Monday, October 11, 2021

The Emotional Demand of Marital Communication

 In an era in which "overthinking" is an accepted concept, I frequently find myself going back to basics.  Today's basic marital communication principal is the emotional presence we have for one another which, ultimately creates the depth of our relational bonds.   

I have had this marital "talk" with men over the decades and again recently, focusing on some simple but pretty classic themes.  The couple is so often lovely, they clearly love one another and their kids.  They're working hard, very hard and they're exhausted.  We often don't know how exhausting any given project can be until we are in the middle of it, and with kids. once you're in the middle of it there's no going back (unless abandonment is your thing.)  There's not a lot of "me time" that can be had.  But of course, parents have to have it, both for themselves as an individual and for themeselves as a couple.  And like a lot of things, individual and couple time is easy to say and often hard to do.  But it's critical.  

So I instruct them in the basics (it's often the guy who struggles with these things.)  Ask about her day, how she's doing, respond with more than monosyllabic sounds, ask her to say more, and look at her, deeply.  As I said these words I often see her nodding and smiling in agreement and sumultaneously I see the fatigue in his eyes.  

Marital communication is so much more than just the words and the content.  It's the emotional investment.  I'll ever remember a medical director's group supervision sessions early in my career.  The staff loved him because in addition to his academic and practice knowledge, he brought his emotional self to our meetings.  We would pack ourselves into a small room, it was literally SRO for these meetings, and people would pour out their hearts about the struggles of working with patients on an intensive care locked psychiatric unit.  He would look at us and say "Yeah."  A simple word of agreement with a tone and demeanor of hearing deeply what we were saying, looking straight at us.  It was  the ultimate validation from someone we trusted and really needed in the midst of very demanding work.  He would, of course, go on to say lots of other things, but that "yeah" was the salve that comforted.

So too in marriage.  Listening, validating, being present are so important.  But I believe it's also the emotional availability that we bring to our marriages that are so critical, even when overloaded (maybe especially when overloaded).  It provides a critical salve for the relationship.  Yes it takes time, and certainly a lot of energy, and for those who struggle with being aware of their emotional selves it's a steeper climb, but having an emotional attachment is what marriage is, essentially, all about.  

Sunday, April 4, 2021

Callousing to Divorce

 I'm on a number of professional "list serves" that exchange ideas, resources in which colleagues also seek referrals from one another.  Something just crossed my eye that saddened me regarding how calloused we have become to one another's pain.  

Callousing is not necessarily a bad thing.  Our feet are very calloused.  They endure great amounts of pressure and demands in carrying the weight of our bodies as we depend on them daily without our consideration to the demands made upon them.  Professionals learn how to callous as well.  The emergency physician has to learn to callous to the pain of the patient in order to properly diagnose and treat the problem.  A physician focusing only on the pain of the wound may not do very well in treating it.  That's why physicians are trained to not treat their families.

In the field of mental health we are trained to strike a balance.  We we have to create an emotional connection with clients - after all, that's a large part that motivates their first call.  They need to speak with someone who they can trust, someone who convincingly understands at an emotional and intimate level whatever they're experiencing.  At the same time mental health professionals must not get too drawn into the pain of their clients lest they lose their professional objectivity.  The balancing of these two things, objectivity with empathy is an ongoing and difficult balance to be struck.  

So, while reviewing my in-box, it caught my eye when a request for a therapist for a child was made.  The child, the note said, had "no underlying issues."  So far so good.  Some kids just want to talk having had no external crises or precipitant.  The next sentence, however, stated that the child's parents had recently divorced.  

Yes, divorce rates are high, and that's a valuable topic of discussion for another time.  But for it to be so commonplace that we describe a child who has suffered the dissolution of their family structure to not be an "underlying issue" seems to me a bit too calloused a presumption.  

Have you ever broken a bone?  A finger, wrist, arm or leg?  Or have you  brought a family member or friend to the hospital with a broken bone?  When it's yours, it's not so simple, even though broken bones are common and usually easily repaired.  

I will hold that a child's losing the structure of the family is indeed an underlying issue.  It's huge.  Let's remember what the function of parents provide a child:  A child from it's first moments in this world creates emotional bonds with parents.  Throughout it's infancy and for years to come it learns how to distinguish between it's primary caretakers.  Usually that involves two parents.  Sometimes it's one, or a parent and some other adult, maybe a grandparent.  Whomever the primary caretaker/s are is with whom the child creates a primary attachment that is the model of attachment in the future.  Parents provide the child with a foundation upon which the child depends.  When that foundation gives way the entire structure of the child's life is changed, regardless if the structure of the family is a single parent, same gendered, multi-generational or typical.  

Fascinating research has been done in the wake of children's experiences after severe earthquakes.  The one thing they had always been able to depend upon, the earth's stability, now having been compromised, effects the child's experience of security and safety.  So too the parental unit that becomes unstable, jeopardizing the entire emotional foundation upon which the child has build his or her emotional world.  

Regardless of the frequency with which such traumatizing events occur, I pray that we not become so calloused so as to diminish the weight of the value of typical family structure.