Articles

Here are some of my recent magazine articles that may be of interest:
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The Secret to Solving Relationship Problems describes the good communication steps to solving all types of relationship problems. It was published by Diabetes Self Management magazine, a leader in consumer education for diabetic patients, but the tools can be helpful for tackling any relationship problems you may have.

The Secret to Solving Relationship Problems

Kate was annoyed at the amount of money Tom spent on new fishing equipment. She offhandedly mentioned it to him once, decided to drop it, but then spent the weekend snapping at him about all sorts of little things. Tom knew what was upsetting Kate, but rather than saying anything, decided to keep quiet and ride it out.

Sara and Matt are always fighting about the kids. Sara thinks Matt is too easy on them, while Matt thinks Sara acts like a drill sergeant, unable to ever cut them any slack. The kids feel caught in the middle and play one parent against the other.

Problems are bound to arise in any relationship, and each couple finds its own way of handling them. Kate, for example, gets upset about what Tom is doing, but has trouble being direct and clear about what is bothering her. And Tom has learned over the years that if he lays low, he can wait for it to blow over. Because Sara and Matt are unable to get on the same page with parenting, they become polarized, with each overcompensating for the actions of the other, and using their children as a battleground for their own struggles. Unfortunately, their children are ultimately the losers in their struggle. Other couples are even less open and say they never argue. Instead they silently agree to avoid confrontation and push their problems underground, creating anxiety and stifling intimacy.

Unsettled problems are a major source of stress, stress that can not only undermine your relationship, but your diabetes management as well. Research has shown that successful relationships are not those that necessarily have fewer problems, but those that have found effective means of solving the problems that come up.

Here is a 6-step process for tackling and solving those problems in your relationships.

Step 1: Define your problem and solution
. Sure, you know you’re upset, but what exactly are you upset about? Kate might be mad about the new fishing gear, but is it about spending the money, the fact that Tom didn’t talk to her about it ahead of time, or that perhaps it’s another reminder that he spends almost every weekend with his friends fishing and that they don’t do things together as a couple? Sara realizes that she is upset with Matt always undermining her, but is more worried about the fact that the kids are confused and playing them against each other.

Take time to clearly define what bothers you the most. Figure out how you feel and why. Anger is a common reaction, but try and go one further step and ask yourself what is it that worries you or hurts your feelings. Many psychologists consider anger a reaction to other emotions lying beneath. Sure, Kate feels angry, but actually she feels hurt that Tom doesn’t seem to want to spend more time with her. Sara gets annoyed, her annoyance is masking her worry that the kids are becoming manipulative. To be able to talk about these underlying emotions, rather than your anger, gets to the core of your true feelings, and is easier for the other person to hear and understand.

But problem-solving is more than just an airing of complaints. Next you need to be clear about what you would like to be different in positive, concrete and specific terms. Suppose Kate realizes that what she really wants is for her and Tom to do more as a couple. Rather than complaining and saying to him that he is spending too much time fishing, or merely saying that she wants to do more with him, she could say instead that she would like him to have more time to do things with him as a couple and wonder whether he would be willing to leave 2 Saturdays a month for them to do things together. Sara might say that she is afraid that the kids seem confused about what is expected of them, and would like Matt to map out with her a chore list for the kids that they can both agree upon.

Step 2: Plan a time to talk
. Okay, you’ve done your prep and are clear the problem and your solution. Now pick a good time to talk – not when your partner just walks in the door after work, not after you’ve both have had a couple of cocktails on a Friday night and are tired, not 10-minutes before you have to pick your daughter from soccer – but a time when you both are likely to be calm, relaxed and able to listen. If you are not sure, send your partner an email or write a note suggesting a time and giving a preview of your discussion – Matt, I’m worried about how we are handling the kids. Could we sit down on Saturday morning before the kids get up and talk about this? This gives your partner a heads-up about your concerns and schedules a time that will work for both of you.

Step 3: Talking and Listening
. Okay, take a deep breath. Start by talking about your view of the problem, your worry, your solution – Tom, I know I seemed upset but the new fishing equipment but I realized that what was bothering me about it was…; Matt, I’m worried about the kids and think it’s important that we both be on the same page. Talk about you, not your partner. Use “I” statements – I feel like I’m always walking on eggshells when I’m around you, I think that it would be wonderful if you could do more together – rather than “you” statements – you never say anything positive, you always seem angry. Talking about yourself helps keep your partner from feeling attacked or blamed, and getting defensive and angry in return.

Managing a conversation is a bit like driving a car. You want to keep in mind where you are going and stay on the road. You steer the conversation, just as you do when driving, by making subtle adjustments as you go along. If Kate sees that Tom is getting upset she can stop and check it out – Tom, you’re looking upset. Did I just hurt your feelings? – rather than ignoring his reactions, plowing ahead, and leading them both into an emotional ditch. Do your best to sound calm. Strong emotions stir defensiveness in the other, and undermine the problem-solving process. If your partner does start to get angry or defensive – What about you.. Last week you did…– get quiet. While you’re probably tempted to defend yourself, doing so at this point is like throwing gasoline on fire. Your goal is to put out the emotional fire in the room and you do that by simply listening. If you don’t fuel the fire with more words, your partner will eventually calm down.

If, however, it seems that both of you are getting worked up, that emotions are getting too high, if the conversation is beginning to feel like a power struggle with one of you needing to win or get the last word, it’s important to stop before the situation gets out of hand. The best way to do this is by saying as calmly as you can that you want to take a break and cool off and that you’d like to try again in a half hour, an hour, or after dinner. Be clear it is a time-out and that you want to talk again. Don’t just say, I don’t want to talk about this anymore, and walk out of the room. This kind of cut-off will only make the other more anxious and angry and escalate the process. When you are both calm, try again. If the conversation quickly heats up again, stop and take another break until both of you are absolutely calm. Control the temperature of the conversation.

If things have gone well and your partner is able to listen to what you have to say, ask for their reactions. Tom may say that he understands how Kate feels and wants to do more as a couple, but quite honestly, he says, he wants to do something more active than the car trips or the going to the movies that they’ve done in the past. Matt may think that a chore list a good idea, but he is particularly frustrated by the kid’s inconsistent bedtimes.

The goal is hear each other out. Don’t worry about over-talking if the talking is sincere and productive. Resist the “Yes, but” response, and instead focus on “Yes, and “– accepting and building on each other’s ideas. See each other as on the same team, working together for the relationship. Make sure you understand exactly what the other is saying – Tom, what exactly would you rather do together? Matt, what time would you like the kids to go to bed? Keep it clear, keep it concrete, keep it calm.

Step 4: Decide on a Plan.
If you are both in agreement about the problem, it’s time to agree on plan of action. Again make it as specific as possible and time-limited, and try to address each of your worries and preferences. Tom agrees to not go fishing next Saturday; Kate agrees to try out Tom’s idea of going hiking on a new trail. Sara and Matt agree to map out a short list of chores and bedtimes for each of the kids. They will talk together with the kids next Saturday morning, then try it for a week. Write down the plan just so it is clear to both of you.

A “let’s try it” attitude is better than obsessing over the ultimate solution. The willingness to work together is more important than the decisive plan. If at any point in the planning, you feel like your partner is going along with and passively agreeing, check it out – Are you really okay with this? I can’t tell how you’re feeling. Don’t march ahead until you know the other is onboard.

Step 5: Evaluate
. Try out your plan and evaluate. Did Tom and Kate both enjoy the hike on Saturday? Were Sara and Matt able to back each other during the week when the kids started to complain about the chores? The evaluation is about honesty and fine-tuning. Kate and Tom did like the hike, but Tom really missed seeing his buddies on Saturday and would rather do it again on a Sunday. The new chores and bedtimes seemed to work okay, but Sara and Matt decide to continue for another week to see how well the kids settle into the routines, and then discuss it again. Again, keep changes clear and concrete.

Finally, try and give each other feedback about the talking process itself: It helped me to have us write out the plan; what did you think? Did you feel like I was giving you a hard time when we first started talking? Again you are both learning a skill. Knowing what worked and what didn’t will make your future efforts at problem-solving more effective and comfortable.

Step 6: Say what you like. Researchers have found that if you want to create a positive and supportive environment for your relationships you need to give each other 4 times more positive comments than negative ones. What this means is that you can never give each other enough compliments and support: Thanks for talking, I appreciate your trying this out, I’m glad we are doing this together. This support helps you from slipping back into old patterns and encourages you to keep up the new ones.

Making Change
When you first started learning to drive, you probably felt overwhelmed and awkward and went all over the road at first. Learning to steer your conversations will at first feel much the same. Don’t get discouraged. With practice you will get better.

And if, in spite of your best efforts, your conversations get too explosive, if you need help figuring out exactly what it is that is bothering you, or if you feel overwhelmed by the number of problems you’re worried about, consider seeking professional help. A couples or individual counselor can provide a safe environment for sorting out problems and discussing difficult topics, and can coach you on specific things to try at home. Your mental health association, your physician, the yellow pages, and on-line searches can lead you to qualified professionals in your area.

Keep in mind that you really can’t make a mistake. If a conversation goes off course, circle back and try it again. Your goal is not to do it right but to do it differently – to plow new emotional ground, to speak as honestly as you can, to be open to compromise. With patience and persistence and pats on your own back, you’ll be able to put your relationship problems to rest.
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How to Break Those Bad Discipline Habits
, originally was published by Bloom Magazine. It highlights some of the common parenting styles that we all can fall into from time to time, and suggests ways to improve them. Hope those of you who are parents find this helpful.

Positive Parenting

How to Break Those Bad Discipline Habits

You've read the latest books, magazine articles, maybe even taken the classes. You know how to set structure and limits, and you do lots of things every day to let your kids know that you love them. All in all, you do a pretty good job as a parent.
But sometimes you feel like you're yelling all day or nagging your daughter to death about her room, or you threaten to ground your son from television for the rest of his life. You hear yourself sounding just like your mother or father, and that scares the heck out of you.

We all do it as parents - fall into those bad discipline habits - whether it's from a hard day or a seemingly hard life. Sure, you know better, but knowing better just makes you feel guilty and doesn't help you break the habit. But you can break the habit! Here's a list of some of the most common bad discipline habits, their likely results, and keys to putting them to rest:

Problem:
Yelling. It might come in waves, or it might seem to be a steady noise, but you find yourself snapping about big things, little things - not picking up toys, making too much noise in the car, dragging their heels when you're in a hurry. As a result, you feel like a witch or a drill sergeant. Your kids will either learn to tune you out or start snapping back. You're tense and exhausted.

Solution:
What is the real problem behind your yelling? Are you stressed out and irritable? Worried about something else? Tired? Do you get aggravated by a problem that perpetually comes up but is never solved? When you hear yourself yelling too much, stop and try to figure out what is really going on. Don't focus on your kids, focus on your emotion. Breathe deeply, go off and try to relax for ten minutes, make yourself a cup of chamomile tea. Once you're calmer, come up with some solutions to the problem and talk to your kids.

Problem:
Nagging. This is a variation on the above, but minus the volume. Rather than booming like a Doberman, you're yapping like a Chihuahua. As with yelling, the kids will learn to tune you out. You feel frustrated all the time.

Solution:
Nagging, too, can be a sign of stress; de-stressing becomes the goal. But unlike yelling, which is usually driven by anger, nagging is usually driven by anxiety. You're always anxious that the kids will forget, not do something right, take too long. If you're on a tight schedule or just generally worry about time, set clear deadlines at the start or negotiate them with your child: "I need you to pick up your toys before dinner." If you're nagging just to keep your kids on their routine, give simple warnings before issuing deadlines: "Guys, you're going to have to turn off the TV in ten minutes when that show is over," and decide in advance what the consequences will be if they don't comply. For example, state that dinner will be delayed until toys are picked up, turn off the TV, or cancel bedtime reading because they run out of time. Be sure to follow through on what you said you'd do.

Problem:
Inconsistency. A rule is a rule - sort of. You tend to change rules or routines or not enforce them. Consequently, your kids are confused. They'll constantly test the limits, partly because they've learned that it works and partly to get you to be clear.

Solution:
Decide on clear rules and routines. Take the time to sort out what really is important enough to be a rule. If you have too many of them, you'll have a hard time tracking and enforcing them all. Map out routines that make sense for your family life and are easy enough for you to supervise. Set consequences for violations in advance. If your rules and routines are clear and appropriate, then the problem is that you're sometimes wavering. See if you can identify the triggers - maybe you're tired and stressed, or perhaps you get embarrassed if your child gets angry and argues back or acts up in public. Come up with a plan to fix the source.

Problem:
Over-reacting. This is where you ground your son for life, threaten to sell the TV or get rid of the dog, tell your daughter to not come out of her room until next Wednesday. But if your reaction always tends to be arbitrary or extreme, your kids won't learn what's really important and what's not. They'll miss the point and principle of the issue and become hypersensitive to your rage.

Solution:
Like yelling, the problem in the room is your anger and frustration. You need to manage it first and separate it from the problem you're trying to solve. Take the time to settle down, then decide the consequences.

Problem:
One size fits all. You're essentially treating your children of different ages the same, with the same bedtimes, responsibilities, and privileges. In response, the older kids are going to feel like it's unfair, see your decisions as arbitrary rather than considered, and complain loudly and often or be openly angry. It doesn't reward your children for their growing maturity or challenge them to be more responsible.

Solution:
While one rule or routine can make your life a bit simpler, good parenting requires flexibility. You need to change as your children do. Take the time to rethink your limits and routines; get advice from friends, mates, professionals.

Problem:
Overtalking. You go on and on trying to help your child understand why you're doing what you're doing, what the lesson is, how this is important for her to learn now… and you don't feel like you're getting through. The danger is that your child will glaze over and tune you out. She probably can't comprehend what you are saying; she might be drowning in the flood of words. If the child is a teen, it opens the door to endless lawyering about how your thinking makes no sense.

Solution:
Research suggests that due to biology and socialization, women are more susceptible to this than men (though I remember my dad doing his share of lecturing). Sometimes it is driven by your desire for your child to understand the larger issue; unfortunately, anything more than a few sentences fades on a child under 14 or 15 simply because of limited ability to think abstractly or far into the future. Sometimes it's driven by your need for the child to be on your side, to keep her from getting angry, to get her to understand your good intentions. A natural instinct, perhaps, but your kids aren't going to like everything you ask them to do no matter how hard you try - they actually expect you to take charge and set limits even when they grumble. Finally, sometimes this overtalking just represents your talking style, a stream-of-consciousness thinking aloud process. While this may be fine with other adults, it's overwhelming for kids. Do your thinking in your head and simply get to the punch line with a one- or two-sentence explanation.

Problem:
Perfectionism. You have high standards for your own behavior and your children's. You often let them know that they're not doing enough or not doing it well enough. As a result, your kids will either feel anxious and stressed all the time from trying to meet your standards or realize that it's never good enough, give up, and begin to suffer from low self-esteem. Teens will feel the stress but also get angry and argue.

Solution:
Perfectionism is often inherited, so your parents may have been the same way. If that is the case, see if you can remember how you emotionally felt living in that situation - chances are you weren't happy and have rationalized over time that what your parents did was good for you. Perfectionism also tends to be fueled by ongoing anxiety. If that is true for you, find ways to lower yours. Finally, some parents who seem perfectionistic are actually setting unrealistic standards for their children given their age and ability. If your children are struggling all the time to meet your standards, those standards may be too high and your children's self-esteem will suffer. Rethink what is possible and appropriate for them.

Problem:
Dueling parents. You and your partner disagree on parenting and undermine each other often. The outcome is that not only will your kids be confused about the rules, they will quickly learn who is easy and who is tough. Instinctively they'll wind up playing one parent against the other in an attempt to slip between the crack in your relationship. As parents you can easily become polarized, with one becoming increasingly tougher to offset the ever more lenient parent.

Solution:
You need to get on the same page. Sometimes the problem is that the two of you were raised differently, and each of you is trying to replicate what your own parents did that worked or trying to do the opposite because it didn't. The problem with the latter is that you have no model for doing the opposite and can easily swing too far in the other direction. Other times the differences reflect larger marital problems; disagreements about parenting may actually be part of a larger power struggle that is never resolved, or even honestly addressed. If you feel that might be the case, take the risk of talking with your partner about these other problems instead. See if you can separate your couple issues from what's best for the children and agree on a plan that meets their needs.

While these are the most common bad habits, you may find that you have your own subtle variation or combination. What is true for each of these problems is that your emotional reaction (anger, frustration, worry) is overriding what you know and intend. The key to breaking the habit is to slow down and step back - to identify the emotion itself, to understand its source, to focus in the moment upon calming and controlling your emotion, rather than thinking you need to control your kids in order to manage your emotion. Rather than pressuring yourself to do it all, focus instead upon simply breaking the pattern. Once you emotionally regroup, you can go back and clarify with your children what you want. They really will understand and wait for you to get yourself together.

Because habits are habits, it's often helpful to have some support. If you are one of those people who emotionally zooms from 0 to 60 in a nanosecond, ask your partner to help you identify the earliest signs of a growing emotional wave. If you have trouble stepping back once you're cranked up, ask your partner to give you some prearranged non-verbal signal to let you know you've fallen back into your pattern and it's time to take a short break and regroup. If you struggle with ongoing stress, find ways that help you de-stress (a walk, a hot bath, exercise) and build them into your daily routine. And if you are feeling overwhelmed with parenting or marital problems, get help - check out some books, take a class, talk with a friend, or seek some professional help. Even a short stint of counseling may help you figure out what is going on and give you the support you need.
You're no doubt already doing a great job. Don't get discouraged! You only need to fine-tune what you already know. With persistence, patience, and plenty of pats on the back, you'll find those bad habits quickly fading into the past.
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The Relationship Triangle is an excerpt from my couples book. This is a good explanation of the common dynamics that develop between couples, the ways they create problems, and ways of changing them. I literally show this to everyone I see in therapy.

The Relationship Triangle

The Relationship Triangle is based on the Drama Triangle developed by psychiatrist Steven Karpman in the in the early 1970’s. What follows in my interpretation and expansion on Karpman’s original ideas. It’s a useful tool for describing the patterns that couples often fall into.

Begin by imagining or drawing an upside down triangle. At the top are two letter, P on the left had side, R on the right. At the bottom, the tip of the triangle is the letter V.

The triangle represents the relationship between two people. The P, R, and V represent different roles that the people can play; it is not the people themselves, but a role. The roles interlock and there is always someone on top who seems to have more power, and someone on the bottom. The relationship moves about in a circle as follows:

The person is the R position is the rescuer. The person in that role essentially has “nice guy” control. He hooks into the V or victim. The person in that role feels overwhelmed at times. He feels that problems are falling down on his head. The rescuer steps in and says, “I can help you out. Just do what I say, everything will be fine.” Often times couples will begin their relationship in some form of this. They psychologically cut a deal: The rescuer says that I will agree to be big, strong, good and nice; the victim says I will agree to be overwhelmed and unable
to manage. Everyone is happy. The rescuer feels needed, important and in charge. The victim has someone to take care of him.

And it works fine, except every once in a while one of two things happens. Sometimes the rescuer gets tired of doing it all. He feels like he is shouldering all the responsibilities and that the other is not pulling his weight, not giving anything back, not appreciating what the rescuer is doing. The rescuer gets fed up, angry, resentful. Bam! He shifts over to the P, the persecutor role. He suddenly blows up – usually about something minor – laundry, who didn’t take out the trash – or acts out – go out a spends a lot of money, goes on a drinking binge, has an affair. He feels he deserves it, look, after all, he says to himself, at what I’ve been putting up with. The message underneath the behavior and anger that usually does not come out very clearly is: “Why don’t you grow up! Why don’t you take some responsibility! Why do I have to do everything around here! Why don’t you appreciate what I am doing for you! This is unfair!” The feeling of unfair is a strong one.

At that point the victim gets scared and moves up to the R position, tries to make up and calm the waters. “I’m sorry,” he says. “I didn’t realize. I really do appreciate what you do. I’ll do better.” Then the persecutor feels bad about whatever he did or said and goes down to the victim position and gets depressed. Then they both stabilize and go back to their original positions.

The other thing that happens sometimes is the victim gets tired of being the victim. He gets tired of the other one always running the show, always telling him what to do. He gets tired of being looked down on because the rescuer is basically saying, “If it wasn’t for me, you wouldn’t make it.” Everyone once in a while the victim gets fed up and Bam, moves to the persecutor role. Like the rescuer, the victim in this role blows up and gets angry usually about something small, or acts out. The message underneath that doesn’t get said is Why don’t you get off my back! Leave me alone, stop controlling my life! Back off, I can do things myself! The rescuer hears this and moves to the victim position. He says to himself, “Poor me, every time I try to help, look what I get.” The persecutor then feels bad about whatever he did or said and goes to the rescuer position and says something like, “I was stressed out, off my meds, tired from the kids. I’m sorry.” And then they make up and go back to where they originally were.

While everyone gets to move among all the roles, often one will fit more comfortably in one role more than another. This has to do with personality, upbringing, and learned ways of coping. The rescuer as a child was often an only child, oldest, or grew up in a chaotic family. He usually did not have many buffers between him and his parents, and learned early on that he could avoid getting in trouble and avoid conflict by being good: “If I can stay on my toes and just do what my parents (and teacher) wants me to do all the time, I won’t get in any hot water.” This type of person learns to be very sensitive to others as a means of survival. He develops good radar and can pick up the nuances of emotions. He is hyperalert, spends all his energy surveying the environment, stays on his toes, ever ready to do what the parents want. Essentially he takes the position of “I’m happy if you’re happy, and I need to make sure you are happy.” He gets rewarded for being good and his head is filled with shoulds.

What works for the child, however, doesn’t necessarily work so well for the adult. Now the world is bigger. Rather than just two or three important people to pay attention to, the rescuer adult has many more – the boss, the IRS, the President of the local Rotary Club or VFW. He now feels pulled in a lot of directions, stretched thin, as he scrambles to accommodate what he thinks others want from him. He easily feels like a martyr, he is always at risk of burnout.

He also has a hard time knowing what he wants. Because he spent so much of his energy as a child looking outward and doing what others wanted, he never had the opportunity to sit back and decide what he wanted. Wanting, unlike following shoulds and rules, is a feeling, and he is often not aware of what he is feeling. As an adult if you ask him “But what do you want?” he hesitates and gets stuck. He worries about making the right decision, about not offending anyone in his life or the critical voice in his head.

He also has a hard time with anger and conflict (which is why he became good in the first place) and tends to stuff anger down until he gets fed up and begins to gag on it. Then he blows up, and because he is so uncomfortable with and it creates so much drama, he feels like his worst dream has come true. He feels guilty, and shoves it all back down again, only to have it build up again.

The victim, in contrast, was as a child was often the youngest in the family, was over-protected as child by parents or had older siblings who stepped in and took over all the time when he was stuck with a problem. What he missed in growing up were opportunities to develop the self confidence that comes from learning to manage problems on your own. Now, as an adult, he easily gets overwhelmed, feels unconfident, anxious. To handle these feelings he looks to the rescuer who takes over and helps him feel better.

The persecutor as a type is the evil twin of the rescuer. Whereas the rescuer controls by being good and nice, and persecutor is angry, critical, and blaming. This is the abuser, and obviously some couples start with this persecutor – victim relationship, playing out childhood models and roles. The persecutor learned early on that when I get scared I get tough. If I can negatively control everything going on around me, no one can sneak up behind me and get me.

Now imagine or draw two A’s next to each other with a line drawn between them. The A stands for adult and is similar to Bowen’s differentiated self. This person is not in a role, is more complete, proactive rather than reactive, self responsible rather than blaming, and is outside the triangle. Adults are peers; they are on the same level in terms of power. The adult says, “I’m responsible for what I think, do, say. If something bothers me, it is my problem. If you can do something to help me with my problem, I need to tell you, because you can’t read my mind. If you decide not to help me, I’ll need to decide what I’m going to do next to fix my problem. Similarly, if something bothers you, it is your problem. If there is something I can do to help you with your problem, you need to tell me. And if I decide not to help you with your problem, you can work it out. You may not handle it the way I might, but you can do it. I don’t need to take over.”

Two of the problems the rescuer and victim have in their relationship is that they do expect a lot of mindreading – you should know what is going on or how to help without my having to say so – and then feel frustrated or disappointed or angry when the other does not. They also have distorted sense of responsibility: The rescuer tends to be over-responsible – your problems are my problems, I’m happy if you are happy, and it is my job to make sure you are happy. In the attempt to “make” the victim happy, the victim over time begins to feel pressure and control, which sets up the explosion. Similarly, the victim tends to be under-responsible – my problems are your problems – I expect you to fix them, and I either have to wait or manipulate you into doing so.

The adults, in contrast, are clear about who has the problem. This is represented by the vertical line running between them. If you feel it, it’s yours. This is a key concept, one invaluable for couples to understand and incorporate. By being aware of who has the problem, the individuals can avoid the defensiveness, anxiety, control, and manipulation of couples caught in the triangle. They also can be more intimate. The problem the rescuer and victim face in their relationship is that the roles, which is not the people themselves but only parts of them, keep them stuck. The rescuer cannot let down his guard, or get too vulnerable because he is afraid that the victim will not be able to handle it. Similarly, the victim cannot ever get too strong because the rescuer will feel threatened and out of job. The long line between the victim and rescuer is real. It represents the emotional distance between them. The adults don’t have this problem. Both can be responsible, strong, and yet honest and vulnerable. They can take risks, are not locked in roles, and hence, can be more open and intimate.

Two people can obviously be in this pattern for a long time – seemingly getting along, suddenly having some acting out or emotional explosion, making up, returning to their roles, and repeating the pattern over and over again. Sometimes, particularly for the rescuer, he will continue until he eventually drops from the weight of it all – he gets a heart attack or has some psychological breakdown, and everyone is surprised and afraid. What can also happen over time, and what often brings the couple into therapy, is that one person is either tired of going around the cycle, or begins to outgrow the role he is in. Like any other pattern it takes two to play the game and as soon as one person begins to move towards the adult, the other gets scared and tries to pull him back in to keep it going.

For example, you may have a rescuer who gets tired of mopping up all the time and starts to pull away and better define boundaries and problems. The classic case of this is the codependent of an alcoholic. The wife, for example, begins to attend Alanon meetings and starts to tell her husband, “Jake, I’m not going to call up your boss for you on Monday morning and tell him you are sick. You can call him yourself. I’m not going to pick you up off the front lawn on Saturday night if you get drunk.” The wife is stepping out of the triangle and if Jake got drunk before, he is going to rip-roaring drunk to get try and hook his wife back in. If that doesn’t work, Jake is likely to switch to one of the other roles: He may shift to the persecutor, get angry, and threaten divorce and custody of the kids or cut off money; he may get nice, tell her how he is going to start going to AA meetings to appease her and bring her back.

Similarly, if the victim moves to the adult position, the rescuer feels threatened. This is often seen in empty nest stage of marriage. The husband has been more or less been in charge – making most of the big decisions, financially supporting the family – and the kids begin to leave home. The wife starts to say something like “You know, Bill, I’m thinking of maybe going back to school. I never finished my degree because I stayed home with the kids, and now is a good time to do it. Maybe I’ll go back into full time work. I think I’d like to get my own checking and saving account so I can have my own money and be more independent.”

While Bill knows what to do when his wife is in the one-down position, he doesn’t know what to do when she shifts. Generally the first thing Bill will instinctively do is be nice but try and talk his wife out of the changes: “Why do you want to go back to school now? You’re 45 years old. What are you going to be able to do with a degree? It will cost us 30 grand for tuition, for what? You don’t need to get a full time job. This is a time to take it easy. We don’t need another checking account. It cost $10 a month in fees that we don’t need to spend.” Stay put is the message. If that doesn’t work, Bill may shift to the persecutor role and get angry – “If you want to go to school, you find a way to pay for it. We’re not taking it out of our retirement.” Or Bill will move to the victim position, get depressed so his wife needs to stay home and take care of him.

Finally, you easily see this dynamic is abusive relationships. If the victim of a persecutor-victim relationship decides to move out of the triangle or out of the relationship and not be a punching bag anymore, the first thing the persecutor will do is more of the same. If he was angry, he is now going to get explosive. He will stalk her, hunt her down, emotionally abuse her or beat her up. If that doesn’t work, he may get nice. He will be calling you up for anger management and ask if you could call up his wife or girlfriend and tell her that he called about therapy, then not follow through. If that doesn’t work, he may get depressed, even threaten to kill himself so she will come back into the relationship.

If all the jockeying around doesn’t work, the person left behind has one of two choices. He may end the relationship and find someone else to play the corresponding role, someone else to control, someone else to take care of them. Of the person left behind can move towards the adult position too.

The challenges of both partners moving to the adult position are several. The natural feeling of the one left behind is that if you care, you’ll stay in the triangle. If they both move, the partners need to develop new ways of showing that they care for each other. There will be a period of transition while these new ways are being created, and the new ways will not, at least for awhile, feel as good as the old ways. There are also the challenges of learning new skills, especially for the one feeling left behind.

The reason the triangle is so strong and works is because the roles are complementary. Each sees in the other what he is unable to see in himself. The rescuer, for example, is not as nice or strong as he thinks, but sees his vulnerability and anger in the victim and persecutor. The victim is not as weak as he thinks, but projects his strength and anger onto the rescuer and persecutor. The persecutor is not as tough as he thinks but only sees his weakness and goodness in the victim and rescuer.

To be successful the each must learn to recognize and incorporate what has been left out. The rescuer needs to learn to recognize his wants, and take the risk of not being good and overresponsible. He needs to learn how to recognize his anger and then use it as for information about what he wants. He needs to experiment with letting go of control, and resist the impulse to fix his own anxiety by taking over when the other is struggling. He needs to learn how to let down his guard, so he can learn to trust and be vulnerable, and nurture in a genuine caring way, rather than out of fear and the need for control.

Similarly, the victim needs to build up his self confidence – by taking risks and doing things on his own, by using the rescuer not as a rescuer but a support. He needs to learn how to partialize problems so he doesn’t feel so overwhelmed. Like the rescuer he needs to tap into his anger and use it to better define his boundaries and wants.

Finally, the abuser needs to recognize that his anger is a defense. He has to look for the softer emotions that he sees in the victim – the hurt, the sadness, the regret – in himself and beneath the cover of his anger. He also needs to shift his strength to one that is more generous, needs to find ways of being nurturing and allow himself to be nurtured by the other.

The relationship triangle gives you a way of conceptualizing the dynamics of a relationship. See where you fit.
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Making Relationships Work: The Big Four. What this article describes are the core skills and challenges that face most couples, along with step-by step ways of putting these skills and concepts into operation.

Making Relationships Work: The Big Four
It isn’t about luck or chemistry (though it helps) or simply slogging through (though sometimes you need to do this). Like a lot of things in life, success in relationships is a little about skill, a little bit about awareness, a lot about honesty. So here are the Big Four that can make your relationship work. Get ready to take notes!

#1. How not what. Sam and Allie disagree about how to rearrange the living room. They both start off calm and rational, but the conversation somehow quickly turns into an hot argument about who always gets their way, who has no sense of taste, etc. And after a few more minutes, it gets even more ugly and out of control than that – they are into mothers and Christmas ‘04.

There are actually two things going on simultaneously in this argument – content and process. Content is about what you talk about – ideas about the living room. Process is about how you talk about it – the way the conversation gets hot and off course. Process always trumps content. Having a conversation like driving a car down the road. You want to pay attention to where you are ultimately trying to get to, but you also need to pay attention to your driving. Once you start to veer off the road – the conversation is getting off course – you need to steer back to the center line, or if necessary, stop before it is too late. If you don’t, you’ll wind up in a emotional ditch, and never get to your destination.

Makes sense, but it’s not what we instinctively do. When we get angry we instead try to fix our emotions by heaping on more content – bringing up examples from the past, making more points in our argument – if we can get the other person to finally understand, we’ll feel better. But he can’t because he’s in the same boat – is emotionally flooded and can’t process what you are saying. At some point anything you say will only heat the other person even more – your words are like throwing gasoline on fire. The problem in the room is no longer about furniture, but the emotions. You need to put the emotional fire out. There are two ways to do this:

1. Be quiet and listen. This is your first line of response as soon you realize the conversation is getting heated and going off course. Listening does not mean (though at first it may feel like it) that you are giving in. By listening, and reflecting back the emotion – “I know you are feeling frustrated, angry, etc.” in the most calm voice that you can muster – you are no longer feeding the fire with content, and the emotional fire can burn itself out. Now what the other person may do at first is ramp up to get you to re-engage and get back in the fight – “At least I never…!” “Well, your mother _____!” Don’t go for the bait. Hold steady, stay calm yourself, and eventually the other person will begin to settle.

2. Call a halt. If listening and reflecting doesn’t seem to work, or if you are having a difficult time containing your own emotion, it’s time to call a halt, equivalent to pulling the car off to the side of the road and stopping. Stopping is important to prevent the emotional wounding that can happen in a heated argument. Stopping is about self control, self responsibility.

The best way to do this is to agree on a first-aide-time-out plan ahead of time. Here are the steps:

1. Decide on a non-verbal time-out signal – throwing the dish towel up in the air, doing a referee time-out hand signal, whatever you agree on. Use this signal to call a halt as soon as either one you feels the conversation is getting out of control.

2. After signaling your time-out, stop talking, and set a kitchen timer for a half hour or hour – this marks the designated cool-off period.

3. Do whatever you need to do to calm down – sit in the car, lock yourself in the bathroom, stand in a corner and take 30 deep breaths.

4. At the end of the allotted time you both come out of your corners and try the conversation again. If one or both of you are still too emotional, stop and reset the timer. You may need several breaks, or even wait until the next day to calm down. Only talk about the problem when you are both emotionally flat-lined.

Because emotions and rational thinking don’t mix, real problem-solving in the middle of a heated argument is impossible. What this plan does is separate the two – cools the emotions so you can then rationally solve the problem. Knowing the first-aide steps in advance helps ensure success.

But even though you understand the drill, getting it down will take practice. Expect the first couple of attempts to be a bit ragged. One of you will signal the stop and the other will want to get a last word in, or will say something to push your buttons and keep you engaged. The key is self-responsibility – paying attention to you, rather than what your partner is doing. Stop. Set timer. Leave and cool off. Then come back and try again.

#2. Healing Old Wounds. Sam may or may not agree with the where Allie wants to put the couch, but what can really set him off is the way she seems to just dismiss his ideas – she rolls her eyes, or doesn’t seem to listen. This feeling of dismissed or discounted is an old wound for Sam – he felt it a lot as a kid – and it still stings. When this happens with Allie, he reacts the same way he did when he was young – gets angry, withdraws, or becomes accommodating and child-like.

Within close relationships, childhood wounds tend to be complementary. Sam’s anger, withdrawal, or accommodation triggers Allie’s old wound – she now suddenly feels controlled, frightened or abandoned – and her response – getting angry, withdrawing or accommodating herself – only further fuels Sam. Around and around they go, both feeling like hurt 10-year-olds. Not only does this re-wounding keep them from solving their problems, over time one or both of them is likely to get tired of repeatedly feeling like a kid and always being re-injured. They back away from each other or talk about leaving the relationship. Enough, they say to themselves, is enough.

But it doesn’t have to be this way. There is challenge and opportunity here. Rather than you and your partner replicating the old wounds of the past, you can instead help each other heal them. Here’s how:

1. Figure out what feeling you are most sensitive to – feeling controlled, being dismissed, feeling unappreciated, etc. If you are not sure what your triggers are try finishing this sentence: I always wind up feeling ________. or People always _______ me. This will give you a clue to your wound and the underlying story you tell yourself that makes it hurt.

2. Think about what type of things your partner does that triggers this feeling – gets this loud menacing voice, doesn’t notice that you took out the garbage, gives you advice when you didn’t ask for it. Usually your partner is not doing any of these things to hurt you, in fact, he is in his mind just “doing what he does,” – isn’t angry but in his mind feels excited, is being controlling but rather helpful by giving advice. It’s your past experience and sensitivity that causes you to misinterpret and over-react.

3. Tell your partner what this wound is – I’m sensitive to loud noises; when you don’t notice what I do to help I feel unappreciated – and what you would like her to do differently –listen rather than giving advice; leave me alone when I seem upset, compliment me when I help out. Essentially what you are doing here is letting your partner understand what makes you tick; rather than just complaining, you’re telling her concretely what to do instead. More importantly, you are doing what you couldn’t do as a child, that is, being assertive and asking for what you need and want.

4. Go against your own grain. Your partner’s behavioral changes are only half the equation. You need to change your own response as well. Whatever your instincts are – to withdraw, get angry, accommodate – consciously try and do something else – control your temper, be assertive and say what you want, stay engaged and listen rather than worrying about figuring out what the other person wants. By doing this you override your old patterns, and, in turn, are less likely to trigger your partner.

5. Focus on you. You don’t want to fall into the trap of thinking that the only way you can feel better is to somehow get your partner to change. Concentrate on you. Change what you are doing, don’t worry about your partner. By focusing on you the over-sensitivity fueling the pattern will stop, and your partner will actually be better able to take care of himself.

#3. Create a Vision. Awareness of the process and the healing of old wounds helps you both keep the car that is the relationship on the road, rather than going off into the ditch. But journeys are not just about good driving, they are about destinations. And this is what creating a vision is all about.

There are two versions of this. One is the short-term, your everyday life. What types of things do you like to do in a day, a week? What do you like to do alone, together as a couple, as a family? How much time do you need by yourself or want with your partner or children? Imagine an ideal day. The other is the long term. What is your vision of life five years, ten years from now? When the children are grown? When you retire?

It’s important as a couple to talk about these dreams and goals and to more or less be on the same page. This is the essence of compatibility, that my vision of life is similar to yours.

#4. Think positive. Or better yet, act positive. What research has shown is that you need a 4:1 ration of positive to negative comments in a relationship in order for you and your partner to feel anything positive. Anything less - like a 2:1 ratio where you feel you are always complimenting your partner – is likely to be heard that you are critical and on her back. Only by moving up the ratio – letting your partner know as often as possible what you enjoy and appreciate, what you find touching, caring, and considerate – can she not only feel her efforts are noticed and rewarded, but can she better understand what you need. This conscientious focus on the positive goes a long way in offsetting the negatives that arise, and can change the entire tone of the relationship.

So there you have it – The Big Four – the skill of keeping conversations on track and out of the ditch; the challenge of allowing each other to become aware of those things that you are most sensitive to, and then ultimately helping heal each other’s old wounds; the art and honesty of creating a common vision; the awareness and sensitivity to let your partner know what you need and appreciate most. If all this is new for you, try starting with the first. Once you are able to keep the conversation safely on the road, it will be easier to move towards the others.

Keep in mind
it is not about doing it right, but doing it different. You goal is changing patterns, not creating perfection. If you go off the road, pay closer attention next time to you and what you need to do to stay on course. Take acceptable risks, stay honest, envision your life. With practice it will become easier, you will feel more self confident. You’ll find that your relationships will work.

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Practice Makes Better

These skills can also be practiced in other areas and ways in your daily life. Here are a few suggestions:

Practice assertiveness. Though perhaps less strongly, it’s likely that your old emotions wounds get ignited with other people and in other places – you feel micro-managed by your boss, for example, or ignored when out with a group of friends. Again, speak up rather than getting angry, withdrawn, or accommodating. Let your boss know her supervisory style isn’t working for you and what you would prefer. Tell your friends how you feel. Realize what is from the past, but act in the present.

Use your emotions as information. Rather than harboring hurt feelings, taking them out yourself, or dumping them on others, try thinking of your emotions as information – what does your anger or hurt tell you about what you need most?

Pay attention to process. When talking with a friend, try noticing the process of the conversation – unspoken emotions, the give and take, the way the conversation veers off course. Practicing this skill in more neutral situations will make it easier to notice it with your partner and family.

Schedule a vision update. Some couples set aside time on New Year’s Day or someone’s birthday to review the past year, set goals for the next. It’s a good way for both of you to keep current and clear.
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Relationship Repair: 10 Tips for Thinking Like a Therapist. This one was another favorite on the Psychology Today site and even got translated into Russian. If you feel stuck in a relationship, you’ll find that there is plenty you can do.


Relationship Repair: 10 Tips for Thinking Like a Therapist

(If Freud can do it so can you)

Maybe you’re in a relationship trough – arguments and hassle or disconnection and silent parallel lives. Of maybe it's less major: your husband leaves his socks on thef loor and it drives you nuts, or your wife doesn’t help you get the kids to bed. 

Big or small you have a few options. You could try and sort this out on your own (you’ve probably already tried that); do nothing and see if it somehow gets better (probably not), or you could take the plunge and go see a professional – a couple therapist (a decidedly better if somewhat scary idea). Where the therapist has a leg up over the other options is a couple of things. One is perspective – she is looking at your relationship from the outside, rather than in the emotionally stuck middle that you are undoubtedly in. Not only does this make it easier for her to be a voice of reason and reality, but she can also see the greater gestalt that up close you cannot. But the other big advantage is that she probably thinks about relationship problems and solutions a bit differently than you might. 

And that may be your 4th option – try thinking like her. While there are different styles and orientations to therapy here are 10 top tips for thinking like a relationship therapist: 

1.
Think patterns not people. When thinking about relationship problems it’s easy to think in terms of people, specifically who is right, who is wrong, who is screwed up, and who is really screwed up. This isn’t usually helpful and only leads to a blame game. Instead of people, think patterns. A does something, this triggers B, who in turn triggers A, then B. Some patterns are beneficial and help us stay sane and stable, others are neutral habit, but some are deadly and capable of body damage. 

The therapy mantra is that the pattern is more powerful than the people. (Try sitting in someone else's seat at dinner tonight and see what happens -- just make sure all the knives are out of sight). So rather than wasting your time worrying about who is right, use it to try and decode the dysfunctional pattern. Once you do, change it. A good way to do it is to talk about it (the pattern) rather than the people: "I notice that a lot of times that when if I ask if you could pick up your socks you say you will but then don't, and then I get annoyed and nag you and then you blow up. I'm wondering if we can do this differently." But even if you can't do that, for whatever reason, just try changing it and if you can let the other person know your intentions: "I'm doing this because I'm worried that ________." The beauty of patterns is that if you hold your ground the pattern has to change. You, all by yourself become the change agent of the relationship. Certainly a good and important start. 

2.
Think how not what. Therapists tend to divide communication into 2 parts: Content – the what – and process – the how. In an argument about Tuesday vs. Wednesday the facts you line up to make your case about Tuesday are content; the fact that you are both getting upset and arguing is the process. 

The rule here is that process is always trumps content. When emotions heat up the problem in the room is the emotions, not whatever you are arguing about. Unfortunately when emotions kick in, we’re  tempted to ramp up the content as a way of dealing with emotions – you want to get the other person to understand,damn it, and you’re likely tempted to fight to the death to make your point. Anything you say at this point is like throwing gasoline on a fire -- it's likely to be misheard, misinterpreted.

Put out the fire by focusing directly on the process, the emotions and actions – we’re beginning to argue, I’m starting to feel angry. Fix the emotion -- your anger – by deep breathing and calming yourself down, by walking away. Do your best to stay out of the weeds of content; if you don't you'll wind up talking about Christmas '08 again, and you know where that leads. 

But process too follows patterns. You and your partner each have your own ways of dealing with tension and conflict. Your overall way of handling stress and emotions – withdrawal, anger, passive accommodation – your modus operanti, so to speak -- invariably and consistently triggers the M.O. of the other person, which in turn fuels yours. Quickly you both get into a negative loop that becomes your combined standard way of dealing with conflict and tension -- anger / withdraw, withdraw / withdraw, anger / anger, etc. Your goal again is to break the pattern.

The easiest way to do this to try doing the opposite of your instincts – if you tend to withdraw, try stepping up and speaking up; if you get angry, calm down and listen; if you accommodate, figure out what you really want and say it rather than walking on eggshells. Again your behavioral-emotional change will encourage the other to do the same. 

3.
Think adult. This is another way of thinking about #2. Adult here means being responsible with your emotions – using them as information rather than spraying them around the room. It is about being responsible in action – not harming others or misbehaving. It is about being responsible for your problems – that is, you ultimately need to deal with and fix them rather than expecting others to do it for you. It is realizing that it isn't always about you; it is not taking everything so personally; it is understanding that the other guy may be struggling inside in his or her own way. It is about being reasonable. It is …well, acting like an adult. 

Most of us are generally able to pull off being adult at work, or when we're in a good mood. Trouble happens when we're at home, when the mood is sour. It's then that we're apt to slip into feeling like a 10 year-old and get all sulky or angry or powerless. As soon you realize you're slipping into that 10 year-old feeling (and you know when you are), it's time to remind yourself that you, regardless of how you feel right now, are a grown up, and map out in your mind what a responsible adult may do. Sure, there’s an element of “faking it till you make it,” but by doing your best to adhere to an adult stance you can gradually train yourself (actually your brain) to feel empowered rather than frightened or small. It's a matter of catching and changing it; with practice the catch and change will become easier, more automatic.

4.
Think of problems as bad solutions. Whatever you see as a problem – the socks on the floor, the lack of sex, your partner’s anger – ask yourself how it may be a  bad solution to some other problem underneath. You want to be curious about the driving impulse. You don’t have to have the answer but you need to raise the question: "Help me understand why you leave your socks on the floor;" "We haven’t made love in a long time – how come?" And because anger is often driven by worry and fear – ask “What are you worried about?” rather than “Why are you so pissed off?”. What is important that you sound calm when you ask the questions – like Mr. Rogers. If you sound angry or irritated, expect shut down or anger back. 

5.
Think present not past. When you are struggling in a relationship, it’s easy for your mind to automatically scan through the past, collecting further evidence of injustices and mistreatment. It may give you fuel for futile arguments, but will do nothing to solve the problem and will only further drag you down. 

Instead try to focus on the present. Push aside the temptation to go down that history road and zero in on the here and now – the current problem, your current worry, the present: What can you do now? 

6.
Think behavior not emotion. Many of us falsely believe that we need to feel like it to do it, which means if we don’t feel like it, we won’t or can’t. But if you keep doing the same thing you will keep feeling the same way. Don't wait for your feelings to change, do something and then your feelings will eventually catch up.

Behavior is the key in creating change because, unlike emotions and often even thoughts, behavior is the one aspect of ourselves that we can truly control. Action gets you out of the emotional mud and is an excellent antidote to depression and feeling trapped. So give your partner a hug 5 times a day whether you feel like it or not and see if it doesn’t change the emotional climate in the house.

 7.
Think small, think success. The hug is actually a good place to start. Because change creates anxiety, both change and anxiety are best tolerated in smaller doses. Because the goal is the break patterns, to do it different, rather than doing it Right, you don’t need to think make-over or major campaign. Instead you simply want to step outside your comfort zone and take concrete steps, however small, that you can successfully do. So try the hug, and if that seems too tough, start with ramping up compliments or writing a note letting the other know how you have been feeling just to get things rolling. 

And should even these small steps seem too overwhelming to take within the relationship, try building up your skills and confidence in easier environs. If, for example, you are trying to be more positive or more open or more assertive, road-test these behaviors with friends, strangers or coworkers where there are less emotional triggers to derail you. Once you get your sea legs there you can move on to the heavies like your partner or parents. 

8.
Think support. You can make changes on your own but it is a lot easier with support. Obvious support are people in your corner – your friend who encourages you, your mother who calls up and asks how you’re doing, a therapist who coaches from the sidelines and keeps you on track. But it can also come from reading and learning more about relationship change, from the online support of others dealing with the same problems. Or even from within you. Take the time to notice not failure but success, not doing it right, but taking risks. Pat yourself on the back hard and often. 

9.
Think you. In case you haven’t noticed, all these suggestions involve you, not the other guy. The stance that most couples enter counseling with is: "I have a problem with you and as soon as you change (or I or the therapist can get you to change), I’ll feel better." This doesn’t work. All you both wind up doing is fighting over who should change, creating a futile power struggle. 

Skip the drama, the playing victim, the manipulation. Again be adult. Think about you, what you can do to fix the problem. Yes, do your best to let the other person know what you need and what he can concretely do to make things better, but then get to work. Have some tunnel vision, buckle down and do what you can to make the situation and problem better without keeping score, tallying up martyr points, without any expectations on the other. Again, since the focus is on changing patterns, if you do your part the best you can, things will begin to change. 

10.
Think effort not outcome. There is that inspirational saying that you see in the hallways of businesses: Good decision come from experience and experience comes from making bad decisions. Mastering life and relationships is a long process of experimentation and elimination. Life isn’t Ready, Aim, Fire; it’s Ready, Fire, Aim. Try something – with mindfulness, clear intentions and a good heart -- see what happens, adjust and try again. That’s always the best you can do, and don't waste your time and energy with internal scolding or heavy-hearted regret. On any given day you're always doing the best you can.

Hopefully these tips give you something to work with, that you will find something that can help you approach your relationship problems in a different way. You don't have to be Freud, you don't have to do it all at once; instead see which of these ideas catch your attention. Then pick a situation, a pattern, a problem, and map out a different approach, a concrete behavior that you can put into place. Start small. Focus on you. One change will lead to another.

You can’t make a mistake.
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Finally a change of pace. This was a fun article for me originally published in Psychotherapy Networker and inspired by my several stint doing comedy improv. It's not about therapy, but how to run your life…

The Tao of Improv


“Hey, Mike! Give me a hand with this, will ya? It’s heavy.”
“Sure, Joe.”

Apparently my name is Mike and I’ve decided to call Brad, Joe. We both crouch down and mime picking up a roughly 4 by 4 imaginary concrete block. We creep slowly, bent knees, our arms outstretched, taut.
“Let’s put it down here.” Brad / Joe says. Be careful of your back.”
“I got it, I got it,” I say huffing.

It is the weekly practice of our improv troupe, The Improfessionals, and Brad and I are starting a 3-person scene; Ann, stands on the sidelines waiting for a good time to enter. In improv fashion our fellow actors have set up the scene by giving us suggestions: Brad and I are brothers who run a concrete factory, and Ann is surprisingly free to be any character she likes. But to ramp up the challenge, they have endowed each of us with a phobia – mine is a fear of bold print, Brad’s is a fear of aftershave lotion, and Ann’s is condiments. Somehow we need to work these into the scene and our characters.

Brad and I put the imaginary block down. We both stand with hands on knees, puffing like race horses.

“Hey,” says Brad, carefully walking around the “block” towards me. “I took a glance at the new invoices this morning. Doesn’t look good – there’s a bunch of bold print in a lot of them. You better let me take care of them.”

“Whoa, thanks man,” I say, patting him on the back. “The companies never used to do that so much. But now… I was going through those receipts last Thursday, it just sneaked up on me. Right in the middle of the page, in some like 48 font. Freaked me out! I had to put it down as soon as I saw it, and it took me forever to settle down.” I shake my head as though trying to dislodge the memory.

“I know, I know,” says Brad, hugging my shoulders. “Don’t worry about it.

I stumbled into improv several years earlier. It was a time in my life when I had just finished emotionally marching through a some significant losses – the death of my father, then my first wife – the hospitalization of my daughter. I was also bored with my job – lots of long-winded, stagnant community meetings, worries about the morale among my 40+ staff, sweating the quarterly budget review, and having little time for clinical work. I felt dazed, dull. Then one day I stumbled on a sign posted in a store window. A woman was offering improv classes, and to my own surprise, I called, and then actually showed up. The class was a good mix of men, women and backgrounds – a computer guy, an aikido instructor, a research biologist, a salesman, a musician, a poli-sci student – folks very different from my usual world.

I liked the energy of the group. As we got to know each other, I started to feel like I did in high school – having a gang to hang and fool around with. Our teacher gave us different exercises and challenges each week, and I found myself playing characters much like my clients – drug dealers, hyperactive children, depressed moms. In contrast to regular lives, we were encouraged here to not to plan or even think, but simply do. What came out was often strange, off-the-wall stuff – guessing games involving traveling to work on a giant soap bubble, a bar scene where you had to wear a 3-cornered hat to get served, a bizarre reinterpretation of Snow White where Snow White has heavy romantic crush on Dopey and the evil stepmother is actually a brush salesman. I wasn’t bored. I wasn’t calculating. I wasn’t worrying. And most everything we did seemed hysterically funny, a good antidote to my low-grade depression.

After a year of lessons, our class decided to start a performance group, and like every garage band in the country, we took any gig would could – 10:00 pm Tuesday at a local bar, a Thursday afternoon at the public library, the annual Vegetarian festival at the park, the random high school reunion, an out-the-way coffee house – usually for gas money, with an occasional beer or coffee thrown in. Sometimes we were hot, other times not, but like a lot of introverts I found that I liked being on stage.

You probably know at least a bit about improv –a Second City show, Who’s Line Is It Anyway on TV, unscripted movies like Waiting for Guffman or The Mighty Wind. Watching this type of comedic improv gives you the impression that the actors on stage are either comic geniuses, on heavy doses of really good medication, or both. They’re loose, witty people who have the uncanny ability to think on their feet – to make up country-western songs about toothpaste on the spot, to create incredulous scenes about OCD accountants balancing books while floating in outer space. Great stuff.

But, like most arts, what seems so easy and natural is actually the product of lots of hard work. Beneath the quips are hard-learned skills, and beneath these skills is a structure that is almost invisible. These are the rules of improv, the assumptions and worldview upon which the actors build their scenes and create the experience. Improv is like it’s cousin jazz, where what drives the musician is not some impulsive and random banging of notes, but a careful, yet spontaneous construction built around chord progressions and melodic line. It’s like therapy, a very different conversation than the one you might have with the neighbor you meet at Wal-Mart, one both goal-directed yet unrehearsed.

The rules of improv, I found, paradoxically, showed me how to be more free and creative. They provide a unique way of approaching relationships that is generous rather than closed, supportive rather than competitive, organic rather than scripted. How I felt when doing improv made me wonder how my own work and life might be more creative if I simply tried to applied them.

Brad and I are talking about the big block order that has to go out that day. We’re doing the talking heads thing – standing around, mumbling. The energy in the scene is draining; we seem a bit lost. Ann enters to come to our rescue.

“Hi, guys,” she says, high stepping onstage, talking in that slight southern accent that she does so well. “My name’s Trish. How are you boys today? I’m your local Mary Kay representative,” she says with a big smile and pointing to an imaginary name badge. “Nice concrete plant you got here,” she says, circling her hands around the room. “ I just love these cinder block walls – so gray and… solid. So, I was in the neighborhood and wondering if you’d be interested in seeing some of our latest Mary Kay products?”

Rule #1: Yes and. This is it, the holy grail, the mantra of improv. Yes and means that you accept all of your fellow actor’s offers, rather than blocking – denying, ignoring, changing – what your partner just said. Brad calls me Mike, and I don’t say, Hey, wait my name is Tom. When he asks me to help lift the heavy block, I don’t say I’m busy and can’t, or Come on, it isn’t that heavy. We follow each other’s lead, rather than competing for the lead, and in the process discover and create our relationship and reality: We find out in a few moments that we’re brothers who help each other; that Brad’s tends to be protective and tries to shelter me from the bold print that he knows upsets me; that I may have a bad back.

And you fully commit yourself to the reality you both create. You don’t forget about the imaginary block is in the middle of stage and absentmindedly walk through it; you stay within your character and don’t stand suddenly upright after you just said that your back hurts. And when Ann says she is Trish from Mary Kay, we don’t say, Gee, you don’t look like a Mary Kay rep, or that we’re guys and don’t care about cosmetics. Instead we say, Yes indeed, we’d love to see your stuff.

Yes and is a Zen-like state of mind. You work with what life offers rather than fighting against it. You stay open and build on other’s ideas, rather than always dismissing, resisting, and jockeying for power. It’s the counter to the Yes but, the No, the defensiveness and anger that we usually hear from clients struggling with their relationships.

As therapists this is what we are fundamentally about – it’s active listening, it’s Rogerian unconditional positive regard – and we do our best to try and pass this along to our clients. It may be part of our clinical philosophy, the notion that a client’s problem somehow makes sense, that solving it means unraveling and understanding it, rather than forever pushing it away. But even for us, our own anxiety takes over sometimes and the Yes and becomes Yes but. Mary says that she’s decided to stop taking her meds, or that she cut herself again yesterday when her supervisor said she was late again, and you find yourself saying: “Hmmm, Mary, I don’t think that stopping the meds is such a good idea; you know, your depression symptoms will probably start coming back” or “I thought we agreed you were going to call your sister when you got upset” rather than saying something like, “I understand, Mary, what you are saying. Can you tell me why you decided to stop, why you felt you needed to cut.” Rather than saying yes, and joining and understanding Mary, we react negatively, we challenge, sound scolding and dismissive. We hear resistance and try and overpower it.

Brad and I start acting like teenagers competing for a girl’s attention. “We don’t get many pretty visitors like you,” says Brad. “More fat truck drivers and guys with tool belts. Have a seat,” he says, dusting off of the chair on stage. “You want a cup of coffee? It’s fresh.”

I physically nudge him aside. “Hey, Trish, I know what you’d like. How about a nice ketchup sandwich? It’s Heinz.” I say, smiling and holding up the imaginary meal. “Just made some for lunch. I have extra.”

Ann lets out a gasp. “Did you say ketchup?” She’s hamming it up. “Oh, God.”

“That’s okay. If you don’t like ketchup, I also have a mustard and relish sandwich,” I say, straight-faced.

Ann lets out a yelp as Brad moves in to help calm her down. I struggle to keep from laughing.

Rule #2. Act / React. The core belief here is that everyone on stage should be always working to contribute to the scene. If Yes and is about attitude and acceptance, this rule is about taking responsibility and confronting fear. You do this is by being courageous and following your instincts. Put something out there and trust that your fellow actors will follow your lead. Take the risk, don’t hold back, make bold choices. Don’t talk about taking action, don’t wait for the “right” moment, act now and see what happens. Pick up the block, stand on a chair, then justify after why you are picking or standing. Act – take responsibility for creating the relationship – then let others respond, listen, and react and build on their responses.

The opposite of all this – caution, hesitation, not pulling your weight – is what creates scene death. Instead of acting and adding to a scene – you malinger – pretending to smoke a cigarette while waiting to see what your teammates do – adding little in content and energy. The worse form of this irresponsibility is what is known as “pimping” your partner. You ask open ended vague questions – So where are we? What’s your name? – rather than making a clear proactive statement – I’m so glad the hot air balloon was able land here in the Sahara desert; or I’m Tom and I don’t think I’ve ever met a leprechaun like you before. Instead of saying a joke you say to your partner– “This is the funniest joke I have ever heard,” and then hand him an imaginary piece of paper. “Here it is. Why don’t you read it out loud.” Rather than stepping up to the plate, making a clear choice, and being assertive, you waffle, wimp out, and manipulate your partner into shouldering all the responsibility for moving the scene forward.

While you don’t want to hang back and never act, you also don’t want to make the other improv mistake of going in the other direction – always acting and attacking and never reacting and yielding. This is known as driving the scene, and actors who do this seem like control freaks. They think they have a great idea for the scene and push all the other actors in that direction. They dominate the action, don’t listen, do yes-buts. And while their ideas may be funny or interesting, it doesn’t work because the process ultimately undermines any possibility of success. The other actors feel dismissed and emotionally pummeled; they may go along as best they can, but don’t care, because what is happening is your idea not everyone’s. The scene quickly gets stilted, loses energy. The audience usually gets irritated or bored. It becomes for them a little bit too much like real life.

We all know in our clinical work how easily responsibility in relationships can get abandoned or distorted. Frank runs the show at home and in your office and his wife Ellen never speaks up, always goes along. Sue binge-drinks all weekend, and Eric is calling up her boss on Monday telling him that she has the flu rather than hung-over. Brian and Teresa talk about dividing up household chores more equally, but never do it and only continue to complain and complain.

Our job is counter this inertia and fear. When clients begin to withdraw, we encourage them to take risks, to act differently, right here and now, and say what’s on their minds and in their hearts. We ask the hard questions – do you think of suicide, do you want to get divorced, do you worry that this is your fault – that hopefully nudge them to talk about the underlying pain, the undisclosed secret, the unremitting terror.

And if we’re good at our job, we model this courage as well. But sometimes like improv actors, we, like our clients, wimp out. Frank really is intimidating and rather than challenging him or finding out how Ellen is feeling, we act like her and let him go on; Sue probably is alcoholic, but we’re tired and don’t really know much about addiction treatment, and rationalize to ourselves why we should just continue with our standard list of assessment questions; Brian and Teresa once again start complaining about chores, but instead of moving them towards concrete action, we instead only half-listen till they wind down, then change the topic and ask how the kids are doing. We give up out leadership, and sink into the client’s emotional climate and ways of coping, rather than changing it. It’s our anxiety, our fear. It’s our choosing to stay in our comfort zone, rather than taking the risk of busting out and seeing what happens.

“Well, you guys just caught off guard there with all your hospitality. You-ee” and she shakes her head. “ Just a little problem I’ve had since I was a little girl. I’m fine now.” Ann stands up and pulls down on the front of her imaginary suit jacket. “Well, now,” she says, regaining her saleswoman composure. “How about I show you both our new Spring line of men’s aftershaves?” Her voice is bubbly. She mimes opening a large sample case.

“Uh, I need to go to the back and check that block order,” says Brad on cue and in a shaky voice. He begins to back up.

“Hold on, Joe” I say, patting him on the back. “Don’t leave. We can do this.”

Rule #3. You can look good if you make your partner look good. One famous adage in improv is that everyone is a supporting actor. This concept follows directly from the others – acceptance, responsibility – now trust and commitment to each other. This is what makes improv relationships in some ways the perfect relationships. Rather than looking out for yourself, you’re always looking to support the other actors – to help him out, just as Ann did when Brad and I were running out of ideas – knowing that they’ll do the same for you when you start to flounder or get stuck. By my stepping up and offering something to Brad when he starts to shake, he and I have a way to discover together how his character is going to handle this aftershave fear. If he looks good, and he helps me look good, together we have successful scene. It’s the same impulse that drives the comradeship of soldiers in combat. We got each other’s back, we all pull our weight, we leave no one behind. We’re a team. What we do, we do together.

In contrast to such generosity is a stinginess and distrust that we see in many relationships. Mike and Loren are discussing what they might do together as couple over the weekend. It quickly has the feel of poker game. Mike is willing to do something on Saturday afternoon, if she will let him watch the ballgame on Sunday; Loren is willing to go for a hike if Mike promises to take the kids to soccer practice on Saturday morning. They are cutting deals, hoarding and counting some limited number of emotional chips. They each only show their hand if the other guy shows his first. They’re strategizing and posturing and bluffing rather than being honest and committed to each other as a couple. Each has learned over the years to look out for himself because they each believe their partner won’t.

As therapists we may be less likely to do this with clients, but certainly may do this with other colleagues in the field. We hold tight to our clients, we promote and posture ourselves and feel competitive towards other therapists in town, other programs like our own. In the improv world the chips aren’t limited, their infinite. We’re playing not against each other on stage or in a scene, but for each other. I give you what I most need and believe that you will give it back. I can lean into the relationship because I know and trust that you’ll catch me.

Brad is looking down, is hesitant. “Are you guys okay?” asks Ann. “Did I say something wrong.”

“No, it’s okay,” I say, holding up my hand. “Just give us a minute.”

I put my arm around Brad’s neck. “I understand that you feel responsible for dad. But you didn’t know, he didn’t know that putting on too much aftershave could trigger his heart attack.”

“But I was the one who gave him the aftershave to him for his birthday,, says Brad, now pretending to cry. “If I hadn’t given it to him, he’d still be here. It was my fault.”

“Joe, it wasn’t your fault. Don’t feel guilty,” I say quietly. (Hmmm, where is all this coming from I wondering to myself). “Remember what dad said in hospital – that men are more than big muscles and sweat. That you don’t have to smell of concrete dust all the time. He didn’t blame you. He wanted us to be like him. He always wanted us to know that it was alright to… smell good.”

Rule #4. Be truthful, be vulnerable. One of the mistakes that new improvisers make that they try hard to be funny. It never works. It feels forced, it falls flat. Instead of funny go for vulnerable. Stay in character and be honest. This is always more interesting for the audience, always moves the scene along, and more often than not, turns out funny anyhow.

We know how truthful and vulnerable applies to our work, and know how hard it is for clients and ourselves to get there. It’s another form of confronting fear, and it depends on the other rules – a acceptance, trust, responsibility, the belief that the other guy has your interests at heart. Clients often test the emotional waters by initially tossing us a low-risk problem. Sarah comes in saying that she’s struggling getting her kids in bed, Lou says he is having trouble sleeping and thinks it is work stress. After a few sessions and if we’ve helped them feel safe, Sarah mentions her childhood sexual abuse, her nightly binging behavior. Lou talks about the big argument he and his wife had over the weekend, and his nightly fantasies of walking out and leaving her and the kids behind.

And sometimes we freeze up ourselves. A client reminds us of our mother or has been referred to us by the top therapist in town, and we find ourselves stepping into our “professional” role. We try and impress – making what we think are cleaver interpretations, giving lecturettes to show how much we know – worrying about how we’re doing, rather than listening to the client. We make sure with have eye contact and work hard to look concerned, rather than relaxing and seeing what comes up inside us in the moment.

The message of this rule is honesty should always be the default. In a pinch, when you don’t know what to say, you say you don’t know what to say. You don’t hide behind pat answers, your standard role, but push yourself instead towards authenticity and immediacy. Like the other rules, you take the lead and help clients to do the same.

Brad stands up straight, wipes his eyes one last time, and pumps his arm. “You’re right,” he says “Let’s do this for dad.”

“Trish,” I say, “sorry to keep you. Let’s see what you got in that case... Oh no, bold print!”

And scene.

Rule #5. There are no mistakes. In a good improv scene everything is incorporated, nothing falls to the wayside. A character’s anger, someone’s limp, the joke that falls flat, the imaginary cup that gets dropped all get acted and reacted to. You work around and with what others offer, and trust that you’ll all somehow pull it out. All grist for the mill, you see what evolves, focus on what’s being created in the moment. Like poetry you seek to connect the odd and seemingly out of place – concrete and cosmetics, aftershave and guilt.

None of us knew where this scene was going to go when it started – that Brad and my relationship would be close rather than antagonistic, that Ann would be selling cosmetics instead of delivering sand or being a dog, that we would wind up talking about loss and grief instead of fraternity parties or ways to knock out one of the walls in the factory. And while it turned out to be a pretty strong scene, it could have fallen flat with each of us wandering around, not listening, staying safe and doing nothing interesting.

And it doesn’t matter. We were trying to remember the rules, practicing our skills, practicing ourselves, and most of all playing and having a good time. Some clients get stuck in their relationships and their lives because they worry about making mistakes or are haunted by past ones. Couples find themselves in stale marriages because choose to stay in their comfort zone, and use routine and distance to replace spontaneity and confrontation. Some clients, and undoubtedly some therapists, become preoccupied with following, what they imagine to be, the one path towards the one goal. They scold themselves when they feel they have strayed, when things don’t turn out as they imagine they should, rather than patting themselves on the back for taking the risk and learning something new about themselves and their lives.

A few years after taking up improv I quit my job; after 30 years of agency work I decided to go into private practice. I started to do workshops on family therapy and supervision, finding myself putting my improv skills to good use – spontaneously acting out the personalities of clients, complete with different voices, when presenting case examples. Having never traveled oversees before, I took myself on a 3-week trip across China. And I got married.

Diane has come to see me for therapy because her husband walked out on her after 20 years of marriage. She is trying to make sense of what happened. She sits in my office tearful as she remembers one of her last conversations with her husband before he suddenly left. She feels guilty, she says, because she was tired and irritable, and paid little attention to his rant about his boss. She now thinks that if she had listened and provided the support he was seeking, he wouldn’t have stayed so frustrated, and maybe, just maybe, not had left.

I’m about to tell her that big decisions usually don’t work that way, that it’s not one thing but an accumulation of incidents and feelings over time, but then I remember my father in the hospital. I begin to tell her how I felt when I knew he was dying, knew in my therapist head it was my last opportunity to say to him what I appreciated and loved about him, but instead I said nothing at all. He died several hours later. I feel bad, I say to her, that I never spoke up. I try to tell myself that we always do the best we can in the moment – on good days it helps, on other days it doesn’t. Diane nods her head and becomes quiet.

The core of my clinical work hasn’t changed – I still follow the same models and theories that I used to. But I’m sure a few years ago I wouldn’t have told this story to Diane, I would have instead tried to talk her away from her guilt. I am in some ways less cautious, more focused on process than content, more energetic and interactive in sessions. I try harder to listen to clients, to Diane, to understand where they are and what they offer. I do my best to act and react, and get excited about what we may just be able to create together.
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