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<channel>
	<title>Healing Together for Couples</title>
	<atom:link href="http://blogs.psychcentral.com/healing-together/feed/" rel="self" type="application/rss+xml" />
	<link>http://blogs.psychcentral.com/healing-together</link>
	<description>A blog about helping couples learn to communicate and heal</description>
	<lastBuildDate>Tue, 14 Feb 2012 18:51:15 +0000</lastBuildDate>
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		<title>Aging: Throw Out the Stereotype and Bring in the Potential</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/02/agingthrow-out-the-stereotype-and-bring-in-the-potential/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/02/agingthrow-out-the-stereotype-and-bring-in-the-potential/#comments</comments>
		<pubDate>Mon, 13 Feb 2012 05:33:16 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[Authentic happiness]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Ageism]]></category>
		<category><![CDATA[aging as the next frontier]]></category>
		<category><![CDATA[baby boomers]]></category>
		<category><![CDATA[Creativity]]></category>
		<category><![CDATA[creativity and aging]]></category>
		<category><![CDATA[Curiosity]]></category>
		<category><![CDATA[Don't Retire]]></category>
		<category><![CDATA[Gene Cohen]]></category>
		<category><![CDATA[jerk Sedlar]]></category>
		<category><![CDATA[Laura Paull]]></category>
		<category><![CDATA[medical advances alter aging]]></category>
		<category><![CDATA[negative age stereotype]]></category>
		<category><![CDATA[Rewire]]></category>
		<category><![CDATA[Rick Miners]]></category>
		<category><![CDATA[Smart women don't retire]]></category>
		<category><![CDATA[the arts and aging experiential age]]></category>
		<category><![CDATA[they break free]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2314</guid>
		<description><![CDATA[Our society is guilty of Ageism, the negative stereotype of aging adults based on the presumption of inevitable decline in intellect, memory, physical capacity, mobility, and sex drive. Depicted in media, greeting cards and jokes, it has been ingrained in the culture and reflected in the expectations of both young and old alike. Well beyond [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=happy+senior&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=54163372&amp;src=e7b80ba2a61583b3a9d85a4a002cfc26-1-49"><img src="http://blogs.psychcentral.com/healing-together/files/2012/02/seniorwoman_crpd.jpg" alt="happy senior" title="happy senior" width="190" height="238" class="alignleft size-full wp-image-2345" /></a>Our society is guilty of <a href="http://www.msnbc.msn.com/id/5868712/ns/health-aging/t/ageism-americ">Ageism</a>, the negative stereotype of aging adults based on the presumption of inevitable decline in intellect, memory, physical capacity, mobility, and sex drive. Depicted in media, greeting cards and jokes, it has been ingrained in the culture and reflected in the expectations of both young and old alike.</p>
<p>Well beyond the jokes and sitcoms, however, the downside is reflected in forced retirement, job discrimination and sub-standard care of the elderly, to mention only a few examples. On a personal basis it is reflected in a one-dimensional view of self that settles for stagnancy and decline and overlooks potential.</p>
<p>It is difficult to change a cultural perspective – but not impossible. There are increasing challenges to ageism worth embracing.</p>
<p><strong>Medical advances</strong> – As expert on aging, <a href="http://www.mc.uky.edu/aging/documents/handouts2011/Session18TheDancingHeart-Handout3.pdf">Gene Cohen</a> suggests, modern medicine now allows us to view negative body changes as modifiable age-associated problems – not destiny.  With the help of medications, cardiac interventions, orthopedic joint replacement etc., people proceed with their lives with a capacity they could not have known years ago.</p>
<ul>
<li>An 80 year old flew to Florida to be at a traditional super-bowl party – he was wearing a heart monitor.</li>
<li>A group of 64 year plus fraternity buddies are together on their yearly ski trip -with plenty of medication and a number of replaced body parts.<strong> </strong></li>
</ul>
<p><strong>Research- </strong>Pew Surveys<strong> </strong>not only find older adults reporting more happiness in their lives than in their middle years, but researchers like <a href="http://www.craigbickhardt.com/graymatters.html">Craig Bickhardt</a>, find that neurophysiologically there is an increased potential for positive change and enhanced creativity in the second half of life.<span id="more-2314"></span></p>
<ul>
<li>A retired dentist begins writing short stories.</li>
<li>A female real estate broker joins an art program and is startled by what emerges on her canvas and its impact on her life.</li>
<li> Two retired language teachers take a risk and develop a specialized “Theme” travel business to accompany small groups to exotic places. Their life together is enriched.</li>
</ul>
<p><strong>Strength and Diversity in Numbers</strong></p>
<ul>
<li>Expanded by the 77 million baby boomers, the senior age group of 65 and older is now for the first time, at the <a href="http://seniorjournal.com/SeniorStats.html">top of the census numbers</a>.</li>
<li>As such it is not only the largest group in the population, it is a group with diverse strengths. It includes members of the <a href="http://wikipedia.org/wiki/Greatest_Generation">Greatest Generation</a> who have proven that they will do anything and their children the Baby Boomers who insist on doing everything.</li>
<li>Both exert a positive momentum, the older group <a href="http://pewresearch.org/pubs/1269/aging-survey-expectations-versus-reality">reports feeling satisfied with the lives</a> they have lived and appreciative of what life offers. The baby boomers, <a href="http://www.huffingtonpost.com/2011/11/25/baby-boomers-aging_n_1106529.html">worried about aging, have begun to re-define it</a>, to consider expanding the positive potential in aging.</li>
<li>They speak of <a href="http://www.amazon.com/Dont-Retire-REWIRE-Jeri-Sedlar/dp/1592576893/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1329105550&amp;sr=1-1">rewiring instead of retiring</a>, of new chapters, of renewed marriages or new marriages, of “their turn,” of redefined self, of <a href="http://www.amazon.com/Smart-Women-Retire-Break-ebook/dp/B001AD8IA0/ref=tmm_kin_title_0?ie=UT">breaking free</a> from working full time to living full time.</li>
</ul>
<p><strong> </strong><strong>How Does an Individual Maximize Aging Potential?</strong></p>
<p><strong></strong>Positive aging, like happiness, is a multidimensional concept. It invites us to use all we have been physically, psychologically, cognitively, socially and spiritually while we pursue all that we still can be.  It is facilitated by a flexibility of perspective, curiosity, creativity and connection.</p>
<p><strong>Flexibility of Perspective</strong></p>
<ul>
<li>Much as it is limiting to deny the reality of aging, it is as limiting to deny, “feeling young” &#8211; (Most <a href="http://pewresearch.org/pubs/1269/aging-survey-expectations-versus-reality">pew survey respondents</a> from ages 50 years and up report feeling 10 years younger &#8211; Those 65 plus feel 20 years younger).</li>
<li>In this regard it worth embracing the concept of <a href="http://polyproject.wikispaces.com/experiential+agexperiential%20age"><em>experiential age</em></a> as a way of defining self. It invites you to be many ages during any given period of your life – young enough to take on physical challenges, old enough to give advice about business, ageless enough to fall in love. It broadens sense of self to respond on a multiplicity of levels – not just on the linear plane of “years lived.”</li>
</ul>
<p><strong>Curiosity</strong></p>
<ul>
<li>Part of resisting aging has to do with the fear of the unknown laden with the negative stereotypes of the culture. It is what makes many people just stop moving forward-life just pushes them. It makes others try to live in the past or through others at a great cost to vitality and happiness.</li>
<li>The safest place to be when you are entering a new phase, place, life chapter or relationship is <em><strong>curious</strong></em>. It allows you to go forward with people, places, and things with permission to psychologically “try it on.”  There is nothing to lose and everything to gain. When you are motivated by curiosity you often end up in chapters you could never have imaged – a great example of positive aging potential.</li>
</ul>
<p><strong>Creativity</strong></p>
<ul>
<li>There is growing evidence that <a href="http://www.naswvt.org/PracticePerspecitveFall11.3.pdf">engagement in the creative arts</a> is an invaluable component to expanding biopsychosocial well being. Be it art, music, poetry, drama, or dance, there is something of a fit between the aging brain and the involvement in creative endeavors.</li>
<li>Given that <a href="http://www.scientificamerican.com/article.cfm?id=an-easy-way-to-increase-c">distance facilitates creativit</a>y – one wonders if a lifetime of pursuing more functional endeavors brings aging adults to the arts with an open and different perspective than they might have had earlier.</li>
<li>The fact that so many people put down their early interest in the arts to pursue those things that the world feels they need to do to “ make a living,” one wonders if the freedom of later years is also a time to reunite with an artistic self that was put on hold.</li>
<li> It is telling that some say in later years imagination out trumps memory.</li>
<li>Beyond the arts, the <a href="http://www.csun.edu/~vcpsy00h/creativity/define.htm">concept of creativity</a> as the tendency to generate or recognize ideas, alternatives, or possibilities that may be useful in solving problems, communicating with others, and entertaining ourselves  is extremely important in positive aging. <strong>In some ways creativity is the fuel for aging potential.</strong></li>
</ul>
<p><strong> </strong><strong>Connection</strong></p>
<ul>
<li>Connection is a vital part of positive aging. One of the entitlements of this time of life is the freedom to love and benefit from any and all connections be they the romantic love of a partner, the passion for one’s art, nature, the love of friends, pets, grandchildren, a higher power.</li>
<li>To bear witness to such passion in groups, writings, or shared art, adds a social component that furthers the connection.</li>
<li>Romance is a gift in life.  Some have it with a partner for a lifetime. As such, some find that the creativity to express love in the face of changes from aging make it that much more special and appreciated. Far from bemoaning the “ empty nest” many baby boomers lock the door and finally enjoy being alone.</li>
<li>Sometimes new unexpected romantic love is sought and found in midlife or later years and it reflects unexpected glimpses of self as well as comparisons of past loves and earlier life experiences. If it gives to you, if it allows you to give, then it offers potential and enrichment.</li>
<li>Rarely will the positive love of a new partner at any age jeopardize the love we have felt for others. Because we are all of what we have loved – new experiences stimulate, add to our memories, enhance our understanding, and invite us to enjoy where we are in life.</li>
</ul>
<p align="center"><strong>You are never too old to set another goal  or to dream a new dream.</strong></p>
<p align="center"> <em>Les Brown </em></p>
<p>&nbsp;</p>
<p><strong><em><a href="http://www.blogtalkradio.com/realwomenonhealth/2012/02/15/creativity-and-love-whats-age-got-to-do-">Listen in and call in</a> on Wednesday, February 15, 2012 at 12:30PM ET  when I will join Kelley Connors and her guests on Women on Health blogtalkrdio to discuss  Creativity and Love: What&#8217;s Age Got to Do With It?</em></strong></p>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&#038;search_source=search_form&#038;version=llv1&#038;anyorall=all&#038;safesearch=1&#038;searchterm=happy+senior&#038;search_group=&#038;orient=&#038;search_cat=&#038;searchtermx=&#038;photographer_name=&#038;people_gender=&#038;people_age=&#038;people_ethnicity=&#038;people_number=&#038;commercial_ok=&#038;color=&#038;show_color_wheel=1#id=54163372&#038;src=e7b80ba2a61583b3a9d85a4a002cfc26-1-49">Happy senior woman photo </a>available from Shutterstock.</small></p>

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		<item>
		<title>Why Can&#8217;t We Speak About Rape? Finding a Voice</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/02/why-cant-we-speak-about-rape-finding-a-voice/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/02/why-cant-we-speak-about-rape-finding-a-voice/#comments</comments>
		<pubDate>Thu, 09 Feb 2012 19:24:59 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Trauma]]></category>
		<category><![CDATA[Aphrodite Matsakis]]></category>
		<category><![CDATA[Callie Rennison]]></category>
		<category><![CDATA[date rape]]></category>
		<category><![CDATA[Gender bias and rape]]></category>
		<category><![CDATA[legal re-victimization]]></category>
		<category><![CDATA[media hype and rape]]></category>
		<category><![CDATA[men and rape]]></category>
		<category><![CDATA[new definitions of rape Jane Brody]]></category>
		<category><![CDATA[partner rape]]></category>
		<category><![CDATA[Rape]]></category>
		<category><![CDATA[rape support centers]]></category>
		<category><![CDATA[Roni Rabin]]></category>
		<category><![CDATA[Sarah Ullman]]></category>
		<category><![CDATA[Sexual Assault]]></category>
		<category><![CDATA[the Rape Recovery Handbook]]></category>
		<category><![CDATA[victims of rape]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2277</guid>
		<description><![CDATA[According to a telephone survey of a nationally representative sample of 16,507 adults, nearly one in five women has been a victim of rape or attempted rape and one in 71 men reports having been raped or the target of attempted rape. As alarming as these statistics may be, they greatly under-represent the numbers who [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=rape&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=934914&amp;src=1e311c12f532084c65b64aac8241a596-1-27"><img class="alignleft size-full wp-image-2296" title="rape victim" src="http://blogs.psychcentral.com/healing-together/files/2012/02/rape_crpd.jpg" alt="rape victim" width="190" height="252" /></a>According to a telephone <a href="http://www.nytimes.com/2011/12/15/health/nearly-1-in-5-women-in-us-survey-report-sexual-assault.html">survey</a> of a nationally representative sample of 16,507 adults, nearly one in five women has been a victim of rape or attempted rape and one in 71 men reports having been raped or the target of attempted rape.</p>
<p>As alarming as these statistics may be, they greatly under-represent the numbers who have suffered. Men and boys tend not to report being raped and women rarely report rape by a partner or acquaintance. Sadly, ¾ of all rapes are committed by a known person who is never held accountable.</p>
<p><strong>The Silence About Rape is Dangerously Loud!</strong></p>
<p><strong></strong>The silence about rape reflects the nature of the crime and both the victim and society’s reaction and interaction in response to it.</p>
<p><strong>The Impact of Rape on the Victim</strong></p>
<p>Rape is a violent crime. It brutally assaults the victim’s core self and the physical, psychological, neurological, and cognitive systems that integrate functioning.</p>
<p>In the immediate aftermath, rape is often experienced as an annihilation of the ownership of self &#8212; a loss of the self’s ability to act, to make meaning or register what is happening, to remember. Feelings are overwhelming or numbed. Narrative is destroyed. There are no words for what is too horrific to comprehend.</p>
<p>Rape survivor, Nancy Raine in her book, <em><a href="http://www.amazon.com/After-Silence-Rape-Journey-Back/product-reviews/0609804197">After Silence: Rape and My Journey Back</a></em>, describes:<span id="more-2277"></span></p>
<p><em>“The instant I was free the seed of terror that had been planted in those hours burst open…”</em></p>
<p><em>“Words had no referents and no beauty of their own. Memories were drained of meaning because the person who had them no longer existed.”</em></p>
<p><em>“What would a hug mean to someone whose body no longer felt as if it belongs to her?”</em></p>
<ul>
<li>So often in the aftermath of catastrophic trauma, the victim feels shame and blame. This is exacerbated for the rape victim. Having experienced sexual violation and exposure, there is enormous shame, self-doubt and misconstrued self- blame.</li>
<li>The thought of reporting the rape or disclosing the details of the assault is underscored with fear of reliving the nightmare, of further exposure, personal or family embarrassment, of reprisals and disbelief.</li>
<li>In the best of situations a rape victim finds the courage to call a friend or family member or the National Sexual Assault Hotline (1-800-656-HOPE) to <a href="http://www.nytimes.com/2011/12/20/health/supportive-steps-to-take-after-a-sexual-assault.html?_">get help</a>, to find a Rape Crisis Center or emergency room within 24 hours, to receive medical care, counseling, and help with gathering forensic evidence- whether or not she/he ever chooses to pursue legal action.</li>
</ul>
<p><strong>Society’s Reaction To Rape</strong></p>
<p>Society both <a href="http://www.amazon.com/Talking-about-Sexual-Assault-Psychology/dp/1433807416/ref=sr_1_1?ie=UTF8&amp;qid=">acknowledges and denies rape</a>. Rape threatens social mores and demands empathy with victims.  Accordingly, rape is a crime but it is one that has been obscured by legal definition, stereotype, gender bias and media hype in a way that too often silences victims or confirms their worst fears of blame and re-victimization.</p>
<p><strong>Definition of Rape</strong></p>
<p>Recently the federal government expanded  “the rape stereotype” &#8212; <a href="http://www.nytimes.com/2012/01/07/us/politics/federal-crime-statistics-to-expand-rape-definition.html">the definition of rape</a> as including only assaults against women and girls committed by men under a narrow set of circumstances.</p>
<p>The <a href="http://www.nytimes.com/2012/01/07/us/politics/federal-crime-statistics-to-expand-rape-definition.html">new definition of rape</a> includes, among other things, forcible oral or anal penetration. It includes men as victims of rape and recognizes as rape &#8211; nonconsensual sex that does not involve physical force, like the rape of people who are unable to grant consent because they are drugged, very drunk or younger than the age of statutory consent in their state.</p>
<p>This re-definition is a crucial step but it will take some time for the culture ( including the victims) to look beyond the narrow stereotype.</p>
<ul>
<li><a href="http://www.nytimes.com/2011/12/13/health/the-twice-victimized-of-sexual-assault.html">Callie Rennison</a>, a criminologist notes, <em>&#8220;Rape is the only crime in which victims have to explain that they didn&#8217;t want to be victimized.&#8221;</em></li>
<li><a href="http://www.nytimes.com/2011/12/20/health/supportive-steps-to-take-after-a-sexual-assault.html?_">Juries </a>continue to look for an injury as evidence that sex was not consensual, although, rape experts report that there are injuries in fewer than half the attacks.</li>
<li>The public distances itself from its own fear of sexual violence by discrediting the victim, or blaming them for putting themselves in dangerous or vulnerable situations.</li>
</ul>
<p><em>“What was she wearing?”</em></p>
<p><em>“Why would she take a cab home alone?”</em></p>
<p><em>“He is part of the gay cruising culture.”</em></p>
<p><em> </em>Influenced by this, most victims blame themselves and <a href="http://www.amazon.com/Talking-about-Sexual-Assault-Psychology/dp/1433807416/ref=sr_1_1?ie=UTF8&amp;qid=">overlook the legitimacy of having been raped</a> particularly if they have been drinking; using drugs or were raped by a partner or acquaintance.</p>
<p>Given that <a href="http://www.nytimes.com/2011/12/15/health/nearly-1-in-5-women-in-us-survey-report-sexual-assault.html">half of female rape victims </a>have been raped by an intimate partner or an acquaintance and <a href="http://www.nytimes.com/2011/12/15/health/nearly-1-in-5-women-in-us-survey-report-sexual-assault.html">more than half of male victims</a> report that the assailant was an acquaintance- questioning the legitimacy of their assault is tragic.</p>
<ul>
<li><em>“ I never told anyone – I just stopped dating.” </em></li>
<li><em>“ I never called the police – I thought they wouldn’t believe me because I had been involved with him.”</em></li>
<li><em>“ I woke up in my own apartment- I was bleeding, I was disoriented – how did I let this happen?”</em></li>
</ul>
<p><em></em>As discussed in <a href="http://www.amazon.com/Rape-Recovery-Handbook-Step---Step/dp/1572243376/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1328324888&amp;sr=1-1"><em>The Rape Recovery Handbook, </em></a> programs like <a href="http://www.justyellfire.com/?gclid=CPfjrJS6ka4CFUFN4AodxCYegQ">&#8220;Just Yell Fire,&#8221;</a> and <a href="http://www.dealingwithrape.com/">websites</a> dealing with rape, we need to fight the  self-doubt and stunned silence. We need to communicate as a society that <strong>nothing justifies rape!</strong></p>
<p><strong>Gender Bias</strong></p>
<p>Until <a href="http://www.malesurvivor.org/default.html">recently</a> the only role for men in the rape stereotype was as the perpetrator. With the expansion of the definition of rape, however, there is finally recognition of rape as a crime also committed against men.</p>
<p>The problem for the male victim in speaking out is that he is still subject to a cultural bias, which expects him to be strong, virile, and capable of protecting himself.  According to social expectations, he may not be the perpetrator but he can’t be a victim. Accordingly, shame, disdain and self-blame compromise disclosing even more.  <strong>Who can bear witness? Who would understand?</strong></p>
<p>In my experience with male rape victims and men who have been sexually assaulted as children, I have found that few have ever revealed their suffering to anyone over the years. Often they have carried the hazy memory and body memories of the abuse into adulthood with great confusion and secrecy. Often their pain was silenced by alcohol or drugs.</p>
<p>It is the point at which they <a href="http://www.malesurvivor.org/default.html">seek help</a>, disclose to a spouse, find a <a href="http://www.rainn.org/">self-help group of other males </a>who have been sexually abused – that clarity and meaning emerge. They find a voice and a lost self.</p>
<p><strong>The Media Hype</strong></p>
<p><a href="http://www.amazon.com/Talking-about-Sexual-Assault-Psychology/dp/1433807416/ref=sr_1_1?ie=UTF8&amp;qid=">Less than 40%</a> of any rape cases are reported. The few that are carried by the media tend to involve high profile cases where the accused is a male in a position of respect or esteem -a politician, sports figure, a celebrity- and the accuser is a female of lesser status. The problem with the media hype usually attached to this configuration is that it confuses the public and obscures the serious nature of rape as crime.</p>
<p><strong><em>How could a great athlete be a rapist? </em></strong></p>
<p><strong><em>How credible is an unemployed female victim? </em></strong></p>
<p>The question of whether the man is guilty or the woman is fraudulent becomes overladen with gender, socio-economic, racial and even political issues. The drama makes it less likely that a rape victim will speak out or that the public will take rape cases seriously.</p>
<p><strong>How Do We Find a Voice – Break the Silence?</strong></p>
<p><strong></strong>Probably the most important step toward finding a voice is for the victim of rape to redefine self as a “ Survivor.”  The victim was raped – the survivor lives on.</p>
<p>Disclosure of an unspeakable event is beyond what many can do in the immediate aftermath of rape but that need not preclude reaching for help. Often it is in that step towards help that a small re-ordering of life begins.</p>
<p>Many survivors tell different aspects of their story in different ways to certain people over the course of many years until they finally find their strongest voice.</p>
<ul>
<li>It was 16 years before one woman went public with the events of her rape and resulting pregnancy in a <a href="http://www.peacepathfoundation.org/the-trip/the-trip-that-changed-my-life.html">published story</a>. It was the first time her mother learned what had happened to her.</li>
<li>Another woman did not speak about being raped until she faced the traumatic loss of her partner which rekindled devastation and despair &#8211; in the healing for the loss of her husband she reached back to recapture and heal an earlier self.</li>
<li>A recent <a href="http://www.nytimes.com/2012/01/24/health/as-victims-men-struggle-for-rape-awareness.html">New York Times article </a>reports on a man who is finally speaking out after 38 years. He had been raped at 14 by a driver who picked him up after hockey practice.</li>
</ul>
<p>We may understand why we can’t speak about rape, but we know that to heal we need in some way to find a voice &#8211; be it through what we say, what others say, what we write, what we draw, who we listen to. We need to bear witness to what has happened and to celebrate a self that can survive.</p>
<p><em> </em><em>A young woman who was brutally raped testified in court last week. Courageously she stepped into the legal system with the hope of seeing justice served. She was terrified. She worked with her therapist, her lawyer, and with DNA evidence that identified other victims. She stayed in touch with her mother but wanted to go to court alone…Yesterday she called her mother. She was crying tears of relief … the verdict was guilty. The sentence was over 20 years…. For her and for so many other rape victims<strong> &#8212; her voice had been heard.</strong></em></p>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=rape&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=934914&amp;src=1e311c12f532084c65b64aac8241a596-1-27">Rape victim photo </a>available from Shutterstock.</small></p>

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		<title>Should I End My Relationship? Important Considerations</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/01/should-i-end-my-relationship-important-considerations/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/01/should-i-end-my-relationship-important-considerations/#comments</comments>
		<pubDate>Sat, 28 Jan 2012 22:26:16 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[affair]]></category>
		<category><![CDATA[affirmation of partner]]></category>
		<category><![CDATA[Authentic happiness]]></category>
		<category><![CDATA[couple]]></category>
		<category><![CDATA[couple disagreements]]></category>
		<category><![CDATA[couple fighting]]></category>
		<category><![CDATA[Couples]]></category>
		<category><![CDATA[Couples & Relationships]]></category>
		<category><![CDATA[Fidelity]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Happiness]]></category>
		<category><![CDATA[marriage]]></category>
		<category><![CDATA[mistrust]]></category>
		<category><![CDATA[monogomy]]></category>
		<category><![CDATA[partners]]></category>
		<category><![CDATA[reclaiming sexual desire]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Sexuality & Intimacy]]></category>
		<category><![CDATA[verification of partner]]></category>
		<category><![CDATA[co-dependency]]></category>
		<category><![CDATA[Couple Communication]]></category>
		<category><![CDATA[divorce]]></category>
		<category><![CDATA[Everybody Marries The Wrong Person]]></category>
		<category><![CDATA[gas lighting]]></category>
		<category><![CDATA[incompatibility]]></category>
		<category><![CDATA[infidelity]]></category>
		<category><![CDATA[intimacy]]></category>
		<category><![CDATA[physical abuse]]></category>
		<category><![CDATA[psychological abuse]]></category>
		<category><![CDATA[reasons for divorce]]></category>
		<category><![CDATA[relationship addiction]]></category>
		<category><![CDATA[Relationship break-up]]></category>
		<category><![CDATA[sexless marriages]]></category>
		<category><![CDATA[symbolic violence]]></category>
		<category><![CDATA[trust]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2259</guid>
		<description><![CDATA[The question of whether to end a relationship, be it a 20 year marriage or a 5 year commitment, is a painful and complicated one. It is a question that often implies loss, fear of judgment, sense of failure, self-blame as well as glimmers of hope and change.  At times we avoid this question, we [...]]]></description>
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<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=angry+couple&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=51737623&amp;src=e28269dbbe31f0e9073cdc6c2647b2da-1-3"><img class="alignleft size-full wp-image-2274" title="angry couple" src="http://blogs.psychcentral.com/healing-together/files/2012/01/angrycouple_crpd.jpg" alt="angry couple" width="190" height="224" /></a>The question of whether to end a relationship, be it a 20 year marriage or a 5 year commitment, is a painful and complicated one. It is a question that often implies loss, fear of judgment, sense of failure, self-blame as well as glimmers of hope and change.  At times we avoid this question, we ask others to answer it, we act on it impulsively, we never stop asking it or we recognize we have no choice – we have to ask it of ourselves.</p>
<p><strong>Here are some issues and underlying questions that you may find helpful as you consider this life decision.</strong></p>
<p><strong></strong><strong>The Importance of Knowing Why You Want to Leave</strong></p>
<p>If you are thinking of leaving a relationship, it is important that you know why. Understanding your past and present informs the decisions you make for your future. No matter what the circumstances of the relationship you are ending, understanding it offers something valuable for you to know about you.</p>
<ul>
<li><em>How did the relationship go from awesome to awful?</em></li>
<li><em>Why couldn’t you change him/ her – why did you think you could? </em></li>
<li><em>What made the good times so good? What made the bad times so bad?</em></li>
<li><em>What part did you play in the loss of hope in this relationship?</em></li>
</ul>
<p><strong> </strong><strong>The Importance of Your Partner’s Knowing Why</strong></p>
<p>Except in those cases where interaction and discussion could be dangerous, it is important for your partner to know why you are thinking of ending this relationship. The very thought of this may make you want to scream, <strong>“How could she/he not know?”  </strong>The reality is that a painful familiar relationship is often preferable to change or the fear of being alone. Denial can be a powerful and long standing survival strategy. It makes communication crucial.<span id="more-2259"></span></p>
<ul>
<li>In some cases, informing the partner offers the possibility of understanding what happened – the part that both played in a relationship that no longer works.</li>
<li>At times, informing the partner gives voice to your entitlement to live a healthier and happier life even if the other still refuses to listen.</li>
<li>Sometimes the other’s expressed pain feels like it disqualifies your question of going. If the expressed pain stirs some mutual understanding and atutnement, it may offer potential. If it stirs only guilt, resentment or pity – no one benefits.</li>
<li>Sometimes informing the other offers the possibility that your partner may finally realize the gravity of what you are saying and ask for the option to try to work things out. Sometimes it actually works.</li>
</ul>
<p><strong>Eight Questions Worth Asking and Answering</strong></p>
<p><strong>1. Are You Safe?</strong></p>
<p><strong>Physical Abuse</strong></p>
<ul>
<li>It goes without saying that if you are in a relationship that involves physical abuse, mistreatment or threats to your life or that of your loved ones- you are not safe.</li>
<li>While it may seem obvious, we understand that in situations of domestic violence a you can often be frozen in place, can mistake relief from pain as happiness or can easily be fooled by the “ bait and switch” of apologies or promises to change to keep you only to have things go back to abuse when you stay.</li>
<li>If a situation is dangerous, you may need professional guidance, legal help and a safe place to go to help you leave.</li>
</ul>
<p><strong>Psychological Abuse </strong></p>
<ul>
<li>Being clear about the need to leave a psychologically abusive relationship is difficult because the impact of psychological abuse is self-doubt, isolation, low self-esteem, confusion and even concern for the abusive partner who “can’t live without you.”</li>
<li>Research suggests that what makes  <a href=" http://bristol.academia.edu/KarenMorgan/Papers/326584/Id_rather_youd_lay_me_on_the_floor_and_start_kicking_me_Understanding_symbolic_violence_in_everyday_life ">symbolic violence</a>” so dangerous is that it is insidious and invisible. In an atmosphere of chronic criticism about outside friends, veiled threats, disdain, and projected blame, a person becomes worn down, compliant and guilty. They spend time apologizing or trying to be perfect because they lose their perspective.</li>
<li>Referred to by some as “ <a href="http:/http://www.huffingtonpost.com/yashar-hedayat/a-message-to-women-from-a_1_b_958859.html">Gaslighting</a>,” psychological abuse is often intended to make the partner think he/she is crazy, over-reactive, or controlling.</li>
<li>Often it is not until a person leaves that they realize that they have been abused.<strong></strong></li>
</ul>
<p><strong> 2.</strong> <strong>Are You Personally Happy?</strong></p>
<p>Because people often report wanting to leave a relationship because they are “ unhappy,” it is worth recognizing that no partner can be responsible for your total happiness.  <a href="http:/http://www.amazon.com/How-Happiness-Approach-Getting-Life/dp/0143114956/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1327716595&amp;sr=1-1">Research</a> suggests that at least 40% of our happiness comes from our own intentional pursuits of life choices and goals.</p>
<ul>
<li>Are you sure that the problems you are experiencing as marriage or relationship problems are not projections of your own personal discontent, lack of life purpose, boredom insecurity, health, friendship or financial disappointments?</li>
<li>Do you find that your relationship actually dampens the happiness you do generate on your own?</li>
<li>Do you find that even when you try to bridge the happiness you have found at work, in recreation, with friends by telling your partner about it or even inviting participation, there is little interest shown or a critique that “brings you down?”</li>
<li>A relationship should not deplete you of the personal happiness you generate.</li>
</ul>
<p><strong>3. How Realistic Are Your Expectations?</strong></p>
<p>It is realistic to expect that there will be love, respect and a sense of mutual concern in a committed relationship. That said – How much do you really expect of your partner and how much does your partner expect from you?</p>
<p>In an interesting book perfectly titled, <em><a href="http:/http://www.amazon.com/Everybody-Marries-Wrong-Person-Disenchantment/dp/0882823191/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1327543653&amp;sr=1-1">Everybody Marries the Wrong Person</a></em>, the author captures the tendency to start out by idealizing and expecting perfection from our partners only to find out that they are far from perfect and actually don’t meet all our expectations.</p>
<p>The question is whether there is enough recognition to accept what is wonderful and a willingness to accept what is not.</p>
<ul>
<li><em>What if she earns a great income but is a very messy person?</em></li>
<li><em>What if he is a great Dad but is very uncomfortable with socializing?</em></li>
</ul>
<p><strong>4. Do You Trust This Person?</strong><em></em></p>
<ul>
<li>Is this person your confidante – you can tell him/her those things you might not tell anyone else?</li>
<li>Can you be your messy, unhappy, tired, rude, unconventional self with this person and still know you are loved?</li>
<li>Would you trust this person to care for you if you were hurt or ill?</li>
<li>Can you safely know that you can tell this person about your mistakes as well as your secret dreams?</li>
<li>Do you trust that this person is faithful to you as an intimate partner – do you have the same values about fidelity?</li>
<li>Do you trust this person to forgive you – do you trust yourself to forgive this person?</li>
</ul>
<p><strong>5.</strong> <strong>Do your Need This Relationship or Do You Want It?</strong></p>
<p>Most marriages involve love and need. Most also strike an important balance between being two independent people who also depend on each other. Is that balance off?</p>
<ul>
<li>Loving someone and being in a relationship by choice takes the edge off the small stuff. <em>So he likes motorcycles? </em><em>So she loves lots of pets?</em></li>
<li>If you need your partner for safety, self-esteem, money, or status more than you like or love them – you may feel the need to change them. Your discontent may be very high because you feel you have no options – <em>you have to stay</em>.</li>
<li>Is your <a href="http:/http://www.huffingtonpost.com/suzanne-b-phillips-psyd/relationship-addiction_b_807087.html">relationship an addiction</a>? Are you desperately “keeping another” to hold on to a sense of yourself at any cost and in the face of increasing negative physical and psychological consequences?</li>
<li>On the other hand, is your partner so dependent on you that there is no separate space, no permission to be with separate friends, no room to have a different thought, opinion or interest? Is excessive dependence smothering the loving?</li>
</ul>
<p><strong>6. Is Intimacy Possible in This Relationship?</strong></p>
<p>What solidifies a relationship and connects partners in a way that makes their connection special is the intimacy they share. If there is no longer a wish to be affectionate, to laugh like insiders, to feel close, to be intimate even in the broadest <a href="http://blogs.psychcentral.com/healing-together/2011/09/sexless-marriages-a-closer-look/">non-sexual terms</a> and/ or no interest on the part of your partner to be intimate or reclaim it– the relationship is without the emotional net that makes life together emotional nurturing.</p>
<p><strong>7.</strong> <strong>Is This Relationship More Work than Wonderful Connection?</strong></p>
<p>People often ask if their relationship should be so much work. They despair that no matter what they or their partner do there is no feeling of harmony, mutuality, easy discourse or recovery from disagreements.</p>
<p>While most people need to work at a good relationship, a good relationship never takes from either partner more than it gives.</p>
<ul>
<li>It is emotionally draining if contention, disagreement, inability to negotiate and unhappiness are the norm more than 70% of the time.</li>
<li>It is tragic if the partners suffer the reality of being very poorly matched in important spheres of their lives.<em>  </em><em> Her delight to be in nature and live in the country is his horror.  </em><em>His wish for children is nothing she can understand</em>.</li>
<li> It is a problem if a partner is starting to feel “ I don’t like who I am becoming in this relationship.”</li>
<li>It is difficult if the positives no longer balance out the negatives.</li>
<li>It is a loss when there is little memory or desire to remember what once was good.</li>
<li>It is tragic if one or both partners refuse to seek outside help.</li>
</ul>
<p><strong>8. What Does Love Have To Do With it? Everything and Nothing</strong></p>
<ul>
<li>Most people enter into a marriage or a committed relationship because they feel love for and love from their partner. However they define it, <strong><em>love is the ingredient that makes them want to share their lives together</em></strong>. It is the ingredient that keeps them trying, seeking help, believing and making it through even at the most difficult times.</li>
<li>Unfortunately there are times when there is love…. but despite exhausting all means of repair there is a degree of violence, pain, disdain, betrayal, conflicted values, incompatible life choices for which…<strong><em>love just isn’t enough</em></strong>.</li>
</ul>
<div style="text-align: center;"> <strong>Life is Complicated.  Whether we stay or leave, no decision that involves our connection with another person is without pain and promise &#8211; That&#8217;s what makes us human.</strong></div>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=angry+couple&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=51737623&amp;src=e28269dbbe31f0e9073cdc6c2647b2da-1-3">Angry couple photo </a>available from Shutterstock.</small></p>

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		<title>Regulating Your Stress When It Is &#8216;Over The Top&#8217;</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/01/regulating-your-stress-when-it-is-over-the-top/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/01/regulating-your-stress-when-it-is-over-the-top/#comments</comments>
		<pubDate>Thu, 19 Jan 2012 08:08:35 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[Anger]]></category>
		<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[American Psychological Association Stress Study]]></category>
		<category><![CDATA[emotional indicators of stress]]></category>
		<category><![CDATA[excessive stress]]></category>
		<category><![CDATA[good anxiety]]></category>
		<category><![CDATA[good stress]]></category>
		<category><![CDATA[moderate stress]]></category>
		<category><![CDATA[physical indicators of stress]]></category>
		<category><![CDATA[regulating stress]]></category>
		<category><![CDATA[stress hormones]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2240</guid>
		<description><![CDATA[Knowing how much I love the warm weather and the beach, a friend recently asked if I wished I could I re-locate to one of those Caribbean Islands. Without blinking, the first words that came out of my mouth were, “No, not enough stress.”  WHAT? Well, what I was thinking about was the adrenaline rush [...]]]></description>
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<p><a href="http://blogs.psychcentral.com/healing-together/files/2012/01/pot-spilling-over2.jpg"><img class="alignleft size-full wp-image-2254" title="pot spilling over" src="http://blogs.psychcentral.com/healing-together/files/2012/01/pot-spilling-over2.jpg" alt="" width="192" height="192" /></a>Knowing how much I love the warm weather and the beach, a friend recently asked if I wished I could I re-locate to one of those Caribbean Islands. Without blinking, the first words that came out of my mouth were, “No, not enough stress.”  WHAT?</p>
<p>Well, what I was thinking about was the adrenaline rush that makes life interesting – you know, the race to make the express train, the challenge of the new case, the arrival of last minute guests, the negotiations of pets and people over the holidays…</p>
<p>I wasn’t factoring in the anxious ruminations that keep us up at night, the pressured multitasking that results in lost car keys and misplaced cell phones, or the distracted thinking that equates to missed bill payments, migraines, and fender benders…. stress that spills ‘over the top.’<span id="more-2240"></span></p>
<p><strong>Good Stress</strong></p>
<p><a href="http:/http://www.msnbc.msn.com/id/15818153/ns/health-mental_health/t/can-stress-actually-be-good-you  ">Experts</a> would say, that this is the difference between moderate or “good stress” and excessive stress. We need what moderate stress offers us. That is, when the brain perceives physical or psychological stress, it starts pumping the chemicals cortisol, epinephrine (adrenaline) and norepinephrine into the body. The result is that the heart beats faster, blood pressure increases, senses sharpen, and a rise in blood glucose invigorates us. In this regard, psychiatrist, Dr. Lynne Tan, describes stress as a “ burst of energy&#8221; &#8211; the way in which our body tells us what we need to do. According to her and other experts, moderate amounts of stress help us perform tasks more efficiently, improve memory, heart function, and even improve resistance to infection.</p>
<p>The message is that much as we need “ good” anxiety to alert our fight/flight response to danger, a moderate degree of stress exerts pressure that stimulates and helps us.</p>
<p><strong>Excessive Stress</strong></p>
<p>The problem is that ours is a culture dealing with much more than “good stress.”  The American Psychological Association&#8217;s 2007 <a href="http:/http://www.apa.org/helpcenter/stress-tips.aspx">&#8220;Stress in America&#8221;</a> poll found that one-third of people in the U.S. report experiencing extreme levels of stress. In addition, nearly one-in-five people report experiencing high levels of stress 15 or more days per month.</p>
<p>Unlike good or moderated stress, high levels of stress put us at physical and emotional risk.  When such stress persists over long periods of time, it has been found to be associated with high blood pressure, compromised immune system, depression, heart disease and asthma.</p>
<p><strong>How Can we Manage and Moderate Excessive Stress?</strong></p>
<p>There has been considerable attention in the media and in professional consultation on the use of Stress Reducing Strategies to buffer the impact of stress physically and psychologically.  The use of exercise, meditation, creative pursuits, music, hobbies, spirituality, social connections and volunteering are crucial life dimensions to stress reduction. We need them but we may need something more.</p>
<p><strong>“Picture a Pot on the Stove”</strong></p>
<p>Adapted from a strategy for understanding <a href="http:/http://www.impactfactory.com/gate/registered/managing_stress_presure_skills_training_development/r">workplace stress</a>, here is a way of conceptualizing stress that puts into perspective those internal and external factors that play a role in our experience and regulation of good and excessive stress.</p>
<p>Picture a pot on a stove.</p>
<ul>
<li>Inside the pot are the factors in your life – personal, family, work, financial, social, medical, recreational, etc.</li>
<li>We all have different amounts of these factors in our pot and for life to happen, we have to provide the heat, the energy (i.e. the stress, pressure, impetus) that heats the pot and makes it “ cook.”</li>
<li>Regulating our stress means we are providing enough adrenaline to get things cooking productively without “spilling over the top.”</li>
<li>Stress Reducers are an invaluable way to regulate the heat so that even if some extra things are thrown in (a new baby, a change in job, a divorce) – nothing is going over. Life goes on cooking!</li>
</ul>
<p><strong>“Over The Top”</strong></p>
<p>There are two primary reasons that your life pot boils over.</p>
<ol>
<li> The first reason is that too much has been put into the pot and there is no more room. Regardless of your stress regulators (i.e. even when you bring down the heat by exercise or singing) that pot is boiling over.</li>
</ol>
<p>In the face of a “full pot” where external demands like job pressure or family expectations contribute to the overflow, it is worth considering:</p>
<ul>
<li><em>Do I feel entitled to say “ NO” when I have reached a limit?</em></li>
<li><em>If I cannot say “ No” to a boss or family situation, am I able to re-prioritize such that I take some other things out of the pot?</em></li>
<li><em>Can I be creative about reducing the pot i.e.  car pool, work from home, hire a sitter, alter my timeline for deadlines?</em></li>
<li><em>Can I adjust my expectations such that my self-worth does not rest on being all, doing all and caring for all? </em></li>
<li><em>Can I define a reason for taking something out of the pot  (like postponing running for the school board, joining a competitive men’s soccer team, or going back to school full time in view of childcare needs) in a way that gives me a sense of control and choice?</em></li>
</ul>
<p>2.  The second reason for your pot to boil over is that the flame,“ your personal stress level” is so high that the pot (regardless of what is in it) heats up so  quickly that the “boil over” is inevitable. <em>This is the situation where the mere reminder of needing milk can incite a tirade of blame and accusation.</em></p>
<p>When feeling an excessive personal stress level, it is valuable to take a personal stress audit. Understanding the level of stress you are suffering facilitates management and reduction.</p>
<p><strong>A Personal Stress Audit</strong> is a way of looking closer at yourself physically, emotionally and behaviorally both in terms of causes of high stress level and reactions to high stress level.</p>
<p><strong>Physical:</strong></p>
<ul>
<li>Are you sleeping, eating and taking time out for rest and recreation?</li>
<li>Is there a medical, situational or post-traumatic response causing difficulties?</li>
<li>In somewhat of a vicious cycle, sleep deprivation, hunger and overwork lower our threshold and increase our reactivity to even moderate stress.</li>
<li>The increase of stress in turn leaves us with sleep problems, skin problems, unhealthy alcohol or drug solutions, eating and gastrointestinal disturbances.</li>
</ul>
<p><em></em><em>One man would show me the palms of his hands whenever I asked how things were going – he used the presence or absence of eczema as an indication of his stress level.</em></p>
<p>Based on what you observe about yourself, it is always effective to <strong>WORK FROM THE BODY OUT</strong>. Resetting the body rhythms in simple ways and if necessary with medical or professional consult is always a path to stress reduction.</p>
<p><em>For one woman joining a weight watchers group was the start to less bingeing, increased walking, better sleep and less stress.</em></p>
<p><em></em><em>For one man limiting alcohol intake to weekends meant he had more gym time and less stress and reactivity to work and family issues.</em></p>
<p><strong>Emotional:</strong></p>
<ul>
<li>Is there any medical condition (pregnancy, thyroid levels, menopause, high blood pressure etc.) that is increasing anxiety, irritability, depression, and driving up your reactivity to even moderate stress?</li>
<li>Are you accepting of your personal strengths and limitations such that you can have self-empathy instead of self-criticism for the stress you feel? Self-criticism adds to stress. Empathy entitles you to help.</li>
<li>Are you judging yourself by other’s standards in a way that puts you in a situation that is a mismatch to your personality and stress tolerance?</li>
</ul>
<p><em>People are different and they can handle different amounts of different things. For some folks having four children would be too much. For others the responsibility of a business would be beyond what they could manage</em>.</p>
<ul>
<li> Have you reached such a stress level that you feel burned out – there is nothing left to keep life demands going?</li>
<li>Regardless of the reason – illness, depression, age or circumstances- it is emotionally wise to ask for help, to borrow on the energy of others, be they friends, families or professionals,to get your life cooking again.</li>
</ul>
<p><em></em><strong>Behavioral</strong></p>
<p>Most people can tell you the behaviors they use as indicators that their stress is “over the top.”</p>
<ul>
<li>Some recognize binge eating or excessive drinking as the markers.</li>
<li>Many report disorganization, missed appointments, losing things as the sign of excessive stress.</li>
<li>One woman used the pile of clothes in her bedroom as the barometer.</li>
<li>A man knew that when he stayed up in an exhausted state watching mindless TV – he was over the line.</li>
</ul>
<p>In some ways the recognition of these behaviors as indicators of excessive stress is as important a stress regulator as the daily jog or the yoga class. As points of information they enhance and broaden the potential for stress management.</p>
<ul>
<li><em>Maybe in addition to yoga, we have to do something about a work environment that is too stressful.</em></li>
<li><em>Maybe the daily walk is crucial but cannot off set the demands of being alone as a caregiver seven days a week.</em></li>
</ul>
<p><em> </em>It seems that if we are human and we are going to function, we are going to deal with stress- whether here or in the Caribbean. As such, it may benefit us to broaden our stress management to include stress reducers as well as a self-reflective gage of when and why our stress is “ over the top.”</p>
<p><strong>Stress is not what happens to us. It&#8217;s our response TO what happens. And RESPONSE is something we can choose- </strong><a href="http:/ http://www.stress-management-for-health.com/stress-quotes.html  ">Maureen Killoran</a></p>

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		<title>Grieving as a Path to Connection and Meaning: A New Perspective</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/01/grieving-as-a-path-to-connection-and-meaning-a-new-perspective/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/01/grieving-as-a-path-to-connection-and-meaning-a-new-perspective/#comments</comments>
		<pubDate>Thu, 12 Jan 2012 06:10:11 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Loss Of A Child]]></category>
		<category><![CDATA[Unspeakable Loss]]></category>
		<category><![CDATA[Blue Nights]]></category>
		<category><![CDATA[george Hagman]]></category>
		<category><![CDATA[Grieving]]></category>
		<category><![CDATA[grieving as preserving attachment]]></category>
		<category><![CDATA[Joan Didion]]></category>
		<category><![CDATA[Louise Kaplan]]></category>
		<category><![CDATA[Mary Howe]]></category>
		<category><![CDATA[National Foundation for suicide Prevention]]></category>
		<category><![CDATA[new mourning theorists]]></category>
		<category><![CDATA[No voice is Ever Wholly Lost]]></category>
		<category><![CDATA[relational theory]]></category>
		<category><![CDATA[Robert Neimeyer]]></category>
		<category><![CDATA[robert stolorow]]></category>
		<category><![CDATA[What the Living Do]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2224</guid>
		<description><![CDATA[The death of a loved one, be it our parent, child, spouse, sibling or friend ruptures the internal and external connection we have with that person. It is a connection that helps define our sense of self, mirrors who we are, impacts our feelings and influences our view of life. From a relational perspective, death [...]]]></description>
			<content:encoded><![CDATA[
<p><img src="http://blogs.psychcentral.com/healing-together/files/2012/01/grievingcrop.jpg" alt="grieving" title="grieving" width="190" height="245" class="alignright size-full wp-image-2238" />The death of a loved one, be it our parent, child, spouse, sibling or friend ruptures the internal and external connection we have with that person. It is a connection that helps define our sense of self, mirrors who we are, impacts our feelings and influences our view of life.</p>
<p>From a <a href="http:/http://www.amazon.com/Meaning-Reconstruction-Experience-Robert-Neimeyer/dp/1557987424/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1326268423&amp;sr=1-1">relational perspective</a>, death of a loved one is a crisis of self and a crisis of meaning.</p>
<ul>
<li> A 13-year-old boy asks how he will ever play baseball on the team if his dad, killed on 9/11, is not watching.</li>
<li>Author, Joan Didion observes in <em><a href="http:/http://www.amazon.com/Blue-Nights-Joan-Didion/dp/0307267679/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1326268551&amp;sr=1-1">Blue Nights</a>,</em> that there is no season to lose a child, to stop hearing her sing. Recalling her 32 year old daughter’s unexpected the death from pneumonia, she shares her guilt for her failure to protect.  “<em>This was never supposed to happen to her</em>.”</li>
<li><a href="http:/http://www.selfpsychology.com/papers/stolorow_2002a_trauma.htm">Robert Stolorow</a>, psychologist, describes himself as broken and deadened after the sudden death of his young wife. On seeing others with their partners he feels “strange and alien—not of this world.”</li>
<li>A young man comes home on hearing of the suicide of his sister. He can’t fathom her pain; he can’t look at his parents’ pain; he can’t feel.</li>
<li>A woman who spent years caring for an elderly mother feels panic and loss after her mother’s death &#8211; “What Now?”</li>
</ul>
<p><strong>What is Grieving?</strong></p>
<p>Grieving is our reaction to the loss of a loved one. Beginning with the acute pang of loss, grief is often accompanied by numbing disbelief or unspeakable rage. Often there is a sense of emptiness, disorganization, the loss of the loved one and self.<span id="more-2224"></span></p>
<p>Whereas early theorists like Freud conceptualized the ultimate goal of grieving as “letting go,” as disconnecting from the loved one, contemporary relational psychology offers another perspective.</p>
<ul>
<li>Recognizing the importance of relationships in our psychological life from earliest infant-mother attachments, <a href="http:/http://www.amazon.com/Meaning-Reconstruction-Experience-Robert-Neimeyer/dp/1557987424/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1326268423&amp;sr=1-1  ">new mourning theorists</a> like George <a href="http:/http://psycnet.apa.org/books/10397/001">Hagman</a> and <a href="http:/http://www.amazon.com/VOICE-EVER-WHOLLY-LOST-Explorations/dp/0684818205/ref=sr_1_1?s=books&amp;ie=UT">Louise Kaplan</a> propose that the feelings experienced in grieving are normal, communicative and meaningful.</li>
<li>From their perspective, the role of grieving is to <strong>preserve an attachment</strong> to the lost love one, to hold them in your head and heart in a way that transcends loss.</li>
<li>To do so is to re-connect to the lost loved one in a different way, to begin to heal the disrupted internal bond, to find self and to find a meaningful way to go on.</li>
</ul>
<p><strong> </strong><strong>How is This Possible?</strong></p>
<p>This is not easy, simple or quick, but it is a psychologically possible and emotionally restorative.</p>
<p>It means going on while holding on- even with tears, without closure, with a brick of pain in your pocket, with a mix of memories, with the fear of forgetting, and the need to remember the stories, the names, the moments, the loved one.</p>
<p>It means having the realization that the physical death of the beloved is not the end of our attachment.</p>
<p>It means your loved one can be an enduring presence in your life.</p>
<p><strong>How Does a Person hold on to Enduring Presence of their Loved One?</strong></p>
<p><strong>The Human Dialogue</strong></p>
<p>Psychologist, Louise Kaplan offers us a wonderful answer in her belief in the human dialogue as the heartbeat of human existence. She invites us to consider that “<a href="http:/http://www.amazon.com/VOICE-EVER-WHOLLY-LOST-Explorations/dp/0684818205/ref=sr_1_1?s=books&amp;ie=UT"><em>No Voice is</em> <em>Ever Wholly Lost</em></a>,” that the dialogue with a loved one can go on and becomes a way of maintaining psychological connection.</p>
<p>This human dialogue can be carried on through words, actions, art, music, stories, survival missions and renewed life meaning. It is embodied in…</p>
<ul>
<li>The child who follows in his deceased father’s footsteps and plays ball.</li>
<li>The woman who takes on the business that her spouse cherished.</li>
<li>The adult children who value and use their mother’s recipes.</li>
<li>The sculptures of a mother who lost her son in Pan Am flight 103 outside Lockerbie, Scotland.</li>
<li>The foundations that offer outreach to those in pain in the name of sons and daughters whose lives were taken.</li>
<li>The actual words of young widows going on without their partners- “ How did you leave me with these kids!” “ I miss you.” “ Help me figure out what to do.”</li>
<li>The naming of a child in honor of a brave sister killed in combat.</li>
</ul>
<p><strong>Connection and Meaning</strong></p>
<p>Often the goal of having an enduring presence of a loved one is motivational in shaping life’s meaning and bridging connection with others who have suffered loss and are seeking restoration and meaning.</p>
<p>One of the most powerful examples of this is the work of Robert Neimeyer, a psychologist who lost his father to suicide at age 10 and whose life work has been as a theorist and spokesman for grieving as a path for making meaning, and reconstructing connection after loss.</p>
<ul>
<li><a href="http:/http://www.afsp.org/index.cfm?page_id=FEE7D778-CF08-CB44-DA1285B6BBCF366E">Recently speaking</a> to parents, siblings and spouses who had lost their loved ones to suicide, Neimeyer offered a profound insight for anyone wanting to hold on to a lost loved one – no matter how they died.</li>
<li>He suggests we rescue the memory of the person from the event, speak to others about the loved one we have lost, listen to their stories, connect not only in shared pain but in the best of those we cherish&#8211; always remembering that  “ the final paragraph” in a person’s life is not the whole story.</li>
</ul>
<p><strong>How Do We Go On Living?</strong></p>
<p>Answering this question and reflecting her capacity to hold on to a beloved brother who died of AIDS is the poem by Marie Howe, “<a href="http:/http://www.panhala.net/Archive/What_the_Living_Do.html">What the Living Do</a>.” In the poem, Marie details aspects of dailing life from plumbing problems, buying a hairbrush, to cherishing a glimpse of herself in the window of a corner video store. She ends by telling her brother,  <strong>&#8221; I am living, I remember you.&#8221; </strong></p>
<p><small>Grieving woman photo available from Shutterstock<</p>
<p>&nbsp;</p>
<p>&nbsp;</p>

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		<title>Care of an Aging Parent: Enhancing the Psychological Journey</title>
		<link>http://blogs.psychcentral.com/healing-together/2012/01/care-of-an-aging-parent-enhancing-the-psychological-journey/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2012/01/care-of-an-aging-parent-enhancing-the-psychological-journey/#comments</comments>
		<pubDate>Tue, 03 Jan 2012 07:46:11 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[acceptance]]></category>
		<category><![CDATA[balance]]></category>
		<category><![CDATA[Care of an Aging Parent: Enhancing the Psychological Journey]]></category>
		<category><![CDATA[connection]]></category>
		<category><![CDATA[e strategies]]></category>
		<category><![CDATA[marital stress form caregiving]]></category>
		<category><![CDATA[Maurice Sendak]]></category>
		<category><![CDATA[memory loss from aging]]></category>
		<category><![CDATA[NPR]]></category>
		<category><![CDATA[personal definition]]></category>
		<category><![CDATA[pew research on evaluation of aging]]></category>
		<category><![CDATA[siblings]]></category>
		<category><![CDATA[siblings and caring for an elderly parent]]></category>
		<category><![CDATA[silent stroke]]></category>
		<category><![CDATA[the u-curve of happiness]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2200</guid>
		<description><![CDATA[Whatever else 79 million baby boomers are doing, one in eight are caring for an aging parent. Some are checking in on an elderly parent who is living alone, some are caring for a parent in their own home, some are visiting parents in assisted living or nursing facilities, and others are doing long distance [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://blogs.psychcentral.com/healing-together/files/2012/01/group-christmas.jpg"><img class="alignleft size-medium wp-image-2221" title="group christmas" src="http://blogs.psychcentral.com/healing-together/files/2012/01/group-christmas-300x225.jpg" alt="" width="300" height="225" /></a>Whatever else 79 million <a href="http:/http://www.sobabyboomer.com/2011/06/boomers-caring-for-aging-parents-and-children.html ">baby boomers</a> are doing, one in eight are caring for an aging parent. Some are checking in on an elderly parent who is living alone, some are caring for a parent in their own home, some are visiting parents in assisted living or nursing facilities, and others are doing long distance caring.</p>
<p>Whether well planned or unfolding as emergency, this a challenging task. It is one that necessitates changes, parent/child communication, family support, <a href="http:/ http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3327 ">community services</a>, shared information, <a href="http:/http://www.tiaa-cref.org/ucm/groups/content/@ap_ucm_p_tcp_docs/documents/document/tiaa04023659.pdf">financial resources</a>, legal expertise, and medical care.</p>
<p>Underscoring this task and coloring most of these factors is the emotional reality that caring for an aging parent is a psychological journey. Metaphorically, it is one that demands a “return home” in a different role to become the “holding environment” – the psychologically attuned parent– whether that is something you have had or still yearn for.</p>
<p>Although the journey seems daunting and is certainly strewn with obstacles, it can also be an opportunity for mutual and positive connection.<span id="more-2200"></span></p>
<p>Adapted and expanded from the literature on the risks of caregiving, clinical practice and my own journey, here are Four Basic Steps that may reduce the stress and enhance the privilege of caring for both you and your parent. They include: Acceptance, Balance, Connection and Personal Definition.</p>
<p><strong>Acceptance</strong></p>
<p>Understanding the situation and normalizing the responses of both you and your parent reduces anxiety and facilitates acceptance and functioning.</p>
<p><strong>Time Travel</strong></p>
<p>Unlike the care of children which, despite its challenges, is linear and moves forward, care of an elderly parent is more like <a href="http://en.wikipedia.org/wiki/Time_travel">time travel</a>. It involves being transported backwards and forwards between different points of time.</p>
<ul>
<li>Within hours, even minutes you are making decisions as a parent for a parent, while worrying as a child about their reactions.</li>
<li>You are busy thinking ahead in terms of resources, finances and legal needs while at the same time hearing about your parent’s childhood, reminders of your own or questions about who is still living.</li>
<li>You are worrying about how safe a living arrangement could be or how appropriate a resource might be while your parent is insisting there is no need for help on one day and clearly in need of considerable assistance on another.</li>
<li>You are faced with the reality that no one gets younger and no one keeps a parent or lives forever.</li>
</ul>
<p><strong>Recognize Your Strengths and Limitations</strong></p>
<p>One of the greatest traps in the care of an elderly parent is a failure to recognize your own strengths and limitations. Understanding what you can and cannot do depends not only on the level of care of the parent, the support of siblings, financial resources, etc. but on your own personality, needs and situation.</p>
<p>If you can move beyond the guilt of not doing it exactly as your parent insists or not doing it “the right way”(whatever that is) you will be more open to creative solutions that may pull from family, friends, church, community and medical resources. Ultimately, you will be better able to sustain connection, be less resentful and be more caring. <strong> </strong></p>
<ul>
<li><em>The fact that you are doing the finances while your brother does the visits does not mean you are not caring for a parent.</em> <em>It may mean you are covering care in the most efficient way. </em></li>
<li><em>The fact that you have hired home health aides to help care for your parent does not mean you are not caring for a parent</em>. <em>It may mean that someone with more patience is spending time or that someone who has never heard the stories is eager to listen.</em></li>
<li><em>The fact that you insure proper care and demonstrate a wish to stay connected in some way that your parent sees, knows or even only feels (holding hands with a parent with Alzheimer’s Disease), you establish constancy – you are there.</em></li>
</ul>
<p><strong>Recognize Your Parent’s Strengths and Limitations</strong></p>
<p>Recognizing and understanding an elderly parent’s limitations while at the same time remaining open-minded about their strengths is key to enhancing caregiving.</p>
<p><strong>Memory Problems</strong></p>
<ul>
<li>There is for many aging parents evidence of <a href="http://www.time.com/time/magazine/article/0,9171,1738621,00.html">memory problems</a>, particularly short term or working memory, which is more vulnerable to aging than long-term memories.</li>
<li>Often as a caregiver you can be worn down by the fact that your parent has asked you ten times who just called but can give a detailed description of their childhood home.</li>
<li>Sometimes it seems as if there has been a change in mood and memory function in a day &#8211; a reality perhaps explained by a <a href="http://psychcentral.com/news/2011/12/29/silent-strokes-more-common-in-older-adults-explain-mem">recent study</a> that suggests that “ silent strokes” may explain the memory loss in up to 25 percent of older adults who experience memory problems.</li>
<li>Essentially, the decline that we see or the strengths that we glimpse in an aging parent unfold day to day. It is our understanding of this and reaction that makes a difference.</li>
</ul>
<p>A dear friend confided that he had come to realize that his frustration with his mother’s memory lapses had to do with his upset about losing her as she once was. His frustration, he realized, was becoming more of a problem for her than her memory.</p>
<p>A women who was worried about placing her Dad in a rehab facility, as he seemed unable to communicate much with her or remember much, was shocked to find him singing all the words to Sinatra songs with the other residents. She hadn&#8217;t accounted for the stimulation of the other residents or the power of music to <a href="http://http://www.bu.edu/today/2010/music-boosts-memory-in-alzheimer%E2%80%99s/">arouse dormant memories</a>.</p>
<p>A man reported arguing with but waiting too long to take the car keys from his Mom who insisted she could still drive. Thankfully, no one was hurt, but when she left the car running at the bank drive-up window and walked away &#8211; the limitation was loud and clear.</p>
<p>Aware of her short-term memory problem, my mother’s denial is something I have come to appreciate. I recently asked her who the president was. Her response, “Who cares?”</p>
<p><strong>Levels of Happiness</strong></p>
<p>In our attempt to understand what our elderly parents need – we often overstep and project our needs. A new Pew Research <a href="http://pewresearch.org/pubs/1269/aging-survey-expectations-versus-reality">survey </a>reveals that our projected expectations are not accurate for our parents. Research suggests that until you reach their age you really can’t know how it feels.</p>
<p>I have heard many say<strong>  “I don’t want to live that long – how can they be happy?”  The reality is that most are.</strong></p>
<ul>
<li><a href="http:/http://blogs.psychcentral.com/healing-together/2011/02/the-relationship-of-happiness-and-age-a-surprising-finding/   ">Research </a>revealing the U-bend of happiness tells us that past middle age there seems to be growing happiness into the later years that occurs regardless of money, employment status or children.</li>
<li><a href="http:/http://www.npr.org/templates/transcript/transcript.php?storyId=144077273">Maurice Sendak</a>, renowned children’s author shares in an interview at age 83 that he has lost many beloved friends and can no longer walk, <em>“</em><em>But, you know, there&#8217;s something I&#8217;m finding out as I&#8217;m aging that I am in love with the world. And I look right now, as we speak together, out my window in my studio and I see my trees and my beautiful, beautiful maples that are hundreds of years old, they&#8217;re beautiful.”</em></li>
<li>“Don’t Mess with The Bingo” &#8211; It is a surprise to many of us to watch elderly parents, whose prior life work has ranged from homemaker to court judge, play bingo with such enjoyment and interest. Why are we surprised?</li>
<li>Consider what happens when you invite a group of people to compete in a task they can master with the possibility of a financial reward? Isn’t that a version of what most of us are doing?</li>
</ul>
<p><strong>Balance</strong></p>
<p>One of the most important aspects of caregiver self-care is a balance of work, family, play and caregiving.</p>
<ul>
<li>While there is concern for many Baby Boomers who are sandwiched between care of children and care of parents, it is important to consider that the real issue may be balance and time and not multiple roles.</li>
<li>A recent <a href="http:/http://journals.cambridge.org/action/displayAbstract;jsessionid=1F6BD150E632A1F74D1A441D402885A2.journals?fromPage=online&amp;aid=32841">study</a> on woman caregivers of elderly parents, found that while the overload was greatest with women caregivers who had careers and partners, this group had the lest resentment about caregiving and the greatest reported life satisfaction.</li>
<li>This suggests that multiple roles, much like diversity of caseload with professionals, may actually serve as a protective factor to burnout.</li>
<li>What becomes important is for the caregiver to recognize what he/she needs in the different domains of their life and to feel entitled to create that balance.</li>
<li>It makes sense in reducing the sense of competitive needs to invite family members and partners to join in on some of the caregiving – Children and grandparents are a wonderful and mutual resource and connection for each other when time together is special and planned.</li>
<li>Caregivers benefit from <a href="http:/http://www.psychologytoday.com/blog/building-great-marriages/201004/study-shows-caring-aging-parents-can-strain-your-marriage-12-ti  ">talking to their partner </a>about their caregiving role, including them and asking for help and ideas.  Given that most adult caregiver children have a history with their elderly parent that may make them reactive to a comment, expression or parent personality trait – it is often the daughter-in-law or son-in–law who can handle a situation or make a suggestion with a better outcome!</li>
<li>Caring for an elderly parent is something most partners understand and support – particularly when love and mutual concern for the marriage remains apparent and time to just be together remains important.</li>
<li>Central to any balancing act is the caregiver’s need to feel entitled to play i.e. to pursue his/her stress reducing activities – be it gardening, exercise, music, a poker game or choir practice on a regular basis.</li>
</ul>
<p><strong>Connection</strong></p>
<p>Both caregivers and aging parents need connections. Research informs us that networks of support are crucial in reducing caregiver stress and burnout as well as providing social outlets to reduce loneliness and hopelessness in aging parents.</p>
<ul>
<li><a href="http://online.wsj.com/article/SB10001424052748703503804575083992265508012.html">Siblings</a> are often a primary source of support for care of aging parents. Some siblings do this seamlessly in a way that buffers stress, validates reality, provides levity and meets different needs of the parent.</li>
<li>Some families are drawn together for the first time by the critical needs of an aging parent such that the common purpose offsets old hostilities and offers a new appreciation of the distinct contribution each can make.</li>
<li>“ Not the Brady Bunch” – For many caregivers, the source of support is not a sibling or family member because the family is not one that can step up together. People are different and their histories bear on their capabilities as well as their sense of responsibility.</li>
<li>Some caregivers are not only the only one to step up in a family but they face the added stress of hearing the parent’s concern for others who are simply not doing their share. This is a very difficult situation best buffered by partners, supportive friends, groups dealing with caregiving and outside resources.</li>
</ul>
<p><strong> Personal Definition</strong></p>
<p>In this culture, the needs of an aging population are mounting and adult children are playing a major role in their care. More than a task, caregiving for an aging parent is a psychological journey that involves challenges and complex feelings on personal and interpersonal levels. How you define this journey very much bears on how you will cope and what feelings you will carry.</p>
<ul>
<li>For some, it will be the opportunity to give back to someone who has shown great love and care to them.</li>
<li>For others, it will offer the promise of parent-child closeness unknown before, one that can lighten old pain and add new memories.</li>
<li>For a few, it will reflect giving that continues to be without appreciation but validates the essential goodness and hope of a child’ love.</li>
<li>For a significant group, it will be a journey of care and heartache with a parent who no longer remembers but is nonetheless remembered and loved.</li>
<li>For all it will be a journey of pain and privilege.</li>
</ul>
<p>&nbsp;</p>
<p>&nbsp;</p>

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		<title>Six Simple Resolutions for Enhancing Your Relationship</title>
		<link>http://blogs.psychcentral.com/healing-together/2011/12/six-simple-resolutions-for-enhancing-your-relationship/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2011/12/six-simple-resolutions-for-enhancing-your-relationship/#comments</comments>
		<pubDate>Tue, 27 Dec 2011 06:54:07 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[affirmation of partner]]></category>
		<category><![CDATA[Anger]]></category>
		<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Authentic happiness]]></category>
		<category><![CDATA[Benefits of Laughter]]></category>
		<category><![CDATA[couple]]></category>
		<category><![CDATA[couple disagreements]]></category>
		<category><![CDATA[couple fighting]]></category>
		<category><![CDATA[couple social situations]]></category>
		<category><![CDATA[Couples]]></category>
		<category><![CDATA[Couples & Relationships]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Happiness]]></category>
		<category><![CDATA[lack of sexual desire in marriage]]></category>
		<category><![CDATA[positive psychology]]></category>
		<category><![CDATA[reclaiming sexual desire]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Sexual desire]]></category>
		<category><![CDATA[Affection]]></category>
		<category><![CDATA[Couple anger management]]></category>
		<category><![CDATA[enhancing sexual desire]]></category>
		<category><![CDATA[expressions of love and desire for couples]]></category>
		<category><![CDATA[healthy self-love]]></category>
		<category><![CDATA[improving physical health]]></category>
		<category><![CDATA[laughter and relationships]]></category>
		<category><![CDATA[Letting go of issues]]></category>
		<category><![CDATA[Mutual Gaze]]></category>
		<category><![CDATA[Power of eye contact]]></category>
		<category><![CDATA[power of laughter in reducing anxiety]]></category>
		<category><![CDATA[resolutions for the New Year]]></category>
		<category><![CDATA[sexual desire between couples]]></category>
		<category><![CDATA[Stress]]></category>
		<category><![CDATA[the impact of self-esteem on relationships]]></category>
		<category><![CDATA[Why couples clash about chores]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2186</guid>
		<description><![CDATA[No one just shows up for a good relationship and relationships don’t just get better because time passes. It is what we do during that time that helps heal and enhance our relationships. Over the last few years I have written many blogs for couples. Here are six simple resolutions drawn from them that many [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=couple&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=26744155&amp;src=4855d5b5c226a3f81d5ab87ee8ad77f3-1-24  "><img src="http://blogs.psychcentral.com/healing-together/files/2011/12/happycouple_crpd.jpg" alt="happy couple" title="happy couple" width="190" height="230" class="alignleft size-full wp-image-2197" /></a>No one just shows up for a good relationship and relationships don’t just get better because time passes. It is what we do during that time that helps heal and enhance our relationships. Over the last few years I have written many blogs for couples. Here are six simple resolutions drawn from them that many have found enhance the bond they share with their partner.</p>
<p><strong>Let It Go</strong></p>
<p><strong></strong>If you are human and you are in a relationship, it is inevitable that at times you will be <a href="http://blogs.psychcentral.com/healing-together/2011/03/anger-management-for-couples/">angry with your partner</a>. Once you and your partner have come to some resolve or have agreed to a working resolution, let the contention and disagreement go.</p>
<p>You may think it is important to explain to your partner one more reason you were angry or to analyze his/her character flaw. It&#8217;s not. Your partner will not be grateful for this information.<strong> Let it Go!</strong></p>
<p>Once you and your partner move on to a positive mood or enjoyable place, go with it, feel it- let it take. Positive memories and experiences build recovery momentum. They facilitate problem resolution because they broaden perspective, re-kindle appreciation of each other and build trust.<span id="more-2186"></span></p>
<p><strong>Look at Each Other More</strong></p>
<p>Making an effort to actually <a href="http://blogs.psychcentral.com/healing-together/2010/12/looking-to-a-new-year-with-your-partner/  ">look more at your partner</a> has real potency in relationship enhancement. There is <a href="httphttp://www.amazon.com/Power-Eye-Contact-Success-Business/dp/0061782211/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1293505107&amp;sr=1-1-spell">increasing evidence </a>that eye contact is associated with the power to influence, connect, support, invite trust, and enhance intimacy with another person.  <em>Do you remember the first time you looked at each other and how it felt? </em></p>
<ul>
<li>Neuropsychology informs us that we are wired to make eye- to eye contact, that mutual gazing between partners, starting with the mother-infant pair, registers connection at a level beneath consciousness. It is an unspoken expression of attachment.</li>
<li>In this non-stop multi-tasking, high tech culture, many of us hardly realize that we have stopped looking up from the computer as we are talking or as we run out for the next car pool.</li>
<li>Planning to look at each other and hold the gaze offers a private relatedness – It can affirm the bond, soften the tension and re-ignite the interest.</li>
</ul>
<p><strong>Lighten the Load Together</strong></p>
<p>The reality in this culture is that most working couples, particularly with children, are clocking in many hours at home and at work, and trying to strike a balance between the two. The strain they feel is often played out in their <strong><a href="http:/http://blogs.psychcentral.com/healing-together/2011/08/why-couples-clash-over-chores-some-alternatives/   ">clash about chores.</a></strong> According to a 2007 <a href="http://pewresearch.org/pubs/542/modern-marriage">Pew Research Center Survey </a>of American adults, 62% ranked &#8220;sharing household chores” as third in importance in a successful marriage across age groups.<strong></strong></p>
<ul>
<li>There is a lot of love packed into knowing that your partner is doing his/her share with household chores. It reduces feelings of overload, resentment and depression.</li>
<li>When partners are teaming with chores, the sense of “we” is further enhanced by expressed appreciation for what has been done and acceptance of what just wasn’t possible that day!</li>
</ul>
<p><em>Is there anything more loving than a made bed, a cleaned sink or a child tucked in?</em><em></em></p>
<p><strong>Laugh With Each Other</strong></p>
<p><a href="http://blogs.psychcentral.com/healing-together/2010/12/keep-laughing-its-powerful-stuff/">Laughter</a> has been associated with reduction of stress, anxiety, improvement of mood, self-esteem and coping skills. It is also considered the closest distance between two people.</p>
<p>When couples “ get each other” or “ laugh at similar things” they share more than perspective. Laughter is transformative. Making a partner laugh or laughing at something together, or even laughing at yourselves implies the wish and capacity to let go, to share something, to be intimate.</p>
<ul>
<li><em>As <a href="http://www.beautiful-love-quotes.com/relationship-quotes.html#ixzz1hi3FFivD">Jay Leno</a> says,“You can&#8217;t stay mad at somebody who makes you laugh.” </em></li>
<li><em>As one woman re-connecting with her spouse of many years said, “ I knew we were ok when we started to laugh together again.”</em></li>
</ul>
<p><strong>Love Yourself</strong></p>
<p>Loving yourself in a healthy way is a gift to a partner- a relationship enhancer. You may have scars from the past that have dampened your <a href="http:/http://blogs.psychcentral.com/healing-together/2011/03/is-your-self-esteem-threatening-your-relationship/">self-esteem</a>.  You can’t change your past but you can take charge of your present. Your partner and your relationship offer a new opportunity for positive affirmation.</p>
<ul>
<li>No matter what your height, hair or weight, just be your personal best. Partners don’t want perfection they want someone who hasn’t given up on themselves or on them.</li>
<li>Choose an achievable personal goal that you can really enjoy be it a cooking class, bowling league, or listening to audio books. Let your partner know how you enjoy it. Sharing pride or excitement is expansive and attractive.</li>
<li>Consider looking at one positive quality of yours and one positive quality of your partner’s each day <em>no matter what else happens</em>. It&#8217;s like a daily relationship vitamin. It fortifies the positive sense of self and positive view of your partner.</li>
</ul>
<p><strong>Let your Love and Desire be Known </strong></p>
<p>One way to feel more <a href="http://blogs.psychcentral.com/healing-together/2011/02/understanding-the-lack-of-sexual-desire-in-y">love and sexual desire as a couple</a> is to express it. This does not equate to just asking for or complaining about sex. Most partners want to feel loved and desired by the other in the course of the day to day life they share. – They want to be “more than just friends” they want to be the special one to their partner.</p>
<p><em>On an on-going basis</em>, a word, a compliment, a smile, consistent small signs of authentic affection build mutual desire, the feeling of being loved and the wish to be sexual.  Loving in a more expressive way is not a demand or guarantee of sex &#8211; it is the fabric of intimacy that leads to mutual desire.</p>
<p><strong>No one just shows up for a good relationship.</strong></p>
<p><strong>No relationship is perfect. </strong></p>
<p><strong>But…every day you act to enhance your relationship in a simple way, you become part of the relationship you want. </strong></p>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&#038;search_source=search_form&#038;version=llv1&#038;anyorall=all&#038;safesearch=1&#038;searchterm=couple&#038;search_group=&#038;orient=&#038;search_cat=&#038;searchtermx=&#038;photographer_name=&#038;people_gender=&#038;people_age=&#038;people_ethnicity=&#038;people_number=&#038;commercial_ok=&#038;color=&#038;show_color_wheel=1#id=26744155&#038;src=4855d5b5c226a3f81d5ab87ee8ad77f3-1-24  ">Happy couple photo </a>available from Shutterstock.</small></p>

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		<title>Exercise for Mental Health: Reasons to Start and Reasons to Stop</title>
		<link>http://blogs.psychcentral.com/healing-together/2011/12/exercise-for-mental-health-reasons-to-start-and-reasons-to-stop/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2011/12/exercise-for-mental-health-reasons-to-start-and-reasons-to-stop/#comments</comments>
		<pubDate>Wed, 21 Dec 2011 05:12:03 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[hidden depression]]></category>
		<category><![CDATA[Stress Reduction]]></category>
		<category><![CDATA[David Linden]]></category>
		<category><![CDATA[exercise and ADHD]]></category>
		<category><![CDATA[exercise and anxiety]]></category>
		<category><![CDATA[exercise and depression]]></category>
		<category><![CDATA[Exercise and mental health]]></category>
		<category><![CDATA[exercise and panic]]></category>
		<category><![CDATA[Exercise for Mood and Anxiety]]></category>
		<category><![CDATA[Jane E. Brody and obsessive exercise]]></category>
		<category><![CDATA[Jasper Smits and Otto]]></category>
		<category><![CDATA[obligatory exercise]]></category>
		<category><![CDATA[Reasons not to exercise]]></category>
		<category><![CDATA[the depression-diabetes cycle]]></category>
		<category><![CDATA[The Pleasure compass]]></category>
		<category><![CDATA[Walking Outdoors and ADHD]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2166</guid>
		<description><![CDATA[Despite the fact that more than 86% of Americans believe exercising for fitness improves a person’s odds of a long and healthy life by “a lot,” only 28% report they actually get as much physical exercise as they should. Some people can’t start; some start and stop; and some can’t stop. Adding to the exercise [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=horse&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=71861323&amp;src=f84bfcb2672390b8ee7b01dc8eeae565-1-12"><img src="http://blogs.psychcentral.com/healing-together/files/2011/12/matureman_crpd.jpg" alt="mature man" title="mature man" width="190" height="243" class="alignleft size-full wp-image-2183" /></a>Despite the fact that more than <a href="http://pewresearch.org/pubs/310/in-the-battle-of-the-bulge-more-soldiers-than-successes  ">86% of Americans</a> believe exercising for fitness improves a person’s odds of a long and healthy life by “a lot,” only 28% report they actually get as much physical exercise as they should. Some people can’t start; some start and stop; and some can’t stop.</p>
<p>Adding to the exercise benefits for improving physical health, the most recent publication of the <a href="http://www.apa.org/monitor/2011/12/exercise.aspx">Monitor of the American Psychological Association</a> underscores the mounting evidence of exercise benefits on <strong>mental health</strong>. So clear is the impact of exercise on the body-mind connection that it raises the question of how psychologists might use it as part of their treatment arsenal or at the very least motivate their patients to exercise.</p>
<p>As closer look at some of the findings may provide the tipping point for starting, stopping and moderating exercise in a way that benefits physical and mental health.<span id="more-2166"></span></p>
<p><strong>Findings:</strong></p>
<p><strong>Long Term Depression and Relapse Prevention</strong></p>
<ul>
<li>Adding to earlier research that found exercise effective in ameliorating depression, one <a href="http://www.psychosomaticmedicine.org/content/62/5/633.abstract  ">new study</a> assigned sedentary adults with major depressive disorder to one of four groups including supervised exercise, home-based exercise, antidepressant therapy or a placebo pill. After four months, the antidepressant groups and the exercise groups had the highest rates of remission.</li>
<li>Significantly, follow-up after a year found that those who had continued with regular exercise had the lowest depression scores, suggesting that exercise is important in preventing relapse.</li>
</ul>
<p><em>A take home point for those who might want to start exercising is the value of “supervised exercise” to provide motivation, support, companionship and feedback.</em></p>
<p><em>This could take the form of a personal trainer, a group or a buddy exercise experience.</em></p>
<p><em></em><em>Consistently people report they would not have exercised had there not been a trainer waiting or a friend on the way.</em></p>
<p><em> </em><em>n this day of social media, a“ home-based exercise” can be enhanced by text, and email reminders or special I-phone apps that bring the reminder and the workout steps or motivation to you.</em></p>
<p><em> </em><strong>The Diabetes-Depression Loop</strong></p>
<ul>
<li>A <a href="http://www.apa.org/monitor/2011/12/exercise.aspx">unique study</a> addressed the problem that the rates of clinically significant depressive symptoms and major depressive disorder are higher among adults with diabetes than the general population.</li>
<li>In this study adults with depression and diabetes were in a 12-week exercise and Cognitive Behavioral Therapy (CBT) Program. The results showed that those who exercised showed improvements in depression and blood sugar levels compared with controls.</li>
<li>The mind-body connection addressed here is crucial as there is no way to determine if the sedentary lifestyle, which becomes so dangerous, begins with the depression or diabetes.</li>
</ul>
<p>As discussed in the blog, <a href="http://blogs.psychcentral.com/healing-together/2011/08/exercise-for-depression-suggestions-for-making-it-possible/">“Exercise for Depression: Strategies to Make it Possible</a>,” some applications for beginning and continuing exercise might include:</p>
<ul>
<li><em>Start slowly with something you like doing (walking and talking to a neighbor, walking the dog, walking to music). </em></li>
<li><em> According to exercise psychologists, people give up on exercise because it is too much too soon for their body or they don’t see immediate results. </em></li>
<li><em>Pew Research surveys found that the major factor that differentiated those who kept exercising from those who stopped was the“ fun factor.” People who made exercise a lifestyle choice found something to do that they enjoyed. </em></li>
</ul>
<p><strong>Panic and Anxiety</strong></p>
<ul>
<li>Jasper Smitts and Otto, co-authors of the 2011 book, <em><a href="http://www.amazon.com/Exercise-Mood-Anxiety-Strategies-Overcoming/dp/0199791007/ref=sr_1_1?ie=UTF8&amp;">Exercise for Mood and Anxiety</a></em>, reasoned that people with anxiety and panic not only react with the fight/flight responses of sweating, dizziness, racing heart etc. but have a sensitivity to these symptoms which further exacerbates the panic and anxiety.</li>
<li>In their study, 60 volunteers with sensitivity to panic participated in a 12-week exercise program and showed improvements in anxiety sensitivity compared to a control group. Essentially the volunteers had come to associate those same bodily symptoms with safety instead of danger.</li>
<li>Another factor that may have contributed to the re-definition of anxiety symptoms is the increased sense of mastery and body control, which the participants had from the 12-week exercise program.</li>
</ul>
<p><em></em><em>Even at the start of exercising, long before the weight drops or the muscles pop, the very accomplishment of walking 3 blocks instead of one, of walking stairs without being out of breadth, of less ankle swelling etc. offers success for an achievable goal that in turn reduces the sense of helplessness and bodily fears.</em></p>
<p><strong>Findings Suggest that Exercise Buffers the Brain From Stress</strong></p>
<p>Theories explaining this impact from exercise include the impact of released neurochemicals as endorphins and and serotonin; normalizing sleep which affects body rhythms and the nervous system functioning; and exercise as a meaningful activity that buffers stress by enhancing a sense of accomplishment.</p>
<p><strong>Attention Fatigue (ADHD</strong>)</p>
<p>A <a href="http:/http://www.scirp.org/Journal/PaperInformation.aspx?paperID=8364">study</a> intending to examine if walking in a natural winter setting would relieve attention fatigue in adults, found based on pre and post memory scales, mood profiles and self reports that 20 minutes of walking in any outdoor setting, be it a wooded trail, neighborhood or parking lot, provided a significant benefit for short-term memory, tension reduction, depression, anger and fatigue.<em> </em></p>
<ul>
<li><em>Given that “no time in the schedule” is the <a href="http:/http://ptconnections.com/topfit/publish/printer_functional_exercise_top_10_reasons.shtm l ">number one reason</a> people report for not exercising, the benefit from 20 minutes of walking outdoors is cause to button-up or find a sunny place to make your move.</em></li>
<li><em>It also invites thinking about the powerful impact of family walks or parent/ child walks – particularly as we recognize the overscheduled program of children, and the number of children who deal with attention deficit disorder (ADD) and attention deficit hyperactive disorder (ADHD).</em></li>
<li><em>In this highly connected, technology driven culture, the walk in nature may offer what <a href="http:/http://www.nytimes.com/2010/08/25/technology/25brain.html?ref=yourbrainoncomputers">research</a> suggests as needed time without stimulation to allow the brain to synthesize information, and make connections between ideas. </em></li>
</ul>
<p><strong>Unable to Stop &#8211; Exercise Addiction</strong></p>
<p><strong></strong>Given that 7 out of ten American Adults don’t exercise regularly despite the proven health benefits, a group that is often overlooked includes those who have stopped physically or mentally benefiting from exercise. They are the obligatory exercisers for whom exercise has become an addiction.</p>
<p><em>One man who came to see me with considerable anxiety and despair because his second marriage was ending, mentioned in passing that he awakened every morning at 4:30AM to go to the gym and exercise for 90 minutes. This effort he made to stay in shape also required that he eat certain foods different from what the family was eating, that he be in bed sleeping by 9PM and expand his workouts on the weekends. The cost was an eroded relationship with his wife, very limited family time with his children and considerable fatigue. What was dramatic was that he considered his exercise routine as a necessity for <strong>reducing stress in his life</strong> – he had never factored this into his problems.</em></p>
<p>David Linden in his 2011 book, <em><a href="http:/http://www.amazon.com/Compass-Pleasure-Exercise-Marijuana-Generosity/dp/0670022586/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1324281349&amp;sr=1-1  ">The Compass of Pleasure</a></em> considers that exercise can activate the pleasure circuit and like food, nicotine or gambling become a substrate for addiction. He notes that exercise addicts display all of the hallmarks of substance addicts: tolerance, craving, withdrawal and the need to exercise “ just to feel normal.”</p>
<p><a href="http:/http://men.webmd.com/guide/exercise-addiction">Exercise addiction</a> is a chronic loss of perspective of the role of exercise in a full life.</p>
<p><strong>Do You Have An Exercise Addiction?</strong></p>
<p>Here are Some Warning Signs:</p>
<ul>
<li>By passing family, friends, events and emotional connections in favor of hours of exercise.</li>
<li>Exercising despite illness, injury, fatigue or bodily needs.</li>
<li>Continual increase in time, miles or intensity such that exercise takes up all free time.</li>
<li>Withdrawal symptoms like anxiety, irritability, and depression when circumstances prevent working out.</li>
<li>Inability to see value in unrelated activities and pursuit of the sport or exercise even when it is against his/her best interest.</li>
<li>Concern of family and friends for you physical and mental health.</li>
<li>Interest in talking only about training or exercise related issues or events.</li>
</ul>
<p>Reflective of the way in which exercise addiction reverses the physical and mental health benefits of exercise, Jane E. Brody in her <a href="http:/http://www.nytimes.com/2005/08/09/health/09brod.html?pagewanted=print">blog</a> “ Fit is One Thing: Obsessive Exercise is Another,” reports that the obligatory exercisers often suffer anxiety, apathy, chronic fatigue, decreased appetite, <a title="Recent and archival health news about depression." href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/depression/index.html?inline=nyt-classifier">depression</a>, hostility, mental exhaustion, mood changes, changes in values and beliefs, diminished self-image, impaired concentration, emotional isolation, sore muscles and disturbed sleep.</p>
<p><strong>Moderation Strategies</strong></p>
<ul>
<li>Much as it is important to start exercise slowly, it is important to reduce addictive exercising in small steps.</li>
<li>Given the thought of stopping often feels untenable, it is worth remembering that your goal is not stopping; but rather, healthy moderation that protects you from stopping due to physical or emotional damage.</li>
<li>Consider keeping a log of exercise, family, partner, work and recreational time for a week. Take note of the balance – it reflects the priorities in your life.</li>
<li>Consider reducing the intensity and time of your workouts by using a shorter alternative routine (weight lifting, stretch class, etc.) on alternative days.</li>
<li>Exercise addiction is often reduced by adding more of a social component that makes it less ritualistic and excessive. On the weekend substitute a workout with a dance class or bike ride with your partner, friend or children.</li>
<li>Consider utilizing the help of a trainer, coach or physical therapist to guide you back to a balanced and healthy use of exercise.</li>
<li>Recognize if you need professional help.</li>
<li>Exercise addictions often reflect a desperate need to be in control or to buoy self-esteem by non-ending goals. They go unnoticed because they are fueled by denial and a dependence on “ the fix” which seems to give you what you need but in the end takes all that you have.</li>
</ul>
<p align="center"><strong>Despite our belief in its benefits- Starting or Moderating Exercise is not easy.</strong></p>
<p align="center"><strong> Most of us will do things that are not easy for those we love.</strong></p>
<p align="center"><strong>Take the first step – this one’s for you!</strong></p>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&#038;search_source=search_form&#038;version=llv1&#038;anyorall=all&#038;safesearch=1&#038;searchterm=horse&#038;search_group=&#038;orient=&#038;search_cat=&#038;searchtermx=&#038;photographer_name=&#038;people_gender=&#038;people_age=&#038;people_ethnicity=&#038;people_number=&#038;commercial_ok=&#038;color=&#038;show_color_wheel=1#id=71861323&#038;src=f84bfcb2672390b8ee7b01dc8eeae565-1-12">Mature man photo </a>available from Shutterstock.</small></p>

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		<title>Virginia Tech Then and Again: Healing After Trauma</title>
		<link>http://blogs.psychcentral.com/healing-together/2011/12/virginia-tech-then-and-again-healing-after-trauma/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2011/12/virginia-tech-then-and-again-healing-after-trauma/#comments</comments>
		<pubDate>Sat, 10 Dec 2011 05:21:24 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[common trauma symptoms]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Resilience]]></category>
		<category><![CDATA[Resiliency]]></category>
		<category><![CDATA[Trauma]]></category>
		<category><![CDATA[Coping Skills]]></category>
		<category><![CDATA[Healing after trauma]]></category>
		<category><![CDATA[hope]]></category>
		<category><![CDATA[Hyperarousal]]></category>
		<category><![CDATA[intrusion and re-experiencing]]></category>
		<category><![CDATA[making meaning of trauma symptoms]]></category>
		<category><![CDATA[numbing and avoidance]]></category>
		<category><![CDATA[Psychological First Aid (PSA)]]></category>
		<category><![CDATA[Strategies for use in the aftermath of trauma]]></category>
		<category><![CDATA[student response to trauma]]></category>
		<category><![CDATA[unanticipated traumatic loss]]></category>
		<category><![CDATA[Virginia Tech Shooting 2007]]></category>
		<category><![CDATA[Virginia Tech shooting 2011]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2152</guid>
		<description><![CDATA[We catch our breath as we hear that Virginia Tech has once again faced a shooting and the violent deaths of two people on campus.  In this case seven minutes after police reported the shooting, students were informed and alerted by email, text, twitter and campus broadcast to stay where they were in locked down [...]]]></description>
			<content:encoded><![CDATA[
<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=scared&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=75783793&amp;src=9859b4ea7e5bc82c457bb185169c0380-1-2"><img src="http://blogs.psychcentral.com/healing-together/files/2011/12/frightenedboy_crpd.jpg" alt="frightened boy" title="frightened boy" width="190" height="228" class="alignleft size-full wp-image-2162" /></a>We catch our breath as we hear that <a href="http://www.reuters.com/article/2011/12/10/us-virginiatech-idUSTRE7B71XL20111210">Virginia</a> Tech has once again faced a shooting and the violent deaths of two people on campus.  In this case seven minutes after police reported the shooting, students were informed and alerted by email, text, twitter and campus broadcast to stay where they were in locked down locations, to remain off campus or to be escorted to safety areas. As the students reported, they waited in fear for four hours uncertain of what would unfold. When told it was safe, they hesitated leaving.</p>
<p>As is the nature of trauma, those who faced this present trauma live in the <a href="http://http://www.usatodayeducate.com/staging/index.php/ccp/the-day-after-another-shooting-virginia-tech-students-still-shaky">shadow of the tragic past </a>and those in the past may be re-awakened to the horror and loss they have been carrying. To a large degree many emotionally and physically once again bear witness to a terrifying and unimaginable event.</p>
<p>While a person’s reaction to trauma is a function of the personal meaning of the event to them, their physical and emotional proximity to the traumatic event as well as their personal history, we have come to know that as an initial help, <a href="http:/http://www.nctsn.org/content/psychological-first-aid">Psychological First Aid</a> (PFA) can mediate the impact of trauma and make possible steps toward healing.</p>
<p>Dealing with trauma across the timeline from acute impact to long term recovery, I have found personally and professionally that there are aspects of Psychological First Aid that are vital in helping and healing at any time.</p>
<p>Here are some suggestions worth knowing and owning in the aftermath of trauma and re-traumatization.<span id="more-2152"></span></p>
<p><strong>Establishing Safety</strong></p>
<p>Once someone is out of physical and medical danger, the most viable way to establish a sense of psychological safety is connection with familiar networks of support &#8211; partners, family, friends, school or church communities. In cases as the Virginia Tech Shooting, often those who have faced the trauma together may become cohorts that for a time provide “ substantive validation” to each other.</p>
<p>Talking together as a validating peer group, meeting together with school counselors or even connecting on-line with family, friends and peers can reduce the isolation and terror. People heal in community. Connection helps normalize feelings and lightens the burden of trauma.</p>
<p><strong>Making Meaning of Common Responses to Trauma</strong></p>
<p>Validating and Normalizing the common stress responses experienced in the aftermath of trauma moves such responses from pathological to understandable. Making meaning of what we feel empowers us; it reduces the sense of helplessness and anxiety so common after trauma. The three common response groups include Hyperarousal, Intrusion and Numbing and Avoidance.</p>
<p><strong>Hyperarousal or the Persistent Expectation of Danger</strong></p>
<p>This is your human fight/flight response in the presence of danger. It is as if your mind and body does not yet know you are safe. Such hyperarousal is reflected in an inability to relax, exaggerated startle response, inability to sleep, concentrate, and irritability. Not everyone experiences this and such responses rarely last more than a few weeks for most. Strategies to address hyperarousal include:</p>
<ul>
<li><em>Self-Care and Buddy Care for basic needs &#8212; are you sleeping, eating and do you have a way that you relax? </em></li>
<li><em>If you run, exercise, play music, read the paper, pray or do something that calms you – this is the time to use your relaxation strategies. In the upset of trauma people often forget these valuable routines.</em></li>
<li><em>How are your friends doing? Model and support self-care in the aftermath of trauma for those close to you. </em></li>
<li><em>Be very careful about the use of alcohol and drugs. People often see them as quick ways to relax, but they actually add to the physical and emotional disorganization experienced after trauma.</em></li>
</ul>
<p><strong> </strong><strong>Intrusion or Re-experiencing</strong></p>
<p>Feeling caught in the imprint of the trauma, many re-experience the images or sensations felt at the time of trauma as nightmares, flashbacks, or intrusive memories. While bewildering, they are the mind and body’s way of assimilating an incomprehensible event into life experience. Strategies to deal with them include:</p>
<ul>
<li><em>Re-frame them as understandable sequels to an event outside your life experience.</em></li>
<li><em>Share them, write about them, express them in music, art or some medium – move them from frightening fragments to something you have more mastery of.</em></li>
<li><em>Use positive re-focusing &#8212; once you have identified them as unassimilated glimpses and traumatic memories, turn to something that feels transformative. People find nature, pets, sports, prayer and helping others to be effective</em>.</li>
</ul>
<p><strong> </strong><strong>Numbing and Avoidance</strong></p>
<p>Numbing is a response to trauma that involves physical and psychological shutdown. Like the other responses to trauma, it is actually a functional way to survive in the face of overwhelming danger. When numbing persists if often unfolds into avoidance and isolation as an attempt to avoid triggers of traumatic memory or intolerable feelings of loss, grief or pain. The problem with avoidance is that it leaves a person alone with the trauma. It does not allow for the sharing, diluting, normalizing or integrating of a traumatic event. Strategies to deal with numbing and avoidance include:</p>
<ul>
<li><em>Reach for and accept the offer of someone who knows what you have faced and can be a compassionate presence – a friend, a partner, a family member, a professional, a spiritual caregiver. </em></li>
<li><em>Words are not necessary. Just being with someone who cares regardless of whether you are walking, cooking, or shooting hoops or listening to music takes you away from the trauma and allows you to dare to feel again – a crucial start.</em></li>
</ul>
<p><strong>Access You Coping Skills</strong></p>
<p>In the aftermath of trauma, it can feel as if you are frozen in time with the trauma. The past seems gone and the future seems impossible. It is really important to reach behind the wall of trauma to your resiliency traits because they still belong to you and they are what you have drawn upon in life to cope in situations of pain, disappointment, adversity and even loss.</p>
<ul>
<li><em>Individual resilience traits include physical strength, intelligence, interpersonal strengths, independence, sense of humor, creativity and spirituality. </em></li>
<li><em>Resilience is also reflected in social skills, problem solving ability, utilizing positive emotions, strong family and community networks.</em></li>
<li><em>Resilience also means knowing when too much time has passed (usually after a month) and you are still suffering in the aftermath of trauma and traumatic loss and you need professional help to reclaim you functioning and your sense of self.</em></li>
</ul>
<p>Whether you have just experienced the horror of the recent shooting at Virginia Tech, you are jolted by your loss from the last Virginia Tech Shooting or you have just re-visited the pain and assault of a personal trauma – you<strong> are not alone as you try your best to heal and hope.</strong></p>
<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&#038;search_source=search_form&#038;version=llv1&#038;anyorall=all&#038;safesearch=1&#038;searchterm=scared&#038;search_group=&#038;orient=&#038;search_cat=&#038;searchtermx=&#038;photographer_name=&#038;people_gender=&#038;people_age=&#038;people_ethnicity=&#038;people_number=&#038;commercial_ok=&#038;color=&#038;show_color_wheel=1#id=75783793&#038;src=9859b4ea7e5bc82c457bb185169c0380-1-2">Frightened boy photo </a>available from Shutterstock.</small></p>

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		<title>Midlife Dating: From Solution to Evolution</title>
		<link>http://blogs.psychcentral.com/healing-together/2011/12/midlife-dating-from-solution-to-evolution/</link>
		<comments>http://blogs.psychcentral.com/healing-together/2011/12/midlife-dating-from-solution-to-evolution/#comments</comments>
		<pubDate>Mon, 05 Dec 2011 07:36:02 +0000</pubDate>
		<dc:creator>Suzanne Phillips, Psy.D., ABPP</dc:creator>
				<category><![CDATA[changes in partner]]></category>
		<category><![CDATA[couple]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[goals]]></category>
		<category><![CDATA[Unspeakable Loss]]></category>
		<category><![CDATA[Bereavement]]></category>
		<category><![CDATA[Date or Wait]]></category>
		<category><![CDATA[dating after partner death]]></category>
		<category><![CDATA[datinggoddess]]></category>
		<category><![CDATA[deception]]></category>
		<category><![CDATA[fears of dating]]></category>
		<category><![CDATA[midlife bachelor]]></category>
		<category><![CDATA[midlife dating]]></category>
		<category><![CDATA[New York Times]]></category>
		<category><![CDATA[online dating]]></category>
		<category><![CDATA[online dating after 40]]></category>
		<category><![CDATA[post divorce dating]]></category>
		<category><![CDATA[re-definition of self]]></category>
		<category><![CDATA[widows and widowers]]></category>

		<guid isPermaLink="false">http://blogs.psychcentral.com/healing-together/?p=2128</guid>
		<description><![CDATA[Few people have a long range goal of dating in midlife. To the many who find themselves faced with the possibility, midlife dating can seem like a mystifying, even overwhelming, journey to find a partner. The reality is that despite the horror stories of friends or the fictional depictions of perfect couples repelling down snowy [...]]]></description>
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<p><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=middle+age+couple&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=44327011&amp;src=da48bc03310a570b507d182930c9da1a-1-3"><img class="alignleft size-full wp-image-2150" title="middleaged couple" src="http://blogs.psychcentral.com/healing-together/files/2011/12/middleagedcouple_crpd.jpg" alt="middleaged couple" width="190" height="223" /></a>Few people have a long range goal of dating in midlife. To the many who find themselves faced with the possibility, midlife dating can seem like a mystifying, even overwhelming, journey to find a partner.</p>
<p>The reality is that despite the horror stories of friends or the fictional depictions of perfect couples repelling down snowy peaks, the experience of midlife dating really depends upon your goal.</p>
<p>When you expand the goal of midlife dating from finding someone to finding and re-defining yourself, the experience changes. Instead of a solution to being alone – midlife dating becomes an evolution of self.</p>
<p><strong>Why Midlife Dating?</strong></p>
<p>Usually something has or has not occurred in the lives or personal relationships of people ages 40- 65 that makes midlife dating a consideration. Some have left a troubled or contentious marriage; some feel they have been the one left; some have never looked up from a career; some have weathered the illness and death of a partner; and some have decided they are finally ready  to settle down.” Most don’t want to be alone.<span id="more-2128"></span></p>
<p><strong>Some Important Considerations</strong></p>
<p>Notwithstanding these different starting points, here are some common issues worth considering as you take on midlife dating as a personal experience.</p>
<p><strong>Everyone is Anxious – No One is Perfect</strong></p>
<p>If you are anxious with even the thought of midlife dating – it fits. Dating at any age conjures up feelings of insecurity, fears of rejection and worries about whether you or anyone approaching you will be desirable. When you introduce dating into the reality of midlife, the worries increase and the assets are too easily forgotten.</p>
<p>&#8220;I haven’t dated since high school – I can’t do this.”</p>
<p>“Have you seen ‘Sex and The City’ – where do you I fit into that?”</p>
<p>“What would I say I’m interested in – my kids?”</p>
<p>“Who wants a guy on medication?”</p>
<p>For too many, Bob Seeger’s <a href="http://http://www.songfacts.com/detail.php?id=3286">famous lyric </a>applies, “I wish I didn’t know now, what I didn’t know then!”</p>
<p>In fact, if people accept their personal best, remembering the experiential benefits they have acquired and re-focusing the goal from fear of judgment to curiosity about the experience, they can often lower their anxiety enough to find out that no one is perfect. They often find that many share similar feelings, differences can be interesting and age is not an issue.</p>
<p><strong>Everyone Comes with Baggage. It’s What You Do With It That Counts</strong></p>
<p>Many folks approach midlife dating with the pain of lost or broken bonds. Understanding what you carry can often help you use rather than misuse your history.</p>
<p><strong>Death of a Spouse or Partner </strong></p>
<ul>
<li>Midlife dating can be difficult in the aftermath of the death of a spouse or partner. Regardless of what friends and families think, people grieve in their own way and in their own time. As one young widow answered in the book by the same title, “I’m grieving as fast as I can.”</li>
<li>Often the wish to meet, to begin a new chapter, to reduce the loneliness conflicts with the feeling of disloyalty to the deceased. In this regard, others who have had a similar loss can be immensely helpful. As one widow in a bereavement group said to another, <em>“I’ll never replace him in my heart but he would have wanted me to have a life.”</em></li>
<li>Often when they find that they really like someone they are dating, a widow or widower will be overcome with renewed sadness and the yearning for their deceased partner. This is not a signal to stop but a verification of something special which reminds you of what will always be special.</li>
<li>A trap in dating after the death of a partner is the wish to replace him/her in body and mind. To do so is to derail the possibility of a new and different experience with a person who matches the you “now” – older, wiser, and probably different in some special ways.</li>
</ul>
<p><strong>Divorce of a Spouse – Breakup of a Long Term Relationship</strong></p>
<p>Divorce is so common in this culture that most people know of the guilt, rage, rejection and devastation that both partners carry in its wake.  In a <a href="http://http://assets.aarp.org/rgcenter/general/divorce.pdf">study</a> of “Divorce at Midlife and Beyond” based on 1,147 respondents between the ages 40-79, the greatest fear reported was of being alone ( 45%) followed by the fear of failing again (31%). That said, the question of how unresolved feelings of self and other will color the decision to date again becomes an important one for divorced folks to consider.</p>
<ul>
<li>Some who feel rejected generalize their negative feelings to any man or woman they date. In a sense they are still married to the anger which inevitably gets in the way.</li>
<li>Some want to review the story of their divorce and unwittingly turn the first date with a new person into a viewing of their painful marriage – never a great date as it brings in a third unwanted party.</li>
<li>Some want so much to right the wrong, to erase the feeling of rejection that they accept too little from the first person they meet and give too much only to feel rejected again.</li>
</ul>
<p><em>It is not a great feeling – but it is not the end. It is a lesson that can expand self especially if it makes you want more and know that you deserve it. Your ex-spouse has no claim on your self-worth – no one does but you. Believe it and others will reflect it.</em></p>
<ul>
<li>Some who end a marriage or relationship finally feel free to be themselves. Others are haunted by what was lost. In either case, most are very driven to begin dating – to start again.</li>
<li><span style="font-family: Times New Roman; font-size: small;">Dating can be a valuable and constructive opportunity if it facilitates self-understanding and clarification of needs. </span></li>
<li>Without self-reflection (self-help books, groups, consult) there is often an unwitting re-play of the same script with new partners. “How do I keep picking selfish women?” “Am I the only woman who gets fooled by narcissistic men?”</li>
</ul>
<p><em>Many years ago, a man who had ended his marriage but who was aware that his prior fears of inadequacy had played a part in the dissolved relationship, presented me with a stack of all the responses he had received from a personal ad he had placed. He reported that he was both terrified and overwhelmed – he felt he would never be able to choose a suitable person because he feared he would be taken with any w omen who seemed enthralled with him. What was planned was that he start by not looking for a new partner; but instead, looking for himself in the eyes of different women. Having never dated in his young years – this was an opportunity to learn about himself without the instant fix of someone claiming to love him- a problem when he did not yet know or love himself.</em></p>
<p><strong>Truth or Dare – The Fear of On-line Dating</strong></p>
<ul>
<li>Although they join some <a href="http://http://www.datingsitesreviews.com/staticpages/index.php?page=online-dating-industry-facts-statistics">5.5 million </a>single people who use online dating, many midlife daters have some initial apprehension about how deceptive people will be on dating sites.  A <a href="http://http://www.nytimes.com/2011/11/13/fashion/online-dating-as-scientific-research.html">recent article </a>in The New York Times addressed this very question with reported research. The article suggests that there is actually less deception on sites where people are seeking long term romantic partners -given that the initial meetings eventuate in face to face meetings.</li>
<li>There is some deception but it is relatively minor and seems driven by the wish to make a positive first impression. Women, for example, describe themselves as 8.5 pounds lighter, men lie by 2 pounds about weight and men lie more often about height, rounding up a half inch. Few lied about age (something more obvious when one meets) and no one seemed willing to talk<a href="http://http://www.washingtontimes.com/news/2011/sep/13/singles-online-shun-the-politics-of-dating/"> politics </a>(probably wise). What is interesting for midlife daters to note is the suggestion that people probably make the same kind of minor adjustments in reality when they meet people face to face.</li>
<li>Notwithstanding those occasional people who clearly misuse the dating sites with no intention of appropriate connection, most midlife on-line dating as reported and <a href="http://http://www.amazon.com/Date-Wait-Are-Ready-Great/dp/1930039263/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1323064538&amp;sr=1-1">written</a> about offers positive <a href="http://http://www.midlifebachelor.com/datingadvice.html">opportunities</a>.</li>
<li>While it may not be for everyone, one <a href="http://http://www.amazon.com/dp/B0055OMGLW/ref=rdr_kindle_ext_tmb">midlife dating author </a>reports that one out of every five marriages are between two people who met on-line.</li>
</ul>
<p><strong>The Acceptable vs. the Authentic Self</strong></p>
<p>The question of deception and on-line dating is important in that it illuminates an age old dilemma pertinent to midlife dating-the effort to balance an acceptable self to the prospective partner with an authentic self.</p>
<p>If we re-define the goal of midlife dating as not simply the search for a partner but a journey of re-definition and expansion of self then we need room for flexibility when deciding who to date as well openness to the thoughts and feelings of others.</p>
<p><em>So maybe you don’t describe yourself as a skier but as someone who would like to try. Maybe you date someone from a different culture and find it very interesting. Maybe you are considering being more intimate with someone until you realize that this person will not talk about or be flexible about sexual connection. Maybe you hold your core values even as you explore and expand. </em></p>
<p style="text-align: center;"><strong>Often when we are excited about re-defining ourselves we become more visible to others and they become visible to us. </strong></p>
<p style="text-align: left;">Be sure to join me on blog radio on Wednesday with Kelley Connors &#8211; I will be interested in speaking to you about Midlife Dating   <a href="http://eepurl.com/hLeaI">http://eepurl.com/hLeaI</a></p>
<p>Here&#8217;s the radio show<br />
page:  <a href="http://www.blogtalkradio.com/realwomenonhealth">http://www.blogtalkradio.com/realwomenonhealth</a></p>
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<p><small><a href="http://www.shutterstock.com/cat.mhtml?lang=en&amp;search_source=search_form&amp;version=llv1&amp;anyorall=all&amp;safesearch=1&amp;searchterm=middle+age+couple&amp;search_group=&amp;orient=&amp;search_cat=&amp;searchtermx=&amp;photographer_name=&amp;people_gender=&amp;people_age=&amp;people_ethnicity=&amp;people_number=&amp;commercial_ok=&amp;color=&amp;show_color_wheel=1#id=44327011&amp;src=da48bc03310a570b507d182930c9da1a-1-3">Midlife couple photo </a>available from Shutterstock.</small></p>

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