Growing up through the life cycle – these podcasts are deigned to prompt thinking about one’s own life adjustments as well as reflecting on the experiences of members of the broader family.
NOTE: this podcast is longer than my previous posts. This wasn’t intended as I started to record – however I realised that the issues to navigate for young adults (and their parents) are quite weighty and deserved a bit more time.
To listen on iTunes, click HERE.
Growing up through the life cycle – these podcasts are deigned to prompt thinking about one’s own life adjustments as well as reflecting on the experiences of members of the broader family.
To listen on iTunes, click HERE.
Interventions and Confrontations – Are they the most helpful ways to respond to severe problems in a person we care for?
Because I view a person’s symptoms as part of their system of relationships I now focus on expressing my own position in the relationship rather than focus on the problems in the other.
Last week a relative called me to talk through their ideas for an “intervention”. They wanted to challenge a friend to admit to their symptoms and agree to get some professional help. I appreciated the deep care behind this request. I heard about how a long term friend had been exhibiting increasingly severe symptoms that were threatening many aspects of their wellbeing. I was happy to be a sounding board for my relative and to share some of my principles for communicating such important concerns to someone we care about. The term ‘intervention’ usually refers to the effort to gather a group of people together and confront a person about their need for help. It is often used in the case of serious drug and alcohol dependence. Web sites on how to do interventions describe the context:
People with serious addictive behaviours are often in denial that they have a problem. When heart to heart talks and other attempts to help prove ineffective, you can join forces with friends, families and a professional interventionist to confront the person with the truth and a detailed plan of action.
Many years ago I was a participant in such a strategy and experienced a long term fall out in the relationship as the years progressed. In more recent years I have come to a different view of such strategies. Because I view a person’s symptoms as part of their system of relationships I now focus on expressing my own position in the relationship rather than focus on the problems in the other. Here are the key principles – some of which I shared with my relative:
I appreciate that it isn’t easy to know how to address serious concerns about another’s life course or symptoms. Are there exceptions? I certainly conveyed to my relative that they know their relationship with their friend and will find their own way to deal with it best. Every situation is different and there may be occasions when a more direct intervention is the most caring thing another can do. At certain times it may be most loving to call in an emergency assessment service. Even in such cases I would aim to be transparent about my willingness to do this if I ever thought that my loved one’s safety or those of another were under threat.
My view is that a group or individual confrontation of another is almost never constructive. It sets up a one- up/one- down relationship where the person feeling challenged is evoked into high reactivity rather than being able to listen. They hear judgement rather than heart-felt concern. They can be fixed into the postion of a ‘patient’ in their relationship system. My system’s lens reminds me that people get into vulnerable symptomatic places in life via their position in their relationship/family systems. This means that if I change how I relate in that system I can contribute to a less regressive and anxious field for the most vulnerable person.
Bowen on confrontation in a family system:
ON CONFRONTING FAMILY MEMBERS
‘As an oldest son and physician I had long been the wise expert preaching to the unenlightened, even when it was done in the guise of expressing an opinion or giving advice….During my psychoanalysis there was enough emotional pressure to engage my parents[others] in an angry confrontation…At the time I considered these confrontations to be emotional emancipation. There may have been some short term gain…but the long term result was an intensification of previous patterns.”
Family Therapy in Clinical practice P 484
ON RELATING TO A PERSON IN THE SICK ROLE
‘In those families in which both parents could eventually tone down the sickness theme and relate to the ‘patient’ on a reality level, the ‘patient’ changed. After one family had emerged from their unreality, the ‘patient’ said, “As long as they called me sick and treated me sick, I somehow had to act sick. When they stopped treating me sick, I had a choice of acting sick or acting well.”’
P 86 ‘Interventions and Confrontations’ – Jenny Brown
“Are more of my energies going into reading and trying to manage relationships than going into my responsibilities?”
The topic of resilience has been getting lots of attention over the past years. It seems that many have realised that it is more helpful to aim for improved resilience than increased happiness. The core of resilience is seen in how well one deals with life’s setbacks. Think about it for a moment: What will be more useful in equipping a person for life’s daily challenges? Will it be striving for positive feelings? or will it be nurturing the capacity to bounce back after disappointments?
Definitions of the concept of resilience abound! I think it’s helpful to think of it as: The capacity to stay on track with goals and tasks in the midst of challenging environments. The majority of approaches to promoting resilience focus on the individual. They describe how a person can mobilize certain mindsets that allow them to see failure as opportunities rather than as a personal condemnation. This individual cognitive reframing and techniques for self-soothing can certainly be helpful in learning to not be crushed by disappointments; however they leave out the importance of relationship dynamics to our resilience. It’s easy to see external events like loss of job or an illness as the greatest threat to resilience but it is important not to underestimate the way that relationship dynamics can subtly drain a person’s capacity to manage life effectively. A useful question to ask is: Are more of my energies going into reading and trying to manage relationships than going into my responsibilities?
I recently spoke to a woman I will call Leanne, who was increasingly stressed at her workplace. She had taken on a job in a community organisation and was looking forward to making a real contribution. After just 6 month in the job however, she was losing the ability to focus on her work tasks because all of her energy was consumed by trying to work out the relationship dynamics. She sensed that one colleague didn’t value her and had started to seek reassurance from others at the office. Her boss had initially been available and supportive but she was now sensing a withdrawal of his involvement. She began imagining that he doubted her capabilities and that her colleague might even be bad mouthing her behind her back. Leanne had gone from an enthusiastic confident worker to an anxious and self-doubting person within a short time.
As with so many of us, Leanne’s sensitivities to relationships were a huge part of her lowered resilience. She was able to be productive when she felt valued and validated but any sense of disapproval and loss of attention would derail her from functioning well. All of us have emerged from our families with varying degrees of sensitivity to relationship undercurrents. The most common sensitivities are to approval, expectations, attention and distress in others. Which of these are most likely to destabilize you in your relationship contexts? What perceptions of others are most likely to distract you from managing life’s tasks? Is it seeing another upset and feeling that somehow you are responsible? Is it when you lose a perceived sense of importance or a shift from getting attention?
Here is a summary list of the common relationship patterns (drawn from family systems theory) that can impair people’s resilience. Each of these patterns deserves a blog all its own but a brief checklist might open up more ways of understanding how relationship context affects us all. See if you can recognise any of these going on in your life at the moment:
Leanne was able to see how her dependence on others being warm and attentive towards her was threatening her capacity to manage in her job. As an individual she had all the competencies necessary to do her work well but in relationships she could so easily lose her sense of capacity and become consumed by feeling left out. It was helpful for her to consider how this developed in her relationships in her original family. She realised that it would not be an easy pattern to adjust but that she could re- build some resilience by taking the focus of trying to get steadiness through relationships and instead get back on track with performing her job duties well. She could stay in friendly contact with her colleagues without getting caught up in figuring out what they thought of her.
We all inherit different degrees of relational and emotional resilience from the families we grow up in. there are many variables that go into this complex process that help make sense of the different capacities family members and people from different families have to cope with the fortunes and misfortunes of life. Bowen theory provides a way to grapple with this and to research in our own lives the ways that we interact within our relationship environment and its impact on our moments of apparent strength and episodes of greatest vulnerability.
This blog originally appeared on the Family Systems Institute Website
To read more from Jenny Brown, you can purchase her book Growing Yourself Up here.
The FSI runs interactive groups promoting relational resilience for parents and adolescence, for more information go here.
New group schedules will be released in the coming months, if you are interested in attending please let us know by emailing us: info [at] thefsi [dot] com [dot] au or calling (02) 9904 5600
Joe was beginning to see how his best efforts to help his daughter and family to have happy times together were actually contributing to a lowering of Chloe’s resilience.
This is the next instalment in the story of one parent, Joe, as he worked to figure out how he could be a resource to his defiant 13 year old daughter Chloe. Previously Joe described in detail the interactions of all the family at a recent outing to a pizza restaurant (see blog May 10). Having clearly laid out the different family responses during this typical problem interaction with Chloe, his next effort was to think back over his interactions to consider if:
In looking back at the Pizza restaurant blow-up, Joe noted how much he tried to get Chloe to be pleasant and co-operative by appealing to her with his positive voice. He was putting his energy into trying to manage her mood and it was backfiring. The more he tried to convince Chloe to be co-operative the more she would retort with her complaints. Joe noticed that this would pull his wife into being tough with Chloe which he would respond to with even more effort to calm Chloe down to avoid a bigger outburst. Chloe was not learning to manage her reactions at all. Joe was trying to do it for her. As other family members (Mum and brother) started to give Chloe a piece of their mind about her behaviour, Chloe was being given even more emotional opposition to react to. Joe acknowledged that he then moved into more drastic efforts to calm Chloe down by giving into her (allowing her to only order gelato) and offering her incentives ( a phone upgrade). Joe saw that this was contributing to his daughter expecting that others would make her happy rather than learning to tolerate not getting her own way. Chloe was becoming increasingly dependent on others to remove her frustrations. On the surface her defiance sounded like a kind of rebellious independence from her family but Joe was coming to see that this was actually a picture of a very dependent child who hadn’t learned to calm herself down when she didn’t get her own way.
Joe was beginning to see how his best efforts to help his daughter and family to have happy times together were actually contributing to a lowering of Chloe’s resilience.
If the child/young person is beginning to calm themselves down and be more thoughtful and reasonable during or after the interaction, they are growing in resilience. If the child is agitated and either leaving the parent to work things out for them, or leaving the parent equally agitated, they are NOT growing in resilience and independence.
The pattern of both parents rushing in to smooth things over for Chloe had been happening for many years. Over this time her defiance gradually increased. This was now being amplified by the hormone charges of early adolescence alongside the stressful transition to high school (junior high). Joe couldn’t find anything in his pizza restaurant interaction with Chloe that was promoting her growth in responsible independence. He accepted that changes for Chloe would be slow but that the first step he could make was to stop calming and bribing Chloe. He had some more work to do to figure out what to do instead but his stepping back was the beginning of him becoming a more hopeful parent. Joe was starting to shift his focus from trying to change Chloe to a focus on what he could change. He felt hopeful that he could make a contribution to his daughter growing in responsible relating.
