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Role models and the benefits of therapy

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Role models and the benefits of therapy

How not to say the wrong thing

By: Susan Silk and Barry Goldman

 

When Susan had breast cancer, we heard a lot of lame remarks, but our favorite came from one of Susan’s colleagues. She wanted, she needed, to visit Susan after the surgery, but Susan didn’t feel like having visitors, and she said so. Her colleague’s response? “This isn’t just about you.”

“It’s not?” Susan wondered. “My breast cancer is not about me? It’s about you?”

The same theme came up again when our friend Katie had a brain aneurysm. She was in intensive care for a long time and finally got out and into a step-down unit. She was no longer covered with tubes and lines and monitors, but she was still in rough shape. A friend came and saw her and then stepped into the hall with Katie’s husband, Pat. “I wasn’t prepared for this,” she told him. “I don’t know if I can handle it.”

This woman loves Katie, and she said what she did because the sight of Katie in this condition moved her so deeply. But it was the wrong thing to say. And it was wrong in the same way Susan’s colleague’s remark was wrong.

Susan has since developed a simple technique to help people avoid this mistake. It works for all kinds of crises: medical, legal, financial, romantic, even existential. She calls it the Ring Theory.

Draw a circle. This is the center ring. In it, put the name of the person at the center of the current trauma. For Katie’s aneurysm, that’s Katie. Now draw a larger circle around the first one. In that ring put the name of the person next closest to the trauma. In the case of Katie’s aneurysm, that was Katie’s husband, Pat. Repeat the process as many times as you need to. In each larger ring put the next closest people. Parents and children before more distant relatives. Intimate friends in smaller rings, less intimate friends in larger ones. When you are done you have a Kvetching Order. One of Susan’s patients found it useful to tape it to her refrigerator.

Here are the rules. The person in the center ring can say anything she wants to anyone, anywhere. She can kvetch and complain and whine and moan and curse the heavens and say, “Life is unfair” and “Why me?” That’s the one payoff for being in the center ring.

Everyone else can say those things too, but only to people in larger rings.

When you are talking to a person in a ring smaller than yours, someone closer to the center of the crisis, the goal is to help. Listening is often more helpful than talking. But if you’re going to open your mouth, ask yourself if what you are about to say is likely to provide comfort and support. If it isn’t, don’t say it. Don’t, for example, give advice. People who are suffering from trauma don’t need advice. They need comfort and support. So say, “I’m sorry” or “This must really be hard for you” or “Can I bring you a pot roast?” Don’t say, “You should hear what happened to me” or “Here’s what I would do if I were you.” And don’t say, “This is really bringing me down.”

If you want to scream or cry or complain, if you want to tell someone how shocked you are or how icky you feel, or whine about how it reminds you of all the terrible things that have happened to you lately, that’s fine. It’s a perfectly normal response. Just do it to someone in a bigger ring.

Comfort IN, dump OUT.

There was nothing wrong with Katie’s friend saying she was not prepared for how horrible Katie looked, or even that she didn’t think she could handle it. The mistake was that she said those things to Pat. She dumped IN.

Complaining to someone in a smaller ring than yours doesn’t do either of you any good. On the other hand, being supportive to her principal caregiver may be the best thing you can do for the patient.

Most of us know this. Almost nobody would complain to the patient about how rotten she looks. Almost no one would say that looking at her makes them think of the fragility of life and their own closeness to death. In other words, we know enough not to dump into the center ring. Ring Theory merely expands that intuition and makes it more concrete: Don’t just avoid dumping into the center ring, avoid dumping into any ring smaller than your own.

Remember, you can say whatever you want if you just wait until you’re talking to someone in a larger ring than yours.

And don’t worry. You’ll get your turn in the center ring. You can count on that.

Susan Silk is a clinical psychologist. Barry Goldman is an arbitrator and mediator and the author of “The Science of Settlement: Ideas for Negotiators.”

http://articles.latimes.com/2013/apr/07/opinion/la-oe-0407-silk-ring-theory-20130407

Love In The Age Of Big Data

Once upon a time, in the Pony Expresso cafe in Seattle, a man and a woman began to experience the long-mysterious but increasingly scientifically investigated thing we call love. The first stage is called “limerence.” This is the spine-tingling, heart-twisting, can’t-stop-staring feeling, when it seems as though the world stops whirling and time itself bows down and pauses before the force of your longing. The man, a then-44-year-old University of Washington research psychologist named John Gottman, was drawn to the woman’s wild mane of black curly hair and her creativity: She was an amateur musician and painter as well as a psychologist like himself. The woman, a then-35-year-old named Julie Schwartz, who’d placed a personal ad in the Seattle Weekly that John had answered, was turned on by John’s humble little car—voted the ugliest vehicle in the University of Washington faculty parking lot—and his expansive curiosity. He read physics and math and history and kept a little spiral-bound notebook in his pocket that he used to jot down things his companions said that captivated him.

They talked avidly; it felt as if they’d known each other forever. Over the following months they drew closer and closer, proceeding through subsequent stages of building a fulfilling love relationship. John learned about the unhappy home life growing up in Michigan that had driven Julie to spend so much time in the forest by herself, and Julie learned about John’s desire to understand deeply earth’s biggest mysteries, like the nature of time. Although they were afraid—they’d both been divorced before—they confided their admiration for each other, John’s for the courage Julie showed in her therapy practice by helping the “sickest of the sickest,” schizophrenics and Vietnam veterans on Skid Row, and Julie’s for John’s absurdist sense of humor. They kayaked together. They joined a synagogue. They married and had a daughter, fulfilling one of John’s longtime dreams, and bought a house on a forested island three hours north of Seattle, fulfilling a dream of Julie’s. They fought. They attended couples therapy. Through their conflict they came to love each other more.Twenty-nine years after that first date, John Gottman and Julie Schwartz Gottman stood on a black stage in a ballroom of the Seattle Sheraton in front of about 250 other couples, young and old, straight and gay. The intense intimacy of their relationship was on full display: They finished each other’s sentences, bantered with each other and talked candidly about how their struggles had made them stronger. Julie wept. John held Julie, caressing her hair. The rest of us, seated in chairs that had been hooked together in sets of twos, watched them with yearning.We’d come to see the Gottmans because the pair has spent the last 20 years refining a science-based method to build a beautiful love partnership yourself. They reveal it over a two-day, $750-per-pair workshop called “The Art and Science of Love.” “It turns out Tolstoy was wrong,” John told the crowd in an opening lecture. “All happy relationships are similar and all unhappy relationships are also similar. … Is there a secret? It turns out, empirically, yes, there is a secret.”Over decades, John has observed more than 3,000 couples longitudinally, discovering patterns of argument and subtle behaviors that can predict whether a couple would be happily partnered years later or unhappy or divorced. He has won awards from the National Institute of Mental Health and the National Council of Family Relations and has become the subject of increasing public fascination. He went on Oprah and the “Today” show. A book he co-authored that summarizes his findings, Seven Principles for Making Marriage Work, is a New York Times best-seller.His work took off because the consistency of his predictions is astonishing. One 1992 experiment found that certain indicators in how couples talked about their relationship could forecast–with 94 percent accuracy–which pairs would stay together. This was magic–a virtually foolproof way of distinguishing toxic partnerships from healthy ones even before the couples knew themselves–but it was also science, so it appealed to our contemporary desire to use empirical data to better our lives. Walk by any newsstand, or trawl the Internet for three minutes, and you’ll find data-driven methods to improve everything we do. “Is This the Ultimate Healthy Meal?” “The Best Workout Ever, According to Science.”

You might expect love to be the last frontier breached by data. It is the Antarctic of the human experience, richly feeding the oceans of our emotions, yet somehow remaining elusive and unknown. Philosophers have argued over it for millennia without arriving at a satisfactory definition. Poets like Erich Fried capture its strange mix of pleasure and pain, the sense of its essential ungovernability: “It is foolish, says caution / It is impossible, says experience / It is what it is, says love.”

I first encountered Gottman’s research last year in an Atlantic article called “Masters of Love.” It went viral; my own friends posted it on Facebook saying, “This is what it comes down to.” Finally, love had been harnessed in the laboratory, seen, understood and broken into building blocks we could all apply to our lives.

The article proposes a recipe for becoming a love “master” instead of a love “disaster” by responding the right way to what Gottman calls your partner’s “bids for connection.” A “bid” is when your lover points out your kitchen window and marvels, “Look at that beautiful bird outside!” You could go “Wow!” and get binoculars (an active “turn-towards”); mumble “Huh,” and keep reading your newspaper (a passive reaction, less good); or say, “I’m sick of your fucking birds. What about the broken garage door?” Gottman found that masters turn towards their partners’ bids 87 percent of the time. Love, he concluded, comes down to “a habit of mind.”

And habits of mind take work to instill. Everyone at the workshop was given a kit in a box with a handle. Inside were decks of cards proposing questions to help us learn about our partners (“how are you feeling now about being a mother?”) or offering ways to connect erotically (“when you return home tonight, greet each other with a kiss that lasts at least six seconds”). A manual provided us with a vocabulary to demystify and contain some of the scary things that go on in love: fights are “regrettable incidents,” the things that make us feel good together are our “rituals of connection,” the dark inner chasms that regrettable incidents seem to reveal are our “enduring vulnerabilities.”

One of the Gottmans’ employees, Kendra Han, estimated that a quarter of the couples in attendance were the kind of ickily self-aware duos who try this kind of thing for “fun and enrichment” while the majority were in some state of “relational distress.” The prevailing mood was a mix of hope and fragility. “This is already not going well,” I overheard one woman say, laughing a little. “My husband’s late.”

As I watched the Gottmans from my own seat two rows from the stage, I felt anxious, too. I had come with my own love problem to solve.

Some traditional Arab cultures believed that when you fall in love, your lover steals your liver. The ancient Chinese told their children that love could take out your heart. Romantic love, in older human cultures, was often something dark. It involved physical dissolution, the sense of falling apart. It made us act irrationally and tore a hole into the neatly woven fabric of our lives, beckoning us to step through it into a land of terrors. “You get lots of stories of getting tricked,” William Jankowiak, an anthropologist who has extensively studied love in folktales, told me.

That’s why, for much of human history, the marriage historian Stephanie Coontz writes, people thought lifelong partnership was “too important” to be left up to love. Marriage was a business contract. Families used it to acquire lands, to create stable legacies on which their next generations could build. Love resisted these kinds of reasoned considerations.That all began to change in the West in the 1700s. The rise of wage labor freed young people from their families and gave them more autonomy to decide whom to marry. The Enlightenment put freedom of choice into vogue. The word “spinster” emerged, a pathetic figure compared to blissful women in love.

JOHN BEGAN TO FEEL AS IF HE COULD EAVESDROP ON A COUPLE SITTING ACROSS FROM HIM IN A RESTAURANT AND GET A PRETTY GOOD SENSE OF THEIR CHANCES OF DIVORCE.

Simon May, a British philosopher who has studied the development of beliefs about love over two millennia of Western culture, suggests that we’ve placed vastly more importance on finding love since the retreat of Christianity and the rise of relativism. “Human love,” he writes in his magisterial Love: A History, “is widely tasked with achieving what once only divine love was thought capable of: to be our ultimate source of meaning and happiness, and of power over suffering and disappointment.” The grounding we used to find in devotion to ideals like nationalism or communism, or in our faith in an ever-caring Shepherd, we now seek from individual, fickle human beings.

After I read May’s theory that love “is now the West’s undeclared religion,” I began to see evidence of it everywhere. “When you get down to it … [love is] the only purpose grand enough for a human life,” writes Sue Monk Kidd in The Secret Life of Bees. At funerals, we praise the way the deceased person loved as the ultimate sign that his life had meaning. Justice Anthony Kennedy, in his Supreme Court opinion legalizing gay marriage nationally, identified marriage as the ultimate wellspring of all the other essential human joys, from “expression” to “spirituality,” while Sheryl Sandberg counsels young women that their choice of a mate is the most important decision of their lives. According to May, we no longer view love as “the rarest of exceptions,” as older cultures did, “but as a possibility open to practically all who have faith in it.”

These expectations are crazy-making, and it’s no wonder scientists have jumped in to try to save us. In the 1930s, sociologists began to generate charts to try to predict what kinds of love marriages would last a lifetime. You could take your own personality traits—loves sewing circles?—and plot them against your beau’s to forecast the happiness and stability of your match.

Starting the ’70s, with divorce on the rise, social psychologists got into the mix. Recognizing the apparently opaque character of marital happiness but optimistic about science’s capacity to investigate it, they pioneered a huge array of inventive techniques to study what things seemed to make marriages succeed or fail. They had partners write down everything they hated or loved about each other and then studied how close the pair subsequently sat together on a couch. They even generated fights, instructing couples to argue over how to pack the car for a vacation while each partner twiddled dials under the laboratory table assessing their mate’s helpfulness. One study showed that couples who did novel things together fared better; another revealed that intense emotions, once believed to be a sign of immaturity in love, could be worked with to create very deep intimacy. Given how central our love partner had become to our well-being—research had begun to show a good marriage was more predictive of long-term health than eating right or not smoking—Sue Johnson of the Ottawa Couple and Family Institute told me she felt like she was “in the most exciting revolution that’s happened in the 20th century for human beings.”

“Imagine proving all those poets and philosophers from way back wrong!” she said. “Finally, we can make sense of love and actually shape it with deliberation.”

♦ ♦ ♦
One recent afternoon, the Gottmans met me in their downtown Seattle office to talk about John’s research and how they turned it into the Gottman Method. Julie was wearing a turquoise shirt and big earrings, her thick black curls streaked with a Susan Sontag ribbon of white. John, smaller and eagle-nosed, wore a black jacket and a yarmulke over a fringe of white hair. He’d brought his omnipresent scratch pad with him.

“A few years after we’d married,” John began, “I wanted to leave for Chicago to take a job there. But Julie felt Chicago was too flat. And then we were in that canoe—”Julie interrupted him sharply. “Well, that came a bit later,” she said. “The real story here is we decided to offer a parenting support group. Remember that?””Oh, yeah,” John deferred. “I forgot about that.”Seeing the Gottmans’ marital interaction up close is almost alarming at first. Most couples tone down the perpetual spats, adjustments, sideways glances and hopeful asides that constitute one-on-one intimacy when they’re in public. The Gottmans don’t. Sitting across from them at a conference table, you feel as though you’ve come upon them tucked into bed, working it out with each other. They exchange constant meaningful looks. They interrupt each other, or Julie mostly interrupts John, correcting his behavior and memory. John accepts it. They use couples-therapy language. (“Boundaries!” Julie reminds John, when he starts speaking about his ex-wife.) They openly refer to deep wounds in their relationship. They also snuggle. John puts his arm around Julie, she arches into him and they wrinkle their noses at each other. In my presence, Julie wept twice, once recounting a time John had made her feel like a bad mother and once when John said she had been “the answer to my prayers.”They started their parenting support group in 1989–just 10 couples, once a week, talking about the ups and downs of having children at the Seattle Jewish Community Center. John approached it like a lab. “He was all about observing and learning,” Julie said. “And I would jump in and talk about their emotions, looking for ways to try to help these parents. We’d have these great discussions afterwards and laugh about it. ‘Why are you trying to help these people?’ John would say. And I’d say, ‘Honey, why are you not trying to help?'”

When John got his start researching couples in the mid-1970s, he was the one who needed help. He’d grown up in Brooklyn and New Jersey a diminutive nerd with few friends. As an adult, his love life felt perpetually unstable and unhappy. He found it hard to be satisfied with the woman he was with. In one two-year relationship, he and a girlfriend argued so much he ended up with stress-induced pneumonia.

Psychology, which he studied at the University of Wisconsin, gave him a way to use his problem-solving mind to attack the question of his own loneliness. Like a science-fiction android who pins electrodes on his human subjects to try to figure out where their emotions come from, John set about creating experiments that were as broad as possible: What does a good relationship look like? What does it feel like to be in it?

His career took off when he met a psychologist named Robert Levenson. Each man turned out to be exactly what the other had needed. Levenson was investigating the remarkable variance in how different people react to stress by testing their heart rates and sweat-gland activity after receiving a jolt. By teaming up with John, he says he finally felt as if he was working on something more “personally relevant and emotionally rich” than administering electric shocks. Meanwhile, by joining with Levenson, John thought he might uncover a way to measure marital happiness that was more “real” than people’s self-reporting on surveys.

Their collaboration led John to create an actual mock apartment where couples could do “ordinary” things like cook and watch TV together. “It was just like being at a bed and breakfast,” he said, “except you were hooked up to electrodes … and there were surveillance cameras hanging from the ceiling.” Then, he harnessed the emerging power of computers to analyze a vast amount of data from the interactions. Professionals trained in interpreting facial expressions evaluated hours of video, rating the couples for emotions like delight, disgust and fear; assistants coded questionnaires the partners filled out about their relationship history for positive and negative feelings; and machines took constant measures of the couples’ heart rates and vascular tone while they flirted and fought.

Years afterwards, the psychologists followed up to see which couples were happy and which had split up. They plugged that information into a computer, along with all the data they’d previously gathered, and asked the machine to create equations that associated certain behaviors and physiology with long-term happiness. What emerged were fascinating and often surprising observations on lasting love. They found that couples that stay happy used a lot of “we,” whereas couples that turned out unhappy used “I,” “me” and “mine.” They also discovered that when partners with a good long-term outlook argued, they somehow managed to maintain a ratio of five positive comments to one negative one. “At the time, everybody was enamored with this idea that romantic relationships were full of fireworks,” Levenson remembered. “Well, that was not the finding. It is the capacity of couples to calm down, to soothe, to sort of reduce the level of arousal for each other, that is the most important factor in predicting whether the marriage will last.”

In the beginning, the two men’s techniques were viewed as dangerously iconoclastic. “When Bob and I were assistant professors getting evaluated for tenure our committee said, ‘Look, you guys are crazy. We can’t predict one person’s behavior. How are we going to predict two people’s behavior? You’ll never find anything. You’ll never get a grant,’” John recalled. But as the astoundingly robust predictions started rolling in, all that changed. John got elected to chair the family psychology research unit of the American Psychological Association. The New York Times profiled his findings. Where John had once felt hopelessly bewildered by love, he began to feel as if he could eavesdrop on a couple sitting across from him in a restaurant and get a pretty good sense of their chances of divorce.

“John had these brilliant insights,” Julie told me, “but nothing was being done with them.”