Relationships: What Are the 4 Cs of the Attachment Behavioral System (ABS)?

If you're looking for an excellent book to understand your relationship, check out Secure Love: Creating a Relationship That Lasts a Lifetime by Julie Menanno.

Relationships and the 4 Cs of ABS

I really like this book and recommend it to couples I work with because it has excellent information about couples dynamics, it's written in an accessible way and Ms. Menanno's theoretical orientation for couples therapy is the same as mine--Emotion Focused Therapy (EFT).

In fact, she and I were taught by the same two senior trainers, Sue Johnson, who developed EFT, and George Faller, a long-time EFT trainer and couples therapist.

Understanding Your Relationship Through the Lens of the Attachment Behavioral System

Ms. Menanno provides valuable information about attachment theory as well as practical information about how to understand attachment styles (see my articles about attachment styles below).

Relationships and the 4 Cs of ABS

What Are the 4 Cs of the Attachment Behavioral System (ABS)?

According to Ms. Menanno most couples' problems can be sorted out into four categories and knowing which areas you and your partner are struggling with can help you to know where to focus your attention:

• Comfort
• Connection
• Cooperation 
• Conflict

Let's take a look at each of these components of the ABS:

• Comfort: This category focuses on how well you and your partner provide each other with comfort when one of you seeks comfort or emotional support. She distinguishes comfort from advice giving or trying to "fix" the problem. It also focuses on how well you can manage your emotions while you're comforting your partner.

• Example: Your partner comes home from a visit to her mother's house and she tells you she feels down because her mother criticized her throughout the visit. This has been an ongoing pattern since your partner was a young child. Your partner tells you she needs your emotional support. Do you 1) attune to your partner's feelings and engage in active listening while empathizing with your partner's experience or 2) do you give your partner advice about how to handle the criticism the next time she visits her mother? If your partner has clearly stated she needs your emotional support. the correct answer is 1).

• Connection: Connection refers to the emotional and physical/sexual connection you and your partner experience with each other. Connection involves emotional vulnerability. Emotional connection also involves having fun together. 

• Example: When you talk to your partner about your day, do you 1) talk about the details of your day without expressing how you feel about what happened or 2) do you express your emotional vulnerability by discussing how you were emotionally impacted by what happened? For you and your partner to feel connected with each other, you need to express your emotional vulnerability or you will just be providing the mundane details of your day and you won't be connecting with your partner in a meaningful way. So, 2) is the better way to go.

Relationships and the 4 Cs of ABS

• Cooperation: Teamwork is the essence of this category. This includes how well you and your partner are emotionally supportive with one another and how you manage your daily life. Examples of managing your daily life include sharing the mental load, handling housework, taking care of finances, parenting, managing personal family relationships as well as in-laws (see my articles: Feeling Stuck in the Middle: How to Deal What to Do If Your Spouse and Your Parents Don't Get Along and Dealing With Difficult In-Laws).

• Example: You and your partner divide up the housework and sharing in managing finances. You also divide up the mental load by sharing in remembering and buying gifts for family members' birthdays and anniversaries. Even though you're better at managing interpersonal relationships, you and your partner have made a decision that he will manage the relationship with your mother-in-law because she responds better to him than she does to you.

• Conflict: How well do you and your partner handle disagreements when you're not doing well with the other categories (comfort, connection and cooperation)? Are you both able to manage your emotions or do you get stuck in the "Blame Game" where you're hurling accusations at each other? Are you able to maintain respect for each other during an argument or do you get stuck in the same negative cycle over and over again?

• Example: You and your partner tend to argue about money. You're a saver and he tends to be a spender. Even though you both maintain your own bank accounts with a third account for shared expenses, you keep telling your partner you could both be saving more for retirement if he would curb his spending. When you tell him that, he feels like you're trying to control him. You argue until you're both exhausted. Then, you each retreat and, after a few hours, you're speaking to each other again. Nothing gets repaired. Instead, resentment builds as these unresovled arguments continue to pile up without resolutions. 

Conclusion

Looking through the relational lense of the 4 Cs (comfort, connection, cooperation and conflict) is one way to look at your relationship to understand the positive aspects of your relationship as well as the areas that need attention.

Relationships and the 4 Cs of ABS

When you look at the 4 Cs in your relationship, you and your partner can appreciate the positive aspects and work on repairing the aspects that need improvement.

Getting Help in EFT Couples Therapy

If you recognize problem areas that you and your partner have been unable to resolve on your own, you could benefit from working with a couples therapist who uses Emotion Focused Therapy (EFT) to help couples (see my article: How EFT Couples Therapy Can Help You to Improve Your Relationship).

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek help from a EFT licensed mental health professional who can help you and your partner to work through the relationship issues so you can have a more fulfilling relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples to lead more fulfilling lives.

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.

Healing From Regret

Living with regret can be one of the most challenging experiences of your life, but there are ways to heal.

Living With and Healing From Regret

What is Regret?

Regret is a feeling of sadness, repentance or disappointment over something that has happened or has been done.

Examples of Regret

Here are some of the most common types of regret:

• Not being true to yourself
• Not expressing love or appreciation to a loved one
• Neglecting important relationships
• Hurting a loved one
• Not acknowledging your part in an interpersonal problem
• Losing touch with friends
• Working too hard and missing out on important events
• Bad health habits
• Failed relationships (either not valuing a good relationship or staying in a bad relationship)
• Poor judgment
• Wasting time worrying instead of enjoying the present
• Saying "yes" too much and not knowing how to say "no"
• Saying "no" too much and not knowing how to say "yes"
• Not pursuing passions
• Not taking any risks
• Living a small and unfulfilling life

How to Heal From Regret

Living with regret can be a painful experience, especially if you haven't forgiven yourself.

Most people are inclined to want to run from their feelings of regret rather than allowing themselves to feel it as the first step in healing.

Here are some suggestions you might find helpful:

• Don't Run From Your Emotions, Feel Them: Although it's tempting to push aside feelings of regret, you can take the first step in healing by feeling them rather than running from your emotions (see my article: What Are the Benefits of Experiencing Your Emotions?).

• Accept the Past: You can't change the past, so you need to accept whatever you did or didn't do that causes you to feel regret. Depending upon the circumstances, you might have behaved in a certain way due to whatever information or capabilities you had at the time. Acceptance doesn't mean you like what you did. It means you accept the fact that you did it and you will do better in the future.

• Learn and Reframe: Find the lesson in whatever you did. Journal about what happened and what you learned from it (see my article: Developing a Different Perspective Through Reframing).

• Create Meaning From Your Regret: Allow your regret to motivate you to make a commitment to do better (see my article: The Power of Making a Commitment).

Living With and Healing From Regret

• Be Aware of Your Thoughts: Are you telling yourself that you don't deserve to forgive yourself or you don't deserve to have others forgive you? (see my article: What is Self Reflective Awareness and Why Is It Important to You?).

• Have a Dialog With the Internal Critic Within You: If you have been hard on yourself, you can do a writing exercise where you have a dialog with your inner critic. Acknowledge what your inner critic has to say, ask this part of yourself what it would like you to learn from the experience, make a commitment to do better and ask it to let go of its harshness so you can heal. When I do Parts Work Therapy with clients, I ask them to practice having a dialog in our therapy sessions with the parts of themselves that keep them from forgiving themselves or keep creating obstacles to their well-being. Often these parts want to be acknowledged first before they can let go (see my article: Making Friends With Your Inner Critic).

• Practice Self Compassion: What would you say to a close friend or loved one who had problems forgiving themself? If you can feel compassion for them, can you extend compassion to yourself? Recognize that making mistakes is part of being human (see my article: Acceptance and Self Compassion).

• If Possible, Make Amends: If it's possible without crossing a boundary with others, apologize or make things right.  If it's not possible to make amends because to do so would be violating another's boundary or it would be unsafe for yourself, act in their honor or help others. Examples of this might include:

• Engaging in Acts of Service: This includes volunteering or helping in your community.

• Creating Unsent Letters: If you can't have direct closure, you can write letters that you will not send because to do so would be crossing a boundary. The act of writing an unsent letter can be healing.

• Focus on the Present: Since you can't change the past, focus on the present. Create new goals for yourself that align with your values.

• Get Help From a Mental Health Professional to Change Your Behavior and to Heal: If you're having problems understanding why you acted in a way that you now regret, you can gain insight, make changes and forgive yourself with the help of a licensed mental health professional who helps clients with overcoming regret.

Also See My Articles: 

Balancing Fear of Failure vs Future Regret 

Strategies For Making Changes in Your Life

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping 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.

 

Relationships: Why is It So Hard to Validate Your Partner's Vulnerability?

As a psychotherapist in New York City who works with individual adults and couples, I see many relationships who have problems with emotional validation.

Problems With Validating Your Partner's Vulnerability

In a prior article, Validation as a Pathway to Greater Emotional and Sexual Intimacy, I discussed the importance of vulnerability in developing emotional and sexual intimacy in your relationship.

In the current article I'm focusing on why it can be difficult to validate a partner's emotional vulnerability.

Why Is Validating a Partner's Vulnerability Difficult?

People often struggle to validate their partner's vulnerability for many reasons including:

• Misunderstanding validation: Believing it means agreeing or admitting fault--rather than acknowledging their partner's emotional reality.

• Fear and defensiveness: Vulnerability can trigger personal fears (fear of rejection or fear of inadequacy), making a partner defensive and punishing their partner for being vulnerable.

Problems With Validating Your Partner's Vulnerability

• Lack of Skills: Not knowing how to validate, struggling with emotional intelligence or an inability to handle intense emotions.

• Past Experiences of Being Hurt: Prior experiences of being hurt when vulnerability was met with rejection or criticism can create barriers.

• Societal Norms: Pressure to be stoic, especially for men, can hinder emotional sharing.

• Differing Perspectives: Difficulty accepting a partner's perspective due to a differing perspective.

• Emotional Disconnection: Being disconnected from their own own painful feelings. This can drive invalidating behavior towards their partner.

What Does Invalidating Behavior Look Like in Relationships?

The following are some examples of invalidating behavior:

• Dismissing a partner's feelings as "irrational" or "ridiculous".

• Turning away from a partner.

Problems With Validating Your Partner's Vulnerability

• Rolling their eyes, which is a form of contempt (see my article: Improving Communication By Avoiding the 4 Horsemen of the Apocalypse).

• Changing the subject

• Focusing only on their own feelings about the topic

Conclusion

Validation isn't agreement.

Validation is about creating a safe haven for your partner's emotional experience.

Validating your partner requires a conscious effort, but the good news is that validation is a skill that can be learned (see my article: How to Validate Your Partner's Emotional Vulnerability).

Getting Help in Couples Therapy

If you and your partner have been struggling with problems in your relationship, you could benefit from working with a licensed mental health professional who specializes in working with couples.

Getting Help in Couples Therapy

A skilled couples therapist can help you to develop the skills and tools you need to have a more fulfilling relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), 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.

What is the Connection Between Secrets and Shame?

Secrets and shame are connected in many ways:

• Shame often drives keeping secrets.

• Keeping secrets creates more shame.

The Connection Between Secrets and Shame

• Shame and secret keeping often create an ongoing cycle of:
• Isolation
• Rumination
• Anxiety
  
• Guilt
• Negative self judgment
• Feelings of worthlessness
• Depression
  

How is Keeping Secrets Different From Maintaining Privacy?

While secrecy is often about concealing information due to shame or fear, maintaining privacy is about setting boundaries and choosing what information to share. 

Privacy usually doesn't involve shame or fear (see my article: Privacy vs Secrecy in a Relationship).

The Connection Between Secrets and Shame

A person who maintains privacy limits access to their life in terms of what they want to share, to whom and how much they want to share or not share.

The motivation for maintaining privacy is autonomy and personal space. An example of this is if a young child asks a parent how much money they earn and the parent knows the child can't handle this information in a responsible way, the parent might keep this information private until the child is mature enough to be responsible with it.

A person who maintains secrets is actively hiding something they feel ashamed about. Their motivation is to conceal something, avoid judgment or other negative consequences. An example of this is a husband who keeps a secret from his wife about gambling away his paycheck.

How Do Secrets Affect Relationships?

As previously mentioned, keeping secrets creates shame and shame can create secrets (see my article: Why Do People in Relationships Keep Secrets?).

• Fear of Being Judged as Having Flaws: People who keep secrets from loved ones often experience fear and shame that their loved ones will see them as flawed if they knew certain things about them. This might include their mental health status, financial struggles, addiction or similar issues.

The Connection Between Secrets and Shame

• Inauthentic and Emotionally Distant Relationships: Keeping secrets involves presenting an inauthentic self to loved ones. People who hide certain aspects of their life have to pick and choose what to tell their loved ones and keep track of what they have already told them. These secrets create emotional distance. Over time, as an individual continues to keep secrets, even if the other partner doesn't know what the secrets are, the emotional distance widens to the point where it can damage the relationship beyond repair.

• Betrayal and Mistrust: If the secret is discovered, the partner who discovers the secret feels betrayed and mistrusts for their partner. In many cases, depending upon the secret and the couple involved, a secret can ruin a relationship (see my article: Common Relationship Problems After Infidelity).

Clinical Vignette

The following clinical case is a composite of many cases with all personal information changed to protect confidentiality:

Jim

A big part of Jim's job was frequent travel around the country. He often had secret affairs while he was away and he never told his wife, Linda, about them because he considered them harmless. At the time, his attitude was: What she doesn't know won't hurt her.

Jim also liked the way he felt when he was able to attract women and have sex with them (see my article: The Connection Between Infidelity and the Need to Feel Desirable).

During a one week business trip to California, Jim met Tina at a hotel bar and they spent a few nights together. He told Tina he was married and he had no intention of leaving his wife. He said they could have fun together while he was in California, but their time together would never amount to more than that.

The Connection Between Secrecy and Shame

A month later Jim heard from Tina that she was pregnant with his child and she planned to have the baby. He told Tina that he wanted nothing to do with her or the child. He tried to convince her to have an abortion, but she insisted she would have the child. She also told him that, unless he gave her a large sum of money, she would contact his wife and tell her about the child.

Shocked and upset, Jim didn't know what to do. In the past, he had many affairs and there were never any consequences. After getting the call from Tina, he felt angry with himself for not using a condom and believing her that she was on a birth control pill. 

Jim didn't want to hurt Linda. He also feared that Linda would leave him if she found out about the affair and the pregnancy.  He felt deeply ashamed and, after thinking about it, he decided to ignore Tina's calls and keep the secret from Linda.

Although Linda didn't know his secret, she sensed something was off between her and Jim. She asked him numerous times if there was something wrong because she sensed he was emotionally distant from her. 

Jim denied there was anything wrong. Inwardly, his felt increasingly ashamed. He felt so awful that he thought he didn't deserve Linda. He developed anxiety, insomnia and ruminating thoughts about the end of his marriage.

A few months later, when Jim came home, he found Linda sitting on the couch looking very upset. His worst fears were confirmed when Linda told him she received a call from Tina about the affair and the pregnancy.  She told Jim she wanted to know the truth.

After much hesitation, Jim admitted that he had an affair and he heard from Tina that she was pregnant. He said that without a paternity test to confirm the baby was his, he wasn't sure if he was the father, but he feared that the baby might be his.

At Linda's request, Jim moved into a hotel. Linda said she needed time to think about whether she wanted to remain in the marriage. Although he had opportunities to have sexual affairs while he was at the hotel, he felt so depressed that he rejected women who approached him.

A month later, Linda said she wanted to attend couples therapy to see if their relationship could be salvaged. 

During couples therapy Jim admitted to having numerous affairs which he now regretted. He expressed sincere remorse. He also admitted he had been selfish and he now realized he put their relationship at risk. In response, Linda expressed her anger, hurt, disappointment and sense of betrayal.

Soon after that, Jim entered into his own individual therapy to understand the underlying reasons for why he cheated, to make changes and to try to save his marriage. 

Subsequently, a paternity test revealed that Jim wasn't the father of the baby. Linda decided to stay in couples therapy with Jim to see if they could repair their relationship and if she could regain trust in him.  She told him that she wasn't promising him anything but, after investing 20 years in their marriage, she wanted to give it a try (see my article: Rebuilding Trust After an Affair).

Conclusion

Secrets and shame are connected in an ongoing destructive cycle.

Keeping secrets is different from maintaining privacy for the reasons mentioned above.

Getting Help in Therapy

If you have been struggling with secrets, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

Being able to talk about a long-held secret can provide you with a sense of relief. 

Although a psychotherapist can't tell you what to do, she can help you to sort out how the secret has been affecting you and your loved ones so that you can make decisions about what to do and how to change.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States) therapist, Somatic Experiencing and a 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.

Also See My Articles:

How to Stop Cheating and Repair Your Relationship

Toxic Family Secrets  

Breaking the Code of Silence in a Dysfunctional Family

The Psychological Stages of Forgiveness 

Being in the Role of the Affair Partner

What Are the Telltale Signs of a Serial Cheater 

When Trust Breaks Down in a Relationship: Lies of Omission

How Your Early Unmet Emotional Needs Might Be Affecting Your Relationship

Many adults who grew up with emotional neglect or abuse are unaware that they're expecting their partner to fulfill those needs (see my article: What is Childhood Emotional Neglect?).

Unmet Childhood Needs and Adult Relationships

They're unaware of it because these expectations are often unconscious and, therefore, outside of their awareness.

What Can You Reasonably Expect From Your Partner?

So let's look at what's reasonable to expect from a partner.

Your partner can fulfill many emotional needs including:

• Being trustworthy
• Fostering emotional safety
• Being supportive, loving and empathetic
• Being attuned and validating
• Showing appreciation

However, your partner can't make up for early unmet emotional needs from your childhood because those needs stem from early attachment wounds. 

Why Your Partner Can't Make Up For Your Unmet Childhood Needs

Here are some of the reasons why your partner can't make up for your early unmet emotional needs:

• Unmet Childhood Needs Stem From Early Attachment Trauma: Early abuse, emotional neglect or inconsistent care creates early attachment wounds. These conditions can also create insecure attachment and a need for constant reassurance or, conversely, an avoidance of emotional intimacy.

• A Child-Parent Dynamic in Your Adult Relationship: Without realizing it, adults who were emotionally neglected and/or abused can create a child-parent dynamic in their relationship where they expect their partner to provide them with the good parenting they didn't get as a child. This can create emotional and sexual problems in the relationship.

Unmet Childhood Needs and Adult Relationships

• Communication Problems: Many people whose emotional needs weren't met in childhood also learned as children not to ask for what they needed. This inability to ask for what they needed carries over into adulthood. It's not unusual for adults, who didn't get what they needed in childhood, to have childlike expectations that their partner will know what they need without telling their partner. This creates confusion, communication problems and resentment (see my article: Are You Expecting Your Partner to Be a Mind Reader?).

• Confusing Love and Codependency: When adults didn't get what they needed as children, they can confuse love and codependency rather than creating a relationship with healthy interdependency (see my article: What is the Difference Between Codependency and Interdependency?).

How to Cope With Unmet Childhood Needs as an Adult

• Recognize Your Misplaced Expectations: Accept that your partner can't provide you with the nurturance you didn't get as a child and that your partner can never make up for what you didn't get. What you didn't get is a loss and needs to be grieved so you can heal.

Unmet Childhood Needs and Adult Relationships

• Learn to Communicate Clearly: Be aware that if you have an unconscious expectation that your partner should know what you want before you ask, you are acting from a very young part of yourself. This is unrealistic and it's your responsibility to learn to communicate what you want in a clear, tactful way (see my article: Improving Communication in Your Relationship By Avoiding the "4 Horsement of the Apocalypse").

Unmet Childhood Needs and Adult Relationships

• Focus on Healing Yourself: Recognize and accept that your partner isn't your parent and that you need to focus on healing yourself or get help in trauma therapy so you can heal (see below).

• Get Help in Trauma Therapy: A licensed mental health professional who is trained as a trauma therapist can help you to heal from the unresolved trauma, including early unmet emotional needs. There are different types of trauma therapy:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Parts Work Therapy: IFS (Internal Family Systems and Ego States Therapy)

• AEDP  (Accelerated Experiential Dynamic Psychotherapy)

• Somatic Experiencing
  

Getting Help in Trauma Therapy

If you're struggling with unresolved trauma, you're not alone.

Getting Help in Trauma Therapy

Rather than struggling alone, seek help from a licensed mental health professional who has an expertise in helping clients overcome trauma so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work Therapist (IFS and Ego States Therapy), Somatic Experiencing, EFT (for couples) and a Certified Sex Therapist.

As a trauma therapist, I have over 25 years of experience helping individual adults and couples to overcome trauma.

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.

 

 

How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Emotionally Safe?

In my prior article, Recognizing When You're Safe or Unsafe in Your Interpersonal Relationships, I discussed basic issues about feeling emotionally safe based on your nervous system (Polyvagal Theory), personal history and other relevant factors.

In the current article I'm discussing how trauma can affect your ability to know whether you feel emotionally safe.

Unresolved Trauma and Emotional Safety

Unresolved trauma can have a profound effect on your mind and body. It can also impair your ability to know whether you're safe or not.

What is Psychological Trauma?

Before I discuss the impact of trauma, let's first define trauma.

You can experience trauma emotionally, psychologically and physically due to a distressing event (or events) that overwhelm your ability to cope.

The event can be a single incident like a natural disaster, a robbery, an assault or other types of one-time events (see my article: What is Shock Trauma?).

Trauma can also be ongoing events such as recurrent abuse in a relationship. It can also be related to repeated traumatic events in childhood trauma, also known as developmental trauma.

You can also be impacted by the chronic stress related to trauma on a physical level including:

• Sleep problems
• Chronic pain
• Hypervigilance
• Cardiovascular issues
• Weakened immune system
• Digestive problems
• Inflammatory disorders such as Type 2 diabetes, asthma, arthritis and so on

How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Safe?

Unresolved trauma can affect your ability to sense safety by keeping you in a constant state of high alert (also known as hypervigilance). This can make it difficult to interpret safe situations from dangerous situations.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also create dissociation where you feel emotionally and psychologically numb. 

Dissociation might have been an effective survival strategy if you were overwhelmed by distressing events when you were a child because it kept you from being completely overwhelmed. However, as an adult, dissociation can have a negative impact on your ability to trust your own judgment or trust other people.

Being either hypervigilant or emotionally numb (dissociated) can impair your ability to know if certain situations are safe or unsafe.

In general, you might have problems connecting with others and forming healthy relationships because you might interpret safe situations as unsafe and unsafe situations as safe.

You might have extreme emotional reactions to relatively small stressors, not react to big stressors or you might have difficulty finding a middle ground.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also impair your ability to deal with conflict. Whereas most people don't like conflict, you might not be able to avoid certain conflicts in your relationships. 

So, if you can't deal with conflict, you might resort to people pleasing (also known as fawning) to avoid conflict and keep the peace--even if it comes at the expense of your  psychological, emotional or physical well-being.

Clinical Vignette

The following clinical vignette is a composite of many different cases to protect confidentiality:

Anna

As an only child, Anna grew up in a family where she experienced emotional abuse, neglect and sexual abuse by her father.  

Unresolved Trauma and Emotional Safety

The sexual abuse began when she was 10 years old. At the time, her mother was in and out of the hospital due to serious chronic health problems. 

During those long stretches of time when her mother was away, her father, who had alcohol problems, would get drunk and come into her room late at night when Anna was sleeping. She would awaken suddenly to discover her father fondling her breasts.  

Not knowing how to respond, Anna froze and her father told her that if she told anyone else that he touched her, she would take her away by Child Welfare and they would make live with strangers in a foster care home.

Anna was frightened and confused by her father's inappropriate touching, but she was even more afraid of being forced to live with strangers, so she didn't tell anyone what was happening at home.

Her teacher noticed that Anna was withdrawn and she spoke to Anna after class to ask her if there was a problem at home. In response, Anna denied any problems at home because she was afraid. After that, Anna's teacher called her home and Anna's father told the teacher that Anna was feeling sad due to the mother's hospitalization.

The father continued to sexually abuse Anna for several months whenever he got drunk. After the first experience, Anna was hypervigilant at night, especially when she heard her father's footsteps approaching her room.  After a while, Anna pretended to be asleep and she numbed herself while her father was touching her. 

After Anna's maternal aunt came to stay with Anna and her father, her father no longer visited her at night.  

As a child, Anna never told anyone about the sexual abuse because she was too afraid. But when she began dating in college, she didn't know how to discern safe situations from unsafe situations.

Her lack of discernment created problems for her because she would sometimes put herself at potential risk by going into the cars of young men she didn't know because she thought she could trust them. In one incident, she was almost sexually assaulted, but her friends, who were nearby, heard Anna yelling and they rushed over to get her out of the car.

In another situation, she was too afraid to accept an invitation to go for a walk with another young man, John, because she didn't know whether or not she could trust him.  Later on, she spoke with her friends, who knew John well, and they told they didn't think she needed to worry.

Over time, Anna continued to see John and she realized she could trust him. Getting to the point where she could trust him wasn't easy. But after they got into a relationship and they talked about being sexual, Anna felt an overwhelming fear of sex. 

Initially, she didn't understand what her fear was about, but she knew she needed help, so she sought out a licensed mental health professional.

Unresolved Trauma and Emotional Safety

After her therapist did a thorough family history, Anna revealed the childhood sexual abuse. It was the first time she had ever told anyone.

Her therapist helped Anna to understand the connection between the sexual abuse and her inability to discern whether she was safe or not in interpersonal relationships. She also helped her to understand the connection between her fear of sex and the abuse.

Using a combination of EMDR therapy and IFS Parts Work therapy, her therapist helped Anna to work through her unresolved trauma.

EMDR and IFS are both safe and effective types of trauma therapy which were developed to help clients to work through unresolved trauma.

Unresolved Trauma and Emotional Safety

The work was neither quick nor easy but, gradually, over time Anna began to feel unburdened by her trauma. She also learned in her trauma therapy how to detect internal and external cues to discern safe situations from possibly unsafe situations.

Over time, Anna and John were able to have pleasurable sex as she worked through her trauma. 

Getting Help in Trauma Therapy

Unresolved trauma can impair your ability to know whether you're safe. It can also have a negative impact on your interpersonal relationships.

Getting Help in Trauma Therapy

Trauma therapy, including EMDR, Parts Work therapy, AEDP, Somatic Experiencing and other types of trauma therapy can help you to work through unresolved trauma in a safe and effective way.

If you feel unresolved trauma has had a negative impact in your life, seek help from a licensed mental health professional who has advanced trauma therapy training and skills.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adult 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.