Couples in Distress: Working With Bottom-up Interventions

by Inga Gentile, MFT, PACT faculty, Bardu, Norway
Website: www.ingagentile.com
Email: [email protected]
“Nothing is more revealing than movement.” — Martha Graham

Despite our conscious narratives, which are formed in the brain’s left hemisphere, much of what we do is driven by fast-acting processes and affect-regulating capacities encoded in the right hemisphere as part of procedural memory. Our early repeated relationship experiences not only create a psychological blueprint for how we view ourselves and others, but also determine how we will operate in future relationships. They also influence the development of brain structures responsible for affect regulation later in life. These memories (when manifest in psychobiological reflexive behaviors\micromovements in the body and face) can either refute or support our conscious narratives. They also influence how we move toward and away from people and how we get people to move toward and away from us,...

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The End: Take It Off the Table

for couples jami faletti Jan 13, 2015

by Jami Faletti, M.F.T., PACT faculty, Los Angeles, CA
Website: jamifaletti.com
Email: [email protected]

Have you noticed the crazy number of articles, blogs, and quizzes circulating on social media right now asking you to question your relationship? Just look at your Facebook feed and you’ll see it’s teeming with titles such as “Should You End Your Relationship?” and “How to Tell if You’re with the Right Person.” These articles seem to prey upon, pander to, and perhaps even inspire our worst thinking—that we chose the wrong person or are in the wrong relationship

You can probably tell my hackles are up a bit because PACT therapists know this is the worst place to start if you want to improve your situation. In fact, the first order of business when a couple comes to a PACT therapist is to take any and all threats to the relationship off the table. Unless someone is actually leaving, it doesn’t make sense to do...

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PACT and Love: Small Moves, Big Movement

rachel cahn Dec 16, 2014

by Rachel Cahn, MA, LPC, PACT faculty, Boulder, CO
Website: www.rachelcahn.com
Email: [email protected]

Andrea and Brent (not their real names) have been married for twenty-three years, and have been struggling since their youngest son left for college. Now that their focus is no longer on their children, the distance between them is apparent. In session, they describe a recent conflict around Andrea’s birthday. Brent usually orchestrates lavish celebrations with many guests, while avoiding the quieter interpersonal aspect of the occasion (which she relishes). Andrea’s most recent birthday took place while they were at an event with extended family, and Brent’s attention was focused on another family member. Andrea felt dropped when Brent didn’t even acknowledge the day with her, and he felt guilty and shut down in the wake of Andrea’s disappointment. Describing the week is painful for both of them: Brent anxiously averts his...

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The Secure Family Asana

by Lon Rankin, LPCC, PACT faculty, Santa Fe, NM
Website: LonRankin.com
Email: [email protected]

Every species of mammal uses the limbic system—the social, emotional, relational part of the brain—to create strong bonds that provide safety and a felt sense of security. Adult-child bonding is especially crucial for the development of the complex human brain and nervous system, and the development of an internal felt sense of security in the world—both real and perceived. When parents are too often inattentive of their child’s emotional needs, this bonding does not happen optimally, and the injury of insecurity can prevail.

Memories, especially negative ones, are extremely powerful in influencing our perception of the world and our behaviors. Our subjective experience is colored by our past. All experiences, at any age, involving fear and threat are “velcroed” into the memory system in the interest of self-protection, but memories from...

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Accelerating Development with PACT

by Jeff Pincus, LCSW, PACT faculty, Boulder, CO
Website: CouplesTherapyBoulder.com
Email: [email protected]

Emotional development doesn’t happen in isolation. The entire field of psychotherapy rests upon the premise that one human being can help another to move beyond vestigial strategies developed in the context of the distant past and to live life in a way that is less encumbered by personal history. We consider this to be emotional or psychological growth. Part of the blessing of being human is that this process can be ongoing as we learn, grow, and continue to develop across our entire lifespan.

As a PACT therapist, PACT trainer, and husband who continues to put PACT principles to the test in my own marriage, I have been awed by the acceleration of development and maturation that occurs within a committed partnership when both parties co-create a foundation of secure functioning. This is the bedrock that PACT helps couples stand upon, and that supports a resurgence...

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Working Bottom Up in PACT

 

by Karen Berry, PhD, PACT faculty, New York, NY
Email:  [email protected]

Bottom-up interventions are the bread and butter of PACT. These interventions can be simple to execute, yet powerful in their effect. For example, the therapist can ask partners to face one another, with the therapeutic intention of using eye gazing to reduce their allostatic load. Compared with habitual long, slow, top-down conversations, bottom-up interventions more readily empower the couple to use their neurological systems to affect change in the relationship.

All clinicians have seen how a couple can become reactive and operated out of conditioned responses from childhood. Their brains can register threat in nano seconds. The autonomic nervous system (ANS) moves at lightning speed in response to facial gestures, dangerous words and phrases, jerky gestures, tone and prosody, as well as general body language. PACT therapists watch moment-to-moment shifts of the ANS, implicit expressions...

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Power Couples…Activate!

by Eva Van Prooyen, M.F.T., PACT faculty, Los Angeles CA
Website:  Eva.VP.com
Email:  [email protected]

Healthy, secure relationships are a source of vital energy. PACT therapists know people feel good when they understand how to be successful partners. We are energized by a secure connection to another person. Our need to be securely attached is so powerful that it can get us through the hardest of times and help us float through day-to-day routines with ease, skill, and grace.

Secure functioning is based on a high degree of respect for one another’s experience. Interactions and shared experiences are fair, just, and sensitive. If your partner feels even slightly unwanted, undervalued, disliked, unseen, or unimportant, he or she will—quite frankly—act weird and underperform in the relationship.

Insecurity and insecure attachment negatively affect brain performance. Development can be slowed down because the brain is using most of its resources to...

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Red Sky in the Morning, Sailors Take Warning

by Elaine Tuccio, LCSW, PACT faculty, Austin, TX
Email: [email protected]

One of the most common complaints made by couples who come to therapy is that they feel they do not know how to communicate well with one another. The words “we have problems communicating,” or something along those lines, are often preceded or followed by a deep sigh—the signal of long-held misery and defeat.

The PACT therapist using the Partner Attachment Inventory (PAI) can obtain enough information within the first session to help a couple see that their problems are not simply communication. In fact, where couples tend to falter most is in reading signs and signals—the nonverbal cadence on which primary attachment relationships are built. Life’s forces have caused drift in their relationships. A mix of financial stress, betrayal, conflicting priorities of career and family, and addictions have thrown them into survival mode. As a result of early unmet developmental...

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Discovering New Steps to Shift a Couple’s Dance

by John Grey, Ph.D., PACT faculty, Berkeley CA,
Website: www.soulmateoracle.com
Email: [email protected]

Partners caught in ongoing distress lose sight of how to shift their negative dynamics. Although their dance could change if either made a small but significant move, neither seems to know a move to take things in a positive direction. So rather than acting from a sense of agency, each feels powerless and at the effect of the other.

From a PACT viewpoint, we maintain that each partner has the power to change their mutual dance. We know that, as primary attachment figures, they have a great deal of influence and hold a uniquely powerful position in each others’ brains. Each has the potential to sway the other in a new direction. Part of our work is to expand the repertoire each brings to the dance floor. We point out where they inadvertently step on each other’s feet and demonstrate in real time how a different move here or there relieves distress and helps...

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Secure Enough to Be Spontaneous

by Hans Jorg Stahlschmidt, Ph.D., PACT faculty, Berkeley CA,
Website: www.stahlschmidt-therapy.com
Email: [email protected]

Burnout is common among psychotherapists. Countless articles and books deal with reasons for and prevention of burnout. However, some instances of burnout are nearly impossible to prevent, given dysfunctional institutional settings, demanding and taxing work hours, and a difficult and acting out clientele. Many commentators have opined that psychotherapists may lack sufficient self-care to counter the ongoing stress of dealing with the psychological pain and trauma of their patients, especially in the context of isolation characteristic of this profession.

For me, becoming a PACT therapist has proven to be the best burnout prevention. This approach requires a strong therapeutic frame and a complex set of skills that is rooted in a defined conceptual foundation. It also allows a freedom I have not experienced in other therapeutic approaches. This is the...

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