Latest / Wellness in Today's World / Ep. 12: Healing Relationships: The Power of Emotionally Focused Therapy
Transcript
- 0:05Welcome to Wellness in Today's World, where we talk about psychology, wellness, and everything in between.
- 0:13Hello, I'm Debra Kawahara, and thank you for joining us today.
- 0:17Today, we have the distinguished Dr.
- 0:21Scott Woolley with us.
- 0:23I am just so thrilled that we were able to have him agree to be on the podcast, and I wanna introduce Dr.
- 0:31Woolley to you.
- 0:32He holds the rank of distinguished professor and director of the San Diego Center for Emotionally Focused Therapy and the Training Research Institute for EFT, Alliant
- 0:47University.
- 0:48Dr.
- 0:48Woolley has done over 400 workshops in various countries that include Asia, Europe and South, Central, and North America.
- 0:58He has worked closely with Dr.
- 1:00Susan Johnson, the founder of EFT, for over 25 years.
- 1:06So we welcome Dr.
- 1:08Woolley to the program.
- 1:10I'm just so thrilled that he's here today and welcome, Scott.
- 1:14Why don't we get started?
- 1:16Thank you.
- 1:17Thank you.
- 1:18I'm just delighted to be on and it's very good to see you.
- 1:22So why don't you start off with just telling us a little bit about your background and what inspired you to become a marriage and family therapist?
- 1:34That is a great question.
- 1:36I actually didn't start off in the field of marriage and family therapy or psychology in any way, shape, or form.
- 1:43My undergraduate degree is in economics.
- 1:46I minored in statistics.
- 1:48And I was planning to go into business.
- 1:51I come from a business family, a lot of business people, et cetera.
- 1:55But I also come from a family where there were a fair amount of divorces.
- 1:59And in our second year of marriage, we...
- 2:04and now this is some time ago, because we've been married for over 39 years now.
- 2:10In our second year of marriage, I had a sister who owed us some money.
- 2:16And she said, "Let me pay you back in terms of some visits to a marriage counselor.
- 2:23If we had done that early in our marriage, I'll betcha we wouldn't be divorced now." And at the time when she first said that, which was before we got married, I thought, well,
- 2:36whatever.
- 2:36But after about a year into marriage, I thought, hmm, this might be helpful.
- 2:41So we did it.
- 2:43And that was life-changing for our marriage, super helpful for us.
- 2:48And after a period of time,
- 2:50this therapist had an old-style kind of process group that I could kind of see where he was going.
- 2:57And I thought, "I'll betcha I could do this." And I was applying around to MBA schools, and at the last moment, I applied to an MFT program.
- 3:07And I found out later every year they like to take an oddball with their six students.
- 3:13And I was the oddball
- 3:16because I didn't have an undergraduate degree in psychology.
- 3:18But once I started seeing clients, it just...
- 3:22I thought this is where I need to be.
- 3:24I had to do a fair amount of leveling up and then I went on and did a doctoral degree and it's been an amazing journey and I love doing it.
- 3:33Yeah.
- 3:35Yeah.
- 3:35So can you talk about maybe a pivotal moment or experience that shaped your path as a marriage and family therapist, particularly in helping couples and families?
- 3:49Yeah.
- 3:50Well, you know, I think there's, there's probably many, okay?
- 3:55And I know that as a doctoral student, I was struggling, like many students, to know where I was theoretically.
- 4:05And I had a...
- 4:07there was a four-part doctoral exam at my university and I got a conditional pass on one part
- 4:15that had to do with my clinical work.
- 4:18We had to show some clinical work and then we had to explain it theoretically.
- 4:23And the faculty said, "Oh, we love your clinical work, you're doing a good job, but you're not the theory you think you are." And they were right.
- 4:31Because I didn't know and they made me...
- 4:33To pass it, which I did, they made me write a theory of therapy paper.
- 4:39That is where I really discovered EFT, Emotionally Focused Therapy.
- 4:45That is, you know, this was in about 1993.
- 4:48I had actually read about it some in 1989 in my master's program.
- 4:54But as I was going back through and really trying to think about the way I think, that was pivotal.
- 4:59And then of course, meeting Sue Johnson and seeing her work and
- 5:03being able to work closely with her changed my life.
- 5:06And I know you're really world-renowned in EFT.
- 5:12You know for our listeners that may not be familiar with emotionally focused therapy and we know that a lot of it has attachment theory.
- 5:23Could you describe a bit about attachment theory in relationships?
- 5:29Absolutely.
- 5:30I'd be happy to do so.
- 5:31Let me start, if I can, with emotionally focused therapy.
- 5:37Emotionally focused therapy, the basis of it is really that people get together for emotional reasons and they fight and quarrel for emotional reasons.
- 5:47And they split up for emotional reasons, which means you have to have a theory of emotions.
- 5:52You have to understand the logic
- 5:55of how emotions work, okay?
- 5:57Which is critical to EFT.
- 6:00Also, you need to be able to go into emotions and use them as an agent of change.
- 6:07So that's my elevator speech on emotionally focused therapy.
- 6:11Okay?
- 6:12Let me come back to your actual question about attachment theory.
- 6:16Attachment theory underlies
- 6:18EFT.
- 6:19And by the way, on EFT, we have got a ton of research, randomized clinical outcome trials, first ones done by Sue Johnson.
- 6:29But these now have been done by lots of different clinics and research teams in different parts of the world, showing that EFT is highly effective and lasts over time.
- 6:44Let me come back to attachment now.
- 6:45And that is attachment theory is really the underlying theory on EFT.
- 6:52Attachment theory is not an intervention theory.
- 6:56It's really a theory of human development.
- 6:58And it's an explanatory theory that helps us understand the drive that we all have within us for safe connection with others.
- 7:11We know, because there's been so much empirical research on it now, babies that are not picked up and held are much more likely to die.
- 7:18Old people who are not touched are much more likely to die.
- 7:22People of any age when they get isolated they have greater health problems physically, greater emotional health problems, much more likely to develop major mental health
- 7:34problems,
- 7:35etc.
- 7:36We are designed for connection.
- 7:38We thrive on connection and we have a desire to have safe connection.
- 7:44Attachment theory helps us understand that very primal desire that we all have for safe connection and what we do when that seems to be threatened.
- 7:58Which, as it turns out,
- 8:00we all have different strategies, okay, when there's the threat of disconnection.
- 8:04Sometimes I tell people I'm training or my students, one way to think about attachment theory is it's really a theory of connection, as well as disconnection, and what we tend
- 8:16to do when connection gets threatened.
- 8:18People tend to go
- 8:20often into one direction or another in terms of what they do.
- 8:24The more insecure we are, the more likely we are to either kind of ramp up, get anxious, and really start pushing for connection.
- 8:36Or we try to shut it down inside of ourselves and pull back,
- 8:41calm everything down so that connection doesn't get any worse with the lack of connection.
- 8:47So in couples, we will oftentimes have a very common pattern.
- 8:52Well, you'll have somebody who is...
- 8:56when there's an argument, a fight, a disagreement or just a misunderstanding, one person may shut down as a way of trying to protect the relationship,
- 9:09as they see it, from a fight.
- 9:11And the other person, will ramp up in order to create connection to avoid the pain of disconnection.
- 9:21And couples will get into these negative interaction patterns, which are incredibly painful.
- 9:27And people don't always do one or the other.
- 9:30Sometimes people will go back and forth and do different ones.
- 9:34But anyway, that's a long answer to your question.
- 9:36Thank you.
- 9:36That was really informative.
- 9:39So, you know, as we think about attachment theory, can you describe kind of the main attachment styles that we would see?
- 9:50So the first main one is secure attachment.
- 9:53And the more securely attached we are, interestingly enough, the more independent we can be.
- 10:00Independence and secure attachment are two sides of the same coin.
- 10:04It's easier to go out and explore the world, whether it be the physical world, the world of ideas,
- 10:11the world of adventure, whatever, if our basic attachment needs for safe connection are met.
- 10:19It is much harder for us to consider new ideas, new ways of thinking, new places, new ways of understanding other people when we ourselves are feeling very insecure.
- 10:32It's harder in part because the more insecure we are, the more we tend to get caught in...
- 10:39the world becomes more dangerous, which actually focuses the mind
- 10:44on the what we see as dangerous.
- 10:46And the mind's an amazing thing.
- 10:49Part of what happens is that when we see danger, the mind gets very focused on what we see as the danger.
- 10:58The more secure we are, our partner comes home, for example, and seems to be a little upset.
- 11:05Maybe they had a bad day at work or something.
- 11:07People who are insecure in the relationship may all of a sudden, when they see the expression on the face, the way people move, they don't even have to say anything, right?
- 11:18It becomes a danger signal for them, And immediately it's like, "Oh is my partner upset with me?
- 11:25Is there gonna be a fight?
- 11:26What's going on between us?" When it actually may have nothing to do with them.
- 11:30The more secure we are, the easier it is to read those signals for what they are and be curious about them.
- 11:39And it's like, "Oh, something's wrong with my partner.
- 11:42I wonder what it is.
- 11:44Maybe my partner needs some comforting, my partner's struggling, my partner may have had a bad day." And when you're secure, it's easier to read that.
- 11:54The more insecure we are,
- 11:56the harder it is to accurately read those signals.
- 11:59If we tend to be more avoidant, so avoidance is another style, if you will.
- 12:05If we tend to be more avoidant, typically we've learned often from a young age that when there's distress, the best thing to do is to try and down-regulate ourselves.
- 12:18In other words, fancy way of just saying,
- 12:20calm ourselves down and avoid whatever the stimulus is.
- 12:26So I may see my partner come in, something on my partner's face and it's like, "Oh, my partner's distressed.
- 12:33I think I want to get busy cooking dinner or doing something out, go out into the garage, get away." On the other hand, the other style,
- 12:44main style is what we call "anxious attachment." And there is a style called "anxious avoidant" where people go back and forth.
- 12:51But the anxious style is, "My partner's upset.
- 12:55Oh, that's probably about me, danger.
- 12:57I need to go in and get reassurance that everything's okay, find out what's going on." And oftentimes it's very easy to...
- 13:07ramp up to the point where they don't really see where their partner is because they get afraid of, and they can be intrusive to their partner.
- 13:15"Boy, you look upset, is everything okay?
- 13:17Did everything go okay with you?
- 13:18Are we okay?" You know, a lot of times that kind of thing happens.
- 13:22Either way,
- 13:23we're more likely, if we're more avoidant, insecure avoidant, or if we're insecure anxious, it's harder to accurately read the signals that are coming from our partner,
- 13:33which means that in some situations, we don't react.
- 13:37Mm-hmm.
- 13:38And then there's more misunderstandings and more disconnection and people get caught up into some pretty devastating negative cycles that can really rip relationships up.
- 13:51As you were describing them, it made me think, would it be helpful for people to understand their own attachment style?
- 14:00And would it help improve the way that we are able to connect with other people?
- 14:06Certainly it is helpful to understand our own attachment styles because when we do understand our own attachment styles, it's easier to see how we may be behaving
- 14:17inappropriate in certain situations.
- 14:20Also understanding that our partner or our children or siblings or whoever, right, attachment styles is helpful.
- 14:28Because if I understand, for example, that my partner
- 14:32has a more avoidant attachment style, instead of reading my partner's getting focused on tasks and not asking me about how things are going and not connecting, instead of just
- 14:43reading that as, my partner doesn't care about me, which is where anxious people tend to go, instead of thinking, okay,
- 14:51this may be intense for my partner.
- 14:53My partner does care about me, but my partner may not be feeling very safe right now, which is why my partner's so focused on tasks and pulling away, shutting down.
- 15:06That can be helpful.
- 15:07And I can make that work because I'm anxious and it's very easy for me to start pushing
- 15:13or getting upset and complaining.
- 15:17"You never come to me when I'm hurting or I'm upset.
- 15:21Why do you keep leaving?
- 15:23Why do you go?
- 15:24What's wrong with you?" Right?
- 15:26Very shaming critical comments, which we know are very destructive in relationships.
- 15:33I know that you really utilize emotionally focused therapy as a way to help couples.
- 15:40How does EFT for shorthand for everyone, how does it help couples, you know, navigate conflict and strengthen bonds because you talked about connection and disconnection.
- 15:54Well, first of all, let me just say that all couples have misses or misunderstandings or points of disconnection, minor betrayals.
- 16:05Couples who are headed for trouble have a hard time coming back and repairing, as John Gottman would say, repairing the relationship.
- 16:16You know, they may try.
- 16:18They may try to fix it, but oftentimes these, you know, different attachment styles will get in the way.
- 16:23They feel unsafe and...
- 16:27it leads to more problems.
- 16:29So oftentimes they'll stop.
- 16:31Couples, by the way, that are headed for a good, long, happy relationship, tend to be very good at repairing.
- 16:38What we do in EFT is there are kind of three stages to the therapy.
- 16:43And in the first stage, we do what we call deescalating or stabilizing the couple.
- 16:50And a lot of that is we help them understand the negative cycle.
- 16:54And then we work on accessing those attachment-related emotions, such as longing for safety and love and care.
- 17:04And we get, we access those and get them to start sharing them.
- 17:09And we help, we help couples see that really what's going on here, you know, couples fight about all sorts of things, right?
- 17:18Yes.
- 17:19the biggest ones tend to be children, sex, money, in-laws.
- 17:23But really underneath, a lot of this has to do with how much do I really matter to you?
- 17:29Mmm.
- 17:30Do I matter?
- 17:31If you know that I strongly prefer that we squeeze the toothpaste from the bottom up and you don't do it, what does that mean about how you see me?
- 17:44You must not care about me.
- 17:46And we laugh about it, but those fights happen.
- 17:48They do.
- 17:49They can grab us emotionally, which is...
- 17:52you know, which can be very, very painful.
- 17:54And a lot of times people will, they'll have, sometimes they'll call them, there's these "nothing fights." We're fighting about nothing, but they really are fighting about
- 18:02something.
- 18:03Typically what they're fighting about is, do I really matter to you or how much do I really matter to you?
- 18:10So we work to stabilize them by helping them understand the negative cycles.
- 18:16Sometimes we'll draw it out for them and help them really see it,
- 18:20become aware of it, and have them start fighting against the cycle, not each other.
- 18:25And couples will learn how to go, "Ah, I think we're going into the cycle together.
- 18:31Let's see if we can do this differently." And they'll learn how to stop it.
- 18:34And when couples particularly have had experiences seeing that underneath,
- 18:40the other person's either anger, blaming, criticism, you know, or shutting down, going away is actually a longing for safe connection.
- 18:51Once people start seeing that, it gets a lot easier to try and really work on stopping the conflict
- 18:57Mm.
- 18:57and finding safe connection.
- 18:59And then in stage two, we work on helping people reach for safe connection from a position of vulnerability.
- 19:10And we have what we call "bonding events," which really help redefine the relationship as safe, loving, and secure.
- 19:20Part of what happens when things go wrong with couples is they tend to point out what the other person is not doing or is doing that is destructive.
- 19:30What they don't do is learn to ask at a time and in a way that the other person is going to be able to understand
- 19:38from a position of vulnerability for change.
- 19:41When they learn how to do that, it actually can be incredibly powerful.
- 19:46And then in stage three of EFT, we just work on helping them consolidate the new patterns.
- 19:54And the research shows most of our couples continue to improve after they terminate therapy.
- 19:59The thing that I was thinking about as you were talking is being able to go deeper than the actual things that they may be fighting about superficially, but really going to that
- 20:11place of what is it tapping into; that I may not be feeling safe or connected or any of those things.
- 20:20And what a way that you're able to do that with EFT.
- 20:24Yeah.
- 20:26So, you know, I always think that giving a story or example is so powerful.
- 20:34So I want to ask you if you could share maybe an example of the use of EFT and how a couple has transformed going through this therapy.
- 20:46Absolutely.
- 20:50I am going to change some of the details just for the protection of the couple.
- 20:50The story I'm going to tell you is true.
- 20:53A number of years ago, I got a call from a man and he was a bit anxious when he called.
- 20:58And he said, "Do you work with Vietnam vets?"
- 21:04And I said, "Well, I have, you know, it's not an area of specialty." "Okay, good, good.
- 21:08And you work with couples, right?" And I said, "Yes." And he said, "Well, my wife has just left me.
- 21:17She is divorcing me and it's all my fault.
- 21:20And I think it has something to do with Vietnam.
- 21:23Can I come in?
- 21:24And do you have room for me?" I said, "I do have an opening, but do you think she'd be willing to come with you?
- 21:30And if she just left,
- 21:32and because I'm a couples therapist, right?
- 21:34I want to get both people's perspectives on this." He said, "No, no, no, no, no, I just need to talk with you." So he came in alone.
- 21:41Basically he tells me a story, his story, okay, that they had not had...
- 21:46they'd been married about 27 years and they had not had sex in 21 years.
- 21:55He said, "And I'm the one that doesn't want to have sex."
- 21:58So I checked for, gosh, are there any other sexual outlets?
- 22:02Is he using porn, masturbation?
- 22:04What's going on here?
- 22:05And he said, "No, no, no, I've not done any of that.
- 22:09I'm just shut down sexually.
- 22:11I don't understand why.
- 22:12And my wife has been so angry and upset for a long time, and she's just finally had it." And I asked, I tried to get some kind of sense of how this happened.
- 22:24And, you know, all the normal things about, did you have bad experiences in bed?
- 22:30"No, no." You know, there's a lot of assessment questions.
- 22:34But he said, "I think it has something to with Vietnam." And I said, "Okay.
- 22:38But you know, it would be so helpful if your wife would come in.
- 22:41If you'd like, with your permission, I'd be happy to call her." And he said,
- 22:45"No, I'll see what I can do." Next session, she comes in, she sits on my couch, and she says, "I just want you to know that I've been dealing for 21 years with this man who
- 22:59doesn't wanna have sex with me.
- 23:00And I am out of the house.
- 23:03I'm leaving him, I'm starting a new life.
- 23:07I just want you to know that I'm here to help you fix him." Folds her arms.
- 23:13I said, "Okay, okay." I asked a similar set of questions just to understand.
- 23:19And this couple had gotten together, they were in their kind of mid 20s or something by the time they got together.
- 23:27They lived together for a short period of time and the sex life was pretty good.
- 23:32And then everything changed the day they got married.
- 23:34Oh, interesting.
- 23:36And I said, "What happened the day you got married?" And they both said, "Oh, it was an amazing experience.
- 23:42We were so in love." And they were both Catholics.
- 23:46And, you know, they had lived together before.
- 23:48And I thought, okay, is there guilt here about the premarital sex?
- 23:51"No, no, that's not it." But she said it just started like, you know, two or three days into the honeymoon and he didn't seem to want to have sex.
- 23:59I finally said, "You know, that is kind of what honeymoons are for, you know?" "We had sex, but he just didn't seem very interested in it.
- 24:07And then finally, after the birth of our second daughter, he just didn't want to have sex with me at all.
- 24:13And I was tired of trying to pursue him for sex.
- 24:16You know, it was very painful." This guy, by the way, was very bright.
- 24:20You know, he, at the time, I think he was head of an organization with like a thousand people underneath him.
- 24:25Very successful in his work.
- 24:27He said, "I don't know what it is, but I think it's Vietnam.
- 24:30I think it has something to do with Vietnam." So one thing you should do is you learn to just let clients lead you.
- 24:36So I went back to Vietnam.
- 24:37And there was a lot there which I won't go into; I will just say that, you know, as a young man, he was in love with science.
- 24:46He loved science and he took his chances.
- 24:49He could have gone in and become an officer, but he took his chances with the draft and he ended up being drafted.
- 24:55And he went over to Vietnam and fought in the jungles
- 24:59with one of these platoons where 80% of the men in his platoons were killed.
- 25:03His best buddy died in his arms.
- 25:07You know, his foxhole buddy, you get close.
- 25:12At first, when he's talking about this, he's talking about it in a very kind of mechanical way,
- 25:15but I'm an emotionally focused therapist, right?
- 25:17So I'm working on opening him up emotionally.
- 25:21One of the things that trauma does is it often freezes off and disconnects emotions from images, from sound, and they get very compartmentalized and, you know, a story or a
- 25:37narrative of how it goes.
- 25:38I'm working on accessing the emotions and the pain of it.
- 25:43It is huge.
- 25:44He himself was shot up several times and ended up in a MASH unit and sent back into the battles.
- 25:50Finally, after a year, 'cause he only had to do a year if he, you know, didn't become an officer, if he just went in.
- 25:57Finally, he came back to California, that was enraged at the war,
- 26:03calling Vietnam soldiers "baby killers" and everything else.
- 26:06It was horrible.
- 26:07uh, it takes several sessions to unpack Vietnam.
- 26:10Okay.
- 26:11Three or four sessions to unpack Vietnam.
- 26:13And then at the end of one of his sessions...
- 26:15and I'm having almost some secondary trauma.
- 26:18He said, "It's taking me two or three days to recover from this, these sessions, because we're unpacking stuff that had been frozen for 30 years, or more, more than 30 years.
- 26:2935 years." At the end of one of the sessions, I think it was the fourth couples session, he said, "You know, as traumatic as Vietnam was, I'm not sure it was as traumatic as the
- 26:41death of my mom."
- 26:42Now, he couldn't access that before.
- 26:44Mm-hmm.
- 26:44So we spent a couple of sessions going over the death of his mother.
- 26:49As a young man, he was off at college before he went to Vietnam.
- 26:52His mother died instantly one morning.
- 26:55She had a brain aneurysm.
- 26:56She was walking across the kitchen and just collapsed and died.
- 27:01And his father was shocked.
- 27:03He himself wasn't in great health and
- 27:05was depressed and he and his brother got together.
- 27:08He said, "I became angry.
- 27:10I became angry with God.
- 27:11I was raised Catholic in a very Catholic area and I just became angry." And then of course he went off to Vietnam.
- 27:18So we spent a couple of sessions going into detail with that.
- 27:21All this time I'm wondering, I wonder what this has to do with sex and I wonder what this has to do with the day they got married.
- 27:29So after a couple of sessions on this, I went back to the day they got married and asked...
- 27:34And part of what had happened, she was a pursuer, he was a withdrawer.
- 27:37And I did intersperse looking at their interaction patterns, but I kind of, because of her reluctance at first, I had to be careful.
- 27:47She kept coming back.
- 27:49So this was all together.
- 27:51This was all done together.
- 27:53And instead of sitting like this, she starts to open up and she is saying, "I've never, I've heard about some of these incidents, but I've never seen this.
- 28:04He's opening up in an amazing way.
- 28:06You have never shared this with me." And she's going, "This is amazing!" And they start spending some time together.
- 28:12Come back to the day they got married.
- 28:14I go through the day.
- 28:15"How did you feel at this point?" "I was so excited.
- 28:18I was so happy." And he said, "I was just so about during the marriage ceremony itself?" "I just remembered feeling so happy." And he's much more in touch with his emotions now.
- 28:31I said, "Anything else?"
- 28:32He says, "Yeah,
- 28:33fear.
- 28:33You know, she represented all of the happiness that I had in my childhood that I lost when my mother died.
- 28:41All of a sudden, I became afraid that I would lose her."
- 28:44I thought, okay, we're getting some place now.
- 28:46He couldn't come up with that before we unpacked all that trauma, right?
- 28:49I asked, "You weren't afraid of losing her before?" And he said, "Before we got married, I didn't feel like I really had her.
- 28:55Once we got married, I felt like I had her.
- 28:56And the sun had come out in my life again.
- 28:59And then I became terrified of losing her." I said, "Well, how do you think that got connected with sex?"
- 29:05And he said, "Well, she'd had, you know, a couple of other boyfriends before me.
- 29:10And she told me that they had, you know, been sexual.
- 29:13And I had not.
- 29:15And I just felt like I must not be very good in bed.
- 29:21Just not enough."
- 29:22And she's looking at him like, this is news to her.
- 29:25And she had said a few times, "Gosh, I wish you could do this or wish you could do that." And of course that's important for any couple.
- 29:33They have to be able to communicate about sex, right?
- 29:36They have to be able to talk about this works better for me and not, all of that.
- 29:39But being a withdrawer and being kind of shut down, he would hear that and it's like, ah, not enough.
- 29:44You make it into not, "I need to learn how to do this and this is great.
- 29:48I'm not enough," right?
- 29:50So I asked him, this was in the seventh couples session, I asked him, and I went back and looked at my notes to make sure I got this right.
- 29:59Okay, because sometimes stories like these can grow and change.
- 30:03I asked, "Well, do you feel that now?
- 30:06That you're not good enough in bed?
- 30:08Because I think at this point, neither one of you are very experienced.
- 30:1121 years." And he said, "Oh, I'm sure she wishes she had married one of those other men." And then he just sinks down in shame.
- 30:24"After 21 years, after all this pain, I'm sure she wishes she had married one of those men."
- 30:29"Have you ever asked her if she wishes she had changed, that she had married one of those other men?" "No."
- 30:38And she is looking at him in a loving, caring, kind of amazed way with all sorts of compassion.
- 30:45I said, "Could you turn and just ask her?" And I scooted my chair away.
- 30:52I tend to use a rolling chair and I moved away.
- 30:55And he's looking down and finally he looks up at me.
- 30:58He's white as a ghost.
- 31:00And he said, "Right now?" And I said, "Yes." I moved back in and said, "Yes.
- 31:05You have believed this for so many years.
- 31:08I think you need to know the truth, whatever the truth is.
- 31:11Could you just ask her, does she wish she had married one of those other men?"
- 31:16He's looking down in shame and he finally kind of turns and looks over at her and says, "Well, do you?" And he went right back down, looking down, terrified.
- 31:30And she says, "Of course not!
- 31:34Yeah, the last 21 years without sex has been rough, but no!
- 31:39I haven't.
- 31:40And in fact, I just heard from one of those people, I just learned something about him and he's had a terrible life.
- 31:46You've been so much more of a good provider, a good husband, a good father than either one of those men would have been.
- 31:55No, I've never wished." And then she starts to go off into something and he says, "Wait, what did you say?"
- 32:01I had her repeat it.
- 32:02And I could just see things changing.
- 32:05And actually he said, "This changes, this changes everything."
- 32:08Mm.
- 32:09They both came in the next session all lovey-dovey with each other.
- 32:13Oh.
- 32:13"Anything special happen this week?" I asked.
- 32:17Ha ha!
- 32:17And they said, "Yes, we had sex." And they had sex twice that week.
- 32:23And I said, "Who approached whom?" And she said, "Well, the first time he approached me.
- 32:27And the second time we kind of approached each other." He said, "You know, after all these years, I was afraid, 27 years, I was afraid that the plumbing wouldn't work, but it
- 32:39worked!" They were so happy.
- 32:42They were so happy.
- 32:44It's a bit of a long story, but we had more work to do.
- 32:48You know, I didn't want to leave them, but that was a huge breakthrough.
- 32:53And that couple, five-year follow-up, just to see how they were doing.
- 32:58I mean, I saw them for another, I think, six sessions.
- 33:03And then they said, "Can we just come in once a month?
- 33:06Just, we've made so many changes." She moved back in, got rid of her apartment, dropped the divorce.
- 33:11And every time I'd see them they're lovey-dovey.
- 33:13I'd always ask them, "How's your sex life going?" Once she said, "You know, he's pulled away,
- 33:19but he's under enormous stress at work.
- 33:23And I'm not worried.
- 33:24I know him."
- 33:25And the next month, things are going great.
- 33:27Five-year follow-up after that just to see how they were, just
- 33:30happy as can be, having sex, everything's great.
- 33:33Now not every case works out that way but you know who would have guessed after all these years of no sex—27 years, no sex—okay, it's like who would have guessed?
- 33:47Powerful, powerful story.
- 33:50Thank you for sharing that.
- 33:52The work was amazing.
- 33:53I know one of the areas that you're really an expert in is infidelity.
- 34:01So I want to spend a little bit of time talking to you about your expertise in this area.
- 34:07And, you know, in your opinion, what are common
- 34:11factors that you have seen in your practice that lead to infidelity?
- 34:18That's a very good question.
- 34:19Yes, you're right.
- 34:20I am into infidelity.
- 34:22I had a very traumatic case, my first private practice case many, many years ago that involved infidelity and it involved a gun and having to talk somebody down from shooting
- 34:33her husband.
- 34:35And it was my first private practice case that terrified me.
- 34:38And so I have done a lot of research
- 34:41and just trying to understand it.
- 34:43And what ends up happening is you start working with infidelity and then other people refer you.
- 34:47So I've done a fair amount in that area.
- 34:49It's actually important to understand why infidelity happens.
- 34:53And the way I'm defining infidelity, by the way, is when people have made an agreement
- 34:59of romantic or sexual exclusivity and somebody breaks that agreement.
- 35:05I'm not talking about open marriages or relationships.
- 35:08I'm talking about people who are breaking the rules, cheating, okay?
- 35:12Infidelity can be extraordinarily painful.
- 35:15There are multiple reasons.
- 35:17People have infidelity for different reasons, but I'm going to go into
- 35:20three broad areas.
- 35:22One is there are relationship factors and there's always insecure attachment.
- 35:27There's always insecure attachment.
- 35:28In the area of the relationship, people at times are either angry and maybe going for revenge or looking at leaving a relationship because they're burned out.
- 35:40Or at times they may be trying to use getting involved with somebody else as a way of getting their partner to spend more time with them.
- 35:50It never works.
- 35:51It's, you know, bad strategy, but sometimes people will give up.
- 35:56So it's really the relationship dynamics.
- 35:59Infidelity is always a decision.
- 36:01But the relationship dynamics have a pretty good
- 36:05Another category is couples who just become distant and then the unfaithful partner
- 36:12typically is under a lot of stress, life stress, and getting involved with somebody else becomes an escape.
- 36:19Usually those are romantic.
- 36:21Those are not one-night stands.
- 36:23Those are romantic escape affairs.
- 36:26And sometimes those will go on for many years where, you know, somebody will have a kind of sometimes even a family in one place and then another, you know, men typically
- 36:37will have a family in one place and another.
- 36:39Sometimes the affairs will go on, you know, not necessarily having a family, but I don't know.
- 36:44FDR, you know, had a mistress, and in fact he was with her at Camp David when he died.
- 36:51And Eleanor was such an amazing woman.
- 36:53Those were long-term and oftentimes they'll go back from one relationship to the other.
- 36:59It can be tricky to end, but there are ways of ending them.
- 37:02The third category
- 37:04are those that are more rooted kind of in personality characteristics.
- 37:09You'll get people who, for example, are very insecure and they really don't have a belief that relationships will last.
- 37:18And at the sign of trouble, they start developing another relationship so they don't have to be alone.
- 37:23Serial affairs.
- 37:25I once worked with a couple where she had been married four times and every marriage had ended with an affair with the next husband, including the one I was working with.
- 37:34There's also people, and we'll see this more in men than in women, who are into power and control.
- 37:41It's like you'll see politicians who are into power.
- 37:44Those tend to be short-term, one-night stands, those kinds of things.
- 37:50One of the leaders, Frank Pittman, would say that oftentimes for men, they are associated with kind of gender insecurity, kind of the definition of manhood tends to be around being
- 38:04able to bed women.
- 38:06And they gain a sense of power and competence.
- 38:09I once worked with a man who had had over 300 affairs during his 10-year marriage.
- 38:13Very destructive.
- 38:15And she only knew about eight or nine of them and she was pretty angry at those.
- 38:21But he was on the prowl every week, you know, and that also had a kind of an addiction feel to it as well.
- 38:29And so there is also another area is like compulsive sex.
- 38:33You know, we call it sexual addiction or compulsive sexuality, hypersexuality, and different terms.
- 38:39For those type, oftentimes they'll start with porn and masturbation and then move into, you know, massage parlors or, you know, various things.
- 38:50And then they start to move into one-night stands, you know, prostitutes, et cetera.
- 38:56Research has just shown that most of the time, it's men in these; they just they feel like they have a hard time stopping.
- 39:03They don't know how to stop themselves and hence the compulsive or addictive.
- 39:07But you'll have personality-driven issues.
- 39:09For those, I mean, the treatment is very different than for somebody who is...
- 39:14mad at their partner is going to show their partner or maybe try to get
- 39:19their partner to pay attention to them.
- 39:22Very different, or somebody who's escaping, you know, the relationship, you know, or the pressures of the world; it's not the relationship.
- 39:29They may end up loving both people.
- 39:31And you can have men and women that will do it for this reason, you know, both of them.
- 39:36You know, oftentimes the long-term romantic can be male, but female too,
- 39:41they'll do it.
- 39:42You know, typically they don't have children with both or at least the other person doesn't know it.
- 39:46I was just going to say, you know, as I think, you know, 'cause it's so painful and such a complex issue.
- 39:53If couples choose to try to recover from infidelity, I guess what would that process, that healing process be?
- 40:05It is, there's several factors.
- 40:07First of all, the affairs have got to end.
- 40:09If somebody is compulsive or into power, you know, that oftentimes involves a fair amount of, you know, individual or group therapy for that person just to try to get the affairs
- 40:20to stop.
- 40:21There are lots of couples who don't want to divorce, you know, or split up.
- 40:26There are lots of couples who want to try and repair, and many of them do, and many of them don't.
- 40:32We've actually done research on factors related to those who successfully do, you know, about what the process is like for them and learned a lot from that.
- 40:42First of all, one of the big blocks is shame.
- 40:45Typically, the person who has the affair feels very bad about what they've done to their partner.
- 40:51They feel bad about all the lying, because it inevitably involves lying, the deception.
- 40:56And they have a lot of shame.
- 40:59Shame's a tricky emotion because it's very focused on self.
- 41:02It's not relational.
- 41:04They have to be able to hear the pain of their partner and not go into shame and not go into blaming.
- 41:10One of the things I try to do is I try very hard to separate out who people are from what they've done.
- 41:16Good people do bad things.
- 41:18And oftentimes they feel bad about what they've done because they are good people.
- 41:24You know, I often remind them of that.
- 41:27It's like you're feeling so bad about the pain you caused your partner because you're a good person deep down inside.
- 41:35It conflicts with your values.
- 41:36It conflicts with who you are, what you did, but that's what you did.
- 41:40It's not who you are.
- 41:42When people can start feeling that, feeling their own inner goodness, they can stay out of the shame.
- 41:48And then it is easier to see their partner's pain as a reflection of how much their partner loves them and how deeply hurt their partner is by the behavior, not how bad they
- 42:01are.
- 42:01Because part of what we know from our research is that in some of this...
- 42:06I mean, I've done some and, but Sue Johnson and her colleagues did a bunch of research on attachment injury repairs, we call these attachment injuries.
- 42:13The process of how it gets better is that the injuring partner, the unfaithful partner in this case, is able to see
- 42:23and understand the pain of the injured partner.
- 42:27And that injured partner needs to be able to express the pain.
- 42:31It's pretty overwhelming, you know, for many, many people.
- 42:34It's just so devastating for them and traumatic for them.
- 42:39It's like a bomb has gone off in the middle of their relationship and their life, and they have to be able to
- 42:46really have that pain organized, a tie to the attachment bond, have it validated and understood.
- 42:56We do that in emotionally focused therapy a lot.
- 42:59They need to have their partner understand that pain, feel that pain with them, and show genuine regret for their pain.
- 43:08Not for their partner's being a bad person, because that's about self.
- 43:13Essentially, kind of the secret sauce of real repair tends to be connecting around the pain of disconnection.
- 43:23Finding your partner was in bed with somebody else, something you thought was sacred and special to your relationship.
- 43:30Finding out that your partner has been cheating is massively painful because it's immediate disconnection.
- 43:38"My partner's lied to me and my partner has betrayed me.
- 43:41I can't trust my partner, et cetera." We know that the cheating partner, the unfaithful partner needs to be able to do things like rebuild trust.
- 43:52And that means they have to be open.
- 43:55No more secrets.
- 43:56Secrets are incredibly dangerous and destructive and corrosive.
- 44:01When the injured partner can feel like
- 44:04the injuring partner really gets their pain, has genuine remorse, is able to apologize in a vulnerable, attuned way, they can begin to forgive them.
- 44:16And forgiveness tends to be a process.
- 44:18That doesn't mean they fully trust them.
- 44:19But the more trusting behaviors, I've seen people, I remember a man who was, you know, had...
- 44:28He was president of a company and he had an affair with the secretary.
- 44:31It's kind of the classic thing, right?
- 44:35He felt so bad about it.
- 44:36One of the things he did, he couldn't fire her.
- 44:39I mean, that would have been sexual harassment.
- 44:41That would be illegal.
- 44:43But what he did, it took him a few months, but he actually left the company.
- 44:48He got a job with another company so that he didn't have to be around her.
- 44:52I mean, for his wife, that was like so helpful.
- 44:56"You really do want to repair.
- 44:58You really do want to be with me." Because that was a big thing for him.
- 45:01People turn on GPS and don't have a problem.
- 45:04They give them all the passwords, things like that.
- 45:07And there's no more of this kind of trying to hide or have secret things, right?
- 45:11That, and then they need to be able to have those bonding events where they reconnect and they can feel each other and they can be together again.
- 45:21Real genuine connection around the pain of the disconnection is what heals.
- 45:25It brings very powerful healing and I've seen it happen.
- 45:28It happens and it's beautiful.
- 45:30And then one other thing I would say, and that is they do need to have the reassurance that it's not going to happen again.
- 45:37And part of that, you know, by trust-building behaviors, but also part of that's understanding why it happened in the first place.
- 45:43Because it's not uncommon for people to...
- 45:45I cannot tell you how many people I've heard that I've worked with that have just said, "I never thought I would do something like this.
- 45:53I always thought people who did this were terrible." And that's, of course, what this person is thinking about himself, or herself.
- 45:58I've worked with both.
- 45:59Understanding why it happened and why it's not going to happen again is an important element of the healing process too.
- 46:05Yeah, it's all part of that safety and trust that build our relationships and maintain them.
- 46:12So let me ask you, because I guess I've been thinking about this.
- 46:16Are there indicators or any red flags, signals
- 46:20you as a therapist have seen over the years that kind of say to you, there's a high risk that this couple, in the long run, is not going to be happy?
- 46:32Absolutely.
- 46:34Absolutely.
- 46:34Yeah, there's a number of them and let's talk first.
- 46:38I'm going to talk first about in the realm of infidelity, since we were just talking about it.
- 46:43And then I want to make it broader.
- 46:44When I get a couple where somebody's been unfaithful
- 46:47and they're not committed fully to, I mean, it takes a little bit, but, you know, again and again, they're showing that they still want to keep secrets.
- 46:55They are not willing to completely open up and do trust-building behaviors.
- 47:04And you know, even worse doing it again, et cetera.
- 47:08And they're not really committed to change.
- 47:10That's a very bad sign.
- 47:11For couples who have a hard time actually being able to repair when there's misunderstandings.
- 47:20All couples have misunderstandings.
- 47:22But if couples don't learn how to repair, and you can learn how to do it, but if they don't learn how to do it, they're headed for long-term problems.
- 47:30They really need to learn how to do it.
- 47:32When couples don't learn how to attune emotionally with each other
- 47:38and accurately read the signals and respond.
- 47:41And again, these things can be learned.
- 47:43There's a logic to how emotions work.
- 47:45There just is.
- 47:47And when couples learn how to understand and see that logic, it can make a huge difference for them.
- 47:53But when they're not, it is something that is dangerous.
- 47:58There's also things like what the Gottmans have found in their research, things like
- 48:03being critical; criticism in many ways is contempt, and contemptuousness is cancerous to relationships.
- 48:13And it actually predicts a lot of different things in families as well as couples, you know, criticizing, stonewalling, shutting down all the way, pulling away.
- 48:23There's just a number of kind of behaviors.
- 48:27You know, John Gottman got extraordinarily good at being able to predict divorce based on some of these things.
- 48:32Not developing a shared identity.
- 48:35Couples who tend to be happy long-term are much more likely, in talking about their relationship, to just use the term "we" rather than "I."
- 48:44"Our kids," not "my kids" kind of things.
- 48:47And we think that represents people who really develop a shared identity.
- 48:53And that does mean that each partner is a self in the shared identity.
- 49:00Somebody doesn't just have their identity subsumed into their relationship.
- 49:05It means that they develop, it's an extension of their identity as being a couple.
- 49:11That's a very positive thing.
- 49:13So anyway, and I could go on, but those are a few.
- 49:16Well, thank you for that.
- 49:18You know, it makes me want to ask you, we talked about couples, you know, all couples have their struggles, right?
- 49:26What advice would you give to a couple that, you know, may be going through a rough patch, for lack of a better word, or just struggling, but you know, they're still committed to
- 49:37each other, they still want to grow with each other together.
- 49:41What advice would you give them?
- 49:43Yeah, good question.
- 49:45Number one is don't give up.
- 49:46All couples have rough times.
- 49:48When we look at couples over 30, 40, 50 years, all couples struggle at times, okay?
- 49:55And there's stressful things in life.
- 49:57The more couples can pull together around those stresses as opposed to pull apart, the better.
- 50:03But even if they're pulling apart, figuring out how to honor where the other person is
- 50:09is huge.
- 50:11Getting some help.
- 50:14We know so much more now than we did 30 years ago about how to help couples and how to help them through rough patches, how to help them be able to find connection with each
- 50:28other rather than disconnection.
- 50:31Understanding that people have different attachment styles, that's okay.
- 50:35And understanding and honoring where you are and where your partner is and working to create greater security.
- 50:45One of the things we know is that going through a course of emotionally focused therapy actually helps couples become more secure in their personal attachment styles.
- 50:55Attachment styles do change over time.
- 50:58And couples who are connected, safely connected,
- 51:02become more secure, getting some help.
- 51:05Most couples wait way too long.
- 51:08They wait way too long to get help.
- 51:11And so we end up seeing them when they're on the verge of divorce.
- 51:14And yes, sometimes we have some major dramatic turnarounds like the story I told you, but oftentimes people are so hurt that they don't want to give it another try.
- 51:25And so, being willing to get help
- 51:29early from somebody who really knows what they're doing.
- 51:33Emotionally focused therapy is, you know, a leading model.
- 51:37We've got a lot of research behind it, but you want somebody who...
- 51:41It's kind of like, most therapists will say that they do couples.
- 51:44But this is your relationship.
- 51:47This is your relationship.
- 51:48It's precious and important.
- 51:50You really want to go to somebody who knows what they're doing and has a specialization in this area.
- 51:55And you know, there are certifications in EFT and other models too, but EFT is the one I know the best.
- 52:03And finding somebody who has
- 52:05gone through the pretty rigorous process to become certified can be helpful.
- 52:10But I would say get help.
- 52:12And then the final thing I'm going to say is related to the first thing, but I'm going to add a little caveat of research in there.
- 52:18Don't give up!
- 52:20In two national polls, five years apart,
- 52:24over 90% of couples who were very unsatisfied in their relationship, five years later, were either happy or very happy in their relationship, if they didn't split up, okay?
- 52:37So it's like, you know, relationships can go through difficult times and good times, but keep on trying.
- 52:44Do not give up.
- 52:45Now, there may be times when you...
- 52:47it's clear your partner is gonna keep being unfaithful to you or violence or other kinds of things.
- 52:54I've even seen violence stop and people be happy, but in those cases, it's always because the person who's being violent is highly motivated to
- 53:03Hmm.
- 53:03willing to do anything they can to stop.
- 53:07There's no blaming of the other person.
- 53:09So I've seen those things turn around, but in general, you know, hang in there.
- 53:16Long-term, as long as the relationship gets happy, you're gonna be better off.
- 53:21Your kids, your family, your coworkers.
- 53:24Divorce, as well as marriage, are both contagious.
- 53:28And that we're highly influenced.
- 53:29If you're around a lot of couples that are splitting up, you're more likely to split up.
- 53:33If you're around a lot of couples who are long-term, you're more likely to be a long-term couple.
- 53:37Thank you for that.
- 53:39I've asked you a lot of questions, but your key takeaway from today of everything we talked about or that we didn't, what would that be for our audience today?
- 53:52It's a good question and I kind of said some of those key things, but maybe I'll summarize on some of those things.
- 53:59Number one:
- 54:00We can heal.
- 54:02Relationships can heal.
- 54:03And they often do.
- 54:05Bad relationships can become good.
- 54:07And good relationships can become better.
- 54:10And it's absolutely worth it.
- 54:12Emotions are logical in that when you understand their context, they make sense.
- 54:19When you
- 54:20learn and understand your own emotional world and the logic of how they work, they become less scary and easier to understand and process.
- 54:31You don't have to block them off so much.
- 54:33You don't have to be so scared of them.
- 54:36They are logical and they can, strong emotion can be tamed,
- 54:41so to speak, you know?
- 54:42If there's a lot of, if you're the type of person that flies off the handle, et cetera, that can change.
- 54:48Come in, let's get some, do some work on it.
- 54:51You can change.
- 54:52Massive amounts of research has shown...
- 54:55like 70-year studies, the Harvard study, for example, on what's most important in life.
- 55:00The number one factor is our most precious relationships are family relationships, couple and family relationships.
- 55:07They are most important in terms of having a happy, satisfying life.
- 55:12And you can, even if things are not going well, you know, as long as your partner is willing to come in and work with you, things can get better and they generally do.
- 55:23You know, what I heard, some keywords: healing,
- 55:27change, and growth, that they're all possible.
- 55:31Nothing's written in stone.
- 55:33Right?
- 55:33Absolutely.
- 55:35Absolutely.
- 55:36And when you make mistakes, it's not who you are.
- 55:38It is what you've done.
- 55:39Look at your inner value system.
- 55:41Look at the desires of your heart.
- 55:44When you're in good shape, that's much more about who you are.
- 55:48When you've made mistakes, you can change.
- 55:50That's what you do.
- 55:51It's not who you are.
- 55:53You have value and worth.
- 55:55Let's not let false ideas about who you are get in the way of you working to both heal as a person and also help your most important relationships heal.
- 56:06Beautiful!
- 56:07You know, I just want to thank you for your wisdom and your expertise and for all your work in getting people to be able to connect in ways that kind of fulfill their life.
- 56:24That's so important.
- 56:26Thank you for being here and sharing everything that you have today.
- 56:35I want to thank all of you for joining us today and remind you that wellness is a journey, not a destination.
- 56:39And I want you all to take care and we will see you the next time.
- 56:43Thank you, Debra, and I just wish the best to your audience.
- 56:49Thank you.
- 56:50Thank you.