Psychotherapy and old shoes

During a recent recurrence of back pain I remembered one of the first times I sought treatment for this problem. It was about 20 years ago and a friend had recommended a physiotherapist to me. When I phoned to make an appointment I was surprised when she asked me to bring along a pair of old shoes.

I arrived at her clinic a few days later with my old shoes in a bag and handed them to her. After a few moments had passed I politely asked what she was doing and she explained to me that chronic back pain such that I suffered often had it’s origins in earlier injuries. Although I could point to the event that triggered this recurrence of pain a few days prior, she explained that my problem might have it’s origins earlier in my life. If I had suffered, for example, an earlier knee injury, I might compensate by placing more weight on my other knee and over time this imbalance in my posture could aggravate or contribute to my problem with my back. She was looking for uneven wear in my shoes which could offer important clues – things that I might not readily link to my injury nor think to tell her about.

And so, when I recalled  my meeting with my physiotherapist it got me thinking about the similarity between her approach to physical injuries and my approach to psychotherapy. When somebody undertakes psychotherapy the psychotherapist will want to understand the historical factors that might influence or contribute to the presenting problem. A psychotherapist will be curious about your history: what sort of family did you grow up in? How were you responded to by the important figures in your early life? How did you adapt to your early relationships? In effect, how might your past impact on your current issue? Understanding these historical factors is similar to my physiotherapist examining my shoes. When a psychotherapist understands everything that has gone into making a problem they can treat it more effectively than if they were simply to focus on the symptom.

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Feeling down? Use a list

When you find yourself going through a rough patch, a list can make a huge difference to getting through it. Not a list to tackle the problems that you are facing but a list for looking after yourself.
Because as you know, when you begin to feel a bit down it is very difficult to think of anything you enjoy. And even if you do manage to recall something that usually gives you pleasure you can probably do a pretty good job of talking yourself out of it. Then the negative cycle begins and once it gains momentum it can be difficult to stop.

So, make a list, and write down a variety of things that you enjoy. Then, when you are struggling with life’s challenges and feel yourself begin to sink into a shadowy place the list is there to offer you some ways to comfort yourself. The list will take away part of the decision making process, so all you need to do is choose one item from it without needing to decide whether or not it is enjoyable.

Just to be clear, this isn’t about ignoring how you feel or distracting yourself from your feelings. It is about comforting yourself with your feelings. For example, if you feel sad, take your sadness for a walk. If you feel alone, take your loneliness to a cafe.

When you make your list don’t rush it – a good list might take a few days or longer to make. Carry around a piece of paper, or type it into your phone, or whatever is convenient. And whenever you think of something that you enjoy write it down. Anything that gives you pleasure – a mixture of small simple things along with some slightly bigger, and some things to do at home as well as some that get you out of the house.

Here are a few examples:
Buy a bar of chocolate or a magazine.
Have a long bath.
See a movie.
Clean the house.
Cook one of your favorite meals.
Go for a walk.
Read the paper in your favorite cafe.
Visit the gym.
Go for a swim.
Spend an hour in a book shop.

Stick the list on your fridge or somewhere close at hand and then when the time comes turn to the list and simply choose whatever fits the moment, and just do it.

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Nobody else feels this bad

Emotional wellbeing is not something we usually pay much attention to – our own nor anybody else’­s – and it is often an unspoken part of our lives. Unless somebody has suffered a significant event such as bereavement or divorce, we rarely talk about how people are feeling. And even then we often avoid directly asking because we are unsure what to say and we don’t want to pry. So we spend a lot of our time guessing how other people are feeling but unfortunately when we fill in the gaps we usually get it wrong.

When our physical wellbeing suffers I think it is easier to tolerate because we know others get affected in a similar way. A tissue when someone has a cold or a cast for a broken leg make it clear that others also get afflicted and suffer with similar ailments to ourselves. But when it comes to emotional wellbeing – regardless of whether it is a severe depression or simply feeling upset after an argument – we can’t easily see that others go through the same thing. So we assume that they don’t and we try to hide how we are feeling.

Of course, there are plenty of occasions when we don’t want others to know how we feel and many of the experiences that cause us to suffer are personal and private so we understandably don’­t want all our emotions on public display. But because everybody else is also striving to be stoic, when we look at others to gauge our reactions we usually get an inaccurate measure. And then we not only struggle with the thing that started all this, but we also add a bit of shame or inadequacy because we wrongly assume that we are the only one.

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A better way to argue with your partner

You may have read the title of this article and thought you were going to learn some devious strategies on how to beat your partner in an argument. And I guessed that most people would jump to that conclusion because it’s in our nature to try and win when we argue. We might try to justify it by telling ourselves that our point of view is better than theirs and we are only trying to be helpful – but essentially, we are usually trying to win.
The problem is, trying to win means the other person must lose and this is why arguments get as heated as they do. During a heated discussion something very primitive goes on inside us and our fight-or-flight response gets triggered. This causes us to lose sight of the bigger picture and simply focus on winning. And in evolutionary terms this would be very advantageous – winning would mean surviving. However, when it happens with our partner we just end up caught in an unhappy struggle that ends with one or both people feeling upset or angry.

What’s the alternative?
What I am going to talk about is not how to win an argument against your partner, but how to win an argument with your partner. How do you both win? Or perhaps more importantly – how do you make sure that neither of you feels that you’ve lost? After all, as a psychotherapist, I’m interested in helping you build a better relationship and if you are trying to win at the cost of the other person losing then that won’t help your relationship at all. So let’s begin by looking at what happens in a typical run-of-the-mill argument.

A common scenario
We’ve all been there. You have an important point to make and you are trying to explain it. The problem is that no matter how hard you try your partner just doesn’t seem to hear you. As soon as you finish speaking they jump straight in with their point of view and it feels as if they haven’t heard a word you just said. You become impatient and you try even harder to be understood. You think more carefully about your choice of words and try to be as clear as possible. Perhaps you talk slowly in case they aren’t as intelligent as you once thought. Or maybe you raise your voice in case they have gone deaf in the last few moments. Your impatience builds to annoyance and then frustration or anger, and you wonder how you ended up with such a difficult person in your life – surely nobody else has this problem!

Why is this so difficult?
Well, part of the problem is that your partner is probably having the same experience towards you. They are trying their hardest to be heard and understood and they are getting more and more frustrated with you because they feel as if YOU don’t listen! You are both focused on talking and neither of you is listening.
You both want to be heard and understood but unfortunately the harder you try the less likely you are to succeed. Because when you feel as if your partner doesn’t care what you are saying, you aren’t very motivated to show an interest in what they are saying either. And so you respond to them in the same way that they are responding to you – you focus on talking and you stop listening.

What can we do instead?
It might sound illogical at first, but the reciprocal frustration that you both experience is also the key to a better outcome. Why? As I mentioned earlier, if you don’t feel that your partner is listening to you then you don’t listen to them – you respond the same way to them that they do to you. So it makes sense that the reverse might also true: if you want your partner to listen to what you are saying then rather than try to be a better speaker, you need to become a better listener. If you listen to them, and they can see that you are making an effort to listen, then (either naturally or with a gentle nudge) they will be more inclined to listen to you as well.

So how do we listen better?
Better listening means more than just keeping quiet long enough for the other person to finish. To be a better listener you have to try to understand what the other person is saying and then you have to let them know that you have heard them. And you can do this by repeating it back to them. Not word for word, like a parrot – but in your own words you summarize what they have just said and in doing so you are showing them that you have listened and are trying to understand. It isn’t enough to just say “Yes, I understand”. You must prove that you understand. And in summarising back to them what they have just said you are showing them that you are listening and that you are interested in what they have to say.

Listening does not mean agreeing
An important point – listening does not mean agreeing. Actually, don’t agree with them. And don’t disagree either. Not yet. The key task here is simply to demonstrate that you have heard and understood. It doesn’t matter what they are saying or how crazy it might sound to you, you simply reflect it back to them to show that you have heard. For example, if they say that they think the world is flat and you mustn’t go too close to the edge in case you fall off, you can reply something along the lines of, “So what you are saying is that you believe the world is flat and that it is dangerous to get too close to the edge. Is that right?” If you have got it right they will tell you. And if you are not quite right yet they can clarify.

When we feel understood we relax and are able to listen to what is being said to us. When we don’t feel understood we become guarded and protect our point of view, making it very difficult to hear anything that might challenge it.

Of course, all this is easier said than done. Listening to what is said and reflecting it back sounds simple. And in essence it is. But in reality you will probably feel an irresistible urge to interrupt, agree, disagree, or rush in with you own point in case it gets forgotten. Try to resist this urge – your point will keep. If you are worried you might forget what you want to say then write it down so you don’t get distracted. And each time you reflect, follow on by asking if there is any more. Each time they tell you more, summarise it back to them. If you don’t understand or they feel as if you haven’t understood then don’t rush on ahead – stick with each particular point until you are both happy that you are on the same page. When your partner has finished and feels understood by you, then it is time to reverse the roles and for you to speak and for them to listen.

You might be thinking that this sounds like hard work. And it is – at least to begin with. It will probably feel artificial and clunky and slow. But it will get easier with practice and as you both improve you will find your own style of doing it and perhaps only need to summarise when you sense that things are going off track.

Ultimately, when you can do this successfully then you will end up with 2 points of view to consider allowing you to weigh them up together, instead of the old way which only had a winner and a loser and a bitter aftertaste.

In Summary

  1. Interrupt the argument before it takes off. When you feel the tension rise either one of you can stop it by saying, “We’re falling into that cycle – let’s start again”. The sooner you catch yourselves the better and if things have already got too heated then perhaps set a time to come back to it later when you have both cooled off a bit.
  2. Take turns. Decide who is going to speak first and who is going to listen.
  3. One person speaks. The speaker must try to say things in short blocks so that the listener can keep up. If you say too much at once it might be hard for the other person to follow and if they don’t get a chance to reflect what you say then you won’t know if they have understood.
  4. One person reflects. The listener reflects back what they hear and checks that they have understood correctly. E.g. “This is what I heard… Have I got it?”
  5. Change roles. When the speaker feels heard and understood and has finished then swap roles. If it has been a tough conversation so far then you might want to take a breather – put the kettle on and then come back to it. But make sure you come back at the agreed time!

Good luck!

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