to give yourselves opportunities to reimagine what you want to create together as a couple.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

 

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Filed Under: Brighton and Hove Psychotherapy, Relationships Tagged With: couple counselling, Mental Health, Relationship Counselling

March 15, 2019 by Brighton & Hove Psychotherapy Leave a Comment

Men, Sex and Aging in Relationships

I have previously written about women and the menopause, I am now turning my attention to men, sex and aging in a heterosexual context.

Research indicates sexual activity declines with age however as we see older people being portrayed as healthy, attractive and vigorous, we are more likely to acknowledge this age group as sexually attractive and therefore potentially sexually active.

In psychosexual terms feeling healthy, feeling good about your body and being reasonably fit are factors in feeling sexually attractive and of course these are likely to make a partner more responsive. Whilst the recognition of desire, lust and libido in the later stages of life must be a positive shift it may hide some of the struggles that older men are facing in the bedroom.

There are inevitable physiological effects of age on erectile function. Age UK says that 40% of men over 60 experience erectile problems. Erectile tissue becomes less elastic over time, testosterone levels are reduced, blood flow to the penis decreases. Apart from achieving an erection, difficulties in maintaining it, ejaculating too quickly or not being able to climax at all are common problems.

Sexual problems are frequent amongst older adults. In one study about 25% of older adults with a sexual problem said they avoided sex as a consequence. There are links between poor health and lack of sexual activity. In the same study the most common reason cited for a lack of sexual activity was the man’s ill health. Examples included drinking alcohol to excess, smoking, stress and a lack of exercise and conditions like high blood pressure, type 2 diabetes and heart disease.

Sexual problems are infrequently discussed with doctors and communication about sexual problems can be poor. Apart from the fact that sexual problems may be symptoms of an underlying physical condition, undiagnosed and undiscussed sexual problems may lead to depression and social withdrawal.

The kinds of problems that do not get discussed include concerns about medication for other conditions that impair men’s sexual performance, as well as drugs to improve sexual performance that have unpleasant side effects such as headaches and indigestion. Men might choose to stop taking medication if they feel they will have better sex without it and they may give up taking medication to improve their sex lives if they cannot tolerate the side effects.

In 2015 prostate cancer accounted for 13% of all cancers in the UK. The survival rate has been improving over the last 40 years but survivors can be left with lasting changes to their sense of themselves as sexual beings. One of the treatments is hormone therapy, which effects the production of testosterone and reduces the desire to have sex. Men put on weight more easily and can develop man boobs and they may find themselves crying more often. It is no wonder that a man might ask himself, “Am I still a man?”

In a relationship the impact of an older man’s difficulties on achieving and sustaining an erection will depend on their partner’s own experience of sex and aging. A man with a younger partner may feel he is letting his partner down. A couple may feel safer distancing themselves from each other and avoiding even affectionate physical contact in case it leads to unsuccessful sex. Men with partners no longer interested in sex may feel shameful about masturbating using pornography or fantasising about other women.

We do not readily talk about sex, it makes us feel very vulnerable. Seeking support and sharing feelings in counselling and psychotherapy can be a step to rebuilding a sense of self and sexual confidence and the start to thinking about new ways of relating.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

 

Face to Face and Online Therapy Help Available Now

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Filed Under: Brighton and Hove Psychotherapy, Gender, Relationships, Sexuality Tagged With: couple counselling, psychology, Relationships

March 4, 2019 by Brighton & Hove Psychotherapy Leave a Comment

The role of ‘attunement’ in relationships with babies and young children

Babies are not born with the neurological capacity to understand distress, or even to differentiate between discomfort and mortal danger. To ensure their survival therefore, babies are biologically programmed to communicate all forms of distress to their primary caregivers through very primitive means (e.g. crying, screaming and reaching out).

Under ideal circumstances, these ‘signals’ from the baby will elicit a sensitive (‘attuned’) response from their caregiver, whereby their caregiver will utilise their more developed brain in order to empathise with the infant’s distress, to soothe them and overtime, to give them words to better understand and communicate their distress. Repetition of this pattern over time, coupled with a deepening joy of the relationship, is not only the foundation for a secure attachment relationship, but the building blocks for other important skills such as developing empathy and emotional regulation.

When working well, attunement enables a child to feel truly understood, accepted and ‘felt’ by their caregiver. Inevitably however, “getting it right” all the time is not possible and sometimes signals will be missed or responded to incorrectly (‘mis-attunement’) – also known as a ‘relationship rupture’. Ruptures are normal and actually present opportunities for a child-carer relationship if the carer is able to repair the relationship appropriately. Indeed, it is estimated that for a secure attachment to develop, carers need to attune correctly around one third of the time (Hoghughi & Speight, 1998), which is reassuring!

Over the years, researchers have examined the importance of attunement on an infant’s mental health. This includes Ed Tronick’s (2007), ‘still face experiment’, which illustrates the distressing disintegration of a young child, whose parent temporarily stops responding to their cues (Youtube link). It also includes the work of Lynne Murray, who demonstrated that even warm responses to infants are not regulating unless they are exactly timed with their cues. This is important as for some parent-infant dyads, ruptures can be severe and chronically prevent the carer from being able to sensitively attune to their infant – ‘toxic mis-attunement’. This might occur when factors specific to the child get in the way of them being able to communicate their needs effectively (e.g. speech and language difficulties or neurodevelopmental difficulties), or when factors specific to the parent stop them being able to receive and process the child’s distress signals appropriately (e.g. mental health difficulties or substance misuse problems). There may also be external stressors impacting on the relationship (e.g. domestic violence or poverty). In these cases, it is imperative that mental health and social support services are proactively mobilised to offer early support to both the child and the carer.

Hoghughi, M. & Speight, A. (1998). Good enough parenting for all children – A strategy for a healthier society. Archives of Disease in Childhood, 78, 4, 293-296.

Murray, L. & Trevarthen, C. (1985). Emotional regulations of interactions between two-month-olds and their mothers. In T. M. Field & N. A. Fox (Eds.),Social perception in infants (pp. 177-197). Norwood,NJ: Ablex.

 

Please follow the links to find out more about about our therapists and the types of therapy services we offer.  We have practices in Hove and Lewes.  Online therapy is also available.

Face to Face and Online Therapy Help Available Now

Click Here to Enquire

Filed Under: Brighton and Hove Psychotherapy, Child development, Families, Parenting, Relationships Tagged With: child therapy, family therapy, Mental Health, Relationship Counselling

February 25, 2019 by Brighton & Hove Psychotherapy Leave a Comment

How are you going to Spend Your Emotional Currency in 2019?

Perhaps it seems odd to you to even think of emotions having an intrinsic value, isn’t it all rather cold and controlling.  However, alongside purchasing a house, a car or other valuable object our relationships will need energy and investment of time to make them work well.  

So in the next twelve months, wherever you are in the partnership process, there will be things to consider that will require the investment of emotional energy. If you are single you maybe considering looking for a partner or hoping love comes along, whichever way you approach this, a life-long partner will be one of the most important emotional investments you make. 

Although many of us go about this in a haphazard way, without giving sufficient thought to what we need to make a commitment to another person. Often we are under pressure from parents or peer group and the ever-present biological clock to get on and find someone or consolidate an existing relationship.

Some of us who are members of a religion will have priests or clergy to go to for advice and preparation before entering into a full commitment.  However, this usually occurs after the couple have met and decided to enter into a long-term relationship.  At this point the intention has been shared with family and friends, when it is more difficult withdraw, if the preparation phase uncovers areas of incompatibility in the relationship.

I have wondered, through working with couples, whether this should be done earlier in the relationship as soon as couples find they are talking about their future together.

Falling in love is an intense emotional, biological and physical experience, at times expressed as akin to madness.  Delightful though this period of time is, it does hinder good decision-making.

Couples will come after a crisis, wanting help to mend a relationship after an event or betrayal has injured the mutual trust in the relationship.  Or they come when a life event, such as the birth of the first child, loss of a job, children leaving home, retirement, illness or bereavement.  All of these events put demands on the relationship, and people handle them in different ways.  It helps to have a supportive family or friendship network around to contain and hold the couple as they navigate their way through these life-changing processes. All require the expenditure of emotional energy to maintain the relationship on an even keel.

So ideally we could envision a couple coming to relationship counselling before they finally decide this is the person they feel able and want to make this commitment to for the rest of their lives.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Filed Under: Attachment, Brighton and Hove Psychotherapy, Families, Mental health, Relationships Tagged With: couples therapy, Relationship Counselling, therapy rooms Brighton and Hove

February 18, 2019 by Brighton & Hove Psychotherapy 1 Comment

A Nation divided

During Brexit, there was a lot of talk about how it divided our country. So we thought we would discuss how humans are divided and how Psychotherapy can ease some of the conflicts we have with ourselves and others. A personal ‘split’ can happen when we think or act in a way that doesn’t align with our beliefs.

In this quote, Freud describes how these splits can be repressed, by quoting Nietzsche’s phrase: –

“I did that’ says my memory; ‘I cannot have done that’, says my pride and refuses to yield. Finally – memory gives way.”

What Does it Mean to Have a Split?

Experiencing an emotional split isn’t always a bad thing. A split can be a way to manage feelings that can’t be properly managed at the time. So our mind represses it. However, the repression never goes away, and it will try and come out in some other way like displaced anger or depression.

An example of this is the conflicting feelings of love and hate for those we are close to. The feelings of anger and hurt towards a person are hard to express when we also feel love towards them, as we don’t want to hurt or lose them. Although we may not show certain emotions towards our loved ones, the feelings are still there and may come out in other ways through road rage to arguing with co-workers and even shouting at the TV.

When we feel these conflicts, it can be easy to dislike these parts of ourselves and push them aside. However, it’s important you work through these conflicts with therapy, as otherwise you may experience side effects that result in damaged relationships.

How Therapy Can Help

A therapist works with their client to uncover these conflicts in a safe, non-shaming and understanding environment. The client should feel they can honestly express themselves to their therapist which, in turn, will reduce the negative effects on their own life,

During therapy, a therapist will explore these conflicts without judgement. It is through this work a therapist can understand the emotions and whether they have been enabled by well-meaning friends and family.

As Carl Jung said:

“One does not become enlightened by imagining figures of light, but by making the darkness conscious.”

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Face to Face and Online Therapy Help Available Now

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Filed Under: Brighton and Hove Psychotherapy, Loss, Mental health, Relationships Tagged With: family therapy, Relationship Counselling, therapy rooms Brighton and Hove

February 11, 2019 by Brighton & Hove Psychotherapy Leave a Comment

A Couple State of Mind  

This is the first in a series of blog posts about couples therapy.  In this post I want to talk about what Mary Morgan from Tavistock Relationships calls a ‘couple state of mind’.

Why if our partner is ‘right’ for us don’t they understand us completely? There are limits to how much we can ever fully understand or know another person. As we move from away from the early stages of being in love or infatuation it can be disappointing when our partner doesn’t live up to our expectations, ‘You aren’t the person I married!” or “You’ve changed since we first met.”. What we mean is “You haven’t become the partner I imagined you would be.”

When we become a couple we are two separate people with our own ideas of what it means to be a couple and what each of us should be prepared to offer and can expect to receive. These ideas are likely to be based on how we experienced our parents’ or carers’ relating to each other, as well as the community and culture we grew up in. As a couple we will inevitably be sharing psychic space as well as physical space, the tension between wanting to be held and close and wanting our own space and freedom can be challenging.

At times, we might find our sense of our self and our reality is threatened by our partner’s version of what is happening. For example, we might feel our frequent phone calls and texts show how attentive and caring we are but our partner may feel overwhelmed and claustrophobic. One of us may feel it is important to regularly spend time apart to not become tired of each other, but this might make our partner might feel rejected and isolated. These polarised positions highlight the difficulties of holding two perspectives on what it means to be in a couple relationship.

Couples coming to therapy often do not have a sense of themselves as a couple. Thinking about what your relationship needs is not the same as thinking about what you need. This may sound obvious but it is easy to lose sight of when you are finding life is a struggle. One role for the couples therapist is to help partners contain or tolerate their differences long enough to create a shared space to think, a couple state of mind. A couple state of mind can be understood as a third perspective, a position which gives a couple a chance to step back, look at their relationship and explore what they could hope for and create together.

Couples therapy also gives each of us the chance to see our partner relating to the therapist, showing ways that two people can think together in a close and trusting way. Seeing someone as familiar as your partner connecting with another person can be surprising, they can be revealed in a different light. The therapist offers a safe and supportive environment where a couple can think together and explore a couple state of mind, to see if they can continue to develop as individuals whilst enjoying the closeness and intimacy of being a couple.

Morgan, M. (2018) A Couple State of Mind: Psychoanalysis of Couples and the Tavistock Relationships Model. London. Routledge.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

 

Face to Face and Online Therapy Help Available Now

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Filed Under: Brighton and Hove Psychotherapy, Mental health, Relationships, Sexuality Tagged With: Counselling, couple counselling, couples, couples therapy, Psychotherapy, Relationship Counselling, Relationships

January 2, 2019 by Brighton & Hove Psychotherapy Leave a Comment

Finding Intent in Criticism in Couple Communication

Cultural context

We are at a particular moment in our cultural and political narratives of relationship and identity where democracy itself seems under threat.

The assertion in some spheres of the perceived “right” to not be offended is at odds with the right (principle) of free speech in which there is always a risk of offence. We live increasingly in an age of “safe spaces” “trigger warnings” and narratives of victim hood and oppression. Now more than ever we need a relationship culture in which giving and receiving criticism is understood as a way to deepen connection and intimacy whilst simultaneously fostering emotional and psychological resilience.

In my last blog I wrote about the evolutionary context of criticism. How criticism could lead to ostracism, posing a threat to livelihood and even life itself. Whilst killing the criticiser is part of an evolutionary survival instinct, so open and compassionate listening in response to criticism is now an essential part of our evolutionary future.

In myriad subtle ways as social beings we organise ourselves to avoid the (life threatening)sting of criticism. We seek approval from our social groups through acts of conformity or denial. It is more often in our most intimate relationships that we reserve the right to unleash our most critical and savage selves… all in the name of love. Where there is love there is dependence and where there is dependence there is power.Understanding the balance and imbalance of power as a fact of life and love is important.

Power dynamics

Focusing solely on the content of our routine and familiar arguments with our partners is a way of missing the expressions of power and the underlying vulnerabilities they obscure. A major theme often at play is that of fear. For some this will translate as fear of losing the other(abandonment) whilst for others the fear will be of losing themselves (engulfment). This may translate into a relational dynamic in which one person, fearing abandonment is more likely to pursue or demand more (contact,closeness etc) from their partner whilst the other, fearing intrusion (exploitation) is more likely to maintain distance. We all emerge from our childhoods with different tolerances for connection.

When we perceive criticism from our partner it is all too easy (natural) to react defensively. How, in these moments  might we become less reactive and more reflective, less combative and more collaborative? Firstly of course you have to decide that this is indeed what you would like to do…to lay down your weapons, so to speak, to relinquish the need to be “right” in favour of the desire to understand and value the other such that you might deepen your connection rather than remain locked in a state of division. When this becomes your shared intent you each take your responsibility for the health and well-being of your relationship.

Relational practice

When in conflict with your partner try holding in mind their best intent, hear them out , resist interruption or the desire for distortion. One voice at a time. Keep your energy on your partners story rather than your own defences. Imagine that your partner cares! Check that you have heard them by clarifying what you have understood. Be aware of your body language….are you listening or pseudo listening? Notice what happens, energetically ,in you, in your partner.

None of this is easy, but all of the above are relational tools that require practice to refine. Of course they also have the potential to become weapons to deploy. We are less under threat from criticism perhaps then we are of our failures to listen to the communications beneath. If we value democracy we need to practice it in our relationships.

Gerry Gilmartin is an accredited, registered and experienced psychotherapeutic counsellor. She currently works with individuals (young people/adults) and couples in private practice in Hove.

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Filed Under: Brighton and Hove Psychotherapy, Gerry Gilmartin, Relationships Tagged With: couple therapy, Relationships

November 5, 2018 by Brighton & Hove Psychotherapy Leave a Comment

Are criticism and anger good or bad for a happy relationship?

Studies of happy marriages find that anger and criticism are expressed rather than repressed. However the way that they are expressed matters.

Most of us are uncomfortable with expressing anger and being critical. Anger and criticism generate rejection and everyone hates rejection. More often than not criticizing and complaining create a climate of negative energy before they create positive energy.

Why does criticism feel like attack?

Historically criticism could lead to ostracism that may in turn lead to death. To ostracise someone meant to not speak with them, trade, or engage with them in any way. Being the subject of criticism therefore could threaten one’s livelihood and reputation as well as that of one’s family. Our genetic heritage made it functional to kill the criticiser before the criticiser killed us.

Female vs Male anger

In a study on sex differences, when observers were told that the infant they were observing was a boy they were more likely to interpret “his” emotional expression as anger; observers told the identical infant was a girl were more likely to interpret “her” emotional expression as fear.

When we interpret a woman’s emotion as fear the instinct is to protect, when the same emotion expressed in a man is interpreted as anger the instinct is to fight or flee.

It may be that a double standard has lodged itself in our mindset and translates into our feelings about how to criticize a man vs. a woman. It is more often the case that a man’s criticism of a woman is met with disapproval whilst a woman’s criticism of a man is approved of and approximated with empowerment.

Most men have learnt to express anger and criticism toward other men, but have been socialised to protect women, to argue outside the home (with men) not inside the home (with women). Withdrawal is not the way men do battle with men. It is the way they do battle with women.

Genetic heritage

For millions of years, women have biologically selected men who were heroes. The word “hero” derives from the Greek “serow” from which we get our words for “servant” “slave” and “protector.” Servants and slaves were not expected to express feelings but to repress them, just like heroes.

Our genetic heritage, the socialisation process that led women to marrying killer/provider men and men marrying beautiful women, thus selecting genes from which the next generation of children were born is still with us.

With all this genetic and social baggage in tow, is it possible to create a safe environment in which to both give and receive criticism without fear of annihilation? Couples are often afraid to understand their partner’s point of view for fear it will diminish or discount their own and demand too much by way of compromise. This is understandable in an evolutionary context where survival was more dependant on combat than compassion.

Moving forward

Perhaps it is useful to understand relational dynamics as an art, to be engaged with and navigated without blame or shame. Especially so at a time when our relationships have become the organising principle of our lives and the couple the chief organising unit.

This is easy to say, but if communicating effectively were easy, we’d already be doing it! In my next blog I shall be considering what relationship tools, language and intelligence might look and sound like, such that anger and criticism may be expressed and received in ways that promotes relational growth.

Gerry Gilmartin is an accredited, registered and experienced psychotherapeutic counsellor. She currently works with individuals (young people/adults) and couples in private practice from Hove.

Face to Face and Online Therapy Help Available Now

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Filed Under: Gender, Gerry Gilmartin, Psychotherapy, Relationships Tagged With: conflict, couple counselling

October 1, 2018 by Brighton & Hove Psychotherapy Leave a Comment

Group Psychotherapy: The Octopus and The Group – what do they have in common?

On my way into work the other day I happened to be listening to the radio when a program called “Inside Science” was playing.  The theme for the program was “Alien Minds”.  A man called Peter Godfery–Smith was talking about his book “Other Minds”.  He described how we assume the existence of a central nervous system, like our own, a brain commanding the peripheral nervous system.  He then went onto describe the Octopus, whose decision making processes, not sure this is the right word, are distributed throughout the body, the tentacles can act separately to the rest of the body.  He describes the research that discovered this; the podcast is available for you to listen to on BBC podcasts.

 Why did this stay with me? And why is it relevant to the group? When talking about groups we hear about a group mind, or the social unconscious (Hopper) using the symbol of something central acting on the individual, however, the description of the octopus would perhaps provide a better metaphor for group processes.  As individuals we like to think we are free to act from an autonomous position, however when we begin to think about all the influences around us, some known, others we are not aware of, we realize life is more complex than we thought.

When you join a group or team you have access to many minds working together, it multiplies the opportunity for self-awareness, for sharing experiences, for helping others as well as being a help and understanding.  Of course on the other side of this is what you are told might be difficult to hear, emotions connected to competition and rivalry, challenges long-held ideas, exposure to others who do not think as you do emerge.  However, if we are to build the resilience we need to face these difficult emotions in order to reach our potential.  

As the group develops, like the octopus, the group is held together through its biological connections that make it an integrated organism.  In the group, a matrix of interactions forms from the histories each member brings to the group, which cross from generation to generation as part of transgenerational processes, the social context with its vast variety of influences, economic, political and familial.

 As this plays out in the group each person has the opportunity of gaining insight and understanding into how they have been shaped by the many groups they have encountered throughout their lives and shared history. Relationships evolved, often unconsciously, to influence how we behave in the present, repeating patterns that may not be healthy and need adjustment to enhance our mental wellbeing.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Filed Under: Groups, Relationships Tagged With: group psychotherapy

July 30, 2018 by Brighton & Hove Psychotherapy Leave a Comment

What is Sibling Rivalry? – Part 1

The importance and role of sibling rivalry

Siblings are the longest standing relationships in most of our lives. As we grow older they increasingly serve to keep a connection to our families of origin, reminding us of our parents and our younger selves. Most of us share genetic material and family histories with our siblings. They have a significant place in our origins and narratives and an important role in shaping us. We don’t choose our siblings in the way we do our friends and sexual partners but, in many ways, they are our closest peers.

Over two blogs I have focussed on one area of sibling relationships, namely rivalry. In part 1, I will look at some aspects of sibling rivalry as they can surface in childhood. In part 2, I will think about how these might impact ongoing struggles in adult life, before suggesting ways in which problematic issues with rivalry can be helped.

Sibling rivalry in childhood

Sibling rivalry is part of growing up. Children who have sibling/s share their parent’s love and attention and feelings of rivalry are naturally going to arise. While squabbling and fighting can disturb the family atmosphere, it is important that we are aware of these feelings and struggles are normal. These conflicts around competition are also ways in which young children prepare for managing later peer relationships.

However, feelings of rivalry can become particularly exacerbated for different reasons. For example, if there are unresolved difficulties in the parent’s relationship to competition and rivalry. Fighting between siblings that gets out of control or dominates the family can be often be traced back to some difficulty for one or both parents.

Other family dynamics may also play a part in complicating and exacerbating rivalry. Below are some examples where sibling rivalry might become heightened, and complex.

  • One example is when a parent is particularly enmeshed with one child. This means all other relationships, including other children, are pushed outside of this unhealthy coupling. This can create huge difficulties for everyone in the family and can heighten and complicate rivalrous feelings between the siblings.
  • A large age gap might mitigate rivalry in some ways but not in others. It may be particularly hard for the older sibling to allow or express jealousy or rivalrous feelings towards a much younger sister or brother. This younger sibling may be getting a kind of affection that the older brother or sister has had to relinquish but still misses.
  • The much younger sibling can feel the older one is closer to the parent/s as they’ve perhaps reached an age where they are being treated on more equal terms. This can also become bound up with the difference in capabilities due to age-difference. So, rivalry can feel linked with feelings of inadequacy.
  • Children who are born close in age may have had to share their mother’s/main caregiver’s attention and care as babies. Feelings of competition and rivalry may be experienced on a primal level – originating very early in life –  and this could make them particularly hard to articulate.
  • Children who have siblings with a disability or illness may feel ashamed and guilty for having negative feelings towards the sibling/s. This dynamic gets further compounded by the extra attention the sick or disabled sibling may well get from parents and others.
  • Harder still to express, manage, or even feel, is the rivalry and jealousy that might be felt towards a sibling who has died. In the psychotherapy field there is particular concern about children who may have been conceived to ‘replace’ a child who has died, and the very particular – often unconscious – pressures they come under.
  • Relationships and rivalry between half and step-siblings can sometimes be less intense if, for example, they do not live with each other. There will likely be a parent the child can claim as their own who is not shared biologically and emotionally. However, these half/step-sibling relationships can also feel complex and painful, as they are often bound up with parents’ separation and families splitting into ‘new’ and ‘old’.
  • One of the more unconscious ways families often manages rivalry is by assigning different roles and attributes amongst siblings. For example, the ‘clever’, ‘sporty’, ‘artistic’ ‘musical’ one; or ‘quiet’, ‘sociable’, ‘troubled’ etc. These might work to mitigate rivalry some of the time, in some families, and for some individuals. However, they can also stir up further complex feelings of rivalry, imbuing them with restrictive self-expectations and feelings of inadequacy.

Do only children have it easier?

Based on the accounts above we could think that the only child is the most fortunate. Certainly, ‘only’ children do not usually have to compete with early peer relationships for their parents’ love and attention and therefore avoid some of these more painful and destructive experiences of sibling rivalry. However, those who have grown up as only children often report a pervasive feeling of loneliness and isolation. Being the sole focus of parents’ love (and often therefore need) can feel very burdensome as a child and an adult. It is also no coincidence that only children often describe particularly acute difficulties starting nursery or school where they suddenly encounter the rough and tumble of peer relationships and rivalry.

The jostling and competing for space and attention that siblings engage with, prepare them for later experiences. However, it is important that children are also able to develop feelings of concern and companionship towards their siblings. In this way, the intense and more hateful feelings of rivalry can be moderated and managed. While feelings of sibling rivalry never fully go away they need to be resolved enough to establish healthy relationships with peers in adulthood.

In part 2, I will the potential impact of unresolved sibling rivalry in adulthood and look at ways of helping.

Claire Barnes is an experienced UKCP registered psychotherapist and group analyst offering psychodynamic counselling and psychotherapy to individuals and groups at our Hove practice.

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Filed Under: Brighton and Hove Psychotherapy, Child development, Claire Barnes, Parenting, Relationships Tagged With: sibling rivalry

April 23, 2018 by Brighton & Hove Psychotherapy Leave a Comment

Is Psychotherapy about Questions or Answers?

People often arrive in therapy looking for answers to life’s difficulties. This might seem like a reasonable proposition. However, it pre-supposes that there might be such a thing as a simple answer to any of the thorny challenges life presents, and, indeed, that the therapist is an “expert” on life, uniquely qualified in their provision. Solutions are at best only ever partial and must always remain subject to review.  I believe that it is often more useful to attend to the nature and quality of our questions. A good question is generous and generative and often far more useful than a tidy answer, alluring as the latter might seem.

The Art of Listening

Remaining curious and open to the humanity of another which lies behind their words is an art to be cultivated through listening. Learning to listen is more than simply being quiet while another person speaks, waiting your turn to say your piece. Listening at its best is a willingness to be vulnerable, to be open to surprise, to relinquish assumption and to enter the realm of ambiguity.

Arguments so often have a quality of familiarity about them, in civic as well as personal life. Culturally, as is so prevalent in current political discourse, conversations polarise around notions of right and wrong and winning and losing. When we enter debate from the perspective of competing certainties, I believe that the conversations it is possible to have become immediately impoverished.

Modern Living

We may experience this dynamic of polarity most often in our intimate relationships. The pressures of work, of raising children, and of paying the bills, among other issues, often render us less than perfectly attentive versions of ourselves. The quality of our conversations with our loved ones often deteriorates under such duress. Managing and prioritising (triage style) the demands of modern life may leave intimate connection forced to the bottom of the pile. When we find ourselves enraged about whose turn it is to do the washing up or encounter one of the myriad incendiary touch points that can inflame separated parents, we know that we are between a rock and a hard place. We are (in part) caught in an inevitable existential bind, tethered between freedom and responsibility, yours and mine. We must find ways to catch ourselves and the conversation before it degrades into one of accusation and blame. If that happens, everyone is at once diminished and relegated to positions of victim-hood.

Opinion Versus Experience

While we may disagree with the opinion of another, we cannot disagree with their experience. When we get closer to understanding the experience of another, we enter a more relational dynamic. In this dynamic, we can be more open to complexity and more tolerant of difference. The quality of our listening changes. We become more generous, less defended and ultimately more compassionate.

Difference of opinion is something to celebrate and defend. After all, it is an expression of our human rights of free will and free speech. When we shut down, deny or disqualify the opinions of others, we enter dangerous totalitarian territory.

Back at the Kitchen Sink

When we find ourselves (as we all do) entrenched in our competing stories of reality, played out amid a greasy cast of pots and pans, perhaps this is a moment for a different kind of question. “What else might be going on for me/you right now?” “What am I /you not expressing/ hearing?” “What is the story we tell and believe about ourselves/ each other in this moment?” Generative questions are more likely to evoke answers in their image and serve to demonstrate our interest, curiosity and respect for each other.

Gerry Gilmartin is an accredited, registered and experienced psychotherapeutic counsellor who is available at our Hove practice.

Further reading

What is intimacy?

Aims and goals of couples’ therapy

Love, commitment and desire in the age of choice

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Filed Under: Gerry Gilmartin, Psychotherapy, Relationships Tagged With: communication, couple, Relationships

April 9, 2018 by Brighton & Hove Psychotherapy Leave a Comment

How body stability creates psychic stability

There is No Such Thing as a Baby

I frequently blog about the importance about including the body in the process of psychotherapy and how the unconscious resides in the body.  However, unlike many ‘body psychotherapists,’ I believe that the involvement of the body is more profound than identifying the presence of the body in the process. Let me explain using one of Donald Winnicott’s most famous quotes, “There is no such thing as a baby.”

Winnicott famously made this statement in 1947. On face value, it may seem somewhat absurd. After all, we have all seen babies and know they exist. However, the reality is far more complicated, because every baby that any one of us has ever seen is only visible because it is in a relationship with its primary carer (which for simplicity, I shall refer to as its mother).

A baby cannot exist alone but is essentially part of a relationship.  Babies exist in an absolute state of dependence, such that the infant (the word is taken from the Latin – ‘infans’ – not able to speak) has no knowledge of maternal care, as this would require the knowledge of ‘an other’ providing the care.  The baby therefore is essentially indivisible from its mother and thus cannot exist in its own right.  The infant’s experience relies on the mother’s ability to merge with, and adapt to, her baby.  Therefore, whenever we see a baby, we actually see a baby, its mother, the relationship between the two and also the wider social context within which that baby lives and has come to be.

There is No Such Thing as a Body

The same principle can be applied to a body.  There is no such thing as a body in its own right.  A body is created, shaped, moulded and exists within the relationship that the mother of the owner of the body has had with it.  In other words, the body and how it is experienced by the person in the body is contingent on the relationship that the baby has with the mother and the wider environment. This then dictates the relationship that the owner of said body, has with him or herself (if any.)

Why Does the Body Matter?

Psychotherapy is about many things, but one of the primary tenets is that it is a relationship within which the client/patient can, through relating to the therapist, establish a relationship with themselves. Having a relationship with ourselves includes having a relationship with our body. However, I believe that too many psychotherapists assume that such a relationship is necessarily experienced as helpful by the client at the outset of therapy, or even possible.

The Body as an Enemy

If we come to inhabit, or embody, our bodies through the relationship with our mothers and the wider social context, and our mothers were abusive to us, then the experience of our body can be one of ambivalence (‘I don’t really care about my body”) through to experiencing the body as dangerous, attacking or not our own.

Examples of where internalised abuse/hatred is expressed towards the body include cutting and burning the skin through to anorexia and bulimia, to name a few.

Risk of Trauma

Assuming a pre-existing, or even conceptually possible positive relationship between a client and their body on the part of the psychotherapist is naive. At worst, it risks re-traumatising the client.

If, for the client, all that is bad resides in their body, then they need to slowly find a way to ‘meet’ their body in a different context and to tentatively form a different relationship with their body – to reclaim it from the ‘bad’ parent. The therapeutic process involves creating a different relationship with ourselves, one in which we are able to leave the echoes of past formative relationships behind. At the very least, we need to learn to think about ourselves as players in those stories in a different way. In the same way, we need to learn to relate to our body as our own and as our friend, guide and an integral part of us.

Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex. He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.

Further reading

Body psychotherapy

What is attachment and why does it matter?

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Filed Under: Mark Vahrmeyer, Relationships, Spirituality Tagged With: attachment, Emotions, mind and body, Psychotherapy, Trauma

March 26, 2018 by Brighton & Hove Psychotherapy Leave a Comment

Couples Therapy In Practice

Couples can often get into familiar and fixed patterns of relating which can be deeply unsatisfying to both parties. This style of relating is one which can eventually seriously threaten the health and longevity of a relationship. In this brief blog, I open a window onto a session which explores a particular dynamic which I frequently encounter in couples work.

Take the following anonymised example:

A domestic crisis had arisen. The wife responded in her typical style : hurried, worried and outwardly emotional.

The husband responded in his typical style: slow and detached.

The wife read his response as insensitive and abandoning.

The husband read her response as over-the-top and reactive.

The outcome was that he withdrew from the situation, while his wife became more distressed and demanding. This was an unsatisfactory outcome for both.

Swapping Roles

I asked if they would be willing to replay the event exactly as it happened. Then I suggested that they swap roles and again replay the event.

This is what we discovered together. The wife would typically become highly reactive as a way of getting her husband’s attention, of which she was uncertain. The outcome was exactly opposite to that which she wanted. Her husband would withdraw and she would again experience feeling abandoned by him.

The husband would typically become unreactive as a way of protecting himself from his wife’s emotional expression, which he feared.  The outcome was exactly opposite to that which he wanted. His wife became more emotional resulting in him feeling overwhelmed and needing to withdraw.

I chose this intervention as a way for each of them to experience the trigger point which propelled them into their typical ways of relating to each other when under stress.  In other words they both got to not only see, but to feel the ‘game’ which they typically re-played together.

Therapy and Real Life

Research shows us that what is experienced in the therapy space can become real in our outside lives, (Gersie, A., 1995). My experience of working in this active way with clients is that can bring powerful and surprising insights. These insights into our typical ways of behaving, facilitated by a skilled therapist, can lead couples to experimenting with healthier and therefore more mutually satisfying ways of being in relationship.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch with us by telephone or email. Online therapy is available.

 

Face to Face and Online Therapy Help Available Now

Click Here to Enquire

Filed Under: Relationships, Sexuality Tagged With: Psychotherapy, Relationships

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