Debra L. Kaplan, MA, LPC, CSAT-S
PACT level 1
Couple therapy is challenging, and some clinicians find it too intimidating to attempt. They worry, for example, that a misattuned observation could alienate not just one but both partners. There are also potential issues involving tact, timing of interventions, and poor management of session structure. For a PACT therapist, the greater challenge lies not in working with what is known but rather in what often underlies why couples seek therapy: their inability to tolerate and regulate individual and dydadic stress. Addressing the early development of partners' attachment experiences with their primary caregivers provides the PACT therapist with vital information about intrusions in the couple bond, as well as helps to assess the partners' capacities for coregulation (the ability to manage their emotions, as well as know when and how to soothe or...
Sara Slater, MSW, LICSW
PACT Level III candidate
Apparently the pregnant couple in my office didn’t want to talk about preparing for baby at all. Instead, in the first minutes of their first session, Meg launched into her frustrations about their house and the dog and Rob’s work and their finances. Her hands were folded protectively over her belly, while Rob remained silent, leaning back in his chair, arms folded behind his head. The more she escalated, the calmer he appeared. Neither looked much at the other; both frequently turned to me, with a look that said, “See what I’m dealing with?” No one mentioned the baby, except to answer that she was due in about six weeks.
So, what was happening here? Instead of nestling into their couple bubble, joyfully anticipating the baby to be, or supporting each other through fluctuating anxieties and preparations, they were retreating into attacking, blaming, and...