By Susan Orenstein, Ph.D.
PACT Level 2 Therapist
Let me start at the beginning of our love story.
My freshman year at Brown University, a resident counselor introduced me to another student because we both had a love of piano. Growing up, when I played for others, they would politely wait until I finished and offer a general compliment. But when the student to whom I had just been introduced heard me play, instead of general platitudes, he offered constructive feedback. I remember being thrown for a loop but also impressed that he truly listened and was authentic in telling me what he thought. Our basis for trust began right there. A few years later we began dating, and for his senior piano recital, we played a duet, Debussy’s “Petite Suite.” That student is now my husband.
Fast forward 30 years.
As new empty-nesters, my husband and I set off for Vermont to attend Kinhaven’s Adult Piano Workshop. The participants,...
By Stan Tatkin, PsyD, MFT
Two main issues face the PACT family therapy process: Structure and Attendance.
A challenge within typical family therapy is the structure that holds some family members to their particular family roles. While viewing members within the system frame is valuable, especially when it comes to various roles different members play, it can also restrict the flow of information as some members expand and express while others contract and remain in the background.
Using the PACT method to do family therapy may be more effective and convenient for both therapist and family. By dividing family members into pairs, the therapist can do “couple therapy” with various dyadic combinations, thereby freeing members from default role constraints and constrictions encountered when faced with the entire family system.
As long as invited members are of an appropriate age and maturity to participate...
By Edna Avraham, LMFT
PACT Ambassador, Level III Therapist
The Psychobiological Approach to Couple Therapy (PACT) focuses on helping and coaching couples to “secure” each other in order to reduce threat, thrive, and grow closer. While they are designed for couples who want to deepen their connection, PACT principles can also apply to uncoupling or divorcing parents.
Some of the secure-functioning principles are:
Following these principles creates a secure foundation for each member of the couple to feel cared for, prioritized, loved, and considered.
Divorcing couples are often in a constant state of...
By Debra Campbell, MS, LMFT
PACT Ambassador, Level 3
When a couple comes to our office, they bring a dynamic in the relationship that pains them. Neither partner sees the issue in the same way, and they don’t know how to solve it. Often, they’ve argued about it repeatedly. Talking about it just starts the argument again.
The rate at which the disagreement escalates is an indicator of how many times they’ve argued the same issue. We know they’re not dealing with anything new because the brain deals with novelty much more slowly than something we have habituated. How, as therapists, can we help the couple slow down and experience something new?
In PACT Couples Therapy, we use proximity, micro-expression, and body language to achieve more constructive outcomes that have a lasting effect outside of session. Here’s a familiar scenario:
Last fall, Rebecca and Bob were running late to their therapy session....
By Lisa Rabinowitz, LCPC
PACT Level II Therapist
In your romantic relationship, paying attention to your partner’s responses and attitudes is especially prudent. Observing impressions and reactions can help you become more in tune with a partner’s likes and dislikes. I refer to this practice as “obtaining your partner’s ‘owner manual.’”
For example, if I say the word rollercoaster, most people have a strong response, whether positive or negative. If I then plan a trip to an amusement park with my partner – and I love amusement parks – that’s great for me, but did I think about my partner and his reaction?
What if my partner hates amusement parks? The above example could be a win-lose situation if one of us likes rollercoasters and one of us does not. Pro-relationship couples promote win-win situations. Therefore, I need to know more detailed information about my partner to increase...
By Jason Polk, LCSW, LAC
PACT level II Therapist
Repair is one of the most important things for couple s to master. If there was an incident or argument that caused one or both of you distress, repair moves you back into harmony, or at least to a neutral state where you’re both calm and are no longer lobbing hurtful words or actions at each other.
Repair is the place where you reconnect as lovers, or at least as partners. In order to repair and reconnect, we have to give something for our partner to connect to. And what we can’t connect to is anger, blame, or self-pity. So, we need to pause and become aware of what’s underneath this protective armor and share that. This is called vulnerability. In PACT, it can be called taking care of our self.
If you take the time to self-reflect on the feeling that your anger is protecting, through the lens of PACT, you’re...
By Lindsey Walker, LMFT
PACT Ambassador and Level II Therapist
Couples therapists often struggle with how to sort through the many feelings and complicated relational dynamics that arise in couple therapy sessions. You have two people, both hurt. Each come with a different perspective, combined with years of history and unresolved conflicts, and they are looking to you to figure it all out.
By walking into your office, they invite you into their relationship. As a therapist, you join them through attunement. As a PACT therapist, you combine your attunement with identifying the couple’s observable behavior, which enables you to determine what they have not yet integrated into a secure-functioning relationship.
When you mind your own experience with couples, while simultaneously observing how they interact with each other, they provide you with real-time information about who they are and how they handle their relationship. As you gain this information,...
By Carolyn Sharp, LICSW
PACT Level III Therapist
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...
By Lisa Rabinowitz
LCPC, PACT Level 2
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...
By Beth Newton, LCSW, LCAS
PACT Level II, PACT Ambassador
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...