Relationships: Overcoming Power Struggles

Couples often come to couples counseling because they're stuck in what I call "push-pull power struggles" that keep them constantly frustrated and at odds with one another.

What Are Power Struggles?
Push-pull power struggles can emerge in just about any aspect of a relationship.  One common example of a push-pull power struggle often occurs during arguments.  So, for example, one person might need to take time away from the other person to cool off  while his partner might feel the need to resolve the situation right then and there.

Relationships: Overcoming Power Struggles

If both people feel strongly about what they feel they need, they are at an impasse.  Rather than trying to find a compromise, each person often insists on having what s/he needs.  This just escalates the argument as one person feels crowded in while the other person feel abandoned.

Push-Pull Power Struggles and Problems With Intimacy
Intimacy, both emotional and sexual intimacy, is often another area where there can be push-pull power struggles.

Power Struggles and Problems With Intimacy

Some people need to have their "space" every so often, while others feel the need to be close most of the time.  Once again, if each person insists on having his or her way, this exacerbates the problem.  The person who needs "space" occasionally will feel hemmed in, while the person who likes to spend more time together can feel hurt and abandoned.

Childhood Histories Can Complicate Relationship Dynamics
Complicating these situations are the individual personal histories of each person in the relationship.  It's not unusual for people in relationships to experience earlier childhood trauma triggered in their adult relationships.  In the examples above, the person who might have grown up feeling smothered by a parent might feel smothered by a partner who doesn't allow him his "space."  Or, a person who needs to spend more time with a partner who needs "space" might feel old feelings of being abandoned as a child.

When old feelings are triggered, it intensifies emotions, and it's hard to distinguish how much of the current emotional reaction is due to the current situation and how much might be part of old unresolved emotional wounds.

Getting Help in Therapy
Couples counseling is a place where push-pull power struggles can be negotiated and resolved.  If you and your spouse find yourself constantly getting caught up in these kinds of power struggles, you owe it to yourself to get help so you can work through these issues and enjoy a more fulfilling relationship.

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 during business hours or email me.

How Traumatic Childhood Memories of Being Powerless Can Get Triggered in Adults

People are often surprised to discover that traumatic childhood feelings of being powerless can get triggered even when they're adults.  

Trauma: How Childhood Feelings of Being Powerless Can Get Triggered in Adults

Certain situations can trigger those old feelings from childhood.  Whether it's a work situation with a domineering boss or a relationship with a spouse who is a bully or other similar situations, these feelings of helplessness, fear, rage, and sadness can arise unexpectedly.

The following scenarios, which are composites of many different cases to protect confidentiality, are examples of how these traumatic emotions can get triggered in an adult:

Pete:
Pete's boss, who was the company bully, tended to be domineering and demeaning with everyone who reported to him.  Most people knew from experience that his "bark was worse than his bite" and they didn't take his reprimands seriously, especially since he behaved this way with all of his subordinates and nothing ever came of it.  Rationally, Pete was also well aware of this.

Trauma:  How Childhood Feelings of Being Powerless Can Get Triggered in Adults

But whenever the boss called him in, Pete would tremble in fear and he found himself close to tears.  He couldn't understand why he had such a severe reaction--until he began therapy and he learned that these situations with his boss were triggering traumatic childhood memories of being abused by his father.

Mary:
Mary married Alan because he was older and she felt he would take care of her.  But after the first few months of marriage, she began to see a different side of Alan that she had never seen before.  Whenever Alan got frustrated, he would lose his temper and raise his voice with her.  Not only was Mary surprised to see Alan react this way, but she was also surprised at her own reaction to his anger--she would freeze in her tracks.  She felt immobilized and unable to speak.  Part of her wanted to hide or make herself invisible.  It was only after she began therapy to understand her reaction that she realized that earlier traumatic feelings were being triggered of when her alcoholic father went into a rage and, as a child, she hid in the closet.

Trauma:  How Childhood Feelings of Being Powerless Can Get Triggered in Adults

These are just two of many examples of how childhood feelings of being powerless can get triggered in adults--often without warning.  When this happens and people don't understand what's happening to them, it can feel scary and confusing.

What most people often don't realize is that, even though they're adults now, these traumatic emotions are stored in the body and are there to be triggered in current situations.  The feelings can feel just as real now as they did in childhood.

Somatic Experiencing
Somatic Experiencing is a gentle form of mind-body psychotherapy that helps adults to develop emotional resources and work through the original trauma so that it is no longer there to be triggered.

During Somatic Experiencing people also discover the types of unconscious psychological defenses that they've developed to ward off these traumatic feelings.  As shown in the composite scenarios above, these psychological defenses aren't always adequate to defend against these feelings, which is why people are often triggered.

Getting Help in Therapy
If you think you're currently getting emotionally triggered as an adult by unresolved childhood trauma, you owe it to yourself to get help so you can live a fulfilling life free of trauma.

About Me

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

I work with individual adults and couples, and I've helped many adults to overcome trauma so they can lead 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.

How Psychotherapists Listen to Their Clients

Psychotherapists in training often feel they should immediately know and give advice to clients who present in therapy, especially with clients who are upset during the first session.  In situations where new clients come in very upset, sometimes even demanding, "Tell me what to do!,"it's better to help clients to get emotionally grounded, and not fall into the trap of giving advice with potentially disastrous results.  

Psychotherapist Listening to Client

The Therapist's Experience of Getting Comfortable with "Not Knowing"
Fortunately, for most therapists, getting comfortable with "not knowing" during the initial stage of treatment gets easier with time and experience.  Rather than assuming that they're supposed to know immediately what's best for clients, skilled therapists know that they need to listen and learn about the client from the client rather than adhering to any particular theoretical orientation.

Even though the client might not get "the answer" from the therapist, this doesn't  mean that the client doesn't experience emotional relief during the initial stage of therapy. A skilled therapist knows how to create a therapeutic "holding environment," which often, in itself, brings emotional relief.

When the Therapist is Tempted to "Rescue" the Client 
When therapists feel pulled to "rescue" the client, who is not a danger to himself or others, this urge to "rescue" is potentially important information about what might be going on unconsciously in the consultation room with the therapist and client as individuals as well as dynamically between them.

This can happen to even to the most seasoned therapist.  Experienced therapists usually recognize it more readily than psychotherapists in training.  If a therapist finds it happening a lot with particular clients, it's best to obtain clinical supervision, talk to experienced colleagues or address the issue in her own therapy or all of the above if it's a big problem.

It's also important to recognize that not every therapist is for every client (see the link below for my article on "How to Choose a Psychotherapist").

Listening, Learning and Becoming Attuned to the Client
It takes more than one or two sessions for a therapist to get to know and become attuned to a client.  No matter how experienced, a therapist can't assume that she knows what's best for the client without first listening to and learning from the client, except, of course, in cases when a client is in a dangerous situation or a harm to himself or others.  (Then, it's important to know how to handle a psychiatric emergency and determine if the client is in the right level of care.)

Clients Are Looking For Answers
Clients are, understandable, looking for answers to their problems.  Why else would they come to therapy?  If they've never been in therapy before, they might equate the therapy session to a medical exam with their doctor.

During medical exams, unless further tests or consultations with specialists are needed, a doctor often gives a diagnosis and prescribes a course of treatment in one session.  In a day or so, the client might be feeling better.  But the human psyche is much more complicated than taking a pill, and it's rare that a therapist can help a client to resolve a psychological problem in one or two sessions.

What new clients might not understand, and what therapists need to help clients to understand, is that the therapist isn't there to give advice or tell the client what to do.  And even if the therapist was willing to give advice to a new client, who's to say this advice would be right for the client without the client participating in the process?

What Does the Therapist Do, If She Doesn't Give the Client "Answers"?
As mentioned before, the new client often comes looking for answers to her problems.  It might be disappointing to hear that the therapist can't provide immediate answers.

No matter what type of therapy the contemporary therapist practices, basically, the skilled clinician is trained to help the client, in collaboration with the client, to develop greater insight into her problems and work through the problems--rather than telling the client what to do.  Over time, the client, who has never been in therapy before, learns to become more open and curious about her process.  She also learns to become more resilient.  And, the healing process continues unconsciously for the client between sessions.

Mistakes, Ruptures and Repair in Therapy
Of course, therapists are human and make mistakes just like anyone else.  As I've written before, when a psychotherapist makes a mistake with a client, the most important first step is for the therapist to acknowledge the mistake to the client, and make an effort to repair the rupture with the client as soon as possible (see link below for my article, "Psychotherapy:  Ruptures and Repairs in Treatment").  Hopefully, the mistake isn't egregious, the therapeutic relationship remains intact, and the work continues.

Thank goodness, the days when therapists and doctors were assumed to be almost infallible are gone.  These days, many clients are better educated about the psychotherapy process, and they're more likely to approach it as informed consumers.  They know that during a psychotherapy consultation, they're interviewing the therapist and asking questions just as much as the therapist is interviewing the client.

Patrick Casement's Book:  Learning From the Patient
When I was in my first year of psychoanalytic training in 1996, I read Patrick Casement's book, Learning From the Patient.  It wasn't part of the curriculum in the first year.  At the time, the reading list for first year psychoanalytic students was mostly works by Freud.

While I enjoy reading Freud (especially his papers that read almost like poetry) and admire his genius, as a first year psychoanalytic student in training, I didn't always find his papers helpful when I was in the psychotherapy consultation room with a new client.

Somehow, during my first year in training, I came across Patrick Casement's book and, along with the guidance of seasoned clinical supervisors, I found it enormously helpful.

Some of the concepts that Casement writes about are now incorporated in current training programs in the first year, rather than waiting for the second or third year.  I'm sure it's a relief for first year psychotherapists in training, as it was for me, to realize that it's okay, and even not helpful, to think they should know the answers immediately, and it's more important to listen and learn.

Since my early days of training, I've learned other therapeutic ways of working, aside from talk therapy, including EMDR, hypnosis and Somatic Experience.  Whichever method I use, I value listening to and learning from the client.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  I work in a contemporary, dynamic way in collaboration with the client.

I work with individual adults and couples.

To find out more about me, visit my web site:  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 Chose a Psychotherapist

Psychotherapy: Ruptures and Repairs in Treatment

A New Relationship: Understanding the Loyalty Dilemma for Someone Whose Spouse Died

In today's Sunday New York Times Modern Love section, there's an article by Eve Pell about her relationship with her husband (see link below).  One of the things that she mentions is that when they were dating, her then-boyfriend was hesitant about making a commitment to their relationship because he still felt loyal to his deceased wife, who had died several years before.

Understanding the Emotional Dilemma For Someone Whose Spouse Died
Reading this article brought to mind how common this experience is.  Rather than getting competitive with a deceased spouse, Ms. Pell, who sounds like a wise woman, understood her boyfriend's emotional dilemma and let him know.

Understanding the Loyalty Dilemma for Someone Whose Spouse Died

Instead of feeling like his love for his deceased spouse meant more to him than his love for her, she spoke to him about it with a lot of empathy.  She acknowledged that she understood, respected his feelings for his former spouse, and reframed the issue as there being enough room in his heart for both of them.  According to Ms. Pell, her boyfriend appreciated this and, eventually, they got married.

Working Through the Loss of a Deceased Spouse
There are times when people haven't worked through the loss of a deceased spouse and it keeps them stuck.  Each situation is different.  But reading Ms. Pell's article reminded me of how conflicted a person can feel with a new love, especially when the former relationship ended because of a death.

People, who are widowed, who are still in love with their deceased spouse, often feel that it's an act of disloyalty to begin a relationship with someone new.  Their spouse might be gone, but their feelings are still very much alive.  They might feel confused and not know how to reconcile the fact that they can fall in love with someone new while still loving their former spouse.  If the new love gets jealous and makes emotional demands too soon, it can create an even bigger conflict and ruin an otherwise good new relationship.

Reframing the Love and Loyalty Dilemma
Like Ms. Pell, it's often better to take an empathetic step back, try to understand your romantic partner's emotional dilemma and talk to him about it.  When the dilemma is reframed as there being room for both the deceased spouse and the new partner, it can reduce a lot of tension and offer options that your partner might not have seen before.  Your partner doesn't need to completely bury his feelings for his deceased spouse, which wouldn't be possible anyway.  It's really not an either/or question.  He can still honor the feelings he feels for her and make room for you.

Some people, who have lost a spouse, never get over it, and they're unable to make a commitment to a new relationship.  For other people, this issue works itself out with understanding on both sides.  Sometimes, the person who is widowed needs help in individual therapy to work it out.  Other times, it helps for both people to come into couples counseling to negotiate this problem.

Either way, I found Ms. Pell's approach to this common dilemma to be a mature and refreshing approach.  Thank you, Ms. Pell, for a heart warming article.

About Me

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

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

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


The Race Grows Sweeter Near Its Final Lap--Modern Love, NY Times by Eve Pell (1/27/13)

Is That All There Is? When "Having It All" Leaves You Feeling Empty

For many people, the meaning of "success" and "having it all"means making a lot of money, buying a big house, having a new car, and being married to an attractive spouse (not necessarily in that order).  For other people, "having it all" might mean being smart, having a graduate degree, and the prestige of being published and recognized as an expert in a particular field.  

Is That All There Is?  When "Having It All" Leaves You Feeling Empty

"Having It All," But Feeling Something is Missing 

But, more often than not, people who have attained their definition of "having it all," are surprised to discover that, instead of making them happy, after a while, they feel empty inside.  They're confused because they feel like there's something missing, but they can't understand what it is since they already have everything they set out to get, so what else could there be?

What Does It Mean to "Have It All"?

How we define "success"' and "having it all" usually determines our focus and the direction we take in our lives.  Early on, we're given implicit, and often explicit, messages about what it means to be successful.  In school and the world around us that usually means striving to be competitive and to get excellent grades so you're at the top of your class with the end goal of getting a well-paid job so you can have monetary success and prestige.

Is That All There Is?  When "Having It All" Leaves You Feeling Empty

Most people would agree that having a certain degree of financial comfort is better than struggling financially.  And while there's certainly nothing wrong with being smart and striving to have monetary success and prestige, if that's all you want, more than likely, when you get it, you'll be wondering, "Is that all there is?," like the song with the same title.  This can be a tremendous letdown, especially if you've invested years of your life to attain these goals.

When Disappointment Leads to Striving For More of the Same

Often, people respond to feeling this disappointment by striving even harder to have more...more money, more prestige, a bigger vacation house, a more expensive car, and so on.  They become even more competitive with their colleagues, friends, loved ones, and neighbors.  But the problem with this is that there will always be someone who is smarter, richer, and more powerful than you are, so where does this end?  For someone people, it ends with deeper disappointment. For other people, it ends with sudden cardiac arrest.

Getting Help When "Having It All" Leaves You Feeling Empty

At about this point, people who might never have come to therapy, seek help.  Striving more, working harder, being bigger and better, smarter and faster hasn't brought lasting happiness, and they're in emotional crisis.  They've done everything they've been told and everything they know how to do to be happy, but happiness eludes them, and they don't know why.  They often come to therapy feeling that their lack of happiness is, somehow, their fault.  

What Is a Meaningful Life to You? 

Rather than looking for a place to cast blame, when "having it all" leaves you feeling empty inside, it's important to take a look at how you're defining success.  Although it might sound like an old cliche, when your definition of success is only narrowly defined by the external things in your life, after a while, these things become less meaningful to you.  If you haven't broadened your definition of success to include a rich inner life and contributing in a meaningful way to the world around you, more than likely, if you're at all in touch with your emotions, you'll feel empty inside. 

Whether you call this empty feeling inside "a spiritual crisis," "a mid-life crisis" or a crisis by any other name, usually, when you get to this point, you can feel desperate because, along the way, you might not have learned any other ways for being happy other than to be more and to get more.  Perhaps you've also surrounded yourself with like-minded people.  And, when you compare yourself to them, they seem to be happy with their lives, so you might ask yourself, "What's wrong with me?"

Psychotherapy:  A Place to Explore and Discover New Aspects of Yourself

Psychotherapy is a place where you can explore and discover what it would mean to you to have a meaningful life.  In the privacy of a therapy session with an objective therapist who is empathetic and with whom you have a rapport, you can start to focus on your inner world, as opposed to being exclusively focused on your external world.  

Whereas friends and loved ones might have their own views of what it means to have a meaningful life, a skilled clinician can help you develop your own new definition of what it means to be successful in a much broader sense without judging you or imposing his or her own views.

Psychotherapy: A Place to Explore and Discover New Aspects of Yourself

Your psychotherapy session is a time and place dedicated to you where you have uninterrupted time to develop and discover aspects of yourself that you might not have even known exist.  It's a chance to discover and experiment with new possibilities of who you are and what might make you happy.

When continuing to do more of the same of what you've been doing continues to leave you disappointed, you owe it to yourself to work with a skilled clinician who can help you expand your definition of success and happiness.  

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 web site:  Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 or email me: josephineolivia@aol.com.

Can't Stop Looking at Your Ex's Social Media Pages? Here Are Some Reasons to Stop

On some level, most people know that continuously reading their ex's Facebook page can be very upsetting, especially if you discover things about your ex--like he has a new girlfriend or, worse still, he got married--that you're not prepared to face.

Can't Stop Looking at Your Ex's Social Media Pages?

Over and over, I hear from psychotherapy clients as well as people in my personal life that they can't stop themselves from looking at their ex's Facebook page, even when they know it's really over.  For many people, it becomes an obsession.  They want to know what's happening in their ex's life and, more importantly, has s/he found someone new?

Although it might be tempting to keep looking at your ex's Facebook page because you feel that you just can't resist, there are some very good reasons to stop:

• You're going to find it very hard to move on if you keep looking at your ex's Facebook page.
• It can be a form of emotional self torture to find out that your ex is with someone new. And, anyway, what can you do with this information, aside from making yourself miserable and upset?
• If you see her looking happy with someone new, it can make you feel awful about yourself, wondering why she wasn't happy with you (even though the pictures you see on the Facebook page might not reflect reality).
• Like any obsessive habit, the more you do it, the more you want to do it, making it very difficult to stop.

Here are some tips that might help you the next time you feel the urge to look at your ex's Facebook page:

• De-friend your ex.  As hard as it might be, it will help you not to have such ready access to your ex's Facebook page.
• Try waiting 20 minutes, when you feel the urge to look, to see if the urge passes.
• Ask yourself, "What do I hope to accomplish by looking at his Facebook page?"
• Go out for a walk or distract yourself by doing something else.
• Talk to a supportive friend who knows how to listen attentively to your feelings.
• Take a break from social media and go out and do something nurturing for yourself.  

When You Don't Want to Let Go of Your Ex
Continually looking at your ex's Facebook page might mean that you're not ready to move on yet, and you might be harboring wishes, no matter how unrealistic, that the two of you might get back together again.  Be honest with yourself and ask yourself if this is what's going on with you.

Are You Avoiding Feeling the Emotional Pain of the Breakup?
Nobody likes to go through the emotional pain of a breakup.  But if you're holding onto unrealistic fantasies of rekindling your romance with your ex, part of this might be an unconscious wish to avoid feeling the pain.  Unfortunately, there's no way to avoid going through the pain in order to get to the other side so you can move on.

Getting Help in Therapy
Mourning the loss of a relationship is hard, but you can make it harder on yourself by holding onto what you know deep down is really over.  Everyone is different and every situation is different when it comes to mourning this type of loss.

No one can tell you how long it should take.  But if you find that, over time, it's not getting a little easier for you, you might consider consulting with a licensed psychotherapist who can help you get over your obsessive reading of your ex's Facebook page and also help you through the mourning process.

About Me

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

To find out more about me, visit my web site:  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 article:
Stalking Your Ex on Social Media

Psychotherapy Daily News - 1/25/13

Psychotherapy Daily News for today, 1/25/13, has articles from Psychiatric Times, American Psychological Association (APA) Help Center, Good Therapy.org, New York Times Health, Harvard Business Review, Psychotherapy Networker, Science Daily, and this psychotherapy blog, among others, about mental health issues, science, health, the environment, and leisure issues.

Here are a list of just some of the articles, which represents the latest and most interesting news stories:

• Your Relationship:  Should You Stay or Should You Go?
• Relationships:  Covert Belittling
• Overcoming Trauma with Somatic Experiencing
• The Joy of Being Attuned to Your Inner Child
• Working with the Borderline Client
• Can a Sense of Control Increase Your Lifespan?
• Red Explosions:  Secret Life of Binary Stars is Revealed
• Scientists Discover How Epigenetic Information Could Be Inherited - Mechanisms of Epigenetic Reprogramming Revealed
• Parenting - The Art of Benign Neglect
• Getting Naked:  It's Not Just About Sex

Subscribe to Psychotherapy Daily News
You can subscribe to get your daily copy in your in box by going to Psychotherapy Daily News and clicking on the "Subscribe" button.  Your information will be anonymous (even to me) so you don't have to be concerned about getting SPAM.

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 web site:  
Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (212) 726-1006.

Psychotherapy Daily News