Monday, May 24, 2010

Repeating the Same Behavior and Expecting Different Results

I was talking to a friend recently about the idea of "repeating the same behavior and expecting different results." She gave me permission to tell her story as part of my blog because she thought it might be helpful to other people. So, let's call my friend Donna (not her real name).


Repeating the Same Behavior and Expecting Different Results

Several years ago, Donna was expressing her ongoing frustration to me about her boyfriend's compulsive overspending. She and I talked about this numerous times. She usually said something like, "I told him, 'If you don't stop overspending, I'm going to stop bailing you out,' but does he listen to me? No. He just keeps overspending and I keep lending him money to pay his bills."

Donna and her boyfriend were caught in vicious cycle of his overspending and her bailing him out and then her feeling resentful about it. She knew she was caught in a cycle, but she didn't know how to get out of it. At the time, she couldn't understand why he didn't change.

One day, I came across a poem by Portia Nelson called "There's a Hole in My Sidewalk" and I thought of Donna and her habit of continually bailing out her boyfriend and continually feeling resentful about it. So, the next time that she complained to me about her boyfriend's overspending and her efforts to bail him out, I said to her, "It sounds like you have a hole in your sidewalk." She looked at me as if I was crazy, but before she could say anything else, I gave her the poem:

There's a Hole in My Sidewalk - By Portia Nelson

Chapter One:
I walk down the sidewalk.
There is a deep hole in the sidewalk.
I fall in.
I am lost...I am helpless.
It isn't my fault.
It takes forever to find my way out.

Chapter Two:
I walk down the same street.
There's a deep hole in the sidewalk.
I pretend I don't see it.
I fall in again.
I can't believe I am in the same place.
But it isn't my fault.
It still takes a long time to get out.

Chapter Three:
I walk down the same street.
There is a deep hole in the sidewalk.
I see it is there.
I still fall in...it's a habit.
My eyes are open.
I know where I am.
It's my fault...I get out immediately.

Chapter Four:
I walk down the same street.
There is a big hole in the sidewalk.
I walk around it.

Chapter Five:
I walk down another street.

After she read the poem, Donna smiled and said, "I see what you mean. I keep falling into the same hole. I need to walk down another street."

Shortly after that, Donna found a therapist to work on this issue, and she also started attending Al-Anon to deal with the codependent dynamics between her and her boyfriend. When her boyfriend approached her the next time to tell her that, once again, he ran up his credit cards and he wanted to borrow money from her, she told him that she couldn't lend him the money. 

It was very hard for her to break her usual pattern of bailing out her boyfriend because she had been doing it for so long and he had come to expect that she would bail him out. So, of course, there was no incentive for him to change because he never had to face the consequences of his behavior. She told him that he would have to figure out some other way to deal with his debts. Needless to say, her boyfriend was very unhappy with this response and he couldn't believe that she wouldn't lend him the money.

Donna's refusal to continue in the same codependent behavior caused a big argument between them, and her boyfriend ended their relationship. 

The breakup was very hard for Donna. She went through several months of emotional pain and doubt as to whether she had done the right thing by refusing to lend her boyfriend money. Several times, she wanted to pick up the phone and tell him that she was wrong and try to reconcile their relationship. But deep down, she knew that she had done what was right for herself as well as for him.

A year later, Donna met the man who eventually became her husband. She is very happy in her relationship and, in hindsight, she realized that refusing to keep "falling down the same hole" over and over again with the same results was one of the best things that she had ever done for herself.

Making a change is a process. And changing an established pattern can be very difficult. First, you have to be aware that you're engaging in this pattern and recognize the consequences of it. It's very easy to be in denial and to blame other people or external circumstances. If and when you do become aware of an ongoing pattern that is not bringing you the results that you want, you have to be willing to change. Once you have established the willingness to change, you need to take action to stop repeating the same pattern.

Getting Help in Therapy
If you're caught in a cycle where you continue to repeat the same behavior with the expectation of different results, you could benefit from working with a licensed psychotherapist who can help you through the change process.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, and Somatic Experiencing therapist. 

I work with individuals and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 during business hours or email me.



























Wednesday, May 12, 2010

Becoming Aware of What We Offer in Our Interactions with Others

"Thousands of candles can be lit from a single candle, and the life of the candle will not be shortened. Happiness never decreases by being shared."
Buddha

Someone shared this aphorism with me this morning. It's attributed to Buddha, even though I'm not a Buddhist, I've been thinking about its meaning throughout the day in terms of my everyday interactions with friends, family, and clients.




Living and working in NYC, in any given day, I interact with many people of diverse ethnic backgrounds, ages, races, cultures, traditions, and economic backgrounds. It seems to me that what most of us have in common is that we want to lead happy, peaceful, and meaningful lives, no matter who we are, where we come from or what our hopes and dreams are for the future. So, it's worthwhile, from time to time, to consider what we offer others in our daily interactions.

Are we mindful of the effect that we have on others?

Do we offer encouragement or discouragement?

Do we offer compassion or indifference?

In one of my prior articles, I discussed the idea of emotional saboteurs primarily from the perspective of the person who might find themselves faced with someone who, however unwittingly, might sabotage their endeavors. But it occurs to me that, if we are not mindful about it, anyone of us could be on the other end of this dynamic--being the one who might be emotionally sabotaging others. It could happen so easily without our even realizing it.

Even in our most simple daily interactions, there's often room for compassion and kindness to others, even when we might not be able to see it at first.

Mindfulness in Your Everyday Interactions with Others
I'm reminded of a brief interaction that I had several months ago with a cashier at the organic store where I usually get my dinner before I see clients in my psychotherapy private practice.
Usually, I'm in a hurry to buy the food and go back to my office for a short dinner break before my first evening client arrives. There is a particular cashier in this store who is usually cheerful and pleasant. But she looked worried, sad and distracted that day.

I was really struck by this because it seemed so unusual for her, and I usually looked forward to seeing her and exchanging pleasantries with her. But on this day, I could tell that there was something very wrong. Not wanting to intrude, I asked her how her day was going, opening up the possibility for her to talk about whatever might be going on, if she wanted to.

She seemed relieved to be able to tell someone what she was worried about, and she began to tell me about how worried she was about a medical bill that she received in error that her insurance company refused to cover. Without getting into the details of this woman's problem, after she told me about it, I realized that she was getting the runaround from the insurance company as well as the hospital. And it seemed that she was being taken advantage of because she's not from this country originally. Her bill was in the thousands of dollars and she had no idea how she would ever pay for it on her cashier's salary.

Since I'm a clinical social worker, as well as a psychotherapist, and I've helped many people with this type of problem over the years in the past, I was able to give her information about who to call and what she could do to advocate for herself. For me, it was a small gesture that took almost no time or effort on my part. But for her, it was very valuable information because she said that no one, including the social workers at the hospital, who should have been able to help her, was being helpful. Knowing that she had rights as a patient and knowing that there was something that she could do, changed her whole demeanor. She looked like her usual cheerful self again and she was very grateful.

When I went into the store the next time, she went out of her way to greet me and tell me that she was able to resolve her problem using the information that I gave her, and the hospital and the insurance company straightened out the mistake so everyone involved agreed that she was not responsible for the hospital bill. Ever since that time, she has been even more pleasant and friendly whenever I've seen her. And she was able to tell me that, once she resolved that problem, it had a positive ripple effect on her family, who had also been worried about the bill.

This is a simple example. It's not meant to brag about my good deed or to say how wonderful I think I am, but to show that any one of us , each in our own way, can have a positive effect on someone else's life without having to make very much of an effort, if we are mindful of the opportuniites when they come along. And that positive effect that we have on one person can ripple through to others.

On another day, if I had been distracted or too much in a hurry or if I had decided not to ask this woman how she was, there might have been a very different outcome for her and her family. And for me too--because afterwards I realized that it often takes so little in our interactions with others to have a positive effect.

We Can Affect Positive Change through Mindful Interactions with Others
And, most of the time, just like the candle in the aphorism at the beginning of this article, whether we are sharing our happiness, inspiration, or information, our efforts do not take anything away from us. If anything, these interactions with others allow us to see that, in a world where we often feel that we are powerless to affect change, we can often affect positive change in the lives of others, one person at a time.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.

Thursday, May 6, 2010

Do You Feel Like a Child Again During Family Visits?

What is it about family visits that make so many people regress to feeling like young children again? How is it possible that people who function very well in their every day lives--whether they're teachers, firefighters, or CEOs of major corporations--can be reduced to feeling like helpless children during a visit home to their families?

Feeling Like a Child Again During Family Visits

For many people, family visits are a time when they look forward to seeing their parents and siblings. They're fortunate to have nurturing relationships with their families, so going home is a positive experience. 

But for others, who are not as fortunate, going home to see parents is fraught with conflict and stress. Some people describe family visits as if they are tiptoeing through an area filled with land mine. They feel they must think carefully before they broach any topic that might set off either an argument or emotional estrangement.

Many people are surprised that they can feel so confident and mature in their every day life, but when they return to family's home, they feel like children again. They find themselves reacting to the same old emotional triggers that caused problems between themselves and their families when they were growing up.

A Clinical Vignette: 
The following scenario, which is a composite of many clients with all identifying information changed to protect confidentiality, is an example of the challenges that many people face when they visit their families on holidays and feel themselves regressing back to their childhood:

Roger:
Roger was known in his firm as a tough and tenacious litigator. Whenever his law firm had a difficult case, the senior partners would call on Roger because he had a reputation for being one of the best attorneys in his field. He loved his work and would often spend long hours preparing for a case. He was also in a loving, stable, long-term relationship with his girlfriend, and they planned to get married.

On most days, Roger felt like he was on top of the world. He never backed away from a challenge. But all of that changed whenever he went home for a family visit, especially on Mother's Day. As he described it, he could feel himself transforming from a successful, mature adult to an angry child the moment he set foot in his parents' house. Both his mother and father overwhelmed him with unsolicited "advice" that felt like veiled criticism about everything from how to maintain his apartment to how to manage his money.

He could feel the anger rising up in him during those times because he felt infantilized by his parents. It didn't seem to matter that he was already in his early 40s, he earned a very good living, he owned several properties, he had a good relationship and good friends, and he was generally considered a very successful person by most people's standards. Notwithstanding of all this, his parents felt the need to tell him what to do, how to do it, and when to do it, and this infuriated Roger.

But what infuriated Roger the most was that he "took the bait" in these situatons every time. Even though he vowed to himself each time not to allow his parents to get him angry, he always reverted back to feeling like the angry child that he was when he lived at home with his parents. Once this dynamic was set in motion, he felt himself sliding down that same old emotional slippery slope every time.

This was Roger's presenting problem when he started psychotherapy. He wanted to be able to visit his parents (whom he really loved, despite how angry he often felt towards them) and maintain his sense of himself as a competent adult without the emotional regression. He wanted to be able to spend quality time with them without feeling emotionally triggered by their behavior when they treated him like a child.

To that end, after exploring his childhood relationship with his parents, Roger and I planned for his next visit on Mother's Day. He already knew that his mother tended not to like his Mother's Day card or any gift that he gave her. He knew that, even though his parents were well meaning, they still saw him as their youngest child who needed their "advice." He also knew that something happened to him whenever he was in their presence. He felt trapped, like a child who could not leave his parents' home and who was forced to endure behavior that humiliated and infuriated him.

Regressing to Feeling Like a Child Again During Family Visits

Before his next Mother's Day visit, Roger and I strategized about how he would maintain his sense of self as a competent, mature adult, and how he could set limits with his parents. Since these visits always made him feel anxious, we role played various scenarios which often occurred on his visits home. 

With practice, Roger felt more competent about handling the upcoming family visit. And whereas he usually did not feel entitled to set limits with his parents because he regressed emotionally to feeling like a child, with practice in our sessions, he was able to internalize that he was entitled to be treated like an adult. And if his parents had a need to treat him like a child, for whatever reason, that was their problem and he would not allow it to affect him.

On that Mother's Day, Roger visited his parents armed with the strategies that we had practiced in our sessions. He was still nervous and feared that he would sink back down into feeling like an angry, helpless child again before he would be able to implement these strategies. 
He also feared that his parents would not respond well to his setting limits with them. 

Nevertheless, he was able to stand his ground as soon as the unsolicited "advice" and veiled criticism started coming his way. At first, his parents seemed surprised. They had never experienced Roger push back before. 

But contrary to Roger's fears, he was able to set limits with his parents in a loving, tactful but firm way. It made him feel confident and empowered. And, from that day forward, his parents stopped treating him like a child, and he stopped feeling like a child in their presence.

Conclusion
Visiting your family on holidays like Mother's Day or Christmas can be an emotional challenge. But you can learn to change the dynamic between you and your parents during these visits. 

Often, when you change your way of relating to your parents, they will learn to respond to you as an adult and not a child. Often, the key is to learn what triggers your regression from a mature adult to feeling like a child and learn ways not to get triggered. 

That might mean setting limits on what your parents say to you, how they treat you or your partner, or it might mean spending less time with them during these visits, but making that time as enjoyable and meaningful as possible.

I knew a woman who used to hold onto her car keys in her pocket whenever she went home to visit her parents. Holding the car keys in her hand was a reminder to her that she was a mature adult who was not trapped in her parents' home like she was when she was a child. After a while, she no longer needed to do this because she internalized these feelings without the keys as "props."

Emotional regression during family visits is a common experience. Psychotherapy is often helpful to overcome these feelings. But there are no one-size-fits all strategies. Every person's experience is unique. 

Getting Help in Therapy
If visiting home brings up more intense feelings, like the type of feelings that come up that are related to childhood trauma, EMDR therapy or clinical hypnosis can be valuable in helping you to overcome trauma.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.