by Beth O’Brien, PhD, licensed psychologist
PACT Level III candidate
http://bethobriencounseling.com/
“Fast acting, long lasting.” Those are the words one couple used to describe their experience of PACT in session with me. As a PACT Level III candidate, I find that once each partner learns to really understand the other and how the other works, their relationship runs more smoothly.
Couples often begin their first counseling session pointing their finger at the other partner. They blame, explain, and defend. I understand that they are angry and hurt, and it took a while for them to come to counseling. As our sessions continue, the partners experience the benefit of safe and secure functioning, and this becomes the primary goal for their relationship and how they want to be with one another. Through PACT interventions, they begin to collaborate more. “I” becomes “we.” They look out for one another more. What the other person says and needs...
by Stan Tatkin, PsyD, MFT
Las Vegas used to have slot machines known as one-armed bandits. You only needed to move one arm to let them take all your money. Most slot machines now have buttons or a digital interface, but I remember seeing people in casinos hypnotically putting money in the slot, pulling the lever, listening and watching the cylinders spin, and every now and then getting a (usually small) reward. It’s addictive. Why? Because even though it is a repetitive action, the possibility of being rewarded causes the brain to experience novelty. And our brains love novelty. The fact that the reward is intermittent makes you feel you have to pull that lever one more time. If you do, you might just hit the jackpot.
It occurs to me that some of the new apps for dating or hooking up are similarly addictive. For example, consider Tinder, which is available on all platforms. You can scroll through a plethora of faces and find ones in your local area. Then you swipe to the...
by John Grey, PhD
PACT core faculty
healingcouplesretreats.com
Like many couples who arrive for their first session, Robert and Susan initially sat down facing me rather than each other. Both in their mid fifties, they had been married for seventeen years and had two children they loved very much. As Susan started describing what brought them to my office, I saw Robert’s facial expression occasionally change. But Susan did not see this. As she complained about not feeling very important to him, she didn’t notice Robert’s momentary grimaces. If she had seen these, she might have realized that she had a big impact on him.
A basic principle of secure functioning is that couples are in each other’s care. Part of the PACT method is to help partners accurately recognize their moment-to-moment impact on each other, and to help each use his or her power to better care for the other and thereby increase shared satisfaction.
One step in this approach is to turn partners...
By Lindsey Walker, LMFT
PACT Level II practitioner
Seattle, WA
http://www.lindseywalker.com
You’re lying in bed, curled to one side, your blankets pulled up tight and cozy. It’s cool and quiet, and the night has long fallen around you. “Ah, sweet slumber,” you think, “just moments away.” But wait, what’s this? Your mind is racing as if you’ve just had your morning cup, and your heart is fluttering to match. You’re far from slowing down, yet a little voice inside keeps trying to convince you it is time for bed and you’ll be drifting off to sleep in no time.
If only you and your partner hadn’t just had that fight.
Mere inches away, the love of your life is also pretending to sleep. What a fantastic game of charades you find yourselves in—each keeping up your act while guessing if the other is actually sleeping or is just lying there and waiting. You both want the other to reach out, say something, do something,...
By Ellen Boeder, MA, LPC
PACT Level II practitioner
Boulder, CO
http://www.ellenboeder.com
When I witness a couple move from fear and blame into trust and genuine care, I am inspired to feel hope for humanity. Protecting our loved ones and providing real relief to each other are qualities our entire world needs right now. And this starts in romantic partnerships. The primary relationships within our own homes are powerful resources that can provide needed comfort and safety in a difficult, uncertain, and challenging world.
A couple who willingly embark on improving the security in their relationship will learn how much is possible when they have truly cultivated a secure-functioning relationship. They work in the present moment to discover who each of them is as an individual; practice new ways of being in relationship that may feel vulnerable but that strengthen their connection; and challenge themselves to do the work of creating a mutual, safe, and just two-person system. They will...
By Michelle Rae, M.S.W., RSW
PACT Level II practitioner
Oakville, Ontario
http://www.raecounselling.com
Can you imagine living in a world where every person—adult and child alike—started and ended his or her day feeling loved and connected to another? In a culture that values independence, autonomy, and self-reliance, and that views vulnerability and interdependence as weaknesses, knowing how to operate as a two-person system (one that promotes taking care of me and you at the same time) can feel like an incredibly foreign idea. Yet, research tells us that children who are securely attached have the confidence to explore their world. They know that their caregivers have their backs and will be there to catch them should they stumble or fall, no matter what. The same is true in adult romantic relationships. The need for secure attachment is not something we outgrow.
Part of what drew me to PACT was a desire to improve my own marriage. The more I studied PACT, the more I...
By Rick Hupp, LMFT
PACT Level II practitioner
West Hills, CA
www.responsiverelating.com
When I was a boy, I had a loyal and loving friendship with our family dog, a Labrador retriever mix named Domingo. He was our docile family mascot, and he had a wonderful ability to influence us in a playful manner, whether it was to get us to throw a ball for him, sneak him a snack under the dinner table, or give him a thorough scratching behind the ears. He was mostly by my side, even when sleeping, as my parents had made a special padded nook for him next to my bed.
One morning I awoke to the sounds of him growling. As I looked over to see what the matter was, I realized he was fast asleep but having a bad dream. Whatever was threatening to him in that dream was causing him to respond with an aggressive, defensive stance—rare for his generally happy-go-lucky demeanor. Thinking I was going to offer comfort by waking him from his doggie nightmare, I leaned out to gently pet him. Much to my...
By Rachel Holland, DClinPsych,
PACT core faculty
Buckinghamshire, UK
[email protected]
Dan and Jane have been married for thirty years and have three sons. They came into therapy following a challenging time in their lives after they faced a number of health, family, and work problems in quick succession. Jane had also suffered a recent traumatic event and was struggling with posttraumatic hyperarousal. She was sensitive to noise and crowds and felt that nowhere was safe anymore. Both Dan and Jane were distressed and looked exhausted in response to these events. Their relationship had become adversarial and verbally aggressive, and they felt like they were “on eggshells” with each other. Both were seeing individual therapists for support, as well as seeking couple therapy.
My initial ideas about this couple included issues related to allostatic load (i.e., the cumulative burden on the nervous system from multiple chronic stressors; McEwen & Seeman,...
by Jeff Pincus, LCSW, and Rachel Cahn, LPC
PACT faculty members
Emails: [email protected], [email protected]
Most people would agree that relationships, especially love relationships, are incredibly complex. Most honest psychotherapists would add that couple therapy itself can be extremely complicated, and that it isn’t always clear how best to intervene with a couple who are distrustful, disconnected, and in the midst of pain. With so many moving parts, what should the effective PACT therapist focus on? The answer is affect, and helping the couple attend to each other’s affect by tolerating it and responding appropriately. Affect regulation theory offers a succinct lens through which to view how skilled PACT therapists can be most effective in helping a couple move toward a secure-functioning relationship.
What is affect?
According to psychologist Daniel Hill, affect is “the somatic representation of the state of the...
I love being a couple therapist, and after 18 years, I am pretty confident I know what I’m doing—mostly. What I love about the work is the sense of honor I feel when a couple engage me in their process and I can help them create a better relationship. Each and every time I embark on that journey, I commit to it fully and I give it my all. It is such a privilege.
As you can imagine, I’ve learned many skills and worked with a range of modalities. Some of these have stayed with me, but many have been left behind. Not only is it my professional responsibility to stay on top of what’s new in clinical practice and what the clinical evidence tells us about what works and what doesn’t, but for me it’s also important to keep...
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