By Judith P. Leavitt
Universal Dilemmas in Couple treatment addresses 4 universal difficulties that therapists face daily of their places of work – problems that go away therapists exhausted, tired, challenged, alive, racing, and on aspect. those dilemmas surround not just the tough demanding situations therapists face daily, but in addition the passions and profound disappointments of human intimate partnerships. the aim of this e-book isn't just to discover and provides case illustrations of those dilemmas, but additionally to offer therapists ideas to take advantage of and aid them comprehend and deal with their very own profound stories whereas doing this paintings.
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Extra resources for Common Dilemmas in Couple Therapy
Tell the couple what you are doing periodically. For example, “I am going to go back to the issue we started with so we can make some headway. ” Another example, “I am going to stop you now because you are blaming each other and this is not going anywhere. I want you to … ” 3. Talk about your role and the issue of control. For example, “In order for us to get anywhere in these sessions, I need to be the one in control. You need to let me guide the session. ” 4. Ask the couple to agree to letting you be the one guiding the session (in reality you are addressing the difficult client).
The method of the difficult client can be to control with raw power. Frequently, the other partner tries to be nice in the face of the barrage, gives a weak defense, or gives up. Some partners fight back, which only spurs on the difficult partner. Often the difficult partner reacts to situations and couple issues as if they are a crisis (Benjamin, 1996). Issues and disagreements become blown up emotionally. Anger and hurt come pouring out as if the situation were dire. Linehan and Dexter-Mazza (2008) describe the emotional dysregulation and crisis reactions of clients with a borderline personality disorder.
The difficult partner may need to see that you will support him or her on a legitimate issue about his or her partner. This can be a powerful step in gaining trust and leeway with the difficult partner. However, I would only recommend this step if you have built some alliance with the other partner and have made it clear that you see the issues as part of the couple system. There is always the risk of losing the other partner and being co-opted by the difficult one. 8. When possible, bring humor to the sessions.