by Stan Tatkin, PsyD, MFT,
Therapy is only useful for changing people who are experiencing sufficient distress. This is not to say that education, consultation, or brief counseling will have no effect. People often benefit from couple counseling for premarital or other short-term work. However, as a matter of therapeutic stance, the PACT therapist assumes the presence of a sufficient level of distress that can only be relieved by pressuring couples to go down the tube of secure functioning. The PACT therapist thus takes a stand for secure-functioning principles. For insecure partners, this requires a big leap of faith.
That leap of faith can be viewed as a metaphor for neuronal action potential (AP) and long-term potentiation (LTP). AP is basically a charge that is sufficient to fire a neuron. LTP is a cellular mechanism related to learning and memory. LTP involves the building up of synaptic strength between neurons, whereby several weak synapses repeatedly fire...