Psychotherapy
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Blog (by JH, no AI)

Thoughts on Psychotherapy

Blog | Dr. Jamey Hecht | Beverly Hills, CA
 
Posts in freedom
Marriage and Freedom

Preoccupied with freedom, we can miss out on the full possession of whatever it is we have already chosen, or might choose now.

Keeping open as many future choices as possible is a great way to wind up with nothing.

Married men can cheat themselves out of a lot of wellbeing and self-respect by over-associating masculinity with novel erotic adventure, with an unrevised ideal of “fun,” with youth and its open horizon. It makes them underestimate how much wellbeing and self-respect can be had by freely choosing to love the person they have already chosen. Resentment blocks this process, so it’s an important early step in therapy to check for resentment. If there isn’t much of it there to obstruct the flow of feelings, then the man may be relatively free to make a new use of his freedom: namely, choosing afresh the same person he chose in the past, but this time making the choice as the more mature fellow he has become in the meantime. Suppose I first made the commitment when I was 27, and now I’m 41. My forty-one year old self has (and needs, and deserves) his own chance to make the choice on his own terms, for current reasons: to stay or to go.

Why stay? The fact that you promised to stay should be one reason, but it can’t be the only reason, or the promise is a prison. It is your exercise of your own liberty that liberates you, but it’s a common mistake to suppose that only a break-up would be an exercise of free will, an action, a difference-making choice. There are at least two other choices. One is to stagnate, to resent and to sulk, to withhold affection and sex and boycott the marriage without changing or ending it: choosing not to choose. Such a marriage is kept just-good-enough to be tolerable, but no better and no worse. The third choice is to opt for renewal and flourishing, despite uncertainty about just how best to go about it, and just what you can reasonably hope for by trying.

The goal is to open your heart. There is a better life waiting, though from where you now stand it may be invisible to you. Inside an attempt at an enduring monogamous commitment, a couple builds a small relational micro-culture in their home, that defines the norms of what they can expect from each other. How much verbal affection? How much sex? How much gift-giving, and on what occasions? Is it ok to yell? To use demeaning language, and call it “just a joke”? How much emotional safety is it reasonable to require? How much information about plans and spending and schedules is supposed to be shared in advance, to make the other feel included and facilitate collaborative problem-solving? How much of my time and attention should I expect to share with this person, and is it acceptable for one or both of us to be staring into a cell phone during that time?

The answers to all of those questions can be changed, but it takes deliberate effort. The ends will illuminate the means for achieving them. To find out what you need to do to improve things, envision the kind of relationship you actually want—the one that’s good enough that you could freely decide to stick with it despite your spouse’s limitations, and yours. Some of those aren’t going to change, but what might well change is how much that stuff actually matters to you. If she really can’t sing, she might sing anyway, but not well. If your husband has poor proprioception so that he never knows where his elbows and knees are, that’s unlikely to go away. Rarely does a person start to move like a gazelle who never resembled one before. People can learn to manage their A.D.D., but some of it may be intractable, and the chronically late person might never be consistently on time.

But what empowers us to look past those foibles is the much larger, more important open field of shared loving trust, joy, kindness, humor, help, reminiscence, learning, encouragement, celebration, and sex. Besides all those good things, the experience of shared suffering—getting through difficulty together—is a big contributor to bonded intimacy. And compared with the sum of these, a few human faults might not amount to much. I was going to add, “the signal-to-noise ratio is what matters,” but that metaphor won’t do, because exercising your freedom to improve your marriage doesn’t just make the music of love more clearly audible, it also makes it better music.

All of this assumes that becoming more invested and relationally ambitious is going to be appreciated and, at least somewhat, matched. If it’s not, and you’ve spent the past six months being more thoughtful than before, more firmly-but-gently assertive, more decisive-but-cooperative, more affectionate, more vulnerable, and more present—but your wife or husband has not changed at all, nor acknowledged it, nor made some similar changes to validate and reinforce yours, then you have to consider new options. Couple’s therapy can be a way to figure out how to stay together, or whether to stay together, or how to break up. It can be used to improve a good marriage or a bad one. It can also be a way of finding out whether the thing can be saved or not; if not, you can leave with the confidence that you tried your best. Or it can be a venue for discovering in greater detail just how to go about consistently making each other happier, perhaps even happier than you had thought possible.

With or without the help of a therapist, people in committed relationships who find themselves preoccupied with freedom will benefit from remembering that freedom is useless unless you make use of it. That can be done in ways that are immediately easy to observe, but some of the most consequential and wise uses of freedom are inward shifts that can bring to bloom enormous changes in due course. Among the best of these is the free decision to open the faucet in your chest from which love can flow when you dare to allow it.

For those whose marriages are dormant but good enough, and potentially very good indeed, it’s well to take a leaf from Homer’s Odyssey and reflect: you may find yourself sometimes fantasizing about Circe and Calypso, and that’s fine. But Penelope is the truth.

If this post resonates with you, consider booking an appointment with me at 917-873-0292, or email Jamey@drjameyhecht.com. Sessions are available in-office in Park Slope, Brooklyn, and remotely in NY, NJ, TX, and CA.

Infidelity

Infidelity is always happening somewhere, and it always involves at least three people; a cheater (let’s call that person Delta), a cheated-on (call this one Epsilon), and a third person, who comes from outside. Couple’s therapy rarely includes that one, so we’ll only discuss those two genderless Greek-lettered persons. The concept of infidelity only has meaning in the context of an attempt at a monogamous commitment, so the world of polyamory and other alternative arrangements is respectfully set aside for the purposes of this discussion.

Most people have either cheated or been cheated on, at least once in their romantic lives; many have been in each position at one time or another. The pains of guilt or betrayal are extreme when we’re young and naive, full of huge feelings without the wisdom of experience. Disillusion can be embittering. But if we endure infidelity early in life, we get to enjoy plenty of future decades with those lessons already installed. Big mistakes and betrayals are always possible, but people who have learned from experience can successfully make such crises extremely unlikely. Cheating on your boo in high school can put a guilty wretch in your mirror, and getting jilted in eleventh grade hurts plenty—but it’s much worse when it happens ten years into a marriage, especially if the couple has to tell their kids about it.

Cheating is: a mistake. Like most mistakes, it does not have to define you. It might forever define you in the eyes of the one you betray, but if you stop cheating, you can reinvent yourself—with or without that injured partner, by yourself, or with someone new. You may be Delta this time around, but you need never be in that awful role again. You can use the ordeal as a schoolhouse whose central lesson is that the price of cheating is extremely high, whether you get caught or not, so that almost no circumstances make cheating a good enough option to be worth it. You may be Epsilon (cheated on) this time, but you can turn this disaster to good account by distilling from it the knowledge necessary to avoid any future repetitions and Never. Be. Cheated. On. Again. Since this lesson is a bit more subtle and complicated than Delta’s lesson, let’s discuss it further.

Most cheaters aren’t sociopaths; some are. Other personality disorders, in particular narcissistic and borderline pathologies, can resemble sociopathy in this striking capacity for deception. Persons thus afflicted can lie well, all the time, to anybody, uninhibited by conscience or principle, with a skill that makes their deceptions very hard to detect. They lack the inner psychic structure that would otherwise generate inconvenient compassion for those they deceive. The missing psychic structure leaves plenty of room for a frictionless compartmentalization that gives them remarkably little trouble. They can smoothly escalate from withholding important information to outright lying. Unlike ordinary liars, sociopaths don’t just blunder forward in hasty improvisations, hoping for the best. They actively manipulate their partners, implementing strategic webs of bad data and false signals whose exquisite architecture is their own delicious secret. Some even lead truly double lives, with whole families that don’t know about each other’s existence. But these people are quite rare, with antisocial personality disorder (the current term for sociopathy) occurring in 2% to 4% of the general population. If you find yourself with such a person, your task is to end the relationship; to discover why you chose such a person; to develop criteria for screening out similar people in the future; and to heal from any underlying masochism that might have influenced your choice. Again, it’s very rare that the problem is a genuine sociopathy, so let’s set those cases aside at this point and consider infidelity dynamics that are much more common.

Most people who cheat have, by the time they bring their sexual and/or emotional needs outside the relationship, already sulked for months or years before they become sufficiently despairing about the relationship to go ahead and ruin it. They start by sending signals that they’re unhappy, the biggest of which is emotional withdrawal. If Delta’s signals of unhappiness don’t get through, it’s generally because Epsilon is too busy idealizing the relationship to consider Delta’s new and troublesome information. Idealization isn’t always a happy state. Its main feature is avoidance of reality, either by pretending that the relationship is rosy and trouble-free (“other people have to work at marriage, but lucky us, we don’t”), or by pretending that the relationship may be troubled, but is somehow uniquely indestructible.

The error—Epsilon’s blindness to Delta’s unhappiness signals—is of course a distorted perception, a misapprehension of the other person’s state of mind. But it is also (and perhaps more profoundly) rooted in an identity issue: one says to oneself, “I am someone who has married well, would never get cheated on, will never become divorced—that bad stuff only happens to other people.” Such self-deception is only human, but it is hubristic. Your partner is not an angel, and neither are you. This fact need not, must not, ruin anything—except the idealization, which began as a valuable element of falling in love, but must sooner or later be outgrown, replaced by a deeper, more mellow form of enduring esteem.

The lesson that will protect you from being cheated on in the future is: signals of unhappiness must be taken seriously, without procrastination, even if it makes you feel less lucky, or successful, or safe, than you are used to feeling. Have the necessary conversations about how each of you is doing, what hurts, what’s boring, what’s missing—what aspects of the relationship are giving each of you trouble of various kinds. If you’re too scared to have those conversations, or if they aren’t going well, get the help you need. Couple’s therapy can do ten times more good for your relationship before infidelity than it can do after it. Idealization blocks you off from the possibility of seeking couple’s therapy. But once you get started, it can facilitate a warm, good-faith, emotionally connected critique that is more humane and wholesome than the idealization.

If this post resonates with you, consider booking an appointment with me at 917-873-0292, or email Jamey@drjameyhecht.com. Sessions are available in-office in Park Slope, Brooklyn, and remotely in NY, NJ, TX, and CA.

"Failure to Launch" & Addiction: From the Compliance/Defiance Cycle to Emancipation

When a young person presents with both addiction and failure to launch, there is almost always a pressured tension between the patient and his or her family, especially those who control the pursestrings and pay for the therapy. The twenty-something’s journey (out of addiction and deferral, and into adulthood) should be distinct from his relational process with his family. In fact, it may even be psychologically necessary for him to move forward without having reached a stable accord with them. That way, he can be sure that his progress is not mere compliance. As that progress yield concrete results---especially, paying more of his own bills---he can be more confident that it isn't mere defiance, either. 

Compliance and defiance typically have been the poles between which the patient has been running back and forth for years, inside a family system which is stuck in that pattern. His compliance seems to be movement forward into adulthood, so long as most of what he complies with happens to be good advice, and reasonable rules, that come from exasperated elders who may well love him. But compliance is never really as good as it looks, because it's not autonomous, so it is not sustainable; it builds resentment that comes out sooner or later.  His defiance appears to be much worse, of course, because it's often full of hostility, self-destructive, anti-social, risky, and debilitating. 

Part of the reason this pattern is so terribly stable and hard to break up, is that the family's response to the young addict's defiance is usually a call for a return to compliance, this time a new-and-improved compliance that will last. That never works, because even if he does produce a good lengthy chunk of compliance, it's still mere compliance.  The solution is, in most such cases, to bring in a therapist whose client is not the family, but the patient himself. That way, the patient can continue doing the only two things he knows how to do, but in a whole new way which will permit him to learn new skills: he defies the family, and complies with the therapist in a genuine, collaborative search for what the patient (himself/herself/theirself) actually wants from life.

Why is that compliance somehow better? Well, between the patient and the therapist there is no personal history of being hurt, or betrayed, or robbed, or worried half to death. The professional is not burdened with guilt or regret about the past of the patient and his family. So she or he can afford to keep the patient's interests central, striving to collaborate with him on a viable path to a good-enough life (good-enough in the patient's own terms), at the heart of which must be a kind of guarded friendship between the struggling young patient and Reality. 

This is the same Reality which he has avoided for so long, languishing in addiction and the related un(der)employment. For him, Reality has been a place of failure, shame, and fear. Changing that is not easy, even with professional help. By the time such a patient arrives in the therapy office, he may have been to rehab, only once or many times. Depending on the nature of the addiction involved, recovery might be the first order of business; sometimes it has to come second or third. The choice (or the cycle) between abstinence and harm reduction should be respected, in accord with the specifics of the case and the values of both patient and therapist.

When something has been stable---even something toxic and annoyingly stable, such as a particular dynamic in a family system; a particular role for a particular person; any ongoing relational process that's been around for a while, even if it's one that truly sucks---its replacement by something better is still a big change. And all big changes, good or bad, are losses of the familiar. The good big changes are also gains, sometimes far bigger gains than the loss involved. So when a young person is coping with addiction and "failure to launch," and he or she manages to change and become successful-enough, sometimes the family gets upset---even though this good development is exactly what they've been pulling for all those years. It's new and it feels strange and people aren't sure how to respond to it.

And from the patient's side, as the therapy gains traction his capacity to manage his own affairs may be growing at a different rate than his capacity to deal with his family in ways that remain timely, kind, and effective for the pursuit of his own interest. Again: the patient's ability to cope with reality may be growing somewhat faster than his ability to deal with parents or other attachment figures in good-enough ways, enough of the time. Those older adults should try to keep these two capacities distinct in their minds, even though they are closely linked. Yes indeed, a guy who can keep a job ought to have the relational skills to manage his family elders without too much emotional noise-making. But as a therapist I can report it's extremely common for people of all ages to regress into childhood self-states when they deal with their parents---especially when purse strings are involved; or when there has been a divorce; or when there has been bereavement in the early death of a parent; and when addiction has been the main coping mechanism for a long time. If the patient acts messy with his folks, it doesn't necessarily mean he's still being messy out in the world.

In general, as far as good things go---things that might flow from the family to the patient, in recognition of his recent achievements---timing is important. It may be fine, and even lovely, for his family to use words and gifts to celebrate him for going straight after he manages to do so. But such things should never be mentioned beforehand, nor set up as an incentive. It has to be a free gift, at the right time, not too soon and without any strings attached. Of course, when therapy has just begun and addiction is still active, that's still a distant concern.

Compliance and defiance look and feel very different. Ultimately, both are forms of captivity to the cycle they form together. The way out is a genuine alliance between patient and therapist, in which it's made clear that there is a world---vital, interesting, unpredictable, sometimes friendly, and not impossible to join---beyond the one that has proven so painful and boring. Sometimes, the first hint of this lies with something outside the problem which can illuminate it: literature, or religion, or science and nature, or politics---it doesn't matter what the source is, so long as the patient gets the news (eventually, and as soon as possible) that, as Shakespeare's Coriolanus says when he leaves his mother: There is a world elsewhere.

If this post resonates with you, consider booking an appointment with me at 917-873-0292, or email Jamey@drjameyhecht.com. Sessions are available in-office in Park Slope, Brooklyn, and remotely in NY, NJ, TX, and CA.