Self-Regulation and the PACT Therapist

By Carolyn Sharp, LICSW
PACT Level III Therapist
http://www.carolynsharp.com/

After laughing with Marty about the wonderful date they had, Peter adds, “Of course we had to go to the restaurant you wanted.” With that slight emphasis on going to Marty’s restaurant pick, they go from shared laughter to bulging eyes and hostile voices, following each other out of connection and into attack. All it takes is one wrong comment to spin into the dynamic this high-arousal and high-conflict couple came to address. My heart rate increases and my throat tightens as my mind imagines the session going out of control. With my own arousal rising, I’m in danger of losing my capacity to be helpful.

Christina and Sam stare listlessly at the floor during extended pauses after my questions and comments. Their passivity and disconnection are in charge here, and neither partner makes a move toward closeness or engagement. I...

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Looking for the Baby

By Lisa Rabinowitz
LCPC, PACT Level 2 
https://www.baltimorecounselor.com

 

We have all been in situations in which we feel misunderstood by our partner. We might be left scratching our head, wondering why our partner just doesn’t get us. PACT therapists recognize that such misunderstandings or misattunements to nonverbal and verbal cues are similar to what can happen with babies and their primary caretaker(s). We know from attachment theory that if the caretaker is unresponsive, punitive, anxious, or inconsistent, then the baby may fear abandonment or withdraw or overreact, developing an insecure attachment. On the other hand, if the caretaker responds in a consistent and reliable manner, then the baby will develop secure attachment, believing the caretaker will be there for him or her in the future. As adults, this kind of signal-response...

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Moving From Misattunement to Coregulation

By Beth Newton, LCSW, LCAS
PACT Level II, PACT Ambassador
Durham, NC
https://newtoncounseling.com/

Every week I sit in my office watching couples struggle with coregulation. Coregulation is defined as warm and responsive interactions that provide support and that help someone understand, express, and modulate his or her feelings, thoughts, and behaviors (Gillespie, 2015). Through coregulation, children learn how to manage their attention and emotions in order to complete tasks, control impulses, and solve problems (McClelland & Tominey, 2014). This requires them to attune to subtle cues of distress, curiosity, bids for attention, fear, and joy. The concept of coregulation can also be applied to adult relationships.  

As a therapist, I often work with couples in which one or both partners experienced parental misattunments, neglect, or...

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All People Are Difficult, But You Shouldn’t Be Too Difficult

by Stan Tatkin, PsyD, MFT

As a couple therapist, I know how difficult people can be. Actually, as a person on this planet and a romantic partner to my wife, Tracey, I count myself as one of those difficult people. Indeed, in no way do I put myself above any of the other annoying people out there. Yet here I am, writing about how to be less of a pain in the ass. Well, while I know I can be difficult, I know how not to be too difficult. And the line between them is actually clearer than you might think. Here’s how not to cross it.

When I work with couples, our goal is for them to become secure functioning. Secure functioning partners are least difficult with and toward each other. That’s because they understand their purpose: To ensure each other's absolute, unequivocal sense of safety and security. Partners are equal stakeholders in this endeavor, therefore, they agree to make life easier for each other, not harder. That's one of the main principles of secure functioning...

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Pause, Allow, Soften, Breathe, Appreciate: PACT Therapist Self-Care

Uri Talmor, M.A., L.P.C.
PACT Level II
Boulder Colorado
http://www.consciousheartintegration.com/

A couple come into my office, already in argument mode. They emanate Neanderthal-reptilian contempt, talking over each other, and perceiving most of what comes out of the other’s mouth as an attack.

Immediately, some snarky down-the-middle possible responses fill my mind: “You two are really good at hurting each other.” Or “You’re both really good at making the other person wrong.”

I take a deep breath, soften a little on the inside. It hurts to watch them; there is so much pain. I wonder, “Is this what their children feel? Is this what I felt growing up?”

She’s crying now, but he’s continuing to talk. Why hasn’t he slowed down? Where’s his sensitivity to her pain? He’s missing her. Doesn’t he see she’s gone?

With some couples, these types of mis-attuned moments are chronic. They seem to be trapped in...

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How Learning to Facilitate PACT for Couples Helped Me Finally Meet the Love of My Life

By Sefora Janel Ray, MFT
Berkeley, CA
http://therapytothrive.com/

I had no idea when I took the PACT training to become a couples therapist that it would affect my personal life so dramatically. I can confidently say now that the reason I’m in a secure relationship is because I took the PACT training and learned how my attachment style affected my dating life. Through PACT, I gained the understanding and skills that helped me to find the love of my life and to create a fully supportive partnership.

I’m a therapist, so I knew for years that I had what is known in PACT as the wave style of attachment (also called the anxious ambivalent or the angry resistant attachment style). My parents divorced when I was five; both my parents worked full time, and I didn’t get the individualized attention and care from them that I craved. They were both very angry and critical of each other, which sometimes leaked onto my sister and me. In adulthood, I was aware that the lack of...

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Power Dynamics and Management of Thirds: Avoiding Triangulation in Therapy

Debra L. Kaplan, MA, LPC, CSAT-S
PACT level 1
Tucson, AZ
debrakaplancounseling.com

Couple therapy is challenging, and some clinicians find it too intimidating to attempt. They worry, for example, that a misattuned observation could alienate not just one but both partners. There are also potential issues involving tact, timing of interventions, and poor management of session structure. For a PACT therapist, the greater challenge lies not in working with what is known but rather in what often underlies why couples seek therapy: their inability to tolerate and regulate individual and dydadic stress. Addressing the early development of partners' attachment experiences with their primary caregivers provides the PACT therapist with vital information about intrusions in the couple bond, as well as helps to assess the partners' capacities for coregulation (the ability to manage their emotions, as well as know when and how to soothe or...

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One Way Memory Impacts Your Relationship (and it might not be the way you think) 

Inga Gentile, MFT
PACT faculty
Oslo, Norway
www.ingagentile.com

“Why does she always seem to get clingy right when I have to go out of town for work?”

“Why does he lock himself in his office after work and watch Netflix while I’m alone in the living room?”

Many couples experience confusion and frustration related to often repeated scenarios like these. But it’s not a sign that your partner doesn’t love you. Or that you’re not the right fit.

There’s actually a psychobiological reason these scenarios play out among couples everywhere. It’s called implicit memory. Implicit memory begins at birth and is unconscious and nonverbal. It precedes declarative memory, which refers to the conscious recollection of facts and events. Implicit memory, on the other hand, because it involves older, more primitive parts of your brain, operates rapidly and largely outside of your awareness.

How does implicit memory play out in your...

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Back to School with the 3Rs

Allison Howe, LMHC 
PACT Level II 
Saratoga Springs, NY 
www.facebook.com/AllisonHoweLMHC

As PACT-trained therapists, it is perplexing when we find ourselves working with a couple who are not moving into secure functioning. There are a number of factors to consider: Is there a deal breaker that hasn’t been addressed? Are both partners truly committed? Are resources outside the therapy office allocated to restructuring the relationship? 

As we work to move couples from a one-person psychological system into a two-person system, we are facilitating the development of skills. Learning to have relaxed and mutually satisfying conversations requires skill. However, when partners demonstrate curiosity and interest in their partner, they are taking an essential step forward. Their time and attention are a precious resource and are too often in short supply. 

The changes we are endorsing...

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Using Quality Moments to Soothe or Bypass Core Vulnerabilites

Inga Gentile, MFT
PACT faculty
Oslo, Norway
www.ingagentile.com

Many couples tell me they simply don’t have the time they need to set aside to address issues in their relationship daily. They are too tired at night, mornings are too hectic, and their days are a blur. However, there are things they can do and ways they can be toward one another to help create greater safety and security in their relationship.

One way to increase secure functioning in your relationship is to be aware of the core vulnerabilities that underlie chronic distress for you and your partner. Stan Tatkin (2012) talked about the three or four core vulnerabilities most people have, usually rooted in childhood experiences. Secure-functioning couples realize it is their job to be aware of such vulnerabilities and to tend to injuries when needed. They don’t spend a lot of time complaining that an injury shouldn’t be there or shouldn’t ache so much; rather, they make a point of creating quality...

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