Dealing with the Unavoidable Extended Family 

Jon Taylor, LCSW, CSAT, CMAT

PACT Level 2 


“Who is your real family, me or them?”

Figuring out how to deal with your and your partner’s extended families can be difficult. It’s one of the major sources of disagreement between partners. Both partners can have deep feelings and a strong individual preference for handling family personalities and issues, but alignment rarely happens without deliberate work because successfully blending two lives from two different family cultures can be among the most challenging tasks that couples face.

Several factors go into how often and how intensely couples face difficulties related to extended families. Some people never feel liked or accepted by their partner’s family. Every interaction is a showdown. When families live geographically close, one or both partners can feel intruded upon by frequent requests for family time.

Other individuals come from passively hostile families, in which most things look OK on...

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Vipassana and PACT: Complementary Paths of Secure Functioning  

 by Cynthia Ropek MA, LPC

PACT Level 3


Vipassana meditation is an ancient mindfulness tradition, which focuses on insight into the causes of suffering and the path to freedom. The Psychobiological Approach to Couples Therapy® (PACT) is a multifaceted therapeutic methodology for working with couples, which integrates mindfulness as an essential skill. As a Vipassana meditation practitioner and a PACT therapist, I have grown to appreciate a natural resonance between these two disciplines that goes beyond mindfulness. They both point to similar ways of being in relationship that promote health and well-being and decrease suffering.

I’d like to share some of the natural alignments that the Vipassana tradition has with PACT and my explorations of using some of the time-tested teachings and practices of Vipassana to support myself as a PACT couple’s therapist.

Distinct Relationships with What Is

Simply stated, Vipassana meditation is a practice for being with the...

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PACT Therapy with Disorganized Couples

Amanda Moates, PhD

PACT Level 2 Therapist


Insecurely attached partners, those who operate from a one-person psychological system, tend to place “pro-self values over relationship and defend against interdependency and mutuality,” as Stan Tatkin writes in the October 2020 issue of Science of Psychotherapy.

In other words, when feeling backed against the wall, these partners will instinctively move to protect the self at the expense of their relationship, not realizing their well-being is linked. In these scenarios, both partners lose.

With an organized insecure couple, the capacity to create a therapeutic alliance with the couple therapist exists when all parties understand their roles and the purpose of the work. The therapist may notice they feel part of a team. Disorganized partners have not achieved this developmental milestone and instead operate at a much lower level. They may come to therapy seeking to work on or change their partner instead of working on the...

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“Happy Wife, Happy Life”… Right?

By Mark Mouro

PACT Level 1 


I don’t know about you, but when I was a young man growing up and trying to navigate the treacherous world of relationships, one adage stuck with me more than any other: “Happy wife, happy life.” Remember that one? Some of you may live by that motto. And while you may see some benefit, the saying also has its downside. Let’s look at how it, along with similar clichés, has the potential to adversely affect your relationship.

As a marriage and family therapist, I specialize in working with couples. Most of my couples happen to have young children, too. Often both partners are busy and stressed. They rarely make time to be with each other. As a result, part of my work becomes helping them identify and positively express their needs.

I’ve lost count now on the number of times the men in heterosexual relationships say they want whatever makes their wife happy. I like to call this the path of least resistance.

So then,...

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Melodic Moments and Cymbal Crashes

Daniel Scrafford, LCSW

PACT Level 2 Therapist


It was always delightful to listen to my dad, a professor of music, talk about his passion for music. His face would light up, his voice would boom, and I was mesmerized. At those times, I felt as if he was handing down the most treasured lessons of his field to the next generation. One of those lessons that found particular resonance in my life and work was his enthusiastic explanation of how to change the melody of a song. 

One way to change the melody, he said, is to create subtle shifts that the audience scarcely notices at first. But then, gradually, the melody evolves into something completely different. The second way to change the melody, he explained, is to punctuate the score with a thunderous cymbal crash. That unequivocally announces to the audience that a big change is to follow. His imitation of the cymbal crash always startled me and made me laugh out loud. I loved that cymbal crash. 

When I first started...

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3 Things Couple Therapy Can’t Do and What It Can

 By Annie Chen, LMFT (https://www.changeinsight.net)

PACT Level 2 Therapist


The Psychobiological Approach to Couple Therapy (PACT) centers around a set of principles that are grounded in relationship fairness, mutuality, and safety, what we call secure functioning. Everything I do as a PACT couple therapist is guided by these principles. Time and time again I’ve seen that it’s an effective model for sustaining two people’s needs in a relationship. Secure-functioning principles are also versatile; they can be applied to nearly every type of issue and problem that couples encounter.

I’m often awe-struck at the work that couples do in my office. It makes the difference between joy and misery; between wanting to stay together and wanting to end the relationship.

But like all good models, couple therapy has limits to what it can accomplish. I’d like to identify some caveats and limitations to using this method so that therapy seekers can align...

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Turn-Ons and Shut-Downs: Exploring Sexuality with PACT

Caroline Russell Smith, LCSW-R

PACT Level 2 Therapist


I was voted “Most Likely to Become the Next Dr. Ruth” in my high school yearbook, but not until 16 years into my career as an individual therapist did I finally complete sex therapy certification. I had virtually no experience with couples therapy (let alone the PACT approach), but I would soon know a lot about sex! What could possibly go wrong?

I nailed my framed certified sex therapist diploma to the wall and got to work. The first three couples who sought my services were kind, collaborative souls, more reticent than fiery, whose secure functioning gifted me a false sense of clinical competence. Psychoeducation did the heavy lifting, and the couples happily headed off into the sunset with improved sexual functioning. 

My fourth couple continued chatting with each other on their way to my office from the waiting area, hardly acknowledging me, then sat on my couch (no PACT set-up then) and stared at me in stony...

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Welcoming Baby Bomb

Welcoming Baby Bomb

The following is an excerpt from Baby Bomb: A Relationship Survival Guide for New Parents, by Kara Hoppe and Stan Tatkin, now available for purchase here. 

When Jude was only a few days old, Charlie and I were sitting all cozy on our couch on a winter afternoon, as we’d done many times before—me on my side, Charlie on his. Only now there was a third person, and his place was on me to nurse. Nursing didn’t come easily for Jude and me. It was challenging to learn how to direct his lips to my breast so he could get a good latch. I had to listen for the sound of him swallowing and watch for his little jaw moving, signs that he was nourishing himself. If I didn’t hear swallowing or see his jaw move, it was time to pull him off gently and retry for a better latch. Eventually I came to think of breastfeeding as one latch at a time, and I did that until we became nursing pros. But on this winter day, pros we were not, and nursing was...

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A Humbling Journey Toward an Anti-Racist PACT Institute

Stan Tatkin, PsyD, MFT


In the summer of 2020, the PACT Institute – and Tracey and I personally – made a commitment to improve our diversity, equity, and inclusion (DEI) efforts and to better serve systemically marginalized communities. We immediately started working with a DEI consultant to help us look critically at our organization and where we could do better. 

My Personal Journey

My own understanding expanded significantly at the end of the first training this year. When someone asked about what I considered betrayal, I mentioned mismanagement of thirds and the reveal of information that, if previously known, would have changed everything. I gave examples of this and rattled off my usual list, including finding out your partner is not the gender they were assigned at birth. 

I was initially shocked to find the chat room buzzing with accusations of my acting out transphobia. Me? Transphobic? No! People are misunderstanding my meaning. What? 

I realized...

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Real Talk on Betrayal

By Jake Porter, LPC, NCC, CPC

PACT Level 2 Therapist


You’ve been betrayed. Or maybe you did the betraying. Either way, your relationship is on life support, and you’re wondering if the only answer is to say goodbye and pull the plug.

Maybe. Maybe the cut is too deep, the hurt too great, the brokenness too extensive.

But maybe a relationship can survive the trauma of betrayal, and even thrive afterward. I believe this because I see it every week in my office.

Betrayal’s Many Faces

Take Mark and Rachel. After 16 years of marriage, Rachel discovered that Mark had been with more than a dozen other women, two being long-term emotional and sexual affairs. Rachel was devastated to learn that her perfect, fairytale story was a figment of her imagination based on partial truth of her actual reality.

Or consider Liz and Dave, a young couple in their early 20s. They’d been together since they were 16, and Liz found herself pregnant. Now, two children and a...

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