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	<title>Relationship Center of South Florida</title>
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		<title>Who&#8217;s In Charge?</title>
		<link>http://relationshipcenterofsouthflorida.com/2011/02/whos-in-charge/</link>
		<comments>http://relationshipcenterofsouthflorida.com/2011/02/whos-in-charge/#comments</comments>
		<pubDate>Tue, 22 Feb 2011 00:49:00 +0000</pubDate>
		<dc:creator>RLoebl</dc:creator>
				<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Understanding Yourself]]></category>

		<guid isPermaLink="false">http://yourwebsiteforless.com/mysite3/?p=801</guid>
		<description><![CDATA[Who&#8217;s In Charge? Understanding Your Internal Parts Do you know the definition of insanity? It&#8217;s doing the same thing over and over again, and expecting different results. Have you experienced problems similar to the following? I keep making the same mistakes in my relationships. I keep choosing the wrong person to be in relationships with. [...]]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Who&#8217;s In Charge?</h3>
<h4 style="text-align: center;"><strong>Understanding Your Internal Parts</strong></h4>
<p>Do you know the definition of <span style="text-decoration: underline;">insanity</span>? It&#8217;s  doing the same thing over and over again, and   expecting different  results. Have you experienced problems similar to the   following?</p>
<ul>
<li>I keep making the same mistakes in my relationships.</li>
<li>I keep choosing the wrong person to be in relationships with.</li>
<li>I&#8217;m sad or anxious most of the time and I&#8217;m not sure why.<span id="more-801"></span></li>
<li>I tend to sabotage my relationships and my jobs or career.</li>
<li>I get too angry and blame others, or I avoid certain situations or people.</li>
<li>I&#8217;m not successful because I procrastinate and avoid responsibility.</li>
<li>Sometimes I feel that I&#8217;m just not good enough.</li>
</ul>
<p>I have developed a new, simple tool to  help you understand   where these feelings and patterns of behavior  come from. And this same tool   will help you to make positive changes  in your life.</p>
<p>The diagram below, Who&#8217;s In Charge?, describes our internal   parts. There&#8217;s an Inner Child, innocent,   vulnerable, often dependent. A unique part of this model, the Teenager, wants independence, but is often lost, angry or   both. Our Inner Critic   is judgmental, blaming, and demanding. Fortunately, all of us have an Adult part &#8211; loving, responsible, appropriate,   and competent. We all have these parts, and sometimes things get stuck.</p>
<p style="text-align: center;"><img src="http://www.relationshipcenterofsouthflorida.com/images/whosInChargeWithDef.png" alt="" width="546" height="725" /></p>
<p>Take Mike, for example (a fictitious  name, and a composite   of clients I&#8217;ve worked with). At work, Mike  could never get organized. The   files were stacked up on the floor, and  he was often late getting reports   completed. He often avoided making  calls and distracted himself by surfing   the Internet. At home, his  children were afraid to ask for help with their   homework. They were  afraid because he would get angry and criticize them.   His wife was fed  up. He didn&#8217;t help with chores, or he would finally mow the   lawn  after a lot of complaining. She said he was never happy. The distance    between them grew, and their sexual relationship was almost  non-existent.</p>
<p>Mike was a LATE man &#8211; a type of   adult man I refer to as a <strong>L</strong>ost <strong>A</strong>nd <strong>A</strong>ngry <strong>TE</strong>en. In fact, when I asked Mike how old he <span style="text-decoration: underline;">felt</span> when he was avoidant,   angry, or distant with his wife, he said   he  was about 15 years old.   It&#8217;s no wonder. He told me that when he was 15    his father was verbally   abusive. No matter what he did, it was  never good enough. His mother   was passive with father, but she always  took care of Mike   &#8211; by cooking   his favorite foods, covering up for  him by completing his   chores and   fixing his homework. Mike learned  to play it safe as an adult by     avoiding work and expecting others,  such as his wife, to take care of things   for him.</p>
<p>You can use this model to help you identify Who&#8217;s In Charge   when:</p>
<ul>
<li>Your feelings &#8211; mad, sad, ashamed, or afraid &#8211; are out of proportion to the circumstances (excessive and inappropriate);</li>
<li>Your relationships are stuck &#8211; with too much fighting or too much distance;</li>
<li>Your thoughts and beliefs are negative or self-destructive (all-or-nothing thinking; self-defeating beliefs; etc.).</li>
</ul>
<p>Then you can use this model to make positive changes in your   life. Try these exercises, and repeat them frequently:</p>
<p>1. Visualization &#8211; Find a quiet place,  close your eyes, and   focus on your breathing. Picture yourself as a  fully responsible, loving   Adult. Recognize your current strengths in  these areas. What do you look   like in this role? How do you feel? How  do others respond to you? What are   your results &#8211; how are your  relationships? How do you succeed at work and   elsewhere?</p>
<p>2. Written description &#8211; Write a one  page description of   your Adult. Be realistic, but stretch yourself and  write about the Adult you   know you have within you.</p>
<p>3. Read this description out loud to yourself every day for   90 days. Then read it out loud once a week.</p>
<p>4. Practice, practice – remember the  Adult throughout your   day, and ask yourself how the Adult wants to  handle various situations.</p>
<p>After a few sessions of therapy with  me, Mike was actively   using this model (he told me he taped the  diagram to his computer monitor!).   He said it helped to guide him in  his family relationships and at work, to   be the man he always wanted  to be. He started taking care of his &#8220;Inner   Teen&#8221; in a loving and  responsible manner.</p>
<p><strong>Richard J. Loebl, LCSW,   PA</strong></p>
<p>Director, Relationship Center Of South   Florida</p>
<p>© 2007</p>
<p style="text-align: center;"><strong>To make an appointment, contact Richard Loebl, LCSW at 561-955-6090 or send him an email – <a href="mailto:Rlmindtrek@aol.com" target="_blank">Rlmindtrek@aol.com</a>. </strong></p>
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		<title>10 Reasons to Stick With This Relationship</title>
		<link>http://relationshipcenterofsouthflorida.com/2011/02/10-reasons-to-stick-with-this-relationship/</link>
		<comments>http://relationshipcenterofsouthflorida.com/2011/02/10-reasons-to-stick-with-this-relationship/#comments</comments>
		<pubDate>Mon, 21 Feb 2011 00:49:42 +0000</pubDate>
		<dc:creator>RLoebl</dc:creator>
				<category><![CDATA[Relationships]]></category>

		<guid isPermaLink="false">http://yourwebsiteforless.com/mysite3/?p=803</guid>
		<description><![CDATA[10 Reasons to Stick With This Relationship Almost everyone struggles with questions about the viability of a relationship or a marriage. Doubts about the person or the relationship can occur at any time in the life cycle of the relationship. These are the most important reasons for staying the course. We start with The Big [...]]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">10 Reasons to Stick With This Relationship</h3>
<p>Almost everyone struggles with questions about the  viability   of a relationship or a marriage. Doubts about the person or  the relationship can   occur at any time in the life cycle of the  relationship. These are the most   important reasons for staying the  course. We start with The Big Three –   friendship, love, and no deal  breakers. These are the cement for a healthy,   workable relationship.</p>
<p><strong>1. Friendship </strong>-  Webster defines a friend   as someone you are fond of &#8211; an ally and  supporter &#8211; someone helpful and   reliable. In successful marriages,  this is the foundation of the relationship.   You know each other well,  you enjoy each other&#8217;s company, and there is a spirit   of mutual  support. Would you choose your partner to be a best friend?<span id="more-803"></span></p>
<p><strong>2. Love </strong>-  I believe there are two measures   of love in a relationship. Most of  us think of love as a feeling. I believe love   is both a feeling and a  behavior. If you are confused about the relationship and   your feelings  – if you have doubts – get out of your head and go to your heart.   Or  connect with your higher self through meditation or prayer. Ask your  heart or   your higher self how you feel about the person and the  relationship.</p>
<p>Love   is also a behavior. Do you practice  loving acts on a daily basis? Is love   demonstrated through acts of  kindness, affection, generosity, self-sacrifice,   understanding and  empathy, support and encouragement?</p>
<p><strong>3. No Deal Breakers </strong>-What  are your deal   breakers in a relationship? How about the 3As &#8211; Abuse,  Affairs, Addiction? Only   you can decide. Most problem areas in  relationships are negotiable. Meaning, in   a healthy relationship we  can work through and compromise on many areas of   conflict: the kids,  money, amount of time spent together, the in-laws, and so   on. Are your  deal breakers realistic? Is there something going on that you truly    cannot live with in this relationship?</p>
<p><strong>4. Trust </strong>-  The human infant will only   develop into a healthy, functioning adult  when basic trust is established with a   nurturing, consistent parent  figure. Our closest relationships – our love   relationships – will only  develop into stable, satisfying unions when there is   basic trust in  the attachment. Can you rely on your partner to be honest,   loving, and  to be faithful to the relationship? If there is a lack of trust,    could that start with you? Do you have trust issues because of your  prior life   experiences?</p>
<p><strong>5. Commitment </strong>-  Commitment is closely   related to trust. When commitment is present  you know you can count on your   partner. There is a sense of  willingness, obligation, and intention. Commitment   implies an  investment, emotionally and physically, in the relationship. There is   a  &#8220;normal&#8221;, fluid movement between full investment and something less  than that   for almost all couples. Does your relationship go through  normal, moderate   cycles of commitment? Or is there a chronic  ambivalence – a long standing   distance?</p>
<p><strong>6. Common Interests </strong>-  Can you imagine a   friendship with someone with whom you have nothing  in common? Most likely, when   you first met, there were things you  liked doing together. If you&#8217;ve grown in   different directions, it will  be important to find new activities that you both   have an interest in  pursuing together. And even more important than any   particular  activity, is the way you interact with each other when you do things    together. Do you actively pursue common interests together, and does  this enrich   your relationship?</p>
<p><strong>7. Connection and Affection </strong>-  There is a   consistent bond of affection and connection in successful  relationships. Happy   couples tend to touch, hug and kiss on a daily  basis. They have rituals of   connecting with affection when they wake  up, when they go to bed, and when they   leave and return home. When  there are fights, these couples stay connected –   they make eye  contact, they keep talking, and they even touch each other with    affection. On a scale of 0 – 10, with distant being the zero and full  connection   a ten, where is your relationship?</p>
<p><strong> 8. Partnership </strong>-  Relationships are   co-created. You are both, in a sense, &#8220;equally&#8221;  responsible for the   relationship. In a true partnership, you are able  to work cooperatively together   to manage all the tasks of living  together (including child rearing, financial   management, chores,  etc.). You cooperatively resolve conflicts when possible,   and  compromise when necessary. Do the two of you work together as a team?</p>
<p><strong>9. Respect </strong>-  You have a sense of positive   regard for each other. You appreciate  and admire your partner&#8217;s words, deeds and   acts. Are you proud to  include your partner in your circle of family and   friends?</p>
<p><strong>10. Fun </strong>-  Similar to common interests,   when you met – when you were first  dating – you probably had fun together. Life,   and relationships, can  be difficult and challenging. Most of us have too much   stress in our  lives. An ability to have fun together, to laugh at your   situation,  and even to play together is an important ingredient in a healthy    relationship. Are we having any fun yet?</p>
<p>If you are satisfied with all   ten of these,  congratulations! You must have a very healthy, happy and   satisfying  relationship. If you have serious problems in most of the 10 areas,    this relationship is probably not a good fit for you.</p>
<p>The Big Three –   friendship, love, and no deal  breakers – will probably need to be present for   this relationship to  survive.</p>
<p>Difficulties in any of these areas are    commonplace in relationships. The good news is that most of these  problems can   be repaired. If you are having difficulties in more than 2  or 3 areas, or a   serious problem in even one of the Big Three, you  may need professional help.   Couples counseling can be very effective,  and if one person in the relationship   is not willing to attend,  individual counseling can help.</p>
<p><strong>© 2007 Richard   J. Loebl, LCSW, PA </strong></p>
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		<title>Relationship Repair Manual</title>
		<link>http://relationshipcenterofsouthflorida.com/2011/02/relationship-repair-manual/</link>
		<comments>http://relationshipcenterofsouthflorida.com/2011/02/relationship-repair-manual/#comments</comments>
		<pubDate>Sun, 20 Feb 2011 00:50:19 +0000</pubDate>
		<dc:creator>RLoebl</dc:creator>
				<category><![CDATA[Relationships]]></category>

		<guid isPermaLink="false">http://yourwebsiteforless.com/mysite3/?p=805</guid>
		<description><![CDATA[Relationship Repair Manual Many relationships and marriages break down over time. Just like a fine piece of machinery, even the best relationships need maintenance and repair. The following repair methods have been carefully tested and researched. When applied consistently over time, they have been proven to work quite well. Troubleshooting Here are three common problems [...]]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Relationship Repair Manual</h3>
<p>Many relationships and marriages break down over  time. Just   like a fine piece of machinery, even the best relationships  need maintenance and   repair. The following repair methods have been  carefully tested and researched.   When applied consistently over time,  they have been proven to work quite well.</p>
<p><em>Troubleshooting</em></p>
<p>Here are three common problems you may   experience in  your marriage or relationship, and some helpful hints and tools   you  can use:<span id="more-805"></span></p>
<p><strong>1) Fighting </strong>-  Is there too much conflict   in your relationship? All couples argue,  but sometimes the fights become   frequent, nasty, and noisy. Have you  noticed a pattern of attack, defend, and   counterattack?</p>
<p><em>Suggested Repairs:</em></p>
<p><span style="text-decoration: underline;">Replace The   Starter</span> &#8211; The fighting  often starts with a complaint, accusation or   sarcastic comment. The  tone is often negative and uncaring. Try using love,   affection and  humor. Invite &#8211; don’t demand or criticize (for example, instead of    “You never…”, try “Honey, would you be willing to…”). Remember, you  catch more   flies with honey than with vinegar.</p>
<p><span style="text-decoration: underline;">Deactivate Your Reactor</span> &#8211;   Almost all  fights involve overreacting to your partner. Sure, you’re upset and    angry, but reacting in this way simply leads to more fighting. Assume  that your   partner loves you and wants a loving, supportive  relationship just as much as   you do (I’m assuming that’s why you came  together in the first place!). Replace   your reactor (defensiveness,  blaming, hurt victim) with forgiveness, acceptance,   understanding, and  conflict resolution.</p>
<p><span style="text-decoration: underline;">Use An Adult Repair Person</span> &#8211; See my <strong><a href="whos-in-charge">Who&#8217;s In Charge?</a></strong> article. When you’re feeling this angry during a fight, when you’re  reacting   with blame and counterattacks, how old are you? What does  that Child or Teenager   really need? Put the Adult in charge. Have your  Adult take care of your Inner   Child or Teenager. Use your Adult self  to practice empathy, understanding,   forgiveness, and productive  problem solving with your partner.</p>
<p><strong>2) Distance </strong>-  Is there too much distance   in your relationship? Do your fights turn  into a silent no man’s land? Have you   “grown apart”? Has the  affection, attention, and connection diminished or   disappeared?</p>
<p><em>Suggested Repairs:</em></p>
<p><span style="text-decoration: underline;">Reassemble The Parts</span> &#8211; Go back to the  beginning. What brought you together? Talk about this with your    partner. Make lists of what you liked and loved about each other. What  you liked   to do together. Make regular dates. We all get too busy, and  we forget to tend   our gardens. Stay connected to your partner:  practice acts of love every day,   with affection, love notes, showing  interest in their daily activities,   listening to their stories.</p>
<p><span style="text-decoration: underline;">Conflict</span> &#8211; Surprised? When the    distance in your relationship contains problems and conflicts that are  not being   addressed, roll back the rug and talk about what you’ve been  sweeping under it.   You might start by each of you making a list of  topics you’re reluctant to   discuss. Set aside time to discuss one  topic at a time, with a commitment to   using empathy, understanding,  and compromise.</p>
<p><span style="text-decoration: underline;">Ask An Adult For   Help</span> &#8211; Your Adult! See my <a href="whos-in-charge"><strong>Who&#8217;s In   Charge?</strong></a> article. How old are you when you shut down and distance in this    relationship? What does that Child or Teenager need? Put the Adult in  charge.   Speak your truth with your partner, and remember that the  Adult does this with   love and active caring for that person. Have your  Adult practice acts of love,   kindness, and generosity every day.</p>
<p><strong>3) Impasse </strong>–  Are there conflicts in your   relationship that you cannot resolve? Do  you and your partner have polarized   positions, with no give or  compromise? Common stuck points include conflicts   about money,  in-laws, sex, chores, and the kids.</p>
<p><em>Suggested Repairs:</em></p>
<p><span style="text-decoration: underline;">Acceptance</span> – Recognize and accept the  fact that, most   likely, there will always be conflict in this area. It  is unlikely that one of   you will do a 180 and completely change your  point of view or position on such   an important issue.</p>
<p><span style="text-decoration: underline;">Understanding and Empathy</span> – Open the  lines of   communication – find out why your partner feels so strongly  about that position.   Express understanding and an attitude of caring  and respect for your partner’s   position. Take turns, so that both of  you are speaking your truth, and being   heard and supported by the  other.</p>
<p><span style="text-decoration: underline;">Compromise</span> – Would you rather be    right or happy? Rigid, unyielding positions will not make you happy. You  may be   right (you know you are), but what are your results? Listen to  your partner.   Appreciate their point of view, and allow yourself to  be influenced. Find the   middle ground, and be willing to give up a  position that really doesn’t work in   this relationship.</p>
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		<title>Men’s Issues</title>
		<link>http://relationshipcenterofsouthflorida.com/2011/02/men%e2%80%99s-issues/</link>
		<comments>http://relationshipcenterofsouthflorida.com/2011/02/men%e2%80%99s-issues/#comments</comments>
		<pubDate>Sat, 19 Feb 2011 00:53:25 +0000</pubDate>
		<dc:creator>RLoebl</dc:creator>
				<category><![CDATA[Today's Man]]></category>

		<guid isPermaLink="false">http://yourwebsiteforless.com/mysite3/?p=812</guid>
		<description><![CDATA[Today’s Man Issues, Problems, and Therapy Overview of Men’s Issues The field of male psychology, and psychotherapy methods designed specifically for men, are relatively new phenomena.  For most of human history, men were defined by their distinct, limited roles as hunters, warriors, and primary providers for their family, tribe and community. These roles were never [...]]]></description>
			<content:encoded><![CDATA[<p><!--:en--></p>
<h3 style="text-align: center;"><strong>Today’s Man</strong></h3>
<p style="text-align: center;"><strong>Issues, Problems, and Therapy</strong></p>
<p><strong>Overview of Men’s Issues</strong></p>
<p>The field of male psychology, and psychotherapy methods designed specifically for men, are relatively new phenomena.  For most of human history, men were defined by their distinct, limited roles as hunters, warriors, and primary providers for their family, tribe and community. These roles were never questioned or debated – and certainly not psychoanalyzed. Sigmund Freud, the founder of psychoanalysis and modern psychology, and other leading pioneers in the fields of psychology and psychiatry had little to say about a distinct male psychology.<span id="more-812"></span></p>
<p>Today, there is a growing list of psychologists, research scientists, and other experts who are making major contributions to the understanding of men, from a psychological and interpersonal perspective (Bergman, Pollack, Real, Stosny, Wexler, among others). The fields of cultural anthropology, modern brain science, and psychology are creating a new paradigm for helping men define themselves and their roles today. We no longer need to be restrained by the limitations imposed by the cultural traditions of the “traditional, masculine male” which was the expected model or standard for men prior to the late 20<sup>th</sup> century (and a standard that continues to exert influence for many men and women today). Nor do we need to react with guilt, shame, or submissive attempts to re-define the male persona as a result of certain messages that evolved from the modern women’s movement.</p>
<p>It seems that we are re-discovering the undeniable fact that men and women are actually quite different. And we are beginning to develop a coherent and compassionate understanding of healthy, normal male emotion, behavior, and relationship dynamics. The psychologist B. Mark Schoenberg (<span style="text-decoration: underline;">Growing Up Male</span>, 1993) describes a basic foundation for understanding the differences between men and women:</p>
<p><em>&#8220;Man’s earliest ancestors lived in a harsh and hostile environment that placed a high premium on physical strength. The strong survived, and the weak lived exceedingly brief lives… Because he was the fighter and because he was the provider, it was inevitable that the male came to be responsible for woman’s welfare. This is the historical reality. Gender differentiation evolved out of actual physical, perhaps physiological, necessity.&#8221;</em></p>
<p>This biological foundation, along with recent findings from modern brain science, helps to explain why men do what they do, feel what they feel, and how they struggle with confusing, even conflicting contemporary role demands and expectations.</p>
<p><strong>Historical</strong><strong> </strong><strong>&amp;</strong><strong> </strong><strong>Cultural</strong><strong> </strong><strong>Factors</strong><strong> </strong></p>
<p>Men have primarily been defined by their work roles (along with conquests and success in business, sports, wars, and other ventures), not by their role relationships within families or other social groupings.  Historically, men were dominant over women, driven primarily by physiological factors, and the major forces of historical change were conducted by powerful male rulers and military leaders, a male-dominated church, and other powerful men. In the modern era, male stereotypes developed as a result of cultural ideals created in literature, movies, and television (cowboy, romantic hero, soldier, 1950’s family man, and even the angry, bigoted archetypes like Archie Bunker). Currently we are influenced by post-feminist stereotypes such as the bumbling, ineffective and inarticulate man, or just the insensitive “cave man” who “cannot communicate”.  The role of men in the workforce, relationships and society has changed dramatically in recent history, as a result of revolutionary economic and social changes.  Until very recently, there was no need or expectation for men to communicate in an intimate manner. There was no historical necessity for men to talk about their feelings, to be emotionally sensitive to others, or to “validate” women or children.</p>
<p><strong>Problems Men Present In Therapy</strong></p>
<p>Men confronting the new demands and expectations of the 21<sup>st</sup> century are experiencing increasing levels of stress &#8211; often work or relationship related.  This stress, and the new, complicated role requirements men face today, often result in the following types of problems, often seen in therapists’ offices today:</p>
<ul>
<li>Anger (in relationships, the workplace, road rage)</li>
<li>Stress (often work related; and commonly presented with somatic complaints or feelings of irritation, frustration, and anger)</li>
<li>Work adjustment issues (procrastination, avoidance, anger, success sabotage)</li>
<li>Addictions (alcohol, drugs, sexual, video/internet, gambling)</li>
<li>Depression (often expressed as boredom, lack of motivation, or just being “stuck in the mud”)</li>
<li>Relationship problems (crises often precipitated by a wife or girlfriend who is fed up; or the man feels he is no longer “in love”).</li>
</ul>
<p>Fear and shame (feeling not good enough) deserve special mention here. The problems men experience today often result in, or are influenced by, these emotional states. Fear and shame result from messages that men are not doing the job – in the work place, or at home. And the job is increasingly difficult to accomplish today, because the man as sole bread winner is unrealistic in this economy. In a sense, life was much easier for men in the past, when they were simply hunters and warriors. A complicating factor is the male tendency to fear any “feminine” aspect of their personality, behavior or feelings. Men, who are raised predominately by women, are afraid that certain emotions, and their need for nurturance, means they are not masculine. If they are emotionally vulnerable, sensitive, or dependent on others, they feel ashamed and out of control. A man who is shamed by childhood abuse or enmeshment with an overprotective mother may become emotionally hypersensitive and subject to narcissistic injury (any perceived insult, complaints, criticism, or unmet entitlement needs lead to excessively hurt, angry feelings).</p>
<p><strong>Male</strong><strong> </strong><strong>Developmental</strong><strong> </strong><strong>Issues</strong><strong> </strong></p>
<p>There are many challenges for boys learning to be men today, particularly in families where effective male role models are not fully available. In too many families, distressed parents are angry, rejecting, or even abusive. The male brain often adapts to these circumstances, and can result in defensive role rigidity, anger and rage. Boys learn during childhood to suppress emotion – for boys becoming men, feelings and their expression can be considered shameful. To complicate this situation, boys are not generally socialized or taught to connect, bond, or develop meaningful, emotionally supportive relationships – especially with other boys and men. Boys are physiologically and neurologically oriented toward action, tasks, and playing with objects – not toward relating interpersonally. Raised primarily by women, boys get most or all of their emotional needs met by women without any required reciprocity on their part. This results in emotional, narcissistic injuries as adults when their needs and expectations are not met. Anger develops as a coping mechanism. William Pollack (1995) says that anger is their “way of weeping” – the way they express their emotional pain.</p>
<p><strong> </strong></p>
<p><strong>Men’s</strong><strong> </strong><strong>Relationship</strong><strong> </strong><strong>Issues</strong><strong> </strong></p>
<p>Male attachment needs are somewhat different from women’s. Men generally do not need verbal communication about feelings or “talks” about the relationship. Nor do they need direct, verbal validation of their feelings or needs. Men have a natural, biological proclivity toward interaction with the environment, more so than the verbally based interactions that women desire. They do need to know they are appreciated, respected and loved. And men are often quite satisfied by having these needs met with direct, physically nurturing behaviors by women. Many adult men feel a basic sense of security and even love simply by the very presence of the significant women in their lives. Men also experience sexual connection as a form of nurturance, acceptance, love, and even emotional security. Sex for men is a primary attachment need – compared to women, who need verbal communication and validation. Men also tend to have fewer friends than women, and when they do, they tend to focus on activities rather than verbal interactions (watching sports, hunting and fishing are examples).</p>
<p><strong>Medical</strong><strong> </strong><strong>Model</strong><strong> </strong><strong>And</strong><strong> </strong><strong>Men’s</strong><strong> </strong><strong>Issues</strong><strong> </strong></p>
<p>Recent findings from modern neuroscience and interpersonal neurobiology show there are unique aspects of the male brain (also endocrine and other systems) – quite different from female brains. This includes analytical brain structures (not emotional) designed to solve problems. Men have an inborn, biologically based competitive instinct. They also have an area of the brain designed for sexual pursuit that is more than 2 times larger than females (Brizendine, 2010). The brain circuits for fear, aggression and defense are far more prominent in men than in women. In comparison, women have more prominent mirror neuron systems for emotional empathy.</p>
<p>There are no male-specific diagnoses in the Diagnostic and Statistical Manual of Mental Disorders. The most common diagnoses for men are addictions, personality disorders such as narcissism, avoidant, and anti-social personality disorders, intermittent explosive disorder, conduct disorder, and ADD. Depression, however, is very common in men. Men also experience complicating medical issues such as stress-related heart and digestive disorders, and they may also present with a variety of sexual disorders. Other medical concerns may result from drug and alcohol addiction.</p>
<p><strong>Therapy</strong><strong> </strong><strong>For</strong><strong> </strong><strong>Men</strong><strong> </strong></p>
<p>Men are far less likely to seek help than women, and they often delay getting help until there is a crisis. Men are less likely to follow through with treatment recommendations by therapists and psychiatrists. The problem is not as simple as “resistance”. Rather, asking for help is viewed or felt by men as shameful. A man solves his own problems – that’s why men don’t ask for directions! Therapy was also designed almost exclusively as a “talking cure” – and the male brain and culture is not designed for a lot of verbal communication about feelings, relationships, or personal problems. That’s why men tend to be more guarded and defensive in therapy (based in fear and shame). It is not surprising that only about 1/3 of all therapy clients are men.</p>
<p>What can be done? Therapists need to “normalize” men’s feelings, behavior, and their tendency to be defensive. David Wexler suggests that therapists empathize with a man’s anger, and reframe his behavior by letting him know that he is not a bad man – he’s a good man who never learned how to deal with his needs and feelings more effectively. In couples therapy, men can learn what the feelings mean (both her feelings and his), why she says what she says, why she does what she does, and men can learn what a woman really wants. Men do best with tasks – homework assignments, and specific behavior change that makes sense. After all, most men want to protect and provide, and they are happy to succeed in those areas when the task is realistic and appropriate. Finally, men’s therapy groups are often less threatening than individual or couples therapy, and can be extremely helpful. In these groups, men get support from other men who identify with each other – this normalizes their “problems” and men will often take good advice more readily from a man he can identify with.</p>
<p><strong>Case</strong><strong> </strong><strong>Example:</strong><strong> </strong><strong>John</strong><strong> </strong><strong>Begins</strong><strong> </strong><strong>to</strong><strong> </strong><strong>Take</strong><strong> </strong><strong>Responsibility</strong><strong> </strong><strong>for</strong><strong> </strong><strong>His</strong><strong> </strong><strong>Pro</strong><strong>blems</strong><strong> </strong><strong>and</strong><strong> </strong><strong>His</strong><strong> </strong><strong>Relationship</strong><strong> </strong><strong>Improves</strong><strong> </strong></p>
<p>A men’s therapy group, which was established a little over a year ago, has 8 members and one male therapist. The group meets weekly, for 2 hours. The average age is early 40’s, most of the men are married, and all report a history of relationship problems. Three of the men have had problems with addictions, and are either in recovery (attend 12 step groups) or abstinent. Several have anger management problems, some self-sabotage in work and relationships, and all have identified self-doubt and shame as major concerns. There is open discussion, lots of problem solving by the members (men like to fix things), along with education about men’s issues and other interventions by the therapist. The group is process oriented – there is a focus on the here and now &#8211; especially their interactions and feelings during group meetings. The patterns of interaction in the group, along with their emotional reactions to each other, are discussed – this helps the men recognize and understand their feelings and relationships outside of the group. Over time, the men have become quite open and supportive in this accepting and non-judgmental environment.</p>
<p>John, one of the original members, age 42, owns a small company, and has been married for 16 years. His primary complaint was the volatile relationship with his wife (loud arguments, often followed by distance and avoidance). John used to complain that she nagged incessantly, she spent too much money, and he said they had a lousy sex life. He was quite angry with her and thought about having an affair. He also complained about the stress of owning a small business, and working longer and harder due to the economy. To cope, he would drink excessively at times. The men in the group like John – he jokes around with them, he is warm and affable, and has good insight at times. He is seen as a leader in the group. However, the men see how John avoids responsibility at times by blaming others or circumstances, and he often avoids dealing with his feelings and the problems in his life. John has made progress with the support of the men in the group, who have challenged him to look at his avoidance and his role in these problems. John is getting more clear about how he uses anger and blame to protect his underlying feelings of shame and fear (stemming from childhood wounds – an enmeshed mother and an absent, alcoholic father). John is now telling the group about improvements in the relationship with his wife – less emotional reactivity when she makes complaints, less fighting and distance, and he’s more responsive to her feelings and needs.</p>
<p><strong>Books</strong><strong> </strong><strong>and</strong><strong> </strong><strong>Articles</strong><strong> </strong><strong>About</strong><strong> </strong><strong>Men’s</strong><strong> </strong><strong>Issues:</strong><strong> </strong></p>
<ul>
<li><span style="text-decoration: underline;">The      Male Brain</span>, Souann Brizendine, M.D., 2010.</li>
<li><span style="text-decoration: underline;">A      New Psychology Of Men</span>, Ronald F. Levand &amp; William S. Pollack,      eds., 1995.</li>
<li><span style="text-decoration: underline;">Real      Boys</span>, William S. Pollack, 1998.</li>
<li><span style="text-decoration: underline;">I      Don’t Want To Talk About It</span>, Terrence      Real, 1997.</li>
<li><span style="text-decoration: underline;">Growing      Up Male, The Psychology of Masculinity</span>, B. Mark      Schoenberg, 1993.</li>
<li>“Lions      Without A Cause”, from <span style="text-decoration: underline;">Psychotherapy Networker</span>, Steven      Stosny, Ph.D., May/June, 2010.</li>
<li>“Shame-O-Phobia”,      from <span style="text-decoration: underline;">Psychotherapy Networker</span>, David      Wexler, May/June, 2010.</li>
<li><span style="text-decoration: underline;">When      Good Men Behave Badly</span>, David B. Wexler, Ph.D., 2004.</li>
<li><span style="text-decoration: underline;">Men      In Therapy</span>, David B. Wexler, 2009.</li>
</ul>
<p>© 2010, by Richard J. Loebl, LCSW, PA<!--:--></p>
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