Expanding Your Perspective About 1ntimacy

Many people think of sex as being exclusively penis-in-vagina (also known as P-in-V), but sex is so much more than P-in-V (see my article: Understanding Your Sex Script).

Expanding Your Perspective About Intimacy

P-in-V sex for heterosexual couples is one aspect of sex, but it's important to develop a broader perspective about sex, which is the purpose of this article.

Why Is It Important to Develop a Broader Perspective About Sex?

A broader perspective about sex includes:

• A Validation of Non-Penetrative Activities: Non-penetrative sex is also called "outercourse" to distinguish it from intercourse. There are many other non-penetrative sexual activities that are pleasurable. These activities are often referred to as "foreplay", but that word diminishes sexual activities that many people prefer. It's also a narrow heteronormative view of sex that invalidates what many people like (see my article: Changing Your Sex Script).

Expanding Your Perspective About Intimacy

• An Improvement in Sexual Satisfaction, Especially For Women: The majority of women don't orgasm from penetrative sex alone. Many of them require clitoral stimulation to have an orgasm or for sex to even be pleasurable. Expanding the definition of sex to include other forms of sexual stimulation can lead to more fulfilling sexual experiences for women (see my article: To Improve Intimacy, Get Off the Sexual Staircase).

Expanding Your Perspective About Intimac

• LGBTQIA+ Experiences: Defining sex as P-in-V invalidates the experiences of gay, lesbian, bisexual, trans, queer and asexual people. An expanded perspective of sex includes all consensual pleasurable activities between partners.

• A Non-Performative Perspective on Sex: Focusing exclusively on penetrative sex can create pressure, anxiety and stress. For instance, when sex is seen as solely penetrative, it can place a lot of pressure on men to maintain an erection, which can develop into an anxiety spiral that creates problems with erections. Broadening the definition of sex allows partners to focus on mutual pleasure rather than performance (see my article: What is Performative Sex?).

Expanding Your Perspective About Intimacy

• An Accommodation For Different Abilities and Preferences: For people who have different sexual abilities due to aging, physical pain or other conditions, non-performative sex can be a fulfilling alternative. It also offers other options for couples who might prefer other sexual activities than penetrative sex (see my article: 5 Common Myths About Sex in Long Term Relationships).

Expanding Your Perspective About Intimacy

• An Increase in Emotional Intimacy: Non-performative sex (or outercourse) can enhance emotional connection by emphasizing communication, exploration and intimacy without the pressure of performative sex (see my article: Emotional Vulnerability as a Pathway to Greater Emotional and Sexual Intimacy).

Getting Help in Sex Therapy

Many individual adults and couples would like to broaden their sexual activities, but they don't know where to start.

Sex therapy is a form of talk therapy where a sex therapist focuses on sexual issues (see my article: What is Sex Therapy?).

There are no physical exams, nudity or sex during sex therapy sessions. 

If you have been having sexual problems you haven't been able to resolve on your own, you could benefit from seeking help from a licensed mental health professional who is a sex therapist.

Rather than struggling on your own, seek help in sex therapy so you can have a more fulfilling sex life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Couples Therapist, Somatic Experiencing and Certified Sex 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 during business hours or email me.

Creating Rituals of Connection to Strengthen Your Relationship

Rituals of connection in relationships are small, intentional acts and routines that couples create to build intimacy, trust and emotional connection (see my article: The Power of Creating Personal Rituals).

Creating Rituals of Connection

What Are Rituals of Connection?

Rituals of connection might include:

• A morning kiss

• A good night kiss

• A kiss any time during the day just because you want to

Creating Rituals of Connection

• Meals together without screens or other distractions

• Date nights

• Massages

• Consistent bedtime routines

• Playing together

• Sharing meaningful memories

• Exercising together

• Daily walks together

• Meditating together

• Romantic texts throughout the day when you're apart

• Expressing appreciation for your partner on a regular basis

• Uninterrupted time each day when you're together with no distractions, including no phones or computers

• Reading poetry or inspirational prose to each other

• A shower or bubble bath together

• Weekend getaways

• Planning vacations together

• Developing your own traditions together

• Celebrating anniversaries and other meaningful occasions

• Creating plans for the future together

Why Are Rituals of Connection Important in Relationships?

Rituals of connection are important to:

• Express your love for one another

• Create a sense of connection

• Develop a sense of comfort and trust

Creating Rituals of Connection

• Create a shared sense of meaning

• Strengthen emotional and sexual intimacy

• Make romance a part of your daily life together

• Show appreciation for each other on a regular basis

• Improve communication
  

• Keep the spark alive
  

• Keep joy alive

How to Create Rituals of Connection For Your Relationship

There are many different ways you can create rituals of connection.

Here are some suggestions you can try:

• Set Aside Time to Talk to Your Partner
• Identity Shared Values and Interests: Talk about what you both enjoy so that the rituals are enjoyable for both of you

Creating Rituals of Connection

• Discuss What the Ritual Will Include: How will it begin and how will it end?

• Start Small: Choose one or two rituals to start and see how that goes for each of you

• Design Your Rituals

• Make Rituals As Simple or Elaborate As You Both Want: Rituals don't have to be a certain way. You can decide together what you want to include. When in doubt, keep it simple.

• Assess What Works: Assess your rituals after a few days or weeks to see what works for both of you and what you might want to change.

• Choose Activities that Build Connection: This can include:

• Daily rituals

• Weekly or monthly rituals

• Rituals that commemorate special occasions

• Be Consistent

• Be consistent so that you and your partner learn to expect these rituals on a regular basis

• Consistency builds regular habits

• Be Flexible

• While you strive to be consistent, be flexible as life circumstances change

• Be intentional but not rigid

• Be Open to New Ways to Strengthen Your Connection
• Be creative

• Be open-minded to new rituals

• Have fun

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Therapist (for couples), Somatic Experiencing and Certified Sex 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 during business hours or email me.

Improving Your Relationship By Practicing Teamwork

Practicing teamwork in your relationship is essential to developing and maintaining relationships (see my article: Relationships: Are You Pulling Together or Pulling Apart?).

Improving Your Relationship By Practicing Teamwork

To practice teamwork, it's important for both you and your partner to feel you have each other's backs and you will tackle whatever issues come up together.

Focusing on being a team means you each give up some control and the need to be right all the time. It also means that you learn to compromise.

How to Practice Teamwork to Improve Your Relationship

The following dynamics are important to working together as a team in your relationship:

• A Willingness to Start By Looking at How You Might Be Contributing to Problems in the Relationship: Before you can become a team, you need to be aware of dynamics in your relationship that are not working. Instead of pointing your finger at your partner, focus on yourself first and think about how you might be able to change to improve your relationship. This means letting go of keeping score of your partner's mistakes and making a commitment to make changes in your attitude and behavior.

Improving Your Relationship By Practicing Teamwork

• Trusting You Have Each Other's Backs and You're Willing to Compromise: You are two different people so, naturally, you're not going to feel the same way about everything, but when it comes to resolving problems, you can agree to work as a team to come up with a compromise. You're not focused on getting your way. Instead your focus is on coming up with the best possible compromise that you both can live with.  This means you might not get everything you want, but your focus is on strengthening your relationship. If there are current trust issues, you're willing to work on these issues to strengthen your relationship (see my article: How to Build Trust and Connection in Your Relationship).

Improving Your Relationship By Practicing Teamwork

• Coming Together to Focus on the Problem Instead of Blaming Each Other: When you approach problems as a team, you avoid blaming each other for the problems and, instead, you focus on the problems together. It means you and your partner approach difficult situations together to come up with potential solutions or compromises. This might include:

• Money issues (see my article: Arguing About Money)

• Family problems (see my article: What to Do If Your Partner and Your Parents Don't Get Along)

• Career changes
  

• Stress (see my article: Recognizing Signs That You Are Under Too Much Stress

• Emotional pressures

• Other issues

• Communicating in An Open, Honest and Respectful Manner: This includes: 

• Active listening to your partner's perspective--even if it's different from your own

• Taking turns speaking without interrupting, judging or criticizing each other

Improving Your Relationship By Practicing Teamwork

• Being clear about your own hopes and dreams for the relationship--even if it's different from your partner's hopes and dreams

• Emotionally validating each other's feelings--even if you disagree with your partner's perspective (see my article: How to Use Emotional Validation in Your Relationship)

• Establishing Common Goals (see my article: 10 Relationshp Goals That Can Make Your Relationship Stronger)

• Developing Clear Expectations: Once you have established common goals for the relationship, you need to discuss how you will accomplish these goals and get clear about each other's expectations with regard to each of your roles and responsibilities to avoid confusion and resentment.

• Celebrating Your Successes: When you have successfully taken a step towards accomplishing your goals, recognize and celebrate this success together.

Improving Your Relationship By Practicing Teamwork

• Providing Emotional Support to Each Other: Practicing teamwork includes being each other's source of emotional support. You are each other's "rock" in good and challenging times (see my article: What Do You Need to Feel Closer to Your Partner?).

• Expressing Your Appreciation For Each Other: It's easy to take each other for granted especially if you have been together for a while. Take the time to express your appreciation to each other so you each feel valued and loved (see my article: The Importance of Expressing Gratitude To Your Partner).

• Making Time For Each Other: Scheduling quality time to spend together to have fun. This includes time for emotional and sexual intimacy (see my article: Try a Little Playfulness).

• Repairing Ruptures Between the Two of You Sooner Rather Than Later: When arguments or conflicts arise and you know you made a mistake or hurt your partner, be willing to apologize to repair the rupture between the two of you as quickly as possible. Certain ruptures might take a while to repair, but the sooner you address them, the more likely you will be to repair whatever hurt or angry feelings there might be without the growing resentment that often develops over time (see my articles: How to Deal With Resentment in Your Relationship and Stages of Forgiveness).

• Get Help in Couples Therapy: If you are unable to come together as a team, you could benefit from getting help in couples therapy to work on these issues. A skilled couples therapist can help you so you can have a more fulfilling relationship (see my article: What is Emotionally Focused Therapy For Couples?).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience working 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 during business hours or email me.

Also See My Articles:

What Do Couples Talk About in Couples Therapy?

Common Misconceptions About Sex Therapy

What Are Common Issues Discussed in Sex Therapy?

 

Common Relationship Problems After Infidelity

I have written several articles about infidelity in the past (see the links for these articles throughout and at the end of this article).

In the current article I'm discussing on some of the most common problems people in relationships experience after infidelity.

In the next article, I'll discuss steps to repair emotional and sexual intimacy.

Repairing Intimacy After Infidelity

What Are the Most Common Relationships Problems After Infidelity?

Different people will face a variety of problems after infidelity  (see my article: Coping With Infidelity).

Here are some of the most common problems:

• Lack of Trust: Lack of trust can include the betrayed partner questioning their other partner's behavior, thoughts and feelings even when the partner who cheated tries to assure them that they are no longer cheating (see my article: Learning to Trust Again After Infidelity).

• Feeling Devastated: After infidelity is discovered, the betrayed partner can feel emotionally devastated including feeling sad, angry, resentful, ashamed, humiliated, confused, self blaming, powerless, "not good enough" and questioning their desirability. The partner who cheated can also feel emotionally devastated with guilt, shame, sadness, regret, and fear of losing their partner.

Feeling Emotionally Devastated After Infidelity

• Barriers to Communication: It's common for both people to have problems communicating with each other after an affair. Both people can have problems expressing their feelings to each other.

• Struggling With Uncertainty About the Relationship: Even if both people want to repair the relationship, they might also be struggling with uncertainty as to whether or not the relationship can be repaired and, if it can, what the relationship would look like in the future (see my article: Should You Stay or Should You Leave Your Relationship?).

• Struggling With How to Begin the Healing Process: Emotional healing can be a challenge for both people. The betrayed partner might not know how to begin the individual healing process--even after they have decided to try to repair the relationship. The partner who cheated also might not know how to heal especially if they feel they don't deserve to heal because they cheated and caused their partner pain.

• Struggling With Forgiveness: Forgiveness involves more than just the partner who cheated saying "I'm sorry" and the betrayed partner saying "I forgive you" (see my article: Stages of Forgiveness).

Struggling With Forgiveness After Infidelity

• Rebuilding Emotional and Sexual Intimacy: People often struggle with how to rebuild emotional and sexual intimacy after an affair. This is especially challenging if they have waited a while to seek help and they have fallen into a pattern of emotional and sexual  disconnection.  Even if a couple has resumed having sex, they can't assume this means the relationship has been repaired if they haven't gone through the repair process. When couples don't go through that process, there are often unspoken emotions that come to the surface in many different ways (see my article: Have You and Your Partner Stopped Having Sex?).

Clinical Vignettes:

The following clinical vignettes, which are composites of many different cases to protect confidentiality, illustrate some of the common problems people experience after infidelity:

A Relationship With a Monogamous Agreement

    Maria and Sal:

Maria and Sal were married for 10 years when she discovered sexts from another woman on Sal's phone. At first, Sal tried to dismiss Maria's concerns by telling her these sexts didn't mean anything, which served to upset Maria even more because she felt Sal was dismissing her feelings and minimizing the problem.

Sexting and Infidelity

When he realized how distraught Maria felt, Sal took responsibility and admitted he had been having a sexual affair online and in person with another woman for several months. At that point, Maria told Sal that, although she was deeply hurt and angry, she didn't want to end their marriage especially since they had two young children. 

After Sal agreed to end the affair and never have contact with the other woman again, both Maria and Sal agreed to "put it all behind" them and "move on." 

At first, this was a relief to both of them, but over time they realized Maria was having problems trusting Sal. She was suspicious about every text he received and insisted on monitoring his phone. She also didn't believe him when he had to go on a business trip. In addition, she repeatedly demanded to know if Sal was thinking about the other woman and, when he said he wasn't, she didn't believe him.

Initially, after they agreed to remain together, their sex life became more passionate. Maria wanted to prove to Sal and to herself that she was sexually desirable and Sal wanted to prove to Maria that he found her desirable. But after a few weeks, their sexual passion began to wane because of the trust issues--until they stopped having sex altogether (see my article: Have You and Your Partner Stopped Having Sex?).

They didn't know how to talk to each other about these problems or where to begin to repair their problems with emotional and sexual intimacy.

A Relationships With a Consensual Nonmonogamous Agreement

    Bob and John

Bob and John were in a long term consensually nonmonogamous relationship (CNM). Their agreement was their relationship was primary. They also agreed they could have sex with other people, but neither of them would get emotionally involved with anyone else. 

In order to decrease the possibility of developing emotional ties with other men, part of their agreement was that they would only have sex with another person once and then never have contact with that man again.

Initially, they agreed they would have a "don't ask, don't tell" agreement where they could have sex with others, but they wouldn't let each other know about it. 

But, over time, this didn't work for them because they felt the secrecy was harming their relationship. So, they revised their CNM agreement so that they would talk about it before they got sexually involved with others (see my article: What's the Difference Between Privacy and Secrecy in Relationships?).

Their revised agreement seemed to be working out well--until Bob found out from his friend that John was having a long term affair with another man.

Infidelity Can Occur in Consensually Nonmonogamous Relationships

When Bob confronted John, he told him he couldn't believe John went against their CNM agreement. He was hurt and angry.

John admitted he broke their agreement, but he never meant to hurt Bob.  He also told Bob he wasn't sure if he wanted to stop seeing the other man--even though he knew this would cause John a lot of pain.

Both of them wanted to remain together, but Bob knew he couldn't tolerate John having an emotional attachment to another man.

After Bob found out about John's involvement with another man, he distanced himself from John emotionally and sexually.

They both felt stuck and they didn't know how to deal with their problem.

Next Article

In my next article, I'll continue discussing these two vignettes and how couples/sex therapy can help.

Conclusion

Emotional and sexual intimacy are often negatively affected after infidelity.

Many people want to remain in their relationship, but they don't know how to move forward.

Getting Help in Couples/Sex Therapy

If you're having problems repairing intimacy in your relationship after infidelity, you could benefit from working with a couples therapist who is also a sex therapist.

Getting Help in Couples/Sex Therapy

Most couples therapists have no training in sex therapy, so they might be able to help couples to repair emotionally, but they don't have the skills to help them repair sexually.

Rather than struggling on your own, seek help in couples/sex therapy so you can repair emotional and sexual intimacy in your relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: Common Misconceptions About Sex Therapy).

With over 20 years of experience, I have helped many 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 during business hours or email me.

Also See My Other Articles:

What is Emotionally Focused Therapy (EFT) For Couples?

What is Sex Therapy?

What Are Common Issues Discussed in Sex Therapy?

Relationships: Do You and Your Partner Understand Each Other's Needs?

Whether you and your partner have been together for many years or you're early in your dating relationship, you both might have different needs, so being able to communicate is important (see my article: How Well Do You Know Your Partner?).

What is Your Definition of Intimacy?

It's a common mistake for individuals in relationships to assume that they and their partner have the same understanding of intimacy, but this often isn't true.

Understanding Each Other's Needs in a Relationship

How you and your partner define intimacy and each of your needs might be different, which can lead to misunderstandings if you don't know this.

When one partner makes a gesture for emotional connection, but in that moment the other partner needs personal time apart, this difference can lead to feelings of rejection for the person who wants connection and feelings of being pressured for the one who needs personal time apart.

If these differences aren't discussed, both people can feel too vulnerable to approach their partner. The one who wants more closeness can fear being judged as "needy" and the one who needs their own personal time can fear being labeled as "emotionally cold" or avoidant.

How to Develop Effective Communication to Understand Each Other's Needs

Unfortunately, when couples experience differences in terms of what they each need, they often avoid the topic or, if they want to talk about it, they don't know how to do it.

Understanding Each Other's Needs in a Relationship

Admittedly, it can be difficult to initiate a conversation about individual differences with regard to intimacy, but not talking about it often increases emotional distance between each partner.

To reconnect with each other, a couple needs to be able to express their needs and be open to what their partner needs.

What Are the Different Types of Intimacy?

Intimacy includes:

• Emotional Intimacy

• Physical Intimacy

• Mental Intimacy

• Emotional Intimacy: Creating a safe haven for each person to express their emotional needs is essential. If one or both people think they will be criticized about their needs, they won't be able to communicate openly. So, even though you and your partner might be different with regard to the type and amount of emotional intimacy you each need, it's important to start with the mindset that you're both going to listen to each other with openness and respect.

Understanding Each Other's Needs in a Relationship

• Physical Intimacy: Some people need to feel emotionally intimate first before they can become sexually intimate. Others need to feel connected sexually before they can feel emotionally intimate. Neither way is right or wrong, it's just different. It's also common for individuals in a relationship to experience sexual desire differently, so it's important to understand yourself and your partner, especially if you have differences.

• See my articles: 

• Whereas Many Women Need Emotional Connection to Feel Sexual Desire, Many Men Need a Sexual Connection to Connect Emotionally
  

• Spontaneous and Responsive Desire Are Both Normal

• Mental Intimacy: Feeling mentally stimulated by your partner is just as important as feeling emotionally and physically stimulated. If you and your partner find that you have little to talk about beyond your children and your jobs, you could benefit from talking about your hobbies or interests. You each might be different when it comes to talking about what is most interesting and fulfilling to you. It's not unusual for two people to have different interests and it's also possible to get curious about your partner's interests and for your partner to get curious about yours. 

Clinical Vignette

The following clinical vignette, which is a composite of many different cases to maintain confidentiality, illustrates how a cisgender heterosexual couple can become closer by working on these issues in therapy:

Jean and Bill

When Jean and Bill were dating, they both felt emotionally, physically and mentally drawn to each other.

Ten years into their marriage, Jean suggested they seek help in couples therapy due to an increasing sense of estrangement and boredom between them.  

Bill was somewhat reluctant because he wasn't accustomed to talking about his feelings to a mental health professional, but he agreed to attend couples therapy because he realized they were drifting apart.

After meeting with each of them individually to get their individual histories with regard to their family, prior relationships and sexual history, they had their first couples session together. 

The couples therapist, who was also a sex therapist, asked them what each of them wanted to get out of couples therapy.

After a moment of awkwardness and silence, they turned to each other and Jean was the first to speak, "We've been drifting apart for the last several years and I'm afraid that if we don't do something to change this, we're going to live together as roommates or our relationship might not last."

Bill responded, "I feel like Jean doesn't understand that I need my alone time, especially after I come home from work. It's like she can't wait to tell me about her day and, don't get me wrong, I want to hear about it, but I feel bombarded when I first walk through the door. I don't want us to continue to drift apart, but we need to work out our differences when it comes to time together and time apart (see my article: Time Together Vs. Time Apart).

Over time, Bill and Jean spoke about this issue as well as other obstacles to emotional, physical and mental intimacy. This was their first experience with talking about these topics and, although they were each hesitant to talk about their needs at first, they learned to approach these talks with openness and curiosity.

They both expressed feeling more genuinely connected to each other--even when they were talking about their differences. 

Since they had become increasingly estranged over the last several years, their work in couples therapy was neither quick nor easy. But they both felt they were being more authentic with each other which brought them closer together.

They each learned to be open and curious about their individual interests. They also learned they were different in terms of their emotional needs. 

Bill felt most connected to Jean when they were sexual and Jean felt more sexually turned on when they were emotionally connected. So they learned to talk about this and make adjustments in how they interacted. 

Jean realized she wasn't usually spontaneously interested in sex, but once she and Bill began kissing, she got turned on. 

She learned that if she was willing to start being sexually intimate, she usually got turned on (see my article: For People With Responsive Desire, a Willingness to Get Started is Often Enough to Get Aroused).

Bill experienced sexual desire spontaneously. All he had to do was think about sex and he was turned on, but he learned to appreciate Jean's responsive desire, so he slowed down to align with her experience, which made their sex life more pleasurable for both of them.

As obstacles came up in their couples therapy work, their couples therapist helped them to work through them so that, over time, they had a more fulfilling relationship.

Getting Help in Couples Therapy

If you and your partner haven't been able to resolve your problems on your own, you could benefit from seeking help in couples therapy.

Rather than struggling on your own, seek help from a skilled couples therapist so you can have a more fulfilling relationship.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex 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 during business hours or email me.

 

Coping with Perfectionism in Your Relationship

Perfectionism can take its toll on a relationship because it often leads to criticism, conflict and lack of emotional and sexual intimacy (see my article: Overcoming Perfectionism).

Coping with Perfectionism in Your Relationship

Just like most other tendencies, perfectionism is on a continuum with some people being more perfectionistic than others.  

People who are perfectionists can be harder on themselves than they are on other people. 

Coping with Perfectionism in Your Relationship

Nevertheless, it can be challenging to be in relationship with someone who is a perfectionist, so it's helpful to know

• The typical signs of perfectionism
• The cause of perfectionism
• How to cope in a compassionate way if your partner is a perfectionist
• When to get help in therapy

I'll be addressing these issues in this article along with a clinical vignette as an illustration.

What Are the Signs of Perfectionism?

Some of the following signs can indicate a tendency towards perfectionism:

• Feelings of inadequacy

• A fear of making mistakes

• Being overly critical of oneself

• Obsessiveness around details

• Defensiveness around your own mistakes because making a mistake can be scary for you

• A fear of criticism or disapproval from others

• Equating self worth with accomplishments

• Shame

• Low self esteem

• A need to control

• All or nothing thinking

• Overthinking decisions or situations

• Lack of flexibility

• Procrastination due to fear of your efforts not being perfect

• Difficulty celebrating your successes
  

What Causes Perfectionism?

There are degrees of perfectionism with some people having worse problems than others.

Perfectionism is often caused by early childhood experiences with parents who had unrealistic expectations.  

Perfectionism and Childhood Trauma

Children who grow up in this environment usually try to avoid their parents' harsh criticism and judgment by trying to be perfect. But since there's no such thing as being perfect, they feel they are falling short of their parents' standards. This results in shame for them.

This creates a cycle where there is an internal push to strive to meet their parents' unrealistic expectations, but they feel they fall short again and again, which is traumatic for a child.

Having internalized their parents' disapproval for not being perfect, these individuals often grow up fearing the judgment and disapproval of others and seek to avoid those experiences by imposing unrealistic standards on themselves.  

In many cases parents who impose perfectionism on their children had parents who did the same to them.

What Are the Different Types of Perfectionists?

There are different types of perfectionists, which are described below.  People can be one of these types or a combination of types.

    Self Oriented Perfectionism

There are some perfectionists who only impose their unrealistic standards on themselves and they are more compassionate towards others.  

Self Oriented Perfectionism

Since they have internalized their parents' unrealistic standards and judgment, they have a hard time feeling the same compassion for themselves--even when it's pointed out to them.  Logically, they understand that they deserve the same compassion as they would give to someone else but, on an emotional level, they don't feel it.

    Other Oriented Perfectionism

People with other oriented perfectionism tend to impose unrealistic standards on others.  Sometimes this is with little or no awareness. In other cases people are aware but it's difficult for them to stop.

Other Oriented Perfectionism

    Socially Prescribed Perfectionism

People with this tendency feel perfectionism is being imposed on them by others.  In many cases, this is a projection of their own tendency towards perfectionism. In other cases, it's a realistic assessment of what's actually happening.

Socially Prescribed Perfectionism

Clinical Vignette

The following clinical vignette, which is a composite of many cases to protect confidentiality, illustrates how perfectionism can impact a relationship and how therapy can help:

Tom and Anna

After five years of marriage, Tom and Anna, who were both in their early 40s, sought help in couples therapy to deal with the impact of perfectionism in their relationship.

Anna felt she was at her wit's end with Tom's perfectionism. She felt constantly criticized by Tom for almost everything she did, including how she stacked the dishwasher, folded the laundry, cleaned the apartment and in many other areas.

She was frustrated by Tom's procrastination when they were trying to make decisions.  She told their therapist they had been considering changing their insurance policy for a few years, but they were stalled in the process because Tom was obsessively comparing plans, weighing the pros and cons repeatedly but unable to make a decision (see my article: Overcoming Fear of Making Decisions).

Tom and Anna both agreed that his perfectionism had taken a toll on their emotional and sexual intimacy because Anna felt so much resentment towards Tom. Even though she still loved him, she didn't feel close to him.

Similar to many other people who struggle with perfectionism, Tom spoke about having parents who had unrealistic standards. His father was especially punitive when Tom made a mistake.  

This created a lot of anxiety for Tom which he tried to mitigate by getting exceptional grades, being good at sports and trying to be perfect in every way.  Inevitably, since no one can be perfect, he fell short and had to endure his father's criticism and emotional withdrawal.  

Reaching over and taking Anna's hand, Tom said he wanted to overcome his perfectionism because he didn't want to ruin their and he knew it was harmful for him as well.  So, he agreed to attend individual therapy to deal with his unresolved childhood trauma while he and Anna worked together in couples therapy to save their relationship (see my article: How Unresolved Trauma Can Affect Your Adult Relationship).

Using EMDR therapy, Tom's individual therapist helped him to work through his childhood trauma of feeling unlovable and inadequate.  Although EMDR therapy tends to be faster than regular talk therapy, the work wasn't fast because these traumatic experiences were so longstanding and entrenched.

He also worked on his procrastination related to his perfectionism. For instance, instead of obsessively going over insurance plans, he sought help from an independent insurance navigator who helped Tom and Anna to pick a plan that was right for them. The navigator emphasized they could change the insurance by the next month if they weren't happy with it, so this made the decision-making less daunting for Tom.

Both Tom and Anna learned to do mindfulness meditation and a breathing exercise to cope with stress in their relationship.

Their couples therapist helped each of them to get curious about their dynamic rather than getting reactive with each other (see my article: 5 Tips For Reducing Emotional Reactivity and Arguments in Your Relationship).

In addition to helping Tom to be more self aware, the couples therapist helped Anna to set boundaries with Tom when he got too picky about things (see my article: Setting Boundaries in Your Relationship).

For instance, instead of getting annoyed with his criticism about how she folded the laundry, she told him she would do it her way or he could do it (or redo it) himself.  This was challenging for Tom but, over time, he developed a tolerance for things being less than his standard of perfection.  He also stopped criticizing Anna.

Since Tom had a hard time acknowledging his successes, their couples therapist also encouraged Anna to acknowledge and celebrate Tom's successes and for Tom to learn to take that in.

For example, when he won the Salesperson of the Year Award at his company, he wanted to brush it off, but Anna took him out for a dinner to celebrate.  At first, it was hard for Tom to take in Anna's praise but, over time, he learned to get comfortable with it and feel proud of himself.

As they worked on these issues, over time, Tom and Anna gradually revived their emotional and sexual intimacy.  

There were bumps in the road, but even though progress in individual and couples therapy wasn't linear, they made progress and their relationship improved (see my article: Progress in Therapy Isn't Linear).

Coping With Perfectionism in Your Relationship

There is no one-size-fits-all approach to this problem because each couple is unique, but here are some steps you might find useful:

• Acknowledge the problem and make an agreement to work on it together as a team.

• Be aware that this problem is probably rooted in early experiences that need to get worked through in therapy.

• Develop greater self awareness and a self reflective capacity.

• Tone down emotional reactivity and be responsive instead of reactive (see my article: Responding Instead of Reacting to Stress).

• Learn better communication skills.

• Develop compassion for yourself and your partner.

• Develop stress management skills, like mindfulness and breathing exercises, to cope with the stress.

• Think in terms of progress instead of perfection.

Get Help in Therapy

Perfectionism is challenging to change on your own, especially since it's usually rooted in childhood trauma.

Depending upon the problem, you might need to work individually with a trauma therapist as well as a couples therapist.

So, rather than struggling on your own seek help from a licensed mental health professional so you can have a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to overcome their problems.

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.