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My Couple Therapy Assumptions
There are many ways to do couples
therapy. David Schnarch, Ph.D. wrote that many people can't tolerate
the intensity of an intimate relationship. There is a great deal of
truth to this. In many, but not all cases, my approach is to work more
intensely with a couple for larger chunks of time--but with larger
breaks in between sessions--to allow them to get to core issues more
rapidly, and to prevent dependency on the therapist. When couples "save
up" their conflicts for their next therapy session, they aren't
learning to have a relationship. While I do not use this method in
every case--it may not be practical in all cases and situations--I have
found couples to move through their issues more rapidly and effectively
using this approach.
I begin with a three-session evaluation
which includes going over your Intake Form and any testing results you
may have, taking a history of your relationship, and framing up the
problems that you want to work on. My initial question is "What brings
you two in today?" I wrap up the evaluation by doing a fairly detailed
genogram or "map" of each of your original family systems, which will
actually speed up our work in the long run and will allow the two of
you to begin to identify the unconscious rules that you brought into
the relationship in the first place. Come prepared to learn how to
identify and express what you are feeling, in the moment, not just what
you are thinking.
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