Toward effective service to persons and divorcing-family and stepfamily clients

Requisites for Effective Clinical Service

Special Clinical Skills Needed,
by
Client Type - p. 3 of 4

By Peter K. Gerlach, MSW
Member NSRC Experts Council

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Continued from page. 2...op2.h

  The Web address of this 4-page article is https://sfhelp.org/pro/req/skills.htm

        This page continues an outline of the third personal trait required to provide effective clinical service to childhood trauma survivors and low-nurturance families - special clinical skills. The prior page outlines skills needed for typical divorcing families, courting-co-parent families, and stepfamilies with couples denying major relationship problems.

        This page outlines clinical skills needed for stepfamily couples who admit relationship problems and are motivated to reduce them, while managing other concurrent stepfamily stressors. Recall that the "/" in re/marriage notes that it may be a stepparent's first union.

4)  Clinical Skills Needed for Effective Re/marital Work

        To gain perspective on this section, first read these premises about relationships, re/marriage, and relationship problems; these questions and answers; and these overviews of co-parent Projects 7 and 8

        From 25 years' experience, this clinical model suggests that typical psychological or legal stepfamily re/divorces are caused by a mix of five hazards. To get the most from this section, first read (a) these overviews of Project 8, normal relationship needs, and step-family re/marriage; and then (b) scan this set of articles on common re/marital problems in stepfamilies.

        Typical presenting problems with these clients will be a mix of re/marital and other stepfamily problems ranging from preventive to correctable to terminal. If one or both mates have decided to re/divorce psychologically or legally, see this. If one or both mates or other family members have committed to reduce psychological wounds, see this.

What's Different about Stepfamily Re/marriage?

        From one perspective, stepfamily re/marriage is no different than a first marriage: each partner seeks to steadily fill a mix of personal needs by their union. However, the re/marital environment in typical stepfamilies is far more stressful than typical first marriages because...

  • One or both mates married and probably divorced at least once before. This may raise their motivation to change core attitudes and behaviors to avoid the trauma of another dissolution.

  • Dead or alive, stepkids' "other bioparent" and new partner (if any) and their relatives cause more values and loyalty conflicts and associated relationship triangles than for typical first-married mates. 

  • Stepfamily couples seeking help are often approaching or in middle age (e.g. 35+), and some or all of their kids are teens or young adults. Raising stepteens can be more problematic than younger kids. Being middle aged may mean that mates are closer to admitting and working to reduce psychological wounds from childhood trauma than younger partners.

  • Often, one or  both mates has have held unrealistic expectations about their stepfamily's roles,  relationships, development, and dynamics.

  • Typical stepfamily mates face more concurrent family-merger, co-parenting, and other problems than typical first-marriage couples. Unless the mates are well prepared, balanced, and guided by their respective true Selves, this often means they make too little time to nourish their relationship.

  • Some couples may have triggered significant relationship problems by having one or more "ours" children (half-siblings); and...

  • There is usually less empathy and informed support in couple's local community and the media than for first-married mates.

        With these complex, multi-problem stepfamilies, effective clinical work can be defined as "helping couples to (a) want to change recent priorities, attitudes, and behaviors to fill more of their respective relationship needs while (b) accepting their stepfamily identity and learning appropriate norms and facts, and (c) managing other stepfamily stressors together; or to (d) accept that their re/marriage is not viable, and begin to grieve and plan a successful re/divorce."

        The best case occurs when re/marital stress promotes one or both mates hitting true bottom, breaking protective denials, and starting to heal significant false-self wounds. In my experience, this is the exception rather than the norm with these clients. If this happens, the clinician needs these special skills.

        To work effectively with these complex multi-problem clients, clinicians need all the general and special skills above (and the other requisites), and know if, how, and when to...

  • ...adapt to the implications and limitations if the couple is court-ordered to get mediation and/or therapy; 

  • ...propose the [wounds + unawareness] cycle and the related common five re/marital hazards and 12 protective projects to the couple, and discuss how this relates to their relationship and stepfamily;

  • ...define, separate, prioritize, and stay steadily focused on filling unmet re/marital needs amidst a dynamic mosaic of other concurrent stepfamily stressors; and...

  • ...assess whether each partner's true priorities rank their relationship second or not, after personal health and integrity. If not, know how and when to confront the couple with the re/marital and co-parenting implications of this. And effective clinicians need to know how, and when to...

  • ...assess whether each mate's governing subselves are genuinely willing to make second-order changes to improve their relationship. It this seems unlikely, review realistic options and outcomes with the couple; and to ...

  • ...(a) assess whether either mate's false-self committed to wrong people in courtship (e.g. a significantly wounded, unaware divorcing parents and kids). (b) If so, know if, how, and when to confront the couple with this opinion, and that it may mean their relationship isn't viable, long-term;

  • ...facilitate the couple realistically assessing whether their relationship is viable if they can learn to manage other stepfamily stressors well enough, or if it is fundamentally not viable;

  • ...shift comfortably between family, dyadic (marital), and individual clinical modalities as needed;

  • ...be fluent with strategic use of other Project-8 interventions, including assessing for affairs and addictions;

  • ...know if, when, and how, to present the concepts of significant false-self wounds and self-motivated  recovery from them. If one or both mates decide to recover, shift to "type six" interventions.

  • ...assess the couple's (a) problem-solving effectiveness and (b) openness to learning to use Lesson-2 skills together, whether they stay together or not.

  • ... assess whether blocked grief may be a significant re/marital stressor, and if so, review options for freeing it up with the couple.

        As with the other five client types addressed by this model, this summary of special requisite skills is illustrative, not comprehensive.

5)  Extra Clinical Skills Needed for Re/divorcing Families

        To gain perspective on this requisites section, first read these...

        "Re/divorce"  is a mental/emotional/legal decision and/or an unacknowledged psychological reality that may not have invoked the legal system. Usually one mate seeks clinical help at this stage rather than the couple. Common presenting problems may include (a) the need to vent; (b) justifying the decision to end the relationship, (c) easing depression (grief), overwhelm, and/or situational shame and guilt; (d) helping kids grieve and adjust; and (e) clarifying "what went wrong?" (part of mental grieving); and/or (f) exploring reconciliation.

        Persons of strong religious (vs. spiritual) faith may also need to relieve excessive guilt and anxiety over (a)  sinning or "breaking my covenant with God," and perhaps (b) adapting to disapproval and rejection by key pious relatives, friends, and/or their religious community.

        Often, one or both re/divorcing mates are Grown Wounded Children (GWCs) in denial, and are unaware of this, why it's relevant, and/or what to do about it. If the person was divorced before, s/he is confronted with (a) being a middle-aged "two-time loser," (b) putting any kids through two (or more) sets of losses and heartache, and (c) facing the possible/probable horror of being alone in old age.

        With re/divorcing client-families, effective clinical work can be defined as (a) helping family members sort out and validate their needs, feelings, and boundaries; (b) promoting appropriate grieving and support in all stepfamily members, and (c) helping the partners evolve and implement a realistic plan for a "successful re/divorce," over time, within their limits.

        For effective outcomes, clinicians need all the general and special skills above, and these:

Continue with the third of four requisites for effective service to trauma-survivors and divorcing-family and stepfamily clients: special clinical skills.

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Updated  May 22, 2013