Grief is Love with Nowhere to Go : Therapy

One of the privileges of my therapy practice, quite distinct from many of my colleagues who work in large counseling clinics, is the ability to have long-term relationships with clients. I have several clients with whom I have worked with for over a decade. That longevity is not the norm for most therapy experiences, of course. Most of us access therapy to find help for mind/body problems that can find a great deal of relief and resolution in a few months’ time. My practice is a bit different; while I do see clients for the many common psychological problems humans have, my work is centered on our experiences within our families.

Families are how human beings form loyal connections, raise children, share culture and manage change. No matter what form our nuclear family took, we are each a product of our parents’ genetic lines, and their emotional outlook on the effort of living. The decadeslong development of human children means we are subject to the personalities, resources and behaviors of those we live with. Then in adulthood, most of us form intimate partnerships, creating the next generation of our family. The continuing influence and problems that this large network of relationships creates for each of us is the focus of family systems therapy.

A couple of weeks ago, I came close to another aspect of life families manage, death. One of my wonderful clients — a person of faith, so passionate for her spouse and children, a devoted professional, loving neighbor, co-worker, and friend — lost her life to an aggressive cancer, smack in mid-life. We had talked together about her personal challenges for over 10 years, and when the cancer that had been quiet for a while rose back up with force this spring, I knew that our remaining time would be precious and short.

I know how to walk with those at the end of life as a pastor. I know how to provide spiritual care at this mysterious, liminal passage. But I had yet to grieve a client who had been in current therapy with me. As her last difficult weeks passed, even our brief conversations had to give way to more critical ones with physical medicine providers. One of my client’s final acts of grace toward me was to put her pastor in touch with me, who could share her experience and keep me informed of funeral plans. Then my client died as she had hoped, quietly in her own home. Her pastor as well as her husband lovingly reached out to me later with the funeral plan.

On a hot Friday morning, I drove to her church. Hundreds of us came together to grieve and remember. I was an anonymous mourner, known by sight to only two people in that large sanctuary. And yet, I belonged. It was perhaps one of the best funerals I have ever attended. Gorgeous music she chose; loving, true words spoken about her; and God’s gracious love for us spoken and shared in word and sacrament filled the sanctuary with quiet hope. It was a wrenching, heartachingly joyful service for someone gone too soon from those who needed her and need her still. Need her still.

We live in an increasing isolated culture, each stuck in our pockets of neighborhood, home life, children’s activities, workplace, political concerns and a thousand small but essential obligations. While there may be so many times in your life when you feel unseen, forgotten or left out, I want to remind you of the power of your most essential relationships. Human beings hold one another together, and while it may go unspoken so much of the time, we are the world for one another.

And yet, we don’t often say it. Or believe it could be true that we are that important to others. We have so many hundreds of thoughts and concerns we manage just to get through each day. We have deep cultural belief in the myths of individualism and independence; we may live quiet, solitary lives. But, as this experience of loss has reminded me again, our lives are so unique and irretrievably short. We don’t know the length of our lives, and yet we barrel on as if we can live forever.

Nothing matters more than love. Loving ourselves for our own mental and spiritual health, loving our neighbor for the sake of our shared world, loving our friends for the deep and varied connections they make and loving those who share our daily life in family. What is that beautiful and true saying about grief? Grief is just love with nowhere to go. May you love with breadth and abandon and may you know that deep love in return.

Written for / published in the Savage PACER 9/30/2023

Do You Have Enough Friends?

            Do you have all the friends you need? Chances are that you are among the majority of American adults who recognize that they are struggling with fewer close friendships than they want. As emotional beings, all of us are biologically designed to connect to others in and outside our families of origin. While we may be surrounded by others at work, or sporting events, in our neighborhoods or churches, few of us feel that we have a core group of steady, supportive, mutually caring same gender friendships. We are friend hungry. And we don’t know how to fix it.

            This emotional scarcity can come on quite slowly. While we are progressing through school, the constant shifts from playgrounds to classrooms to new schools provide us with an ever-replenishing sea of faces from whom we may find sympathetic chums. But just as quickly as those people move into our lives, they can move out, as new environments and opportunities sweep our time and attention elsewhere. Our friends and we may marry. And right before our eyes, our emotional circle becomes instantly smaller and more fixed.

            It becomes harder and harder to stay in regular, meaningful touch with people. Phone calls help but don’t completely replace in-person conversation. Getting together can take enormous scheduling and financial efforts not everyone is able to sustain. When was the last time you hand-wrote a distant friend a letter? Many of us have tried to find less isolation in the connections we make on social media. They soothe us with easy digital connections to people across the globe. But unless those relationships are mutual and sustained, they won’t fill the emotional gap that face-to-face time with people provides.

            This scarcity of friendships seems to hit American men even harder than it does women. We have a culture that still assumes men need to be independent, stoic and in competition with one another. Generations of this gender ethic have led to families that raise boys to dismiss healthy emotional dependency and under-value one another, even within the same family. This places men in emotionally vulnerable positions, overly dependent upon their romantic partners for support. Women shoulder this by becoming the emotional centers of their families and becoming adept at managing everyone’s interpersonal relationships. It leaves men empty and women exhausted. While many of us reject these old models, they still shape the way we live. What are we to do?

            I don’t think we should give up on being and having good friends. The emotional cost of loneliness is a true mental health crisis for many, and there are no quick and lasting solutions. Over a lifetime, we need many real friends with whom we can share common interests, new experiences, shared struggles and spontaneous laughter.

            One of the most helpful resources I have found that helps to describe how we make good, close friendships is the 2016 book, “Frientimacy” by Shasta Nelson. Nelson has created an online community around friendships, speaks around the country to groups and corporations about her research, and was a featured speaker at TEDx in 2017. What she has to teach us about the qualities of good friendships is inspiring to me as a relationship therapist and someone who wants to be and have close friendships throughout my entire lifespan.

            The core qualities we must cultivate within ourselves and our key intimate relationships are Positivity, Consistency and Vulnerability. In other words, our key friendships should feel good, be mutually maintained, and let us be our real selves. These are high standards, and they take time, good boundaries and mutual intention to develop. Not every friendship can or will experience all three qualities. There are all kinds of people in our lives who may be able to sustain one aspect, like positivity, but can’t meet other aspects like consistency or real-life sharing. Or we may be more interested in someone as a friend than they are in us, and the relationship never grows. I’ll point you to Nelson’s book for more details about these key aspects, but you get the point. Real friendships take work and commitment to one another. When they work, they make us feel fully human.

            No matter who we are, we need good friendships. Perhaps the last good friend you had was someone you knew years ago but with whom you have fallen out of touch. What did that friendship teach you about how to recreate that small, essential, positive human community of two close friends? Perhaps it’s time to discover more about how you can be a friend and welcome new friendship in return.

(Written for/published 5/28/2019 The Savage Pacer)

Gender Control & Body Shame: The Purity Movement

Nothing makes me sadder than the way a part of the Christian family, the conservative evangelical community, has shamed women for their gender, leadership and sexuality. In the 1990’s, a bizarre, controlling movement spread in churches to have young women be told that sexual purity was their responsibility alone;  that young men were so weak that they couldn’t control their sex drive. Girls were trained to pledge their “purity” until marriage at the cost of their integrity and sense of self. Girls were indoctrinated to such a degree that their sexual expression was wrapped in shame, guilt and fear to traumatic degree.

I hope that any woman for whom this story is a personal one will seek care with a good, skilled mental health therapist who has religious training and deep background. I work with such women.

Want to learn more about the way women have been shamed and controlled by this movement? Listen to this recent Fresh Air broadcast in which Teri Gross interviews the author of the new book, “Pure.” https://www.npr.org/programs/fresh-air/2018/09/18/649070416?showDate=2018-09-18

 

Why You Should Learn to Cook

A recent survey conducted by a food industry consultant Eddie Yoon (printed here and reported on elsewhere) finds that 90% of American adults hate to cook. This 90% is comprised of folks who don’t know how to cook, don’t like to cook, or do it reluctantly some of the time. They are purchasing pre-packaged food (fresh, frozen and dried) in grocery store isles as well as in take-and-go options such as Dunkin’ Donuts, Starbucks, as well as the familiar fast food restaurants like McDonald’s and Subway.

That leaves just 10% of Americans who continue to prepare food from fresh ingredients and who have mastered at least the basic skills once taught to most middle schoolers in Home Economics.  In his article, Yoon advises the major suppliers of groceries to get with the trend and embrace more technology in food preparation as well as diversifying their ownership in alternative on-the-go food restaurants or brands that show an upward trend. The writing is on the wall on this, he advises. There seems to be no turning back.

If this is the case, and most of the industry is turning to preparing food for us and seeing the kitchen as a place to store food and eat it, but not prepare it, why should you buck the trend and get firmly in the minority food lane and learn to cook? I can think of several reasons, all of which are quite important to me. Maybe one or more might be important to you, too.

  1. Your long-term health and the health of your children. Why are we an obese nation and just keep getting fatter no matter how hard we try to slim down? Because we let other people prepare our food for us, filling us with unseen but powerful fats, salt, artificial fillers and preservatives and chemical flavors. Even with the recent trend to label the calorie content of your Big Mac or Chipotle burrito bowl, most of us will eat more than our bodies need if a meal is presented to us on our plate and we are in a social (loud, busy and people-centered) environment.
  2. Cooking is a human art, and it’s crazy to lose what we have spend tens of thousands of years figuring out as a species. I am particularly thinking about the women who have throughout the generations toiled in field, barnyard and kitchen to feed their families. Using tools and ingredients common to their culture, it has been the traditional work of women to manage the preparation of food for families in their homes. I’m not willing to give this part of my gender identity over to some multinational corporation. I want to know something of what my grandmothers and earlier generations passed down to one another, in prosperous times and in depressed.
  3. Food is a gift of God to and in creation, and when I am gardening, or shopping, or cooking at home, I am participating in the work and renewal of creation. Am I thinking such high theological thoughts when I am boiling my brown rice and marinading my chicken breasts? Uh, no. But give me a minute and I will tell you that I pray with my family over our dinners and I pause to think about the gift that good food is in a world in which so many are starving. I marvel at how many wonderful foods are available to me in America. And how many will keep me healthy.
  4. Real food is more than fuel. Real food is medicine and learning about and committing to preparing it creatively is community building. It is a creative necessity, and a way for families to take time out daily to look at one another and talk face to face in their home. Children who eat dinner with their families grow to have a sense of belonging in their families, know their parents better, learn to talk with adults, and have so many less food addiction and eating disorder issues than their peers who don’t have families who eat together. And in these families, children can slowly and with confidence learn to cook so they can eventually cook for themselves as adults.

With the fantastic television shows about cooking that are on right now, you’d think we would all be inspired. Apparently not. Even the Great British Bake Off can make food preparation look like the work only of experts. We all have to eat. I just want to eat well, eat to care for my family, eat to keep this amazing human art form alive. It’s not impossible. If you can reluctantly learn a thing or two about sifting flour in 7th grade, I know that you can learn as an adult by reading a good simple recipe, getting the right ingredients, getting a few essential tools, and having patience as you become better skilled. Your body will be healthier, your mind clearer, your budget better balanced, and your family life calmer. It’s worth your time.

Reader Response: Dividing Family Loyalties

Many thanks to M who took the time to write me about his experience with family loyalty. Here is his letter, in part:

“I am writing because I have been on the wrong end of this issue. That is, my wife has put the needs of her parents ahead of me and our marriage. We married in 1987. In 1995 we made the fateful decision to move in next door to her parents. Problems stared within a few months of moving in.

When a spouse puts parents (or really, anyone else) as a higher priority ahead of the needs of the marriage and their spouse this is the biggest domino that falls causing a cavalcade of other bad actions and decisions…The anger that is festered, self-doubt, damage to self-esteem causes so many poor decisions from how your money is spent, time and priorities are allocaated, how the children are engaged, infidelities and job effectiveness.

Unlike if this happens with friends or worse, a spouse has an affair, in these cases the offending spouse can make those people disappear from the relationship and the relationship has a chance to heal via distance, deeds and time.

When it is a parent or family member, in my wife’s case she was unwilling to stand up to her parents (mostly her mother) and say my husband comes first. When a spouse does not stand up …the family member takes full advantage of this weakness and manipulates the entire engagement. In my case, this continues to damage the marriage. The relationship with the in-laws only worsens and cannot heal or improve. The constant conflict is beyond exhausting.

You may ask why did I not see this before we got married. We met and married and started our life together 2000 miles away from her hometown. Consequently, I did not have the opportunity to witness this enmeshed relationship prior to 1995.

My wife in 2017 moved in with her mother. And I am now at 60 years old alone, trying to put the pieces of my life together.”

Netflix’s “The Crown” & Joy in Marriage

Netflix’s major release of the second season of “The Crown,” a lavish and brilliantly acted biography of England’s Queen Elizabeth II in her very first years of her reign, is worth every moment of your time. Writer Peter Morgan is creating a masterpiece of historical drama.

At it’s core are the conflicts that face a young woman whose father dies relatively young and has the British monarchy thrust upon her at 25. We’re witness to the parallel sacrifices of her husband, nuclear family members, and all those who serve the royal family. As her husband Prince Philip chafes under the demands of his marriage to the Crown, his roguish behavior brings increasing pain and anguish to Elizabeth. Despite the developing pressures, Elizabeth suggests a small party to celebrate their 10th wedding anniversary. And it is at this dinner party that Philip makes a brief speech that describes the core of marriage’s worK:

(laughter …) “Ten years has taught me,
The secret of a successful marriage is actually to have different interests.
Well, different interests, not entirely different interests. It’s a funny business.
One sees the whole of the other person. You see even that part of them that they don’t see themselves.
And presumably, they see that hidden part of you.
One ends up knowing more about one’s partner than they know about themselves.
And it can be pretty tough to keep quiet about it.
So you have to come to an accommodation, an arrangement, a deal if you like.
To take the rough with the smooth.
But the extraordinary thing is down there in the rough, in the long reeds of difficulty and pain,
that is where you find the treasure.

So I would like to propose a toast in the name of love, in the name of our beloved country, in the name of steadfastness, in the name of another ten marvelous years.
I give you mon petit chou, Lilibet, Elizabeth, The Queen.”

(The Crown, S2E4, “Beryl”; starting 19m.00s)

What brilliant insight – spoken in Philip’s voice – of the hard but joyous human work of living closely with another person, and knowing more about them than they do about themselves; and vice versa. And rather than using that knowledge as a weapon, the happiest marriages reach an accommodation, an emotional arrangement, to take both the best and worse of their partner and accept this as the wonder of what it means to be loved well by another human being. “It’s there were you find the treasure,” says Philip. Yes, indeed. This is what it really means to love another person. To know all about them, accept them, and be accepted and cherished, despite this deep knowledge, in return.

Thank you for saying it so well, Mr. Morgan. May it be so for all of us.

What is Structural Family Therapy?

I’m grateful to Sal Minuchin for helping us as family therapists understand, conceptualize and maneuver within the dynamic structures of families: the way that the emotional and legal connections of parents to their children over generations create fluid as well as fixed patterns of hierarchies, loyalties, rules, subsystems, coalitions and boundaries. While we may know these experiences instinctively, his theory gives us a vocabulary, structure and system of talking and thinking about these automatic family features.

I’m particularly glad for the way his ideas give us a way to talk about family power. How are marriages formed? How do parents use their power over children? What does it mean to be a grandparent, a sibling, a twin, a youngest or oldest child? Who creates the family rules? Who breaks them? Of critical importance is the way that this theory helps me to conceptualize children’s emotional dysfunction. I don’t have to think simply in individualistic, intrapersonal terms. I’m free to think, speak and intervene with children’s pain interpersonally by helping their parents better manage their own functioning, power, and relational well-being.

Every time I draw a new genogram, and hear about a conflicted marriage, a stressed child, or cut-off grandparents, and think about rules, power and family structure, I draw upon the core ideas of Minuchin and generations of clinicians after him who have helped us all become students of family structure.

1/2021: Here’s a great detailed look at Structural Family Therapy from a new counseling resource, Choosing Therapy: https://www.choosingtherapy.com/structural-family-therapy/

Sometimes it IS About You

As a family therapist and systems thinker, I view the conflicts and discussions in my therapy office as shared events and problems. We are all connected; what I do effects my spouse, my children and other close relationships, just as what they do effects me.

But there are times when one person’s habits, behaviors, attitudes, or choices are the source of a system’s pain. A problem frequently has a source. And it just might be you.

One of the most pained expressions I hear after couples therapy is the complaint that “therapy is always about me” and never focused on their partner. I hear it most frequently from my male clients. This reflects, I believe, the fact that men don’t often start conflict conversations in their relationships, leaving their women partners to do all that heavy emotional lifting. If their troubled patterns have been going on long enough, and the woman, despite how often she requests help or change, is always doing the complaining, the man is inevitably backed into his corner. Of course he feels that therapy is always about him. Because he has to travel so many emotional miles to catch up to where his partner has been.

In other situations, it may be that addiction is stealing away all the relationship and family stability. Or infidelity and secrets have damaged the sense of safety and closeness. Or one partner’s failure to care for their health, or work life, or family of origin problems weighs the entire family down. While all of these issues have system impacts, it just might be true that therapy, at least as we begin to unwind the issues, may truly feel like it’s All About You.

Core Long-Term Marriage Skills

One of my couple clients asked me to create a summary of our work together. I know these skills apply to nearly every long-term marriage, so I share them here.

1. Assume positive intent from your spouse. Trust him/her. Build positive interactions. Look for the good. Notice it, appreciate it. Stop trying to control the outcome of every interaction so that you feel less vulnerable. Protect yourself less, be open to one another more.

2. Self-focus: always pay more attention to how you are managing your own emotions/behaviors/words/tones than you are to your partner’s. Think: what can I do to improve our relationship? Journaling, prayer, ritual, reading about emotions/relationships/family of origin patterns.

3. Make every effort to improve your conflict conversations.
Don’t ignore important pain. If you find you are doing a lot of internalizing, mind reading, and stuffing emotions, it’s time to talk.  Bring up pain as complaints (about the issue – “I feel”) not criticism (about the other person – “You are”).

Start a conversation gently, “low and slow.”

Expect your partner to initially defend. Wait until that strong reaction passes before you respond. Ask your partner to lower their defense so they can listen, if necessary.

Listen for one another’s point of view. Appreciate whatever truth you can in your partner’s POV. Repeat it to them so they know they have been heard. Share your POV. Check to see if your partner gets what you are trying to say.

If conflict begins to hurt, STOP. Don’t escalate. Take some time out to calm down and return again to the conversation.

4. Cultivate your marital friendship. Remember, however well you think you know your partner, don’t assume you can no longer be surprised. Make asking questions of your partner’s day, experiences, dreams, hopes, memories, plans and pains a regular habit. Do some new things together. Allow one another the emotional room to do things independently. Too much intensity can be just as hard on a marriage as too much distance.

5. Flexible people are more satisfied in their marriages. Recognize and reflect on the fact that the that details of our lives we take for granted as we become adults – our bodies, minds, work, relationships with children, hobbies, friendships, emotions, goals – are changing all the time. Especially make peace with the ongoing aging of your body.

6. Keep emotion primary in your experience of life and one another since emotion is the way our bodies and minds give us moment by moment information. Continue to grow in your ability to notice, name, manage and understand your emotional life. Remember that your spouse is doing the very same thing. Think emotion before you attempt to use logic in hard conversations.

7. Know that the past never leaves us, but we can find creative ways to manage how it informs our present. Holding resentments or secrets is poison to healthy long-term relationships. When someone injures another, the healthiest couples use their spiritual resources of remorse, repentance, renewal and forgiveness to experience the hurt, commit to the healing of the injury and press on.

8. Build a positive appreciation for touch, smiles, eye contact, and physical proximity as expressions of affection and sexuality. Use your creativity to express sexual energy and desire in ways that work for both of you. Be sure to talk to one another during sexual activity so that you are clearer about what works and what doesn’t. If there is a difference in levels of drive and desire, work to blend masturbation and some kind of mutual sexual activity.

9. Share the leadership of your family/couple. Appreciate one another’s unique skills and allow for growth and change. Make decisions together, and think of your marriage as a team, a unit, even as you are always individuals.

10. Remember that life is short, and grows even shorter as we age. Set a daily intention to do the best you can as a person and a partner. Cultivate your spirituality and your sense of humor. Stop threatening divorce; take the word out of your imagination and vocabulary. Re-commit to your shared future; appreciate and marvel at all that you have already endured and experienced together.

Have some advice you’d like to share with long-married couples? Comment below!

Your Big F***ing Job Can Ruin Your Marriage

As our economy has crawled out of the recession, so many people have experienced the shrinking of the job force at their companies, and the subsequent increase in the demands of their job descriptions.

Many are doing the work that 2 (or even more) people have done in the past. More people are traveling more miles, more leaders are being pressured to increase production, or customers, or digital content, or whatever is on the front line of worry for stake or shareholders.

Add in the natural disaster that a very harsh 2014 Minnesota winter brought to several industries (transportation, energy, retail, just to name three), high level executives are using up all their available energy at work. They come home exhausted, worn out and without any emotional flexibility at all.

They don’t have the energy for the demands of parenting, or if they put in a bit of their work with the kids, they certainly have not one single thing left for their spouse. The Marriage Will Not Survive if this goes on for any length of time.

I tell my clients that if they are working like this, dedicating themselves to the salvation of their company, they must save at least 5% of themselves for their spouse. It isn’t much, but in the scheme of life, it can be enough to greet your partner, listen to them a bit about their day, share some of yours, and connect.

No one will care at the end of the job if you lost your marriage for it. But your spouse and children will.

Stop living for your work, and work for your family and life instead. And if you can’t seem to figure this out alone or together, please call me or a local family therapist for some coaching, understanding, and practical help.