<?xml version="1.0" encoding="UTF-8"?><feed
	xmlns="http://www.w3.org/2005/Atom"
	xmlns:thr="http://purl.org/syndication/thread/1.0"
	xml:lang="en-US"
	>
	<title type="text">Sherry Amatenstein | Vox</title>
	<subtitle type="text">Our world has too much noise and too little context. Vox helps you understand what matters.</subtitle>

	<updated>2020-01-13T21:02:36+00:00</updated>

	<link rel="alternate" type="text/html" href="https://www.vox.com/author/sherry-amatenstein" />
	<id>https://www.vox.com/authors/sherry-amatenstein/rss</id>
	<link rel="self" type="application/atom+xml" href="https://www.vox.com/authors/sherry-amatenstein/rss" />

	<icon>https://platform.vox.com/wp-content/uploads/sites/2/2024/08/vox_logo_rss_light_mode.png?w=150&amp;h=100&amp;crop=1</icon>
		<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[“I’m in so much pain”: how the Kavanaugh hearings are re-traumatizing survivors]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/policy-and-politics/2018/10/2/17928294/kavanaugh-sexual-assault-trauma" />
			<id>https://www.vox.com/policy-and-politics/2018/10/2/17928294/kavanaugh-sexual-assault-trauma</id>
			<updated>2018-10-02T21:16:20-04:00</updated>
			<published>2018-10-02T13:20:02-04:00</published>
			<category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[Whenever I hear a new accusation against Brett Kavanaugh, I know that my next few days at work are going to be especially rough. I&#8217;m a therapist who treats many victims of sexual abuse, and since the Kavanaugh sexual assault allegations have exploded, I know each new story will lead to a call or text [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="Shutterstock" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13199127/shutterstock_1150454231.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<p>Whenever I hear a new accusation against <a href="https://www.vox.com/explainers/2018/9/27/17909782/brett-kavanaugh-christine-ford-supreme-court-senate-sexual-assault-testimony">Brett Kavanaugh</a>, I know that my next few days at work are going to be especially rough. I&rsquo;m a therapist who treats many victims of sexual abuse, and since the Kavanaugh <a href="https://www.vox.com/policy-and-politics/2018/9/24/17876302/brett-kavanaugh-christine-ford-hearing-me-too">sexual assault allegations</a> have exploded, I know each new story will lead to a call or text begging for an emergency session by a re-traumatized patient. (Kavanaugh denies the allegations.)</p>

<p><a href="https://mainweb-v.musc.edu/vawprevention/research/mentalimpact.shtml">Studies conducted</a> by the National Violence Against Women Prevention Research Center Medical University show that nearly one-third of all rape victims develop PTSD at some point and that it does not recede for more than one in 10.&nbsp;This syndrome can cause depression, anxiety, nightmares, intrusive thoughts, flashbacks, alcohol or drug problems, and suicidal thoughts.</p>

<p>Barely a half-hour after <a href="https://www.vox.com/policy-and-politics/2018/9/24/17896136/michael-avenatti-email-brett-kavanaugh-devils-triangle">Michael Avenatti</a> released the deposition of a third Kavanaugh accuser who swore the nominee attended teenage parties where girls were drugged and &ldquo;gang raped,&rdquo; a patient I&rsquo;ll call Jean who had been the victim of a date rape seven months earlier texted, &ldquo;I don&rsquo;t know how much longer I can go on. I&rsquo;m in so much pain.&rdquo;</p>

<p>I was on a subway and instantly texted back, &ldquo;I&rsquo;ll be home in under an hour. Can we talk then?&rdquo; She refused, writing, &ldquo;You can&rsquo;t change my past.&rdquo;&nbsp;I responded, &ldquo;No, but you can share your feelings with someone you know cares.&rdquo; Five excruciating minutes later, the word &ldquo;OK&rdquo; appeared on my iPhone screen and I finally took a breath.</p>
<h2 class="wp-block-heading">Is this #WhyIDidntReport moment more triggering than the #MeToo movement?</h2>
<p>Not every survivor of sexual assault responds to triggers in the exact same way. Still, I am not the only trauma therapist who has noticed an uptick in his or her patients&rsquo; agony post-Kavanaugh &mdash; more than after <a href="https://www.vox.com/a/sexual-harassment-assault-allegations-list">Harvey Weinstein</a> was outed last fall. This time around, many women are tapping into their feelings of helplessness and fear rather than releasing their long-suppressed rage.</p>

<p>&ldquo;What&rsquo;s happening now is similar to #MeToo in that it raises the never-ending controversy about why sexual assault victims don&rsquo;t come forward sooner,&rdquo; said Diane Petrella, a Rhode Island-based psychotherapist and life coach whom I corresponded with on email. &ldquo;It&rsquo;s somewhat different because of the political forces at play and the possibility of Kavanaugh having a position of greater power over victims&rsquo; lives should he be confirmed. The stakes are high.&rdquo;</p>

<p>The day after the Senate hearings, I had an initial session with a woman in her 60s whom I&rsquo;ll call Eve. She hugged a box of Kleenex to her chest while sharing the cascade of emotions she&rsquo;d felt while glued to her television. Listening to the testimony and the &ldquo;old white men falling over themselves to apologize to Kavanaugh for what he&rsquo;d endured&rdquo; was a &ldquo;jolt&rdquo; that allowed her to finally acknowledge to herself that what she&rsquo;d experienced at a fraternity party decades earlier was rape.</p>

<p>Since she was inebriated at the time, she blamed herself. Decades later, the Kavanaugh news and the conversation surrounding it made her realize that she hadn&rsquo;t invited an attack. I congratulated her for letting go of feeling responsible for something horrific that had been done to her.</p>

<p>Another patient I&rsquo;ll call Amanda was groped by a 15-year-old neighbor when she was 10. After gathering the courage to tell her mother what happened, she felt devastated when her parent told her to forget the incident because &ldquo;no harm done.&rdquo;</p>

<p>An obedient daughter, Amanda kept silent and struggled to push the memory down. Then a few weeks ago, while reading #WhyIDidntReport stories on Facebook, she had a panic attack. The next day, she had another. She now has a prescription for the anti-anxiety medication Clonazepam and is working in therapy to finally give a voice to the long-buried emotions that have hindered her for so long.</p>
<h2 class="wp-block-heading">Best ways to handle triggering news cycles</h2>
<p>Since victims of abuse cannot live in a bubble, it is vital to know how to best armor yourself against the daily reminders of misogyny and abuse that come with the news cycle. These guidelines are good to keep in mind even if you are not a survivor yourself but want to support survivors in your life. And while all of these suggestions can help, therapy and medication might also be necessary.</p>

<p><strong>Unburden yourself selectively. </strong>Don&rsquo;t isolate.<strong> </strong>Feminist activist and <a href="https://womensenews.org/tag/amy-ferris/">columnist</a> Amy Ferris asserts that it is crucial to find others who have endured similar trauma who will understand and anchor you.</p>

<p>&ldquo;What really helps is camaraderie and women saying to one another, &lsquo;I believe you. I&rsquo;m wrapping myself around you. I&rsquo;m holding you. We must stand together,&rsquo;&rdquo; she said in a phone conversation when I&nbsp;asked about what survivors should be doing during this triggering time.</p>

<p>That doesn&rsquo;t mean you&rsquo;re required to post on social media and read and comment on other people&rsquo;s memories of their experiences. While this can be valuable, it is perfectly okay to remain anonymous and not feel &ldquo;guilted&rdquo; into public pronouncements. Most healing is finding one or more people you trust enough in non-digital spaces or joining a support group for survivors where you can break open that secret compartment and share even what might feel dirty or shameful.</p>

<p><strong>Spend time alone. </strong>Allow yourself the gift of self-nurture. Spend a day by the ocean or in the woods; meditate or journal. Tell people demanding your time that you are not available for a specific block of time.&nbsp;Take a personal day from work if you need a break from office stress.</p>

<p><strong>Limit media viewing. </strong>Some abuse survivors need total news blackouts &mdash; no Facebook, no TV, no news. One patient said, &ldquo;Just hearing the name Kavanaugh raises my heart rate.&rdquo; I warned several people who I knew were particularly vulnerable not to watch last Thursday&rsquo;s Senate hearings; they&rsquo;d hear soon enough about the outcome.</p>

<p><strong>Avoid polarizing political arguments. </strong>Now is not a great time for survivors to engage in political debates with family, friends, or co-workers in real life or on social media who might feel differently than you on these issues. One doesn&rsquo;t have to be a survivor of assault to know how these no-win exchanges can make you feel unheard, unimportant, furious, and anxious.</p>

<p><strong>Challenge your self-attacking thoughts. </strong>It&rsquo;s all too common for survivors to hold themselves at least partially responsible for what happened. And the more you berate yourself, telling yourself, &ldquo;I should have known better,&rdquo; or, &ldquo;I&rsquo;m so stupid,&rdquo; the more these noxious thoughts seem like &ldquo;truth.&rdquo;</p>

<p>&ldquo;A survivor&rsquo;s greatest fears are currently being articulated on TV and online &mdash; you were drunk; it&rsquo;s your fault,&rdquo; said Dr. Christine Nicholson, a Seattle-based clinical psychologist whom I spoke to on the phone about the debate surrounding the Kavanaugh hearings. &ldquo;I often suggest survivors shout at these internalized self-recriminations: &lsquo;Shut the fuck up!&rsquo; This helps them get rid of their rage.&rdquo;</p>

<p><strong>Remind yourself you were violated. </strong>Tell yourself over and over again: Your attacker committed a crime. It is not okay, and nothing you did &mdash; whether wearing a short skirt or inviting a first date home for a nightcap &mdash; means you invited assault. It is not your fault.</p>

<p><strong>Work to create political change. </strong>Whether calling your representative to make your opinion heard, marching at a rally, organizing for candidates, and/or running for office, being an activist at whatever level feels comfortable can help kick away that feeling of helplessness.</p>

<p>At the end of my lengthy telephone session with my patient Jean during which she tremulously voiced her heart, she texted me, &ldquo;You made me feel better. Thank you.&rdquo; I had done nothing other than listen and validate and help her realize, at least for a little while, that she wasn&rsquo;t alone.</p>

<p><em>Patients&rsquo; names and identifying details are changed. </em></p>

<p><em>Sherry Amatenstein is a licensed clinical social worker and a&nbsp;therapist based in New York City. Her latest&nbsp;</em><a href="https://go.redirectingat.com/?id=66960X1516588&amp;xs=1&amp;url=https%3A%2F%2Fwww.amazon.com%2FHow-Does-That-Make-Feel%2Fdp%2F1580056245%2Fref%3Dsr_1_1_twi_pap_2%3Fie%3DUTF8%26qid%3D1508445399%26sr%3D8-1%26keywords%3Dsherry%2Bamatenstein%2Bhow%2Bdoes%2Bthat%2Bmake%2Byou%2Bfeel"><em><strong>book</strong></em></a><em>&nbsp;is the anthology</em>&nbsp;How Does That Make You Feel? True Confessions From Both Sides of the Therapy Couch.</p>
<hr class="wp-block-separator" />
<p><a href="http://www.vox.com/first-person"><strong>First Person</strong></a> is Vox&rsquo;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained"><strong>submission guidelines</strong></a>, and pitch us at <a href="mailto:firstperson@vox.com"><strong>firstperson@vox.com</strong></a>.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[I’m a therapist. Here’s the line I draw when treating men with unhealthy sexual habits.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/first-person/2017/10/20/16503804/harvey-weinstein-sex-addiction-therapy" />
			<id>https://www.vox.com/first-person/2017/10/20/16503804/harvey-weinstein-sex-addiction-therapy</id>
			<updated>2017-10-23T09:38:07-04:00</updated>
			<published>2017-10-23T09:38:04-04:00</published>
			<category scheme="https://www.vox.com" term="#MeToo" /><category scheme="https://www.vox.com" term="Culture" /><category scheme="https://www.vox.com" term="Life" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[The day after I listened to the New Yorker audio clip of Harvey Weinstein sexually harassing a woman, Steve walked into my office for an initial therapy session. Steve was in his 50s, married, and a partner at a successful firm. Two female subordinates claimed Steve had come on to them, and his CEO said [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="Shutterstock" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9497483/shutterstock_590363318.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<p>The day after I listened to the <a href="https://www.newyorker.com/news/news-desk/from-aggressive-overtures-to-sexual-assault-harvey-weinsteins-accusers-tell-their-stories">New Yorker audio clip</a> of Harvey Weinstein sexually harassing a woman, Steve walked into my office for an initial therapy session.</p>

<p>Steve was in his 50s, married, and a partner at a successful firm. Two female subordinates claimed Steve had come on to them, and his CEO said he&rsquo;d get fired if he didn&rsquo;t &ldquo;get help.&rdquo;</p>

<p>&ldquo;I made a few comments about cleavage, I think, and once a woman and I kissed in an elevator &mdash; but she was into it,&rdquo; he said. &ldquo;I don&rsquo;t think I did anything wrong.&rdquo;</p>

<p>I had to stop myself from rolling my eyes. &nbsp;</p>

<p>I&rsquo;m a clinical social worker who specializes in interpersonal relationships. Among my clients are men who struggle with various sexual dysfunctions. I&rsquo;m fine with hearing them talk vividly about their sex lives and fantasies (well, I can handle it), but what Steve had to say made me increasingly triggered.</p>

<p>As the 50 minutes ticked by, it became clear Steve had no desire to own his mistreatment of women. All braggadocio and defensiveness, he told me his charisma has proven so potent he habitually had to fend off women. He added that his mom always said women would have catfights over him because he was so irresistible.</p>

<p>Then things took a darker turn. &ldquo;Pardon my French, but those cunts at work are just pissed I didn&rsquo;t seriously pursue them.&rdquo;</p>

<p>I attempted to get underneath the bravado. &ldquo;It must be scary to feel your livelihood, your essence, be threatened,&rdquo; I prodded.</p>

<p>His response: &ldquo;What would you know about that? You&rsquo;re a woman.&rdquo;</p>

<p>Enough was enough. At the end of our session, I told Steve it felt like he wanted an enabler, not a therapist. We weren&rsquo;t a good fit. I ushered him out the door.</p>

<p>Steve&rsquo;s story is classic &mdash; powerful man gets caught harassing or assaulting women and says he&rsquo;ll seek therapy or that he&rsquo;s struggling with &ldquo;sex addiction.&rdquo; Weinstein, who claims he&rsquo;s a sex addict and checked himself<a href="http://www.12news.com/news/local/arizona/tmz-harvey-weinstein-in-arizona-for-sex-addiction-treatment/482652393"> into rehab</a>, is the latest example. Anthony Weiner cited sex addiction as the reason for his habit of sexting underage girls. Weiner is <a href="http://www.cnn.com/2017/09/25/politics/anthony-weiner-sentencing/index.html">headed to prison</a> next month, but he&rsquo;s a rarity &mdash; when the rich and powerful are caught committing sex crimes, they often go to rehab instead of jail.</p>

<p>But the outcry about Weinstein&rsquo;s alleged blatant, multiple offenses toward prominent accusers has renewed a conversation in the mental health community about how we should regard a host of sexual issues &mdash; problems that often get lumped together under the one-size-fits-all label of &ldquo;sex addiction.&rdquo; Part of the<strong> </strong>debate is over whether sexual addiction even exists. Whatever various sexual dysfunctions signify, some argue these behaviors don&rsquo;t fit well under the &ldquo;addiction&rdquo; umbrella.</p>

<p>However, few dispute there are people who struggle with mental health issues surrounding sex. But these people are not the same as harassers and people who assault women &mdash; and sex criminals who use therapy as a PR or legal dodge make it harder for those who are genuinely struggling to get help.</p>

<p>True, <em>some</em> harassers recognize they are acting in ways that they suspect skirt a line and feel some guilt and shame &mdash; issues that might be productively dealt with in therapy. Given all these complex considerations, what do therapists like me do when a Harvey Weinstein type lands in our office?</p>
<h2 class="wp-block-heading">Is sex addiction a real thing?</h2>
<p>First off, many experts do not believe that sex addiction qualifies as a mental disorder. It&rsquo;s not listed in the <em>Diagnostic and Statistical Manual of Mental Disorders</em> (DSM), the handbook of the American Psychiatric Association that&rsquo;s considered the authoritative guide on diagnosing psychiatric illnesses in this country. A major reason is that these dysfunctional behaviors don&rsquo;t elicit serious physical symptoms of withdrawal, such as anxiety or illness.</p>

<p>David Ley,<strong> </strong>a<strong> </strong>clinical psychologist and the author of <em>The Myth of Sex Addiction</em>, goes further. &ldquo;Nearly 95 percent of alleged sex addicts are male,&rdquo; he told me. &ldquo;It&rsquo;s an excuse and distraction used by powerful men when they get caught engaging in impulsive promiscuous behavior.&rdquo;</p>

<p>Piper Grant, a sex addiction therapist, is among the minority of clinicians who dispute the DSM&rsquo;s exclusion of sex addiction. &ldquo;Regardless, there are people dealing with severe issues around sex &mdash; it&rsquo;s the uncontrollable behavior and the secretiveness that severely impede functionality,&rdquo; she says. Indeed, &ldquo;hypersexual disorder&rdquo; will be listed in next year&rsquo;s edition of the World Health Organization&rsquo;s diagnostic guide (which is less respected in the US compared with the DSM).</p>

<p>For now, sex addiction is widely dismissed in our country, and reimbursement for treatment is rare. &nbsp;</p>
<h2 class="wp-block-heading">The patients I’ll treat versus the patients I won’t</h2>
<p>Consider someone who has sex phone lines on speed dial, chronically masturbates, or visits prostitutes compulsively. Some people cross a line from manageable indulgence to a ceaseless activity that damages finances, relationships, and careers. Even if there isn&rsquo;t empirical evidence to label you an addict, you are ill. I&rsquo;ve seen this in my own clients &mdash; Ted was jolted into seeking treatment after his girlfriend broke up with him because he watched PornHub seven hours a day.</p>

<p>The predominant thinking remains that sexual acting out is not an addiction but a symptom of a personality disorder. Ted and I worked on his excessive porn-viewing habit using cognitive behavioral therapy techniques such as role playing, journal keeping, and homework exercises like identifying and challenging negative thoughts. We also used psychodynamic therapy to help him realize that he first turned to porn as a teenager to escape the discomfort of listening to his mother and father fight.</p>

<p>Male patients with sex-related issues vary greatly. If I see the troubled human at the core capable of insight and inwardly wanting to make a change, I&rsquo;m much more likely to work with someone even if his behavior reeks of misogyny. My patient Dafir&rsquo;s depression lifted once he enrolled in a class called &ldquo;How to Be a Pickup Artist.&rdquo; The instructor&rsquo;s motto was that if students didn&rsquo;t &ldquo;bag a perfect 10, it wouldn&rsquo;t count.&rdquo; But Dafir became aware his insecurities came from a deep-seated fear that women didn&rsquo;t find him attractive. I disliked some of Dafir&rsquo;s views and that he felt so positive about the class. But my job wasn&rsquo;t to make him over to what I felt appropriate &mdash; it was to help him see himself and, hopefully, women in a somewhat clearer way.</p>

<p>My boundary is not to treat patients who sexually step over the line and touch someone against her will. I end up leaving the session feeling in need of therapy myself. Before Steve, there&rsquo;s only been one man I&rsquo;ve had to turn away for this reason. Jose admitted, eyes averted, voice quavering, that at age 14 he&rsquo;d knocked a girl off her bicycle and touched her breast. Jose served time in juvenile detention and decades later expresses deep remorse. He still occasionally has urges, but he fights them successfully. He deserves help. But I&rsquo;m not the one for that job. I referred him to a male colleague.</p>

<p>I&rsquo;ve never had an abuser like Harvey Weinstein come into my office &mdash; my would-be patient Steve did not reach that level. It&rsquo;s not that I don&rsquo;t believe that Weinstein has pathological issues as well as distorted views of women. But people who repeatedly harass and assault women are often unable or unwilling to admit fault. I also believe that if someone commits a crime, as Weinstein allegedly has, he should be punished. Any therapy sessions should happen in his jail cell.</p>

<p>Regardless of the validity of sex addiction or how badly a patient wants to get better, mental health is not an excuse to sexually assault and shame and coerce victims into silence. Settlements bound by nondisclosure agreements muzzle the victim. Our criminal justice system is intimidating at best and often further victimizes people who have already endured so much. This all contributes to a culture of complicity.</p>

<p>We must stop mythologizing the wealthy and powerful &mdash;&nbsp;giving those with grievous pathology a &ldquo;wink wink&rdquo; free pass. Until then, they will continue to buy and bully their way into taking what and whom they feel is their due for having achieved such a lofty position. Weinstein fell off Mount Olympus not because his alleged sexual crimes were heinous but because he committed the only immorality that matters: losing influence.</p>

<p>In retrospect, I might have been able to help Steve. I could have tried to peck away at his twin shells of denial and entitlement. But I have too many patients who are survivors of rape and harassment. I have witnessed their unbearable pain and intense difficulty forging healthy relationships. When faced with the victims, it&rsquo;s challenging for me to feel empathy for Steve.</p>

<p>Without that ability, I fear I would have eventually given in to the overwhelming desire to kick him in the balls.</p>

<p><em>Names and identifying details of patients are changed.</em></p>

<p><em>Sherry Amatenstein is a LCSW is a therapist based in New York City. Her latest </em><a href="https://www.amazon.com/How-Does-That-Make-Feel/dp/1580056245/ref=sr_1_1_twi_pap_2?ie=UTF8&amp;qid=1508445399&amp;sr=8-1&amp;keywords=sherry+amatenstein+how+does+that+make+you+feel"><em>book</em></a><em> is the anthology</em> &ldquo;HOW DOES THAT MAKE YOU FEEL? True Confessions From Both Sides of the Therapy Couch.&rdquo; <em>You can read her last piece for Vox </em><a href="https://www.vox.com/first-person/2017/2/13/14581542/trump-mentally-ill-diagnosis"><em>here</em></a><em>.</em></p>
<hr class="wp-block-separator" />
<p><a href="http://www.vox.com/first-person"><strong>First Person</strong></a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained"><strong>submission guidelines</strong></a>, and pitch us at <a href="mailto:firstperson@vox.com"><strong>firstperson@vox.com</strong></a>.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[Inside the debate therapists like me are having over Donald Trump’s mental health]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/first-person/2017/2/13/14581542/trump-mentally-ill-diagnosis" />
			<id>https://www.vox.com/first-person/2017/2/13/14581542/trump-mentally-ill-diagnosis</id>
			<updated>2017-02-13T10:16:57-05:00</updated>
			<published>2017-02-13T08:20:01-05:00</published>
			<category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Mental Health" />
							<summary type="html"><![CDATA[&#8220;Why can&#8217;t therapists do something about a psychopath getting his dirty little fingers on the nuclear codes?&#8221; a patient asked me. It was a week after the presidential election. There was anguish in my patient&#8217;s voice. I put on my therapist-wise air and intoned, &#8220;I hear how upset you are at what&#8217;s happening in the [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="Mario Tama/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/7967213/GettyImages_634593688.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<p>&ldquo;Why can&rsquo;t therapists do something about a psychopath getting his dirty little fingers on the nuclear codes?&rdquo; a patient asked me.</p>

<p>It was a week after the presidential election. There was anguish in my patient&rsquo;s voice.</p>

<p>I put on my therapist-wise air and intoned, &ldquo;I hear how upset you are at what&rsquo;s happening in the country and that people who should know better aren&rsquo;t taking care of you the way they should&hellip;&rdquo;</p>

<p>She said, &ldquo;Precisely, I feel so let down.&rdquo; We were back on safe ground.</p>

<p>It&rsquo;s been three months since that conversation. Donald Trump is now in the White House. And what I haven&rsquo;t told this patient, or any of my patients, is this: The other day I added my name to <a href="https://www.change.org/p/trump-is-mentally-ill-and-must-be-removed">a petition</a> signed by thousands of mental health professionals calling on Trump to be removed from office due to his apparent<strong> </strong>mental illness.<strong> &nbsp;</strong></p>

<p>The author of the petition, a Maryland-based therapist named John Gartner, who specializes in personality disorders and depression,<strong> </strong>called Trump&rsquo;s disorder &ldquo;Malignant Narcissism,&rdquo; which has four toxic components: narcissism, paranoia, anti-social personality disorder, and sadism.<strong> </strong>I&rsquo;m in unequivocal agreement.</p>

<p>My position, along with the others signing onto the petition, is controversial. Since public calls to diagnose Republican presidential candidate Barry Goldwater in the 1960s, the mental health community has stuck to a code: Do not diagnose a person in the public eye, only in a diagnostic setting, no matter how tempting. It&rsquo;s a good rule: Mental illness carries a stigma and it&rsquo;s irresponsible, as well as ethically wrong, to impugn someone&rsquo;s reputation based on an uninformed opinion. I&#8217;ve stood by it.</p>

<p>But Trump is different. In just a few weeks in office he has managed to petrify and enrage the world, obsessing over how many people were at his inauguration, hanging onto a ridiculous voter fraud conspiracy theory, repeatedly lying, threatening foreign leaders, signing ill-thought out executive orders, using his POTUS Twitter account to carry out personal vendettas, ordering Navy Seals to carry out a half-baked raid. &hellip; It seems there is no impulse control or apparent ability to consider feedback from anyone who disagrees with him. This is not normal. It is extremely dangerous.</p>
<h2 class="wp-block-heading">The mental health community has been grappling with how to respond to Trump for months</h2>
<p>The therapist community has been debating what to do about Trump since long before he won the election. During the endless campaign, I <a href="http://www.vanityfair.com/news/2015/11/donald-trump-narcissism-therapists">read articles</a> by renowned analysts diagnosing Trump &mdash; stressing with alarm his extreme narcissistic tendencies. I also supported several shrink-created petitions that were circulating to keep Trump from attaining power. &nbsp;</p>

<p>One petition, <a href="http://citizentherapists.com/manifesto/">an anti-Trump &ldquo;manifesto&rdquo;</a> citing his alarming qualities &mdash; such as his lack of empathy, pathological lying, bullying and impulsiveness that rendered him unfit to hold office &mdash; attracted more than 3,000 signatures from mental health professionals.<strong>&nbsp;</strong></p>

<p>This response to Trump was remarkable and unusual. President George W. Bush was reelected while I was in my first semester at Wurzweiler School of Social Work. Therapists are notoriously liberal and for days the somberness on campus felt appropriate to mourning a death. But no one contemplated calling the media and making armchair diagnoses. We were unhappy, not incensed and quaking with apprehension at what the future would bring.</p>
<h2 class="wp-block-heading">The origins of the Goldwater Rule</h2>
<p>In response to the public psychoanalyzing of Trump by prominent mental health professionals, the American Psychiatric Association, the major professional organization of psychiatrists in the US and the largest psychiatric organization in the world, <a href="https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2016/08/the-goldwater-rule">invoked the Goldwater Rule</a>.</p>

<p>This rule stipulates that while it is permissible to answer questions from media about psychological symptoms that typically characterize a disorder, it is unethical to tie that disorder to a person they have not personally examined.</p>

<p>The rule was instated after a 1964 issue of <a href="https://www.psychologytoday.com/blog/the-personality-analyst/200912/libel-in-fact-magazine-judging-goldwater-psychological-theory">Fact magazine</a> polled psychiatrists to discern if then-Republican presidential candidate Barry Goldwater was fit for the highest office in the land. Over 1,000 psychiatrists answered in the negative. One, in fact, called Goldwater &ldquo;a dangerous lunatic.&rdquo; Goldwater won a libel lawsuit against the magazine.</p>

<p>As a member of the National Association of Social Workers, I am required not to divulge details about clients to the media, but there is no statute gagging me from unloading in public on outrageous behavior by famous personalities. Still, therapists of all kinds take our role very seriously.</p>
<h2 class="wp-block-heading">The debate explodes</h2>
<p>The Goldwater Rule has been much debated in Facebook groups I&#8217;ve joined since Trump rose to political prominence. &ldquo;Therapists Against Trumpism,&rdquo; &ldquo;Therapists for Social Justice,&rdquo; and &ldquo;Therapists for Self Care&rdquo; contain post after post comparing Trump&rsquo;s megalomania to Hitler circa the 1930s, interspersed with tactics for soothing our patients&rsquo; fears that the end of the world is nigh, and suggestions for calming our own.</p>

<p>We all believe that there is, as one poster put it, &ldquo;responsibility in our licensure.&rdquo; Which means that mouthing off to one another, guarded by privacy settings, about what we see as Trump&rsquo;s mental issues is cathartic. But it&rsquo;s a world apart from calling CNN to emphatically accuse the leader of the free world of suffering from a specific and damning diagnosis. &nbsp;</p>

<p>Some of my Facebook colleagues rightly expressed fear that too many people are stigmatized and discriminated against due to mental health issues that don&rsquo;t necessarily mean they will be incompetent at their jobs. Stephanie Saklad, an art therapist, has attended trainings given by someone high up on the food chain in the Social Security office who has schizophrenia and hears multiple voices, yet is an extremely knowledgeable and skilled professional.</p>

<p>This is not surprising. According to 2014 statistics from the National Alliance of Mental Illness, approximately <a href="http://www.nami.org/Learn-More/Mental-Health-By-the-Numbers">one in five American adults</a> experience some kind of mental illness. When acknowledged and treated, those issues are not in themselves disqualifiers for holding jobs &mdash; including public office.</p>

<p>Another suggestion advocated by some cohorts is not labeling Trump with a specific diagnosis, but rather pointing out symptoms highlighted in the Diagnostic and Statistical Manual of Mental Disorders, considered the bible for laying out standard criteria for diagnosing psychiatric illnesses. One therapist on my Facebook thread said, &ldquo;We don&rsquo;t really need a full diagnosis to state our concerns if we deem he is dangerous. Why not do a petition demanding a licensed professional examine him?&rdquo;</p>
<h2 class="wp-block-heading">Where the debate needs to go</h2>
<p>Of course, mental health professionals wield no real power. It&rsquo;s up to Congress to impeach a sitting president, and with a Republican majority, movement is unlikely to happen. Still, it&rsquo;s vital to voice our concerns.</p>

<p>And some influential people are listening to us.<strong> </strong>Democratic Congress member Ted Lieu <a href="http://www.huffingtonpost.com/entry/donald-trump-mental-health-ted-lieu_us_589a4b70e4b0c1284f2930cd">is introducing legislation</a> requiring the White House to have an in-house psychiatrist. Lieu told a Huffington Post reporter, &ldquo;It&rsquo;s not normal for the President of the United States, within 24 hours to write about death and destruction and fake news and evil.&rdquo;</p>

<p>I <em>am </em>proud of being a therapist, and in my practice will always put the needs of my patients ahead of my own. However, if it&rsquo;s between obeying some arcane, decades-old rule and doing everything I can to bring down a dangerous administration, there is no contest.&nbsp;&nbsp;</p>

<p><em>Sherry&nbsp;Amatenstein LCSW is a New York-based therapist and editor of the anthology</em> <a href="http://howdoesthatmakeyoufeelbook.com">How Does That Make You Feel? True Confessions from Both Sides of the Therapy Couch</a>.</p>
<hr class="wp-block-separator" />
<p><a href="http://www.vox.com/first-person"><strong>First Person</strong></a>&nbsp;is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our&nbsp;<a href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained"><strong>submission guidelines</strong></a>, and pitch us at&nbsp;<a href="mailto:firstperson@vox.com"><strong>firstperson@vox.com</strong></a>.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[I’m a therapist. Here’s how I help people break their bad relationship habits.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2016/2/10/10951144/therapist-bad-habits" />
			<id>https://www.vox.com/2016/2/10/10951144/therapist-bad-habits</id>
			<updated>2017-12-14T11:42:03-05:00</updated>
			<published>2016-02-10T08:00:02-05:00</published>
			<category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Mental Health" />
							<summary type="html"><![CDATA[Even the possessor of the most hardened or scarred heart secretly yearns to connect deeply with another person. How else to explain why Mandy Len Catron&#8217;s January, 2015 New York Times essay &#8220;To Fall in Love With Anyone, Do This,&#8221; about her efforts to create love using a 20-year-old study by researcher Arthur Aron, drew [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="&lt;a href=&quot;http://www.shutterstock.com/&quot;&gt;Shutterstock&lt;/a&gt;" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9870135/shutterstock_360775295.0.0.0.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<div class="chorus-snippet center"> <p>Even the possessor of the most hardened or scarred heart secretly yearns to connect deeply with another person. How else to explain why Mandy Len Catron&#8217;s January, 2015 New York Times essay <a target="_blank" href="http://www.nytimes.com/2015/01/11/fashion/modern-love-to-fall-in-love-with-anyone-do-this.html" rel="noopener">&#8220;To Fall in Love With Anyone, Do This,&#8221;</a> about her efforts to create love using a 20-year-old study by researcher Arthur Aron, drew 8 million views in one month?</p> <p>Instead of a movie date, Catron and her co-experimenter, an acquaintance she&#8217;d admired from afar, asked and answered a series of increasingly personal questions like, &#8220;Do you have a secret hunch about how you will die?&#8221; and, &#8220;For what in your life do you feel most grateful?&#8221; The pair then stared deeply into one another&#8217;s eyes for four minutes. They fell in love.</p> <p>Catron was attracted to the study in the first place because she was newly out of a toxic relationship and determined to change her negative pattern. She wrote, &#8220;I turned to science, hoping there was a way to love smarter.&#8221;</p> <p>In my nine years as a therapist, I have learned that there <em>is</em> a way to love smarter. It&#8217;s not as simple as a <a target="_blank" href="http://www.nytimes.com/2015/01/11/fashion/no-37-big-wedding-or-small.html" rel="noopener">36-item questionnaire</a>, but it works.</p> <h3>1) Make a &#8220;love r&eacute;sum&eacute;&#8221;</h3> <p>Before you can make a relationship work, you have to figure out what made all your old relationships not work. A question I am often asked is, &#8220;Why do I keep finding all the horrible men (or women)?&#8221; I counter with my own question, &#8220;Why do you keep looking for them?&#8221; followed by a suggestion, &#8220;Let&#8217;s look at the reasons you&#8217;ve thought love meant pain.&#8221;</p> <div class="float-right s-sidebar"> <h4>More on love and romance</h4> <a target="new" href="http://www.vox.com/2015/2/11/8007697/divorce-advice" rel="noopener"> <img data-chorus-asset-id="6021509" alt="shutterstock_75196987.0.0.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/6021509/shutterstock_75196987.0.0.0.jpg"> </a><p><a target="new" href="http://www.vox.com/2015/2/11/8007697/divorce-advice" rel="noopener">I&#8217;m a marriage counselor. Here&#8217;s how I can tell a couple is heading for divorce.</a></p> </div> <p>To aid in this psychological excavation, I asked Rachel (names are changed), a survivor of multiple dysfunctional relationships, to do a &#8220;love r&eacute;sum&eacute;&#8221; as homework and to bring in the results during the next session. This involved making a chart listing details of her most important failed romances. There are four categories for each partner: his or her good points during the relationship, his or her bad points, your good points, and your bad points. I told her to be as honest and detailed as possible. It wasn&#8217;t necessary to add a &#8220;conclusions&#8221; category &mdash; we would do that together.</p> <p>The next week we looked at the r&eacute;sum&eacute;, and then I asked her: &#8220;What patterns do you see in your partners&#8217; behavior? In yours?&#8221; Rachel discovered she always fell for men who couldn&#8217;t commit, just as her father&#8217;s love blew hot and cold during her childhood. The more attention she craved, the more distant the man in her life became. Two of the men she wrote about cheated; a third only saw her twice a month.</p> <p>Rachel&#8217;s r&eacute;sum&eacute; also helped her realize that sometimes she was the self-absorbed one: wanting favors done for her, but not necessarily willing to go out of her way in return. On a few occasions she&#8217;d noted &#8220;selfish&#8221; behavior on her part. &#8220;Even though Jim took me out for a lavish meal to celebrate my work promotion, I never even asked him how he felt after he was passed over for partner at his law firm. What kind of girlfriend is that?&#8221;</p> <p>Writing out the patterns helped Rachel more clearly see her romantic strengths and weaknesses, as well as offering a road map toward overcoming her weaknesses. For instance, she had labeled herself &#8220;needy&#8221; in four of the five relationships she outlined. As we uncovered, neediness typically spurred defensiveness, as she feared being vulnerable: &#8220;I&#8217;ve been disappointed so much, starting with my father.&#8221;</p> <p>The process of writing out her r&eacute;sum&eacute; led my patient to focus in a new way on her issues and how for years they&#8217;d gotten in the way of her finding healthy love. Rachel said, &#8220;I am starting to realize that it wasn&#8217;t my fault my father didn&#8217;t know how to love me &#8230; also that just because I feel needy doesn&#8217;t mean I don&#8217;t also need to be giving.&#8221;</p> <h3>2) When you meet someone, don&#8217;t brainwash yourself into rejecting them</h3> <p>Eating junk food harms our bodies. That may not stop us from devouring hot fudge sundaes and Big Macs, but at least we&#8217;re aware of the risks. The same holds true for &#8220;junk thoughts&#8221; we feed ourselves about potential partners: &#8220;My friends won&#8217;t think she&#8217;s interesting&#8221;; &#8220;I&#8217;m embarrassed to be with anyone who likes Taylor Swift&#8221;; &#8220;I can&#8217;t be with someone who doesn&#8217;t have an edge!&#8221;</p> <p>With this kind of self-induced psych-out, it&#8217;s next to impossible to give a potential partner outside your comfort zone a true chance.</p> <p>Tami&#8217;s parents rejected her when she came out to them at age 16. As a result, she didn&#8217;t expect to be loved for who she was, and for years Tami chose partners who didn&#8217;t share her values &mdash; monogamy, family, honesty, kindness: &#8220;My most serious girlfriends and former wife cheated and lied constantly. My wife kept promising she would have a baby one day &#8230; till she finally admitted she never wanted a child.&#8221;</p> <q>A question I am often asked is, &#8220;Why do I keep finding all the horrible men (or women)?&#8221; I counter with my own question, &#8220;Why do you keep looking for them?&#8221;</q><p>Now, finally dating a woman who possessed qualities Tami cherished, she subconsciously looked for excuses to pull away &mdash; thus the constant stream of negative propaganda she fed herself. I told Tami, &#8220;You&#8217;re scared, and that&#8217;s totally normal, but being okay with uncomfortable, scary feelings ultimately takes more energy than sabotaging the relationship.&#8221;</p> <p>I told her when a thought like, &#8220;Sheila has no sense of style; I can&#8217;t be with someone who wears Gap clothing&#8221; invaded her head, to yell: &#8220;Stop &mdash; I&#8217;m creating bullshit because I&#8217;m scared!&#8221; I also suggested she discuss her fears with Sheila. Communication &mdash; real sharing &mdash; is the best offense against self-destructive defenses.</p> <p>It took time and patience, but gradually Tami quieted her brain, began confiding fears to her new partner, and experienced an emotion she&#8217;d never experienced in a relationship: safety.</p> <p><strong> </strong></p> <p><strong> </strong></p> <h3>3) Lower your expectations</h3> <p><strong> </strong></p> <p>We&#8217;re constantly seduced into buying the shiniest toys, upgrading our iPhones every couple of years, and returning any item that delivers less than complete satisfaction.</p> <p>When this mindset is applied to our relationships, alas, many could-have-been-happy-together couples crash on the shoals of unrealistic expectations. When you run into relationship conflict, then, it&#8217;s vital to ask yourself <em>why</em> this person is displeasing you &mdash; is it something concrete he or she has done or not done? Or is it that you expect your relationship to be perfect and your partner to effortlessly fulfill your every whim without you having to communicate exactly what that whim may be? If the answer is closer to the latter, your expectations are out of whack.</p> <div class="float-left s-sidebar"> <h4>More on love and romance</h4> <a target="new" href="http://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist" rel="noopener"> <img data-chorus-asset-id="6021539" alt="shutterstock_165663680.0.0.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/6021539/shutterstock_165663680.0.0.0.jpg"> </a><p><a target="new" href="http://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist" rel="noopener">9 things I&#8217;ve learned about marriage from being a couples therapist</a></p> </div> <p>Meaning, stop thinking of a potential mate as the person who should slay every dragon, answer your every need even before it&#8217;s voiced, deliver happiness on a gold plate, and drop grapes and bonbons into your mouth.</p> <p>You don&#8217;t quit a terrific job because your boss has a few annoying habits. Rather, you adjust, because the positives far, far outweigh the pain. Apply this same rationale to your relationship, and your happiness will exponentially increase.</p> <p>The &#8220;expect less and receive more&#8221; philosophy was borne out by a <a href="http://cdp.sagepub.com/content/24/3/238.abstract">2014 study</a> at Northwestern University led by psychologist Eli Finkel on the &#8220;suffocation model of marriage,&#8221; which found that &#8220;Americans today are increasingly &mdash; and perhaps unrealistically &mdash; asking their marriages to fulfill higher-level psychological needs, such as those related to personal growth and self-realization.&#8221;</p> <p>Certainly spend quality time with the person you are dating &mdash; forgo movie dates to partake in activities the two of you can bond over. But don&#8217;t depend on your partner to dot your every emotional &#8220;i&#8221; and cross every wrenching &#8220;t.&#8221; Take care of many of your own needs through your job, hobbies, self-reliance, friendships. Dr. Finkel said, &#8220;The irony is that asking less of the marriage &#8230; will actually make the marriage stronger.&#8221;</p> <p>Jamie&#8217;s relationships typically bottomed out because the woman inevitably came up short. &#8220;My mom and dad were always joined at the hip. They never needed anyone else around, even the kids,&#8221; he said. Jamie sees now that growing up he felt superfluous to his parents. This led him to crave a romantic partner who&#8217;d be totally focused on him and do everything exactly right.</p> <p>Pressed for what &#8220;exactly right&#8221; meant, Jamie had no answer. &#8220;Just to do things the way I want them done,&#8221; he said limply.</p> <p>&#8220;Your parents&#8217; inattention left a hole no partner can fill,&#8221; I told him. &#8220;Dealing with remnants of our childhood pain is an inside job. Tell yourself you&#8217;re not that sad little boy anymore. You&#8217;re a wonderful grown-up who deserves grown-up love.&#8221;</p> <p>When Jamie met someone promising, I reminded him, &#8220;Relationships are better when both people have a light touch with one another and can be happy with what is freely offered to them, versus demanding more, more, more.&#8221;</p> <p>This relationship blossomed as Jamie learned to tell himself things like, &#8220;Tara does things her own way, and that&#8217;s okay&#8221; when his girlfriend&#8217;s bed-making style after a sleepover lacked the hospital corners he was accustomed to. &#8220;It&#8217;s nice to not be so rigid in my expectations, Sherry,&#8221; he said at our most recent session. &#8220;How nice she makes the bed at all!&#8221;</p> <h3>4) Protect your relationship from negative influences</h3> <p><strong> </strong></p> <p>A promising new relationship must be nurtured and cherished to increase its odds of success. However, real life is not a fetal care unit. There are outside forces that can urge you to follow your worst instincts. Forces you must run from like a chocoholic fleeing Valentine&#8217;s Day Godiva. Forces such as a &#8220;friend&#8221; who is jealous of your shot at happiness. Or an encounter with the ex you can&#8217;t forget.</p> <p>Ivy was a recovering addict. Through a 12-step program, therapy, and much self-reflection she arrived at the place where she could flourish in a relationship with Timothy, also a recovering addict, who treated her &#8220;like a special being.&#8221;</p> <q>You don&#8217;t quit a terrific job because your boss has a few annoying habits. Apply this same rationale to your relationship.</q><p>She came in one session, exclaiming, &#8220;Sherry, I ran into Vic!&#8221; A decade previously, Ivy and her ex husband shared a drunken, abusive relationship that ultimately drove her to AA.</p> <p>The former couple went for a cup of coffee that turned into eight hours of nonstop conversation. Ivy told me, &#8220;At first he seemed so charming and funny. I remembered all the reasons I&#8217;d been attracted to him in the first place. Then he turned mean and insulting and condescending, and I started slipping back into the bubble. For a moment.&#8221;</p> <p>Happily, Ivy remembered how far she&#8217;d come, and made a conscious decision that she&#8217;d gone too far to slip backward. She threw money on the table and ran to &#8220;call Timothy and tell him how great he is.&#8221; Ivy smiled at me, &#8220;I&#8217;m over the crap. I&#8217;m ready to be loved properly and to give 110 percent back. I deserve it.&#8221;</p> <p><strong> </strong></p> <h3>5) Cultivate gratitude for your partner</h3> <p>We&#8217;ve all heard the advice that focusing on what we have versus dwelling on what we lack results in greater life satisfaction. Similarly, <a href="https://www.psychologytoday.com/blog/the-attraction-doctor/201109/how-gratitude-influences-loving-behavior">studies tell us</a> that fostering a spirit of gratitude rather than annoyance toward our partner has a positive effect on our relationship.</p> <p>Ava was in the habit of moaning about all the reasons she could never fall in love with her new boyfriend. &#8220;Dan&#8217;s not as romantic as other guys I&#8217;ve been with.&#8221; &#8220;He&#8217;s funny sometimes, but I&#8217;m the one who makes him laugh more.&#8221;</p> <p>I said to her, &#8220;Let&#8217;s look in a different direction. What are the things about him that you are grateful for?&#8221; She thought a few moments, and then said, &#8220;Dan is super considerate, more so than anyone I&#8217;ve ever dated. If I have a cold, he&#8217;s at the door with chicken soup. I really appreciate that. He also treats me beautifully &mdash; opening doors, pulling out chairs. I didn&#8217;t realize I&#8217;d like that so much. And, well, he&#8217;s a terrific kisser.&#8221;</p> <p>To keep the momentum going, I gave her a homework assignment: Spend 10 minutes every day thinking of reasons she was glad Dan was in her life. She also had to express thanks when he did something kind and loving, as well as extend herself toward him in kind and loving ways.</p> <p>Over time, this changed the way she viewed the relationship. Dan indeed was someone with whom she could fall in love. A year later, she handed me an envelope with lovely calligraphy: her wedding invitation.</p> <p><em>Sherry Amatenstein is a couples therapist in New York City and the author of three books on relationships.</em></p> <hr> <p><a target="new" href="http://www.vox.com/first-person" rel="noopener">First Person</a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a target="new" href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained" rel="noopener">submission guidelines</a>, and pitch us at <a href="mailto:firstperson@vox.com">firstperson@vox.com</a>.</p> </div>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[Everyone wants to be happy. Almost everyone is going about it wrong.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2015/6/2/8686191/happiness-myths" />
			<id>https://www.vox.com/2015/6/2/8686191/happiness-myths</id>
			<updated>2020-01-13T16:02:36-05:00</updated>
			<published>2015-09-24T08:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Features" /><category scheme="https://www.vox.com" term="Life" />
							<summary type="html"><![CDATA[As a therapist, the number-one goal I hear from my patients is: &#8220;I just want to be happy.&#8221; I ask, &#8220;What would being happy mean to you?&#8221; The answers range from &#8220;Everything I wish for will happen&#8221; to &#8220;I will feel good all the time&#8221; to &#8220;I won&#8217;t ever feel sad or disappointed.&#8221; These patients [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/10479719/shutterstock_193494494.0.0.0.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<p>As a therapist, the number-one goal I hear from my patients is: &#8220;I just want to be happy.&#8221; I ask, &#8220;What would being happy mean to you?&#8221; The answers range from &#8220;Everything I wish for will happen&#8221; to &#8220;I will feel good all the time&#8221; to &#8220;I won&#8217;t ever feel sad or disappointed.&#8221;</p> <p>These patients are deeply misguided: believing that bliss is a permanent, attainable state is both unrealistic and emotionally dangerous. Awful things occur that we cannot control, and that will and should at least temporarily affect how we feel.</p> <q>A utopian world would be like <em>I Love Lucy</em>: it would be possible to have a minor stress of the week resolved in 24 minutes</q><p>My happiness-seeking patients are also, sadly, doomed to fail. It&#8217;s a time-worn paradox: the more you obsess over whether you are happy or happy enough, the unhappier you are. As I&#8217;ve witnessed from years of counseling patients, contentment emerges as a byproduct of a good life, not from the pursuit of it being your life&#8217;s purpose.</p> <p>Here are some of the most common myths my patients believe about happiness &mdash; and how I help my patients move past them.</p> <h3>1) They keep saying, &#8220;I&#8217;ll be happy when&#8230;&#8221;</h3> <p>When Philip (all patients&#8217; names are changed) began therapy, his heartfelt belief was it would be impossible to enjoy life until achieving X goal. After achieving X goal, there&#8217;d be a brief spike of joy before he sank back into gloom, anxiety, and self-doubt. So he&#8217;d set Y goal, hoping the elusive happiness he longed for would follow.</p> <div class="float-right s-sidebar"> <h4>More on mental health</h4> <a href="http://www.vox.com/2014/12/4/7262991/anxiety-disorder-help" target="new" rel="noopener"> <img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/3738548/16567389699_b0198c2352_k.0.0.0.jpg" alt="16567389699_b0198c2352_k.0.0.0.jpg" data-chorus-asset-id="3738548"> </a><p><a href="http://www.vox.com/2014/12/4/7262991/anxiety-disorder-help" target="new" rel="noopener">9 things I wish people understood about anxiety</a></p> <p><a href="http://www.vox.com/2015/4/21/8456893/grief-trauma-lessons" target="new" rel="noopener">Grief is powerful. Here are 6 lessons survivors learn from tragedy.</a></p> <p><a href="http://www.vox.com/2015/1/8/7509715/depression-help" target="new" rel="noopener">The secrets of depression</a></p> </div> <p>As we worked together, Philip came to realize his hypercritical father, an acclaimed heart surgeon, had drummed into his head that he wasn&#8217;t worthy of being accepted and loved unless he did great things. Philip told me, &#8220;Growing up, getting a single or double in Little League wasn&#8217;t enough. According to my dad I had to hit a home run to deserve to feel proud and happy.&#8221;</p> <p>Philip was able to call his now-retired father and say that these impossible standards had left him unable to enjoy life. After this conversation, Philip told me, &#8220;Dad was mortified. He said he&#8217;d always been proud of me but he raised me the way his father raised him.&#8221;</p> <p>Nowadays Philip is able to choose goals he wants rather than ones he desperately <em>needs</em> to reach. &#8220;Since how I feel about myself isn&#8217;t dependent on whether or not I publish a novel or get a skydiving certificate, I can enjoy the ups and downs along the way.&#8221;</p> <p><strong> </strong></p> <h3>2) They believe problems should come and go quickly</h3> <p><strong> </strong></p> <p>A utopian world would be like <em>I Love Lucy</em> or <em>The Big Bang Theory:</em> it would be possible to have a minor stress of the week that is resolved in 24 minutes. In the real world, of course, we&#8217;re confronted with traumas and tragedies &mdash;traumas and tragedies that we can&#8217;t be inoculated from by reaching a permanent happy state.</p> <p>Peter began therapy a few weeks after his father died from lung cancer. After months and months of grieving, Peter was back on an even keel. He&#8217;d always miss his dad but resumed the sweeteners of daily life &mdash; seeing movies, spending time with his fianc&eacute;e, playing basketball. &#8220;I&#8217;m cured &mdash; I&#8217;m good,&#8221; he told me. I responded, &#8220;I&#8217;m so glad you&#8217;re feeling better, but life doesn&#8217;t stay fixed.&#8221;</p> <p>A month later Peter received a negative work review. He came in to our session, crying, &#8220;I can&#8217;t deal with the stress of this. I need things to be easy. I can only handle being happy!&#8221;</p> <p>I encouraged him to allow his resurgent grief to wash over both of us. He said a few weeks later, &#8220;I thought it was smart to try to always feel good, but I realize that&#8217;s impossible. If I&#8217;m generally in a good place I can deal with bouts of depression. Bottling up bad feelings or pretending they don&#8217;t exist will just land me back where I started.&#8221;</p> <p><strong> </strong></p> <h3>3) They think a four-star meal or an Apple Watch will make them happy</h3> <p><strong> </strong></p> <p>Many of my patients get wide eyes when they see people with bigger cars, bigger houses, more expensive wardrobes, and the latest gadgets. They think, &#8220;If I had <em>that, </em>I&#8217;d be happy!&#8221; This fantasy is partly due to canny advertising presenting us with the equation that expensive things = lasting happiness.</p> <p>Kara fell for this fairy tale. She started therapy after a serious shoe shopping addiction left her in debt. She sighed, &#8220;When I felt lonely or depressed I&#8217;d log on and buy more Christian Louboutins. It felt great. Only the high wouldn&#8217;t last long, and what I bought mostly stayed in the closet.&#8221;</p> <p><strong> </strong></p> <p>We worked hard to get her off this hedonistic treadmill. Expensive purchases offer a fleeting pleasure that vanishes shortly after the box is ripped open.<strong></strong></p><div class="video-container"><iframe src="https://volume.vox-cdn.com/embed/c2f5fb24a?player_type=youtube&#038;loop=1&#038;placement=article&#038;tracking=article:rss" allowfullscreen frameborder="0" allow=""></iframe></div><p>Kara said, &#8220;My parents never had time for me. Which made them guilty. It got to the point that I could blackmail them into buying me anything I saw on TV that looked exciting. But I realize now the thrill was getting them to think about me long enough to whip out their charge card. For those few minutes, I mattered.&#8221;</p> <p>What she craved was attention and love, not <em>things.</em> My patient sold her Imelda Marcos-esque shoe collection and now avoids shopping websites. &#8220;I know now I can&#8217;t buy happiness,&#8221; she said. &#8220;My parents were distant. Boo hoo. I&#8217;m done punishing myself.&#8221;</p> <p>Kara now owns something that can&#8217;t be bought with the click of a mouse: contentment in who she is and how she lives her life rather than in what she possesses.</p> <p><strong> </strong></p> <h3>4) They think the only way to be happy is for everything to be perfect</h3> <p>Being a pet owner has taught me nearly everything I know about being happy. When Shea (he&#8217;s a Mets fan wrapped in a terrier/schnauzer/Yorkie&#8217;s 10-pound body) and I go for a walk, he doesn&#8217;t know or care about the destination. There&#8217;s always time to stop for a sniff, leg lift, or frenzied barking jag at a pigeon. Each aspect of his experience is cause for tail wagging.</p> <p>However, Shea also shows me what happens when this enjoy-the-moment mindset is abandoned. The local dog park has two sections separating the big breeds and the wee ones. Shea is perfectly content in his half until there is action on the other side. Then he runs to the fence between the Mutts and Jeffs and barks piteously, <em>inconsolably</em> at the dogs he can&#8217;t join. I say, &#8220;Shea, you have three buddies right here begging for your attention!&#8221; No dice. In that moment Shea has chosen misery.</p> <q>&#8220;I&#8217;m cured &mdash; I&#8217;m good,&#8221; he told me. I said, &#8220;I&#8217;m so glad you&#8217;re feeling better, but life doesn&#8217;t stay fixed.&#8221;</q><p>For a long time, so did my patient Tina. She told me a week after returning from a much longed-for vacation to Hawaii: &#8220;What&#8217;s wrong with me? I was so looking forward to my trip to Oahu. Once I was there, nothing lived up to my dreams. The view from my terrace wasn&#8217;t gorgeous enough, there was rain one day, we couldn&#8217;t get reservations at the restaurant I was dying to try&#8230;&#8221;</p> <p>As we talked, Tina came to see that Oahu wasn&#8217;t at fault &mdash; it was her longtime pattern of obsessing over minute details that weren&#8217;t perfect rather than appreciating what was present. &#8220;I didn&#8217;t enjoy my trip of a lifetime as much as I should have, but hopefully now that I see how I ruin things for myself I can make better choices.&#8221;</p> <h3>5) They confuse stability with happiness</h3> <p>My patient Jim lived a safe life. He enjoyed his job, had a supportive circle of friends, and loved his apartment. Yet he spent session after session saying, &#8220;What&#8217;s wrong with me? Why am I so scared to approach a pretty woman and ask her out?&#8221;</p> <p>We discussed his fear that he couldn&#8217;t survive the few minutes of anxiety he would feel walking up to his potential date. &#8220;Why is it easier to beat yourself up day after day because you played it safe?&#8221; I said. &#8220;It doesn&#8217;t matter whether the woman you ask out says yes. You&#8217;ll be able to say to yourself, &lsquo;Yes, I can do this!'&#8221;</p> <p>Inevitably came the week when Jim rushed in excitedly: &#8220;I asked someone out at a Starbucks! She said no, but just like you said, Sherry, it felt great not to let anxiety rule me!&#8221;</p> <p>The next women he asked out said yes. They only went on one date, and Jim still finds it scary to approach someone. But he is increasingly confident that he&#8217;s moving past this once-insurmountable hurdle.</p> <p><strong> </strong></p> <h3>6) They buy into their parents&#8217; standards for what happiness is</h3> <p>This is a pattern you&#8217;ve probably noticed in the patients I&#8217;ve described so far: they are often haunted by their parents&#8217; visions of success. This was true of Jenna: six months after her small business went under, although she&#8217;d landed on her feet financially she couldn&#8217;t find her emotional footing. &#8220;What was I thinking? Nothing ever works out for me. I was born under an unlucky star.&#8221;</p> <p>I said, &#8220;I know this was awful, but let&#8217;s explore the origins of your all-negativity-all-the-time mindset.&#8221;</p> <div class="float-right s-sidebar"> <h4>More on families</h4> <a href="http://www.vox.com/2014/6/14/5804858/how-dads-improve-their-kids-lives-according-to-science"> <img data-chorus-asset-id="3672632" alt="380279239_ac2ee0d133_o.0.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/3672632/380279239_ac2ee0d133_o.0.0.jpg"></a><p><a target="new" href="http://www.vox.com/2014/6/14/5804858/how-dads-improve-their-kids-lives-according-to-science" rel="noopener">How dads improve their kids&#8217; lives, according to science</a></p> <p><a target="new" href="http://www.vox.com/2014/5/9/5683724/why-mothers-and-daughters-fight" rel="noopener">Why daughters fight with their mothers</a></p> <p><a target="new" href="http://www.vox.com/2014/11/26/7254589/family-crazy" rel="noopener">Why your family drives you crazy</a></p> </div> <p>While growing up whenever Jenna had a big dream, her mother derided it. &#8220;Mom was a Depression baby,&#8221; Jenna said. &#8220;I know she was looking out for me in her own way, but her constant reinforcing that nothing I tried would ever succeed made me believe nothing ever would.&#8221;</p> <p>I said, &#8220;Despite all that, you started your business. And then it didn&#8217;t work out, which seemed like confirmation that the world is determined to keep you small. But that you started it shows your inner warrior spirit.&#8221;</p> <p>Jenna smiled for the first time in the session: &#8220;I never looked at it that way. But I am a strong, determined woman.&#8221;</p> <p>&#8220;Don&#8217;t forget talented!&#8221; I reminded her.</p> <p>&#8220;Yes, I am that! And I learned so much from my business that I can use in another venture I&#8217;ve been mulling&#8230;&#8221;</p> <p>Jenna had subconsciously inherited her mother&#8217;s oft-repeated vision of happiness: dreaming big leads to disappointment, so better to keep expectations low. Jenna realized her mother&#8217;s defeatist (though well-intentioned) idea of happiness needn&#8217;t be her own. Having big ambitions can be a good thing. Rather than being the end of the world, disappointment can be something to build from and start anew.</p> <p><em>Sherry Amatenstein is a couples therapist in New York City, as well as the author of three books on relationships.</em></p> <hr> <p><a target="new" href="http://www.vox.com/first-person" rel="noopener">First Person</a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a target="new" href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained" rel="noopener">submission guidelines</a>, and pitch us at <a href="mailto:firstperson@vox.com">firstperson@vox.com</a>.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[Grief is powerful. Here are 6 lessons survivors learn from tragedy.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2015/4/21/8456893/grief-trauma-lessons" />
			<id>https://www.vox.com/2015/4/21/8456893/grief-trauma-lessons</id>
			<updated>2017-12-14T11:39:42-05:00</updated>
			<published>2015-09-14T09:15:00-04:00</published>
			<category scheme="https://www.vox.com" term="Features" /><category scheme="https://www.vox.com" term="Life" />
							<summary type="html"><![CDATA[My parents survived the Holocaust, so I was raised by people who had been wrenched through and through by horror and loss. Mom spent ages 14 to 17 in a work camp (once stealing potatoes from under her captors&#8217; noses to feed a friend sick with typhus), and came home to find her mother and [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="&lt;a href=&quot;https://www.flickr.com/photos/x1klima/16567389699&quot;&gt;martin/flickr&lt;/a&gt;" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9869591/16567389699_b0198c2352_k.0.0.0.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<div class="chorus-snippet center"> <p>My parents survived the Holocaust, so I was raised by people who had been wrenched through and through by horror and loss. Mom spent ages 14 to 17 in a work camp (once stealing potatoes from under her captors&#8217; noses to feed a friend sick with typhus), and came home to find her mother and two sisters were dead. Dad was imprisoned at Auschwitz and Dachau. Despite the pain poised just beneath the surface, my parents were role models for how to wrest joy and meaning from tragedy.</p> <p>Two snippets: Mom&#8217;s ability to laugh like a banshee at her own jokes, even when she alone found them funny. Dad&#8217;s determination to be a moral person &mdash; the kind who, if he found a quarter in a phone booth (remember them?), returned it to the phone company.</p> <p><a target="_blank" href="http://www.vox.com/2015/2/11/8007697/divorce-advice" rel="noopener">I am a therapist</a>, and when I see the fortitude of my patients in dealing with catastrophic events beyond their control I am reminded anew of what human beings can discover about themselves once they accept that they can&#8217;t undo a tragedy &mdash; but they can relate to it in a new, healthier way. Here are six positive things that can emerge from grief.</p> <p><strong> </strong></p> <h3>1) You have the freedom of knowing you&#8217;ve already experienced the worst thing imaginable</h3> <p>For a decade, the main role for my patient Carrie (all patients&#8217; names are changed) was as caretaker to her dying husband. Over the years she&#8217;d given Tom her all &mdash; including a kidney. Despite this gift of love, the desperately ill man who had also endured esophageal cancer, congestive heart failure, and multiple strokes was eventually moved to a nursing home. Carrie sobbed in my office many times: &#8220;I know Tom wants to give up, but I can&#8217;t let him go. If he dies, there is nothing left for me. I might as well be buried, too.&#8221;</p> <q>When you stuff your junk into a closet, eventually the door will spring open and crap will fall on your head</q><p>After his death, her grief was titanic. And yet, three weeks after the burial she admitted, &#8220;I miss him with every breath I take, but there is also relief. When the phone rings, my heart doesn&#8217;t leap to my throat. I don&#8217;t need to worry something terrible happened. It already has.&#8221;</p> <p>Within six months, Carrie was experiencing a renaissance. Her life, cribbed and cramped for so long, dependent solely on her husband&#8217;s wavering physical state, suddenly took flight. She traveled abroad with her teenage daughter, joined a book club, and started job-hunting. &#8220;Life is different than I imagined it would be on my wedding day,&#8221; she told me. &#8220;Things obviously haven&#8217;t turned out the way I wished, but there are new dreams I am pursuing.&#8221;</p> <p><strong> </strong></p> <h3>2) You realize your own resilience</h3> <p>One of the worst days of my life occurred over Labor Day weekend when I was 17. An afternoon of mocha brownies, sparkling sunshine, and backgammon was ruined when I took a phone call from a cousin. Her father had been hit by a car and was in surgery. I had to tell my mother this devastating news about her older brother, another Holocaust survivor, and watch the laughter drain from her eyes.</p> <p>My uncle died on the operating table. Initially I feared my mother would not recover from this latest atrocity. The sounds coming from her throat as she lay in bed were guttural and endless. How much tragedy could a person endure?</p> <p>For a solid year she wore black and forswore parties, movies &mdash; any entertainment. Mom was changed, another bullet fragment permanently lodged in her heart. But her spirit proved resilient. After the first terrible months, laughter returned to our house. She said to me once, &#8220;Sherry, so many things have happened that could have ended me, that I thought<em> would</em> end me &mdash; but I&#8217;m too stubborn to let this take me down.&#8221;</p> <p>Whenever something happens that I initially don&#8217;t see how I can survive, I look in the mirror and say, &#8220;I&#8217;m too stubborn to let this take me down.&#8221;</p> <h3>3) Your priorities change &mdash; for the better</h3> <p>Anna said during one of our early sessions, &#8220;I have no savings because I&#8217;m constantly putting money into a wacky business scheme or splurging on five expensive handbags. I guess I&#8217;m afraid to say no because I don&#8217;t want to miss out on something wonderful.&#8221; This same philosophy applied to romance: &#8220;I hook up with inappropriate men because it could be tons of fun.&#8221;</p> <p>Alas, most of the time she wound up &#8220;regretful and feeling guilty over having made impulsive and often stupid decisions that wind up hurting me.&#8221;</p> <p>A devastating life event altered this pattern: Anna&#8217;s brother was killed in a drive-by shooting. This act of random violence caused indescribable agony to Anna and her parents. When Anna was finally able to contemplate rejoining the world, she decided the only way to make her life feel meaningful was to &#8220;stop letting it dribble away.&#8221;</p> <p>Two years after the crime that ripped apart her family, Anna is no longer reckless. &#8220;I take time to make decisions that will benefit me beyond the next week, because I know what a gift my life is and how quickly it can vanish.&#8221;</p> <q>Anna decided the only way to make her life feel meaningful was to &#8220;stop letting it dribble away&#8221;</q><p>Stacey&#8217;s priorities also shifted after loss, in a different way. She began therapy two weeks after her husband died of a brain embolism. Session after session, she kept repeating: &#8220;What were we waiting for? There were so many trips we wanted to take but kept telling ourselves even weekend getaways needed to wait until we felt more financially secure.&#8221; Boxes of Kleenex were emptied as Stacey mourned lost chances: &#8220;Dan and I were so focused on working like demons for the future that we rarely sat on our porch to watch the sunset together.&#8221;</p> <p>After much inner work, Stacey has stopped beating herself up for what she views as mistakes. &#8220;There will always be regrets, but instead of drowning in them I want to use the energy to push me forward.&#8221;</p> <p>This translates to a determination to never again devalue the importance of being<em> in</em> her life versus waiting for it to begin on some far-off day. Stacey is taking watercolor classes <em>just because </em>and makes sure to get out of the city once a month to enjoy nature. &#8220;Dan and I loved being outdoors, so whenever I&#8217;m taking a hike or savoring a sunset I feel him with me.&#8221;</p> <h3>4) Being bitter will only make things worse</h3> <p>If anyone had a right to stew in bitterness and fury, it was my father. Dad watched his parents and little sister march to the gas chambers at Auschwitz. Yet the man who raised me was the most gentle and forgiving person I&#8217;ve ever met. My father once noticed a confused elderly man wandering crowded streets, brought him home, and then tracked down the man&#8217;s grateful daughter. Whenever a friend of mine visited, if a parent wasn&#8217;t picking her up my dad drove the girl home. My father sold household goods and clothing, and if a customer couldn&#8217;t immediately pay for the merchandise, Dad issued an IOU on the spot. He told me, &#8220;Being kind no matter what other people are like helps me feel good about myself.&#8221;</p> <p>Over a two-year period I interviewed 66 <a target="_blank" href="http://www.vox.com/2015/3/19/8235119/auschwitz-survivor-mengele-twin" rel="noopener">Holocaust survivors</a> in their homes as part of Steven Spielberg&#8217;s USC Shoah Foundation: the Institute for Visual History and Education. The survivors who were happiest were the ones who had been able to release &mdash; to some degree, at least &mdash; dark feelings toward their torturers. One interviewee told me, &#8220;It doesn&#8217;t mean I forget or totally forgive. But for my own well-being I don&#8217;t carry inside the injustice of what was done to me.&#8221;</p> <p><strong> </strong></p> <p><strong> </strong></p> <h3>5) You can&#8217;t outrun your grief</h3> <p>Within six months after the death of his wife, Lenny had taken a trip to Europe, <span>run his first half-marathon, and accepted a demanding promotion at work.</span></p> <p>He came to therapy after &#8220;totally losing it&#8221; during a meditation class at a corporate retreat. Lenny admitted, &#8220;It was the first time since Pam&#8217;s heart attack that I was still for 10 minutes, other than sleeping, and everything inside me collapsed.&#8221;</p> <p>I frequently tell patients, &#8220;When you stuff all the junk you don&#8217;t want to look at into a closet, eventually the door will spring open and piles of crap will fall on your head.&#8221;</p> <q>Trauma demands acknowledgement and respect. The best coping tool is to sit with the pain.</q><p>Lenny had literally crossed the ocean and worn out several pairs of running shoes to escape his grief, but he could not maintain that grueling pace forever. When he finally succumbed to a moment of reflection, the sorrow, gathering force during the long dormancy, could no longer be denied. As my patient came to learn, trauma demands acknowledgement and respect. The best coping tool is to sit with the pain, rather than run and pretend you are<em> </em>fine.</p> <p>Lenny spent many sessions lost in wrenching heartache, convinced the grief, once unleashed, would be never-ending. But a truth of life is that no emotion lasts forever &mdash; not the joyous ones you ache to hold onto, nor the blackness. Wait long enough, and the inner scenery will change.</p> <p>Now that he&#8217;s stopped running, Lenny finds his life is on an even keel. &#8220;It&#8217;s such a relief to be able to feel sad when I need to, and know that afterward I&#8217;ll be able to meet a friend for dinner and have some genuine laughs.&#8221;</p> <p><strong> </strong></p> <p><strong> </strong></p> <h3>6) You learn to let go of petty grievances</h3> <p><strong> </strong></p> <p>Kara came to therapy after her estranged best friend died. She collapsed on my couch and wept, &#8220;I hadn&#8217;t talked to Sue for nine months before she passed. Sometimes she was so self-absorbed I would get pissed. But I never mentioned it.&#8221; Sighing, Kara admitted, &#8220;My solution was after 10 years of sisterhood to stop taking her calls.&#8221;</p> <p><strong> </strong></p> <p>My patient always assumed one day she&#8217;d reunite with her friend. Then it became too late. Kara said, &#8220;Sue never told me she was diagnosed with cancer. Then her husband left a message with details for her funeral.&#8221;</p> <p>This blow sent Kara into a spiral of angst and self-loathing. &#8220;Why couldn&#8217;t I appreciate all her wonderful qualities &mdash; her sweetness, her humor, her loyalty &mdash; instead of focusing on the one thing that bugged me?&#8221;</p> <p> </p> <p>Kara&#8217;s grief was twofold. Not only had she lost someone she loved; she&#8217;d lost valuable time the two could have shared. &#8220;I will never again expect someone I love to be perfect.&#8221;</p> <p> </p> <p>What has given Kara solace is becoming deeply involved in the lives of Sue&#8217;s children. &#8220;I take them shopping, they tell me their secrets, and I give them advice. I won&#8217;t abandon them.&#8221;</p> <p>It isn&#8217;t possible to overcome or fix things after a loss. You won&#8217;t revert to being the person you were before the tragedy. But that is not a bad thing. Living with the knowledge that everything is tenuous and the only thing over which you have control is your own reactions is a gift. It offers an opportunity to create a richer, more meaningful life.</p> <p><em>Sherry Amatenstein is a couples therapist in New York City, as well as the author of three books on relationships.</em></p> <hr> <p><a target="new" href="http://www.vox.com/first-person" rel="noopener">First Person</a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a target="new" href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained" rel="noopener">submission guidelines</a>, and pitch us at <a href="mailto:firstperson@vox.com">firstperson@vox.com</a>.</p> </div><p></p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[9 things I&#8217;ve learned about marriage from being a couples therapist]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist" />
			<id>https://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist</id>
			<updated>2017-12-14T11:39:35-05:00</updated>
			<published>2015-08-28T08:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Features" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Life" /><category scheme="https://www.vox.com" term="Mental Health" />
							<summary type="html"><![CDATA[Before becoming a therapist, I wrote advice columns for the lovelorn. I told people what to do &#8212; and what not to do. Leave the partner who is committed to commitment-phobia. Make sure the two of you have similar long-term goals. Don&#8217;t stay with anyone who is abusive. And so on. I stand by these [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9869555/shutterstock_165663680.0.0.0.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<div class="chorus-snippet center"> <p>Before becoming a therapist, I wrote advice columns for the lovelorn. I told people what to do &mdash; and what not to do. Leave the partner who is committed to commitment-phobia. Make sure the two of you have similar long-term goals. Don&#8217;t stay with anyone who is abusive. And so on.</p> <p>I stand by these pronouncements &mdash; particularly the last! However, the last eight years spent counseling hundreds of singles and couples (as well as enduring personal relationship ups and downs) have shown me the fallacy of spouting one-stop-shopping absolutes. Human beings are infinitely perverse and layered creatures. There are few answers that can satisfy <em>all. </em></p> <p>But I have learned these nine universal relationship truths. (All names of clients have been changed.)</p> <h3>1) Don&#8217;t expect another person to cure your sense of loneliness</h3> <p>Many people experience a void, an existential sense of loneliness. The desperation to not feel alone in the world can drive some unattached people into dysfunctional relationships. Being with the wrong person, though, is worse than being alone.</p> <div class="float-right s-sidebar"> <img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/2926318/182125527.0.jpg" alt="182125527.0.jpg" data-chorus-asset-id="2926318"><h4>More on families</h4> <p><a href="http://www.vox.com/2014/5/9/5683724/why-mothers-and-daughters-fight" target="new" rel="noopener">Why daughters fight with their mothers</a></p> <p><a href="http://www.vox.com/2014/11/26/7254589/family-crazy" target="new" rel="noopener">Why your family drives you crazy</a></p> </div> <p>Even those in good relationships are not immune from suffering a pit-in-the-stomach dread when their spouse is absent. Sarah told me during a session, &#8220;As soon as Dave leaves the house I find myself feeling like the only person in the world. It&#8217;s so unbearable I have to throw myself into some activity so I don&#8217;t just count the hours until he comes home.&#8221;</p> <p>Not surprisingly, Dave finds the weight of Sarah&#8217;s need suffocating. &#8220;When I come home she&#8217;s all over me to talk, kiss, listen to the minutiae of her day&#8230;I love her but it&#8217;s a lot of pressure to constantly have to provide entertainment.&#8221;</p> <p>Loneliness is embedded into our psyches. We&#8217;re born alone; we die alone. Sounds bleak but it&#8217;s real. We need to embrace those feelings, to sit with the discomfort and ask, &#8220;What are these feelings of emptiness trying to teach me?&#8221; rather than running to a relationship to fill the void. Once we are comfortable in our own heads, we can truly embrace the joys a relationship can <em>add</em> to our existence.</p> <h3>2) It&#8217;s always a mistake to change too much to please a partner</h3> <p>Tears in her voice, Karen said, &#8220;Brad is constantly telling me, &lsquo;You have the potential to be my true soul mate.'&#8221; There was a list of things she could do to achieve this status, ranging from exchanging the sweatpants she wore around their apartment for hip-hugging attire, to not nagging him about taking out the trash.</p> <p>Although Karen wished she could just be comfortable in her own home, she wanted to please her spouse. She bought a onesie and threw out the trash containing her discarded sweatpants. Brad&#8217;s response: &#8220;That&#8217;s great, but I&#8217;m not crazy about that onesie. Sorry.&#8221;</p> <q>Single or married, it is essential to learn not to explode when someone does something upsetting</q><p>I asked Brad how he would feel if nothing he did was enough to satisfy Karen. He paused, and then answered, &#8220;I would feel terrible, like I wasn&#8217;t good enough the way I was, and never would be.&#8221;</p> <p>&#8220;So why do you think you keep telling Karen there are things she needs to do differently to become your soul mate?&#8221;</p> <p>The answer: &#8220;I guess I play games because down deep I&#8217;m afraid she doesn&#8217;t consider me good enough for her. I know one day she&#8217;ll leave me.&#8221;</p> <p>When someone is secure, there&#8217;s no desire to make a partner jump through hoops. And anyone with good self esteem will refuse to jump through hoops for a partner, if doing so will feel demeaning.</p> <h3>3) Too many people underestimate their own self-worth</h3> <p>Growing up, we are taught the alphabet, how to do fractions, and to dress in layers when it&#8217;s cold outside. Alas, it is not part of Common Core to ensure students learn to value their own company. Until you can look in the mirror, say and mean, &#8220;Hello gorgeous, you are a damn fine human being,&#8221; you are at risk of being overly dependent on other people for validation.</p> <p>Brad from the example above needs to do work on himself so that he doesn&#8217;t feel compelled to play sadistic games with Karen to make her prove her love. If he continues giving in to these negative impulses, their future together is in doubt.</p> <p>Which leads us to:</p> <h3>4) Most arguments can be saved with some impulse control</h3> <p>In session, Paula admitted that when she&#8217;s angry she hisses, &#8220;I&#8217;m going to leave you,&#8221; to elicit maximum pain for Ted. It&#8217;s an empty threat. She admitted, &#8220;I regret the words as soon they&#8217;re out of my mouth, but I just can&#8217;t stop myself.'&#8221;</p> <p>Single or married, it is essential to learn not to explode<strong> </strong>when someone says or does something upsetting. A helpful tip: when hurtful words start bubbling up, take a three-second sanity pause. During this medicinal deep breath, ask yourself what might happen if you deliver this low blow. In Paula&#8217;s case, Ted could tire of living with the fear of being kicked out of his home and respond to her threat, &#8220;Okay, have your lawyer call mine.&#8221;</p> <p>If necessary, in the throes of an outburst you can say to the party you&#8217;re about to unload on: &#8220;I need to leave the room until I get control of myself.&#8221;</p> <p><img data-chorus-asset-id="2926394" alt="vox-share__53_.0.png" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/2926394/vox-share__53_.0.png"></p> <p class="caption">(<a href="http://www.shutterstock.com/">Shutterstock</a>)</p> <h3>5) Happy couples keep evolving &mdash; together and separately</h3> <p>Marriage shouldn&#8217;t mean the couple&#8217;s lives together are set. Oh, they&#8217;re set in terms of who each loves, honors, and hopefully lusts for. But it&#8217;s essential to retain a questing nature, to keep exposing oneself to provocative books, philosophies, people, and ideas.</p> <p>Healthy evolving means a couple is each other&#8217;s safe harbor &mdash; comfortable being naked together physically, emotionally, and spiritually &mdash; yet not emotionally dependent.</p> <p>Healthy couples are secure enough in the relationship to have disagreements, knowing their connection can withstand conflict. They take risks as a couple &mdash; having uncomfortable conversations, trying new sex positions, engaging in activities that get the adrenalin pumping.</p> <p>Evolving also means not feeling threatened when a partner is offered an amazing new job &mdash; even if it involves killer hours &mdash; or when he or she spends a weekend with a close (platonic) friend.</p> <p>The experiences a couple has together further solders their bond, and the ones they have apart keep them vital and interesting to their mate.</p> <h3>6) Happy couples are on the same page about their expectations for marriage</h3> <p>It is vital that you look at what your concept of a lifetime relationship should be &mdash; and equally vital to share your thoughts and wishes with that pertinent somebody. If one partner wants monogamy and the other believes in a &#8220;mostly monogamous&#8221; relationship, can this be reconciled? The same laser focus needs to shine on other potentially clashing major tenets: children, religious practices, time spent together versus time spent alone or with friends, gender roles, and so on.</p> <q>The most common phrase I hear from patients is, &#8220;I just don&#8217;t feel my spouse <em>gets</em> me anymore&#8221; </q><p>Ellen and Ted came to couples counseling prior to getting engaged. Neither wanted a child but Ellen felt guilty because &#8220;as a woman, shouldn&#8217;t I want to be a mother? My married friends already have babies.&#8221;</p> <p>During our discussions, the couple came to accept that only the two people involved had the right to make decisions about what their marriage should look like. And those decisions should be looked at &mdash; and if necessary, revised &mdash; on a regular basis.</p> <h3>7) Everyone longs to be &#8220;gotten&#8221;</h3> <p>Perhaps the most common phrase I hear from patients is, &#8220;I just don&#8217;t feel (fill in blank) <em>gets</em> me anymore.&#8221; After repeated rejections (or perceived rejections), both partners shut down: &#8220;If he won&#8217;t talk to me about anything real, I won&#8217;t talk to him!&#8221;</p> <p>This is a lose-lose position. Spouses might not agree with everything the other says or believes. But if a couple doesn&#8217;t honor each other&#8217;s right to feel differently about certain issues, the fragile bud that is the soul of a relationship withers a little more.</p> <p>I have couples do a mirroring exercise: Each of them take turns saying, &#8220;I need you to understand this about me.&#8221; When one is speaking, the listener cannot interject. When the speaker is finished the listener recaps, &#8220;So it sounds like you feel this, this and this.&#8221; The speaker says, &#8216;Well, I feel A but not B or C. <em>This</em> is what I said.&#8221; The couple goes back and forth until each person feels <em>heard</em>.</p> <p>Creating an environment in which both people feel safe enough to reveal who they are without fear of ridicule or disdain is an essential ingredient to love.</p> <h3>8) Strong relationships depend on self-sacrifice</h3> <p>Many people evaluate how well their marriage is going by how giving they perceive their partner to be. Jane says, &#8220;Oh, Jim brings me flowers once a week. He must really love me.&#8221;</p> <p>If Jim misses a week or two, will Jane stop feeling loved? Perhaps he&#8217;s simply preoccupied, worried, feeling broke, or wishing someone (guess who?) would bring him a thoughtful gift once in a while.</p> <p>Thoughtful gestures should not be performed tit for tat: &#8220;He hasn&#8217;t done anything special for me in days, so I&#8217;m going to stop bringing him coffee in bed.&#8221;</p> <p>When one is attuned to what makes a loved one happy, and gives with no expectation of return, the relationship opens up in magical ways.</p> <p><a target="_blank" href="https://books.google.com/books?id=Uvo-rAy_kn4C&amp;lpg=PT36&amp;dq=%22the%20sun%20never%20says%20to%20the%20Earth%22&amp;pg=PT36#v=onepage&amp;q=%22the%20sun%20never%20says%20to%20the%20Earth%22&amp;f=false" rel="noopener">Hafiz wrote</a>: &#8220;Even after all this time, the Sun never says to the earth, &lsquo;You owe me.&#8217; Look what happens with a love like that. It lights the whole sky.&#8221;</p> <p><img data-chorus-asset-id="2926454" alt="vox-share__54_.0.png" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/2926454/vox-share__54_.0.png"></p> <p class="caption">(<a target="new" href="http://www.shutterstock.com/" rel="noopener">Shutterstock</a>)</p> <h3>9) The easiest way to ruin a relationship: insisting on your own way</h3> <p>Ask yourself, &#8220;Would I rather win every argument or be in a happy relationship?&#8221;</p> <p>The answer, of course, is obvious. Still, that habit of shooting for a TKO is hard to break. That&#8217;s because it didn&#8217;t originate with the current relationship. Likely both partners grew up in some fashion not feeling heard, important, or listened to. If you must pound your chest and loudly proclaim, &#8220;I am 100 percent correct, so cave,&#8221; odds are good you don&#8217;t believe in yourself. Otherwise, being occasionally wrong wouldn&#8217;t stop you from feeling like a cool, lovable, smart person.</p> <p>The best fix for this trap: Remember the mirroring exercise described in number 7? Take turns listening to one another&#8217;s reasoning. Developing empathy for why a partner feels the way he or she does goes a long way toward melting self-righteousness.</p> <p>Practice taking a few calming breaths and spitting out, &#8220;Whoops, I blew this one!&#8221; Did the earth combust? Excellent. When your partner apologizes, practice saying, &#8220;Thanks for admitting you made a mistake. That takes a big person and I love you for it.&#8221;</p> <p>Then close the subject and move on with the rest of your lives together.</p> <p>All of these relationship truths are interwoven. For instance, the more emotional work you do on yourself, the less you have to lean on a partner for dear life&#8230;or to play dysfunctional games. And the more you can treat a partner like a gift you unwrap every day versus a toy whose sole purpose is to make you happy, the more likely it is you can have a best friend and lover for life.</p> <p>A question I frequently ask couples is: &#8220;What do you gain by holding on to grudges?&#8221; It&#8217;s an instant emotional weight reducer to let go of resentment over past hurts. Releasing the immense amount of negative energy necessary to keep anger alive allows for a glorious spaciousness to open in a partnership.</p> <p><em>Sherry Amatenstein is a couples therapist in New York City, as well as the author of three books on relationships.</em></p> <p><strong>Correction:</strong> An earlier version of this article misattributed the Hafiz quotation. We regret the error.</p> <hr> <p><a target="new" href="http://www.vox.com/first-person" rel="noopener">First Person</a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a target="new" href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained" rel="noopener">submission guidelines</a>, and pitch us at <a href="mailto:firstperson@vox.com">firstperson@vox.com</a>.</p> </div><p></p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sherry Amatenstein</name>
			</author>
			
			<title type="html"><![CDATA[I&#8217;m a marriage counselor. Here&#8217;s how I can tell a couple is heading for divorce.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2015/2/11/8007697/divorce-advice" />
			<id>https://www.vox.com/2015/2/11/8007697/divorce-advice</id>
			<updated>2017-12-14T11:39:38-05:00</updated>
			<published>2015-07-05T10:57:00-04:00</published>
			<category scheme="https://www.vox.com" term="Features" /><category scheme="https://www.vox.com" term="Life" />
							<summary type="html"><![CDATA[I&#8217;m often asked if I can tell from my first contact with a couple if they are headed for divorce. The answer is, &#8220;Yes, but&#8230;&#8221; Yes, if they are emitting nonstop words and gestures of anger and disrespect throughout the session. Yes, if their values and goals are galaxies apart. Yes, if there has been [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9869571/shutterstock_75196987.0.0.0.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<div class="chorus-snippet center"> <p>I&#8217;m often asked if I can tell from my first contact with a couple if they are headed for divorce. The answer is, &#8220;Yes, but&#8230;&#8221;</p> <p>Yes, if they are emitting nonstop words and gestures of anger and disrespect throughout the session. Yes, if their values and goals are galaxies apart. Yes, if there has been a bucketload of betrayal and no effort to make amends.</p> <p>But the fact that they are seeking counseling means that a soup&ccedil;on of hope remains. It becomes clear quickly whether there is something healthy left amid the dysfunction that can take root and flower.</p> <p>Here are nine signs that the relationship is on life support. <span>(All patients&#8217; names are changed.)</span></p> <h3>1) They&#8217;re trapped in a tsunami of contempt</h3> <p>Andrew and Sheila sat on opposite ends of the couch, their bodies stiff as Buckingham Palace guards save for the occasional eye roll. They&#8217;d spent the entirety of the first session hurling insults and blaming one another for everything except global warming and the Sony hacking.</p> <div class="float-right s-sidebar"> <h4>More on marriage</h4> <a target="new" href="http://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist" rel="noopener"><img data-chorus-asset-id="3396638" alt="shutterstock_165663680.0.0.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/3396638/shutterstock_165663680.0.0.0.jpg"></a><p><a target="new" href="http://www.vox.com/2015/1/13/7520991/9-things-ive-learned-about-marriage-from-being-a-couples-therapist" rel="noopener">9 things I&#8217;ve learned about marriage from being a couples therapist</a></p> </div> <p>Andrew: &#8220;All you do is complain. You never appreciated when I did something nice, so I stopped bothering.&#8221;</p> <p>Sheila: &#8220;Oh please. As usual, you&#8217;re rewriting history. I&#8217;m the one who constantly twisted myself into a pretzel pleasing you and got nothing in return because you are incapable of a kind gesture.&#8221;</p> <p>Andrew: &#8220;You are so stupid I can&#8217;t bear listening to a word you say.&#8221;</p> <p>When a couple is this far in the weeds, they need more than a compass to get back.</p> <p>I work to help each person own his or her share in what the relationship has become, to encourage them to remember what they saw in one another way back when, and to understand that being mean has a ricochet effect &mdash; nastiness will come whipping back.</p> <p>If they can&#8217;t moderate this abhorrent behavior, not only will this relationship implode, but so will any subsequent one they attempt.</p> <p>Sheila said in our fifth and final session, &#8220;I don&#8217;t like myself when I&#8217;m awful to Andrew. But he doesn&#8217;t bring out the good side in me anymore. And I don&#8217;t bring it out in him. So I think it is time for us to part.&#8221;</p> <p><strong> </strong></p> <h3>2) They&#8217;re more married to chaos and dysfunction than to one another</h3> <p>It is human nature to mirror behavior that is familiar. If you were raised in a home where yelling, uncertainty, and lots of drama were constants, that is your model for what marriage looks like.</p> <p>This doesn&#8217;t mean you are doomed to fail at long-term love. But old habits won&#8217;t die unless you start forging better ones.</p> <p>Growing up, Beth was forced to watch her parents loudly criticize one another and regularly break plans and promises to each other and their children. Her father was a compulsive shopaholic, plunging the family into financial turmoil.</p> <p>Her husband, Paul, raised by two alcoholics, was no stranger to turmoil. He spent his first 16 years being the &#8220;good boy&#8221; so he wouldn&#8217;t trigger his volatile parents.</p> <p>Marriage counseling was their Hail Mary attempt to avoid divorce. Paul said, &#8220;When things are calm, I&#8217;m afraid Beth has stopped loving me. She shows passion by yelling. But her screaming gives me panic attacks.&#8221; More and more frequently he began spending the night at a neighbor&#8217;s house.</p> <q>Partners need not wholly agree on core issues, but if their differences are extreme, conflict is inevitable</q><p>Beth admitted, &#8220;Paul is always so sweet, yet I live in fear he&#8217;ll leave. So I make myself unlovable by acting like a bitch on steroids. Then I feel terrible.&#8221;</p> <p>Beneath the havoc, both longed for safe harbor. Once they realized they were copying their parents&#8217; relationship styles, it became easier to stop. We explored healthy boundaries and rules such as, &#8220;If you want to make a big purchase, first discuss it with your partner.&#8221;</p> <p>Most importantly, we explored the emotions underneath the defensiveness and fear. Rather than testing her husband&#8217;s love <span>by acting out, Beth began to ask for what she needed: &#8220;I&#8217;m feeling insecure right now. Can you hug me?&#8221;</span></p> <p>And Paul was increasingly able to express his desires: &#8220;Your yelling makes me feel like a kid cowering from my parents. Can you please lower the volume?&#8221; He no longer needed to run away.</p> <p>As their relationship went from toxic to trusting, instead of calling a divorce lawyer they began discussing having a baby. Beth said, &#8220;It won&#8217;t be easy but I now believe I&#8217;m not doomed to repeat my parents&#8217; mistakes.&#8221;</p> <p><strong> </strong></p> <h3>3) They&#8217;ve been rocked to the core by a tragedy</h3> <p><strong> </strong></p> <p>While wedding vows state &#8220;for better or for worse,&#8221; some couples find being together after the worst a too-painful reminder of unbearable loss.</p> <p>Kathy and Bill were childhood sweethearts who&#8217;d been passionate about starting a family. They came to therapy six months after their infant died of Sudden Infant Death Syndrome.</p> <p>As Kathy said in session, &#8220;When Dickie was born it felt like the culmination of all our dreams. Now, everything is ash.&#8221;</p> <p>In therapy, each admitted secretly blaming the other for the death. They came to see these feelings were an attempt to make a little sense out of an otherwise inexplicable horror.</p> <p>They learned how to communicate instead of withholding, and to stop feeling guilty whenever they forgot about their loss for a few hours.</p> <p>However, they ultimately decided to separate because, without the baby, there was little connective tissue. &#8220;We got married so young we didn&#8217;t really know ourselves, much less the other person,&#8221; Bill said at the last session.</p> <p>Couples can survive tragedy when they have a rock-solid foundation. If a relationship is just about overcoming a crisis, the marriage will be in crisis.</p> <p><img data-chorus-asset-id="3396656" alt="shutterstock_134380532.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/3396656/shutterstock_134380532.0.jpg"></p> <p class="caption">(<a target="new" href="http://www.shutterstock.com/" rel="noopener">Shutterstock</a>)</p> <h3>4) They&#8217;ve become apathetic toward their own marriage</h3> <p>When a couple comes into my office and I see that one or both is psychologically disconnected I tell myself, &#8220;Houston, we&#8217;ve got a major problem.&#8221;</p> <p>This stage is reached only after a long and lethal drip, drip, drip period of increasing indifference. There is no more conflict, little communication beyond &#8220;We&#8217;re out of milk.&#8221; This stage is the result of months, perhaps years of a curling inward, not wanting to stick one&#8217;s neck out and risk being emotionally vulnerable for fear of being disrespected or ignored. There is little sharing of grievances or even small joys. Sex is a memory.</p> <p>The slim chance for a road back involves risking real communication, a commitment to listen to the other person with &#8220;open ears&#8221; &mdash; meaning leave the defensiveness at the door.</p> <h3>5)<strong> </strong>They&#8217;ve lost the ability to see things from the other&#8217;s perspective</h3> <p>Ask someone if he or she understands how a partner feels on an issue that divides them, and odds are the answer will be, &#8220;Of course.&#8221; But when someone is totally convinced of the rightness of his or her position, no matter what the other person thinks, &#8220;of course&#8221; is lip service.</p> <p>For instance, Pamela proclaiming, &#8220;Ken hates it when I tell him to lose a couple pounds but I&#8217;m doing it for his own good&#8221; is not the same as her &#8220;getting&#8221; that every time she tells Ken his pants are too tight he flashes back to a childhood of being called &#8220;Porky&#8221; by his siblings and classmates. Casually steamrolling past her spouse&#8217;s emotions can lead him to develop a hard shell around her &mdash; not conducive to long-term intimacy.</p> <p>In <em>To Kill a Mockingbird </em>Harper Lee said, &#8220;You never know a man until you &#8230; climb into his skin and walk around in it.&#8221;</p> <p>A homework assignment I give empathy-lite couples is for each to sit with a notepad or tablet and write about what it must feel like to be married to him or her.</p> <p>After Pamela did this exercise she better understood Ken&#8217;s humiliation and pain whenever she made her &#8220;helpful&#8221; suggestions about losing weight. Once she realizes, &#8220;Oh yeah, he gets as hurt as I did when kids made fun of my lisp,&#8221; she can be more sensitive. Now Pamela says, &#8220;Ken I&#8217;m worried about the health aspects of being overweight. But to me you will always be the gorgeous guy I married even when you take a second helping of pasta.&#8221;</p> <p>Without empathy, it is hard for a marriage to survive.</p> <h3>6) They don&#8217;t trust each other (even when they should)</h3> <p>I have witnessed many relationships flounder on the shoals of obsessive jealousy.</p> <p>Although Dave had never cheated on Carol, she was forever suspecting him of betrayal. Dave complained in session, &#8220;She&#8217;s constantly checking my phone. She&#8217;s suspicious if I want to watch a football game with my friends. She&#8217;s called me at work crying that she knows I&#8217;m having an affair with a co-worker &mdash; I&#8217;m not! I can&#8217;t take much more.&#8221;</p> <p>Her paranoia had a historical base: Carol&#8217;s father was a habitual adulterer, as were her first two boyfriends.</p> <q>If you were raised in a home where drama was a constant, that is your model for what marriage is like</q><p>I told her, &#8220;What you are doing is setting up a self-fulfilling prophecy. You are pushing Dave away by your actions.&#8221;</p> <p>She said, &#8220;In my rational moments I understand that. But when the doubts come over me I feel this unbearable pressure, and I have to lash out to release it.&#8221;</p> <p>&#8220;You don&#8217;t <em>have </em>to lash out. You haven&#8217;t learned how to understand and control these impulses.&#8221;</p> <p>Carol accepted she had a problem and was willing to do individual therapy.</p> <p>Relationships thrive on trust. Suffocating your partner will eventually extinguish love.</p> <h3>7) Their values and goals are out of whack</h3> <p>Sandy and Jim knew going in that they had very little in common, but felt love and lust would overcome all. That formula worked for several years. But once they had children, things unraveled.</p> <p>She complained, &#8220;He wants me to be a stay-at-home wife. But work is a large part of who I am.&#8221;</p> <p>Jim responded, &#8220;It makes me feel rejected that you&#8217;d rather be at a law firm till all hours than with your kids and me.&#8221;</p> <p>Another potential deal breaker was Sandy&#8217;s wish for an opulent lifestyle and Jim&#8217;s aversion to anything ostentatious.</p> <p>Who we are is shaped by our backgrounds. Partners need not wholly agree on core issues like money, parental roles, child-rearing, housekeeping, and faith, but if their differences are <em>extreme</em>, stress and conflict are inevitable.</p> <p>Love and lust are important, but people can&#8217;t ultimately change what is in their DNA. If acceptable compromises can&#8217;t be reached, divorce is likely inevitable. It was in the case of Sandy and Jim.</p> <p><img data-chorus-asset-id="3396716" alt="shutterstock_199522583.0.jpg" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/3396716/shutterstock_199522583.0.jpg"></p> <p class="caption">(<a target="new" href="http://www.shutterstock.com/" rel="noopener">Shutterstock</a>)</p> <h3>8) They keep replaying the sins of the past</h3> <p><strong> </strong></p> <p>When the needle is stuck on the You-Done-Me-Wrong-in-2012 song, it&#8217;s nearly impossible for a relationship to move forward.</p> <p>Cara and Peter came to therapy five years into their marriage because neither could stop dwelling on old hurts. Cara couldn&#8217;t get over Peter&#8217;s going on a date with another woman the week before their engagement. (He&#8217;d confessed, said nothing happened, and that he&#8217;d done it to make sure he was ready for marriage.) For his part, Peter kept rerunning Cara&#8217;s not being at the hospital with him when his father had open-heart surgery six weeks after their wedding.</p> <p>Numerous apologies had been issued, each had &#8220;forgiven&#8221; the other, yet clearly not forgotten as the injurious behaviors kept being flung in each other&#8217;s faces during disagreements.</p> <p>Cara said, &#8220;I know you&#8217;ve been faithful, but the image of you with another woman while carrying the engagement ring in your pocket still haunts me.&#8221;</p> <p>Peter couldn&#8217;t let go of the feeling of betrayal that Cara hadn&#8217;t cut short a business trip to fly home for the operation. &#8220;I know you&#8217;ve been with me during other family health emergencies but in the back of my mind I still get that doubt, &lsquo;Don&#8217;t I matter more than work?'&#8221;</p> <p>In therapy we discussed how no one is perfect &mdash; even, especially! &mdash; a mate. Expectations of who we want our partner to be, rather than acceptance of who he or she is, are termites eating away at the fabric of a loving relationship. Hanging onto old resentments past their sell-by date take up valuable psychic real estate and makes it impossible to enjoy what is happening in the moment. Being trapped in resentment also keeps one feeling victimized.</p> <p>I told them, &#8220;You&#8217;re afraid if you let down your guard, you will be hurt again. But if you don&#8217;t you will never be able to truly come together.&#8221;</p> <p>It wasn&#8217;t an easy process, but Peter and Cara were ultimately able to move the needle past the all-too-familiar song.</p> <p><strong> </strong></p> <h3>9) Their relationship has become a business partnership instead of a marriage<strong> </strong> </h3> <p>You are lifetime partners, not roommates. You cannot come and go with a wave and blithe, &#8220;See you later.&#8221; Couples that fail to make one another the centerpiece of their life are straddling the red zone.</p> <p>Dani and Jay came to therapy because they had begun living parallel lives &mdash; the kids, jobs, volunteer work and hobbies, Facebook updates &mdash; all took priority over spending quality time together.</p> <p>Dani sighed, &#8220;I feel like we&#8217;ve become strangers. I don&#8217;t know what to talk to him about anymore.&#8221;</p> <q>&#8220;I thought the marriage was in the bag so I could put energy to other areas. But it doesn&#8217;t work that way!&#8221;</q><p>Jay agreed, &#8220;She used to be my best friend. Now we&#8217;re more like business partners. I&#8217;m scared we can&#8217;t find our way back.&#8221;</p> <p>They decided to do something about it. They stopped paying attention to anything but one another. Instead of doing separate hobbies, they enrolled in a dancing class together, turned off their tablets, and started talking to one another in the evening. They planned a weekend getaway sans children.</p> <p>Dani said, &#8220;I thought the marriage was in the bag so I could put energy to other areas in my life. But it doesn&#8217;t work that way!&#8221;</p> <p>Indeed it doesn&#8217;t. It is a rare relationship that doesn&#8217;t hit rough patches. But <a href="http://well.blogs.nytimes.com/2013/01/14/that-loving-feeling-takes-a-lot-of-work/">studies have shown</a> that marriages that have been bruised by &#8220;negative, angry, or hurtful&#8221; remarks can rebound if the contempt and dysfunction is exchanged for kind and thoughtful deeds and words. Even if the marriage can&#8217;t be saved, stopping the poisonous behavior is still worthwhile!</p> <hr> <p><a href="http://www.vox.com/first-person" target="new" rel="noopener">First Person</a> is Vox&#8217;s home for compelling, provocative narrative essays. Do you have a story to share? Read our <a href="http://www.vox.com/2015/6/12/8767221/vox-first-person-explained" target="new" rel="noopener">submission guidelines</a>, and pitch us at <a href="mailto:firstperson@vox.com">firstperson@vox.com</a>.</p> </div><ul class="m-related-links" data-analytics-placement="bottom"> <h3>Learn more</h3> <li class="related-links-item"><a data-analytics-link="related" class="related-links-link" href="http://www.vox.com/2015/2/11/8007697/divorce-advice"><div class="related-links-item-image"></div> <div class="related-links-item-highlight"></div> <div class="related-links-item-headline">9 things I&#8217;ve learned about marriage from being a couples therapist</div></a></li> <li class="related-links-item"><a data-analytics-link="related" class="related-links-link" href="http://www.vox.com/2015/2/12/8006733/stay-at-home-mom"><div class="related-links-item-image"></div> <div class="related-links-item-highlight"></div> <div class="related-links-item-headline">9 things I wish I&#8217;d known before I became a stay-at-home mom</div></a></li> <li class="related-links-item"><a data-analytics-link="related" class="related-links-link" href="http://www.vox.com/2015/3/5/8149077/homeschool-teaching"><div class="related-links-item-image"></div> <div class="related-links-item-highlight"></div> <div class="related-links-item-headline">I thought homeschooling my kids would be simple. I was wrong.</div></a></li> </ul><p></p>
						]]>
									</content>
			
					</entry>
	</feed>
