Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Friday, January 7, 2011

Secrets- Part 2

THE FIRST PHASE OF RECOVERY:  GETTING INFORMATION
The first therapy appointment in which the couple will deal with the discovery of the secret begins the first phase of treatment for the problem. The therapist structures a safe, calm, and supportive disclosure session where there is a conversation between the professional counselor and the couple.

In a structured disclosure therapy session, the counselor can moderate the discussion with the goal of providing information that will help the couple understand their situation and help them heal.  The betrayed partner is helped to clarify his or her goals and determine which details they need and want to know. Some betrayed partners want to know everything; others want to know very little or just want to know the behavior has stopped.  

In affairs or sex addiction, most counselors advise against telling all the details until there has been a chance to discuss how knowing these details will impact them.  Therapists discourage disclosure of specifics (e.g. locations, type of sexual activity) because it can cause increased pain, obsessive rumination, and reactivity. For example, passing a hotel where a person acted out or met an affair partner will trigger a recurrence of negative feelings and distress.

THE PROCESS OF DISCLOSURE
In Roger and Stacy’s disclosure session, Stacy described what general behavior had occurred with her and her affair partner, how it began, and how long it had been going on.  She told him that no one but her best friend knew about the affair.  She told Roger that she was not ready to give up the affair, but she also wasn’t ready to end the marriage.
Disclosure is an important task for the couple because it is the beginning of honest communication and resumption of trust and intimacy.  As painful as it is for the couple, it breaks the silence of the secret, it ends the lying, and allows for an honest examination of what actually happened and what needs to happen to move forward. The betrayer can reveal information while taking responsibility for the betrayal without blaming others.
Couples may cover the following in a disclosure:
  1. Broad outline of the problem behavior
  2. How long the behavior has been going on
  3. The risks involved (e.g. STD’s, credit loss)
  4. Legal issues (e.g. warrants for arrest, court actions, children from affair, fraud)
  5. Who was involved? Who else knows about the secret?
  6. Whether the behavior has stopped, or if it continues, in what way?
The betrayed may generate a list of questions in addition to the ones above that provide the basic information needed to understand the general scope of the problem.  More specific questions about the reasons for and meaning of the secret are explored in the second phase of the recovery.

Unfortunately, the betrayer may not be able to give the whole truth because of the shame and fear or because they may not even remember all the details.  Betrayers can often be skilled at compartmentalization, or the ability to separate one part of their lives from other parts, and have learned to detach and avoid thinking about their transgressions. Shame leads to emotional numbness and hiding, which means that specific details and memories of behavior may actually be forgotten. 

Even though the betrayer may not remember everything at the time of the initial disclosure, staggered disclosure should be avoided as it tends to be re-traumatizing for the betrayed. New information revealed later damages the fragile developing trust and creates doubt about whether the complete truth has been told and whether there is still more to come.  Each new disclosure can feel like starting all over.  

To be continued....

Sunday, December 19, 2010

Welcome


As a therapist for about 25 years, I help clients work through personal and relationship challenges, dilemmas, and struggles.  Together, we focus on a problem and discuss whether there might be better ways to think about or deal with it.  It's a satisfying and sometimes difficult process to sort through what matters and what doesn't, what works and what doesn't, and what we can accept and what we can change. It's about learning what to pay attention to and what to let go of.  And it's about learning how to live in a way that supports being our best self - once we figure out what our best self really means.

Some of you may have many years of experience with therapy, others just a little, while others may have no experience in therapy at all. For those of you with experience, I hope you will share what you've learned about yourself from being in therapy.  For those of you with no therapy experience, perhaps this blog will give you a sense of how therapists approach problems, and whether therapy might help you.  Therapy is a relationship unlike many others. It is a set aside place and time that allows you to focus on yourself without worrying about appearing self-absorbed. 


It's a privilege to share this experience with my clients, and I hope to share some of what we learn in the therapy room in this blog with others. I'll discuss issues, maybe some case examples, and other new things- like books or training or movies- that I've discovered might help you find and become your best self too.


www.folsom-orangevalecounseling.com