Hel clients break the lethal [wounds + unawareness] cycle!

Effective Clinical Interventions
when Only One Mate Will Participate

By Peter K. Gerlach, MSW

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  The Web address of this article is https://sfhelp.org/pro/spl/one_mate.htm

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        This article is one of a series on effective professional counseling, coaching, and therapy with (a) low-nurturance (dysfunctional) families and with (b) typical survivors of childhood neglect and trauma. These articles for professionals are under construction.

        This series assumes you're familiar with:

        Before continuing, pause and reflect - why are you reading this article? What do you need?

What's the Problem?

        This clinical model is based on a systemic view of persons, relationships, and families. A core premise here is that clients seek clinical help in order to reduce some significant discomforts (surface "problems") in their lives. A corollary is that in two-partner family systems, both adults need to want to  participate, for the best chance for effective clinical outcomes. In typical low-nurturance relationships and families, one mate is more motivated than the other to use clinical help.

        This article offers experience-based perspective and suggestions to marital and family counselors, therapists, supervisors, and case managers when one mate (a) won't participate in clinical work, or (b) participates but remains detached, ambivalent, or "resistant."

        Before continuing, pause and reflect - why are you reading this article - what do you need? Then decide who answered that question - your true Self (capital "S") or "someone else." If the latter seems true, expect to get less from reading these ideas. If you're currently working with a couple or family where one partner "won't participate" in the work, keep them in compassionately mind as you read this.

Perspective

        Core premises - see if you agree with these proposals...

  • a high percentage of people in low-nurturance ("troubled") relationships and families suffer from psychological wounds they inherited from unaware, wounded ancestors

  • Significantly-wounded, unaware adults repeatedly choose wounded, ignorant partners - despite painful results. This usually means one or both are burdened with excessive shame, guilt, fear, distrust, and difficulty bonding and/or grieving broken bonds.

  • Common behavioral traits of typical Grown Wounded Children (GWCs) include...

    • learned helplessness (self distrust and fear of personal responsibility);

    • chronic reality distortion, including repressing, idealizing, minimizing, rationalizing, and denying; and/or...

    • rigid independence, exaggerated senses of self-competence, and rejection of outside help in resolving personal and family problems ("We don't tell other people our family business!")

  • People have different tolerance-thresholds for enduring discomforts (unfilled needs) before they act to admit and reduce the discomforts. People with high thresholds can be describes as "self-neglecting," martyrs, saints, and/or "bull-headed."

        These realities help to explain why one wo/man may seek professional help to reduce personal, marital, and/or family problems, and their (wounded) mate is c/overtly ambivalent or opposed to doing that. When this is true, it often sets up conflicts in and between the mates that add to existing disputes. Do you agree? If not, what are your premises about why typical mates differ in their willingness to use clinical help to resolve significant personal and relationship "problems"?

Clinical Options

        How would you describe your usual reaction when one mate won't participate?

  • I accept that, and do what I can to facilitate the active partner learning to identify and fill his or her needs effectively; and/or...

  • I feel scorn, pity, and/or frustration about the non-participating mate, and ally with the participating mate - and I c/overtly express that to co-workers and/or the client; and/or...

  • I feel responsible for finding a c/overt way to "hook" (persuade, motivate) the non-participating partner to join in the work; and/or...

  • I feel confused and unsure of how to react, with or without supervisory advice; and/or...

  • I use the Serenity Prayer or equivalent to accept what I can and cannot control in this situation; and/or...

  • I deny my feelings and thoughts about this situation, and just "get on with it" (the work); and/or...

  • I design my interventions to patiently raise the client-family's nurturance level via facilitating healthy change in the participating mate; and/or...

  • I make some other unconscious or conscious response to this situation.

        Premise - if you define your client as the active mate's whole family system rather than just the participating mate and/or members, the most effective long-term response is hilighted above. If you advocate non-systemic clinical service, and/or you have significant transference and/or co-dependence  traits (wounds), you'll probably have a different point of view.

 

Recap

 

 

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Created 04-30-2013