How Understanding Attachment Can Drastically Improve Your Relationship: A Review of Hold Me Tight by Dr. Sue Johnson

There are many theories and countless books about what makes relationships and marriages work.  Self-care and relationship sections at bookstores are filled with plenty of resources to offer marriage advice, not all of which is reliable or helpful.  But when all these tools coincide with increasing divorce rates, we are left wondering: how can couples make it through some of the worst moments of their relationship?

If you’ve been in a relationship with high levels of conflict, negative spirals you can’t seem to escape, and a sense of growing distance between you and your partner, the discouragement can feel overwhelming.  What’s the solution to these seemingly endless loops in which couples find themselves that propel them to consider divorce?

“To achieve a lasting loving bond, we have to be able to tune in to our deepest needs and longings and translate them into clear signals that help our lovers respond to us.”

— Dr. Sue Johnson

Hold Me Tight

In her book Hold Me Tight, Dr. Sue Johnson uses the lenses of attachment theory and neuroscience to explore how some couples overcome the destructive patterns in their relationship to forge a stronger connection.  She pulls together research from various studies on relationships that highlight the themes of attachment.  She then translates these concepts into seven practical conversations that help you explore the application of these concepts to your relationship.  They focus on how to turn challenging patterns of argument and conflict into opportunities to create connection and empathy.

This book is written for the everyday couple.  She explains clinical terms in a way that makes sense to someone who has never heard them before, and she uses frequent examples of couples going through challenges to illustrate the points she is making.  Counselors can also benefit from reading this book, however, as I know I was able to glean some practical tips and language that can help me guide my clients in their relationships. 

What I Appreciated

“Emotional Safety” and Other Terminology

Dr. Johnson’s use of terms like “emotional safety” take the heady, intellectual concepts of attachment and translate them into clear, relatable language.  Emotional safety is what we long for in relationships: the ability to know that our partner is Accessible (Are you there? Can I get to you?), Responsive (Can I depend on you to be there for me emotionally?) and Engaged (Am I valuable to you?  Will you maintain closeness with me?).  She teaches how to use what she coins A.R.E. conversations (based on accessibility, responsiveness, and engagement) to get at the heart of what is happening within connection and disconnection.

In fact, much of her language is descriptive and easy to remember.  For example, she uses “Demon Dialogues” to identify common patterns in faulty communication.  She introduces “Hold Me Tight” conversations, in which partners talk about their needs for emotional safety and connection that exist behind a conflict, inviting empathy and compassion.

Providing a Contrast to Cultural Messages

Frequently, Dr. Johnson contrasts our culture’s emphasis on independence and self-sufficiency with the reality of what makes couples work: mutual support, emotional bonding, and healthy meeting of emotional needs.  Often our culture decries weakness or dependency on anyone, encouraging us to stand on our own.  Even language surrounding codependency can swing toward this extreme of isolation through independence.  Her work in this book is meant to shift the narrative around healthy emotional support and depending on our spouses to meet emotional needs, particularly as larger social connections have been decreasing.

Conversations about Arguments and Hope

In the seven conversation topics Dr. Johnson proposes, she includes addressing arguments and conflict head-on, as they often carry the charge of longing for emotional connection behind them.  However, she doesn’t stop there.  The later conversations dig into such topics as improving daily moments of connection, creating rituals that reinforce your love, and improving your sexual relationship.  The earlier conversations around conflict and emotional needs lay the groundwork to make these later conversations go more smoothly.

“A desperate need for an emotional response that ends in blaming and a desperate fear of rejection and loss that ends in withdrawal – this was the scaffolding underneath these endless conflicts.”

— Dr. Sue Johnson

Pauses for Self-Reflection

As attachment and emotional safety are likely new concepts for you in your relationship, it makes sense that you might not know where to start in understanding your emotional needs.  Dr. Johnson leads you through personal reflection and helps you identify what she’s talking about, like your own personal raw spots based on past relationships with family or significant others.  The use of examples throughout can also help you self-reflect, as you identify what you relate to in their stories.

“Play and Practice”

In every chapter, there is at least one, if not several, practical application sections labeled “Play and Practice.”  These take the concepts Dr. Johnson talked about in the chapter and help you have a productive conversation with your partner about how they apply to your specific relationship.  These include such tools as fill-in-the-blank sentences that help you communicate with your partner about your reactions and emotional needs.  In particular, one section I appreciated near the end encouraged couples to write a summary story of the progress they’ve made in their relationship that serves as a narrative base to come back to when things start to get difficult or slip back into old patterns.

Addressing Trauma

She also included a chapter specifically targeting the challenging symptoms and disconnection that arises when trauma exists in your relationship.  I found this chapter especially helpful when thinking about addicts and betrayed partners who need to know that using these principles is still possible within their recovery from trauma.

She reminds the reader that we cannot stay isolated and disconnected in our trauma.  Instead, we need to let others, including our partners, into those dark places.  This can help make sense of the often confusing symptoms of PTSD that arise and create chaos within the relationship.

“If we cannot successfully connect with others, our struggles to cope with trauma become less effective, and our main resource, our love relationship, often begins to sink under its weight.”

— Dr. Sue Johnson

How to Use This Book

If you are in a relationship where you find yourself arguing often, unable to get on the same page, feeling unsupported, or simply not understanding each other, this book might be a good place to start.  It is helpful if you don’t think you’re ready for couples counseling yet, but could use some support and growth within communication and connection.  Perhaps you and your significant other could read the book together and work through the Play and Practice sections to learn more about one another.  I believe this book can also be beneficial if you read it separately from your spouse, but the best outcome is more likely to come if you read it together.

If you are a couple in crisis, on the brink of divorce, or unable to have the type of in-depth conversation the book requires due to a buildup of past pain or a tendency to get lost in the “Demon Dialogues,” your first priority might be instead to seek out couples counseling.  If the principles of this book interest you, I’d recommend looking for a therapist who has training in Emotionally Focused Couples Therapy (EFT), the model Dr. Johnson created based on her body of work.  You could also read this book as part of your therapy or on the side, but the best option is likely meeting with a quality couples therapist.

“We will never create a really strong, secure connection if we do not allow our lovers to know us fully or if our lovers are unwilling to know us.”

— Dr. Sue Johnson

Reintegrating Healthy Sexual Intimacy after Betrayal: A Review of The Couple’s Guide to Intimacy

Couples recovery from sex and love addiction can be a complex and lengthy process.  Even for those fully committed to the process of recovery, it can take between three to five years to uncover all that’s needed to heal a marriage.  The chaos and storm of staggered disclosures, broken trust, and faltering attempts at honesty can lead to confusion and overwhelm for both partners in the relationship.

Couples therapy requires participation and change by both members of the couple.  In the early stages of recovery, when the betrayed partner is reeling in pain and has often been manipulated, it doesn’t feel safe to make changes to support the relationship.  Individual healing work needs to be done first. Because of this, couples therapy is not recommended for most couples until each member of the couple is getting their own therapeutic support and a formal disclosure process has been completed.

The addict needs to get their individual pattern of addiction under control, and the partner needs space to process the pain of trauma that they experience.  They both need to establish support systems outside of the relationship in the form of 12 Step groups, sponsorship, support groups, and/or healthy friendships.  Boundaries need to be established and understood. Healing cannot happen in the marriage until there is a foundation of honesty, and formal disclosure is designed to create that foundation.

In some cases, couples therapy can begin earlier in the process of recovery.  Often this is when the couple needs to learn basic communication skills in order to navigate life together while going through this healing process.  Also, this can be helpful if the couple is pursuing a formal therapeutic separation and need guidance from a couples therapist on how to implement this logistically.

Let’s say you and your partner have been consistent in individual therapy, have strong social support, are committed to recovery-oriented behaviors, and have completed a formal disclosure.  Now what?  Many couples aren’t sure what to do once they’ve made significant progress in their individual recovery.  Deeper still, reintegrating or introducing healthy sexual intimacy can feel like a daunting task.  How can a couple recovering from sex and love addiction be intimate again?

Why A Couple’s Guide to Intimacy is Needed

In The Couple’s Guide to Intimacy, Bill and Ginger Bercaw give an answer to these “what next” questions.  They outline the sexual reintegration therapy (SRT) model that they’ve used consistently with recovering couples to help them achieve a level of intimacy in their relationships they hadn’t thought possible. 

The Bercaws’ approach helps to completely overhaul the experience of sexual intimacy in a recovering relationship.  Often, when sexual addiction was present, sexual experiences weren’t truly connecting or meaningful.  Physical and emotional intimacy are explored as integral parts of true sexual connection. 

Their book includes information about the SRT model and explorations of true healthy sexuality and its differences from addicted sex.  They also include a series of practical exercises (planned intimate experiences) that can be put into play by the couple, progressing gradually toward an entirely new vision of sexual intimacy.

Bill and Ginger Bercaw strongly recommend working with a CSAT couples therapist while going through this material, as much of what can arise emotionally and relationally needs space to be processed in a safe environment with trained professionals.  It is also important to maintain your individual therapy and support while walking through SRT, so you can have space to process what comes up for you individually as you begin to experiment with this new approach to intimacy.

Insights from the Book

The foundations upon which Bill and Ginger Bercaw lay their book form a series of important insights into the process of reintegrating healthy sexuality into a recovering marriage.

Healthy sexual intimacy is made possible by integrating physical, emotional, and spiritual dimensions of intimacy.

Broken trust and betrayal destroy all levels of intimacy. In particular, sexual intimacy is affected as often one or both partners are using it as a way to get something from the other, as opposed to truly connecting during the experience.  The book emphasizes the need to integrate all areas of intimacy through direct and open communication and conversations, especially as integrated in the planned intimate experiences (PIEs). 

Reprogramming sexual scripts is Essential.

Our culture’s view on sex influences our approach to intimacy. For example, we emphasize trying new things as a way to keep sexual experience interesting or “spice it up.”  This is intensified by the influence of sex and love addiction on your relationship, where the addict may see sex as a way to pursue novelty or seek the next “high.”  But these approaches are not truly connecting.  They are more focused on performance than they are on intimacy, and intimacy is the greater need.

Reviewing your own sexual history can reveal your expectations about sex.

Bill and Ginger Bercaw lead the reader to reflect on their own sexual experiences and influences on their sexuality as an exercise in self-understanding.  For example, if you have a history of sexual abuse, it likely affects messages about your body or your sexual experience.  Exposure to pornography can create distorted expectations about how sex ought to be.  A lack of sexual information, particularly in more rigid home environments, can lead to a lack of knowledge about sexual response and experience.  Even such influences as the media, peer groups, churches, and others can have an impact on sexuality. 

Early attachment relationships also have an influence on your experience of sexual intimacy in your marriage.  If you have an avoidant attachment style, you’re more likely to want to withdraw from conflict and therefore don’t talk about sexual issues.  If you are more of an anxiously attached person, sex might be a way that you confirm you are loved by someone.  If you grew up in a rigid family system, you might see sexual behavior as rebellious or a way to branch out from restrictions.

These influences need to be acknowledged and addressed before true sexual intimacy can be experienced.  You’re carrying around baggage from your past that has to be unpacked before you can enter into the relationship without expectations or judgment.  This is important as you will be able to come to know your own sexual self and your partner’s sexual self, which then creates a more intimate experience.

The end goal isn’t perfect technique or sexual experience, but expressing love and connection through being present to yourself and your partner.

An overemphasis on technique or an idealized sexual experience has probably already led you to disappointment and pain.  Instead, the Bercaws’ approach to intimacy takes emphasis off the final result, instead focusing on remaining present throughout the entire process of intimacy.  Every PIE exercise focuses on different depths of intimacy.  Many exercises in the progression occur outside the bedroom or with clothes on.  Several focus on creating more emotional and relational intimacy, which paves the way for connected sexual intimacy.

The importance isn’t to find the new sex technique that’s going to boost your pleasure (despite what some magazine covers may say) but instead to learn how to become fully present to yourself, your partner, and your experience during your intimate encounter.  

Safety and communication are necessary in personalizing your path.

For many betrayed partners, there is not a sufficient level of safety in the relationship to rush into intimacy.  The Bercaws’ PIE exercises are designed to help you grow closer, and they also encourage speaking up when you aren’t comfortable or when you need to change something.  They emphasize using talking and listening boundaries throughout their PIEs and reinforce that with an emphasis on healthy, functional boundaries, which they describe at length.

If you’re looking for additional support in understanding how you can grow in the area of sexual intimacy in your recovering marriage, Bill and Ginger Bercaw’s book and their method of sexual reintegration therapy offer useful and practical tools to revolutionize your relationship.

Stopping the Cycle of Emotional Harm in Your Marriage: A Review of The Emotionally Destructive Marriage by Leslie Vernick

What does it mean to be in an emotionally destructive marriage?  Have you felt coerced into doing things you don’t want to do?  Do you hear name-calling or contemptuous criticism when your spouse doesn’t like your choices?  Do your spouse’s words lead you to feel horrible about yourself?

These are common symptoms of emotional abuse or harm.  Others include a crippling sense of self-doubt based on your spouse’s criticism and feeling terrified of his or her rages.  Gaslighting is common: when you attempt to directly address an issue with your spouse, you consistently leave the conversation feeling as though it was all your fault.

Leslie Vernick’s book The Emotionally Destructive Marriage gives a message of relief to women who experience their husband’s emotional and verbal abuse but feel trapped and unable to change anything about it.  In this book, Vernick outlines the characteristics of an emotionally destructive marriage and explores what that type of abuse feels and looks like.  She also shatters the myths of distorted Christian teachings that cause women to doubt their experience based on overly simplistic views of women’s roles.

Since this book comes from an explicitly Christian perspective, including prayers at the end of each chapter and a focus on Biblical truths, it may initially alienate someone who doesn’t have the same faith background.  Regardless, I believe the practical tools and helpful insight she provides can be beneficial for any woman who is concerned about the state of her marriage.

Helpful Insights from This Book

An Understanding of Emotionally Destructive Marriages

Early on in the book, Vernick describes emotionally destructive marriages and gives assessments to help you identify the difference between an abusive relationship and an unsatisfying relationship.  This distinction between dissatisfaction in marriage and being the recipient of emotional abuse or manipulation can be validating to women who have been told they are simply unhappy in their marriages and they need to change their own perspective.

A Shift in Perspective on Biblical Submission

Unfortunately, many Christian women have been taught messages about the role of submission to their husbands without a full understanding of what this word means and what it requires of the husband.  Submission is not blindly going along with whatever the husband wants, particularly when the husband is asking the wife to do something she knows is wrong or will be harmful to herself or others. Looking at the way Jesus led others, it is clear that leadership means serving and looking out for the needs of those you lead more so than your own needs.  Submission cannot be forced or demanded, and it is not meant to be a power play of cruelty.  If you experience “submission” as a weapon in your marriage, you are likely in an emotionally destructive marriage.

Validation of a Woman’s Choice

Vernick allows her readers to make a choice about the future of their marriage: whether they want to stay together, separate, or divorce.  She doesn’t dictate what that choice should be: instead, she encourages women that whatever they choose to do, they do it “well.”  Recognizing that each situation is different and there is no one solution for everyone, she gives practical help for whichever option you choose.  She warns against people who claim simple solutions for such a complex issue, reinforcing that what is right for one woman and marriage may not be right for another.

If you are in an emotionally destructive marriage, you likely are not given opportunities to make your own decisions.  You are told what to do by your spouse and haven’t had much space to explore what you truly want.  Often gaslighting contributes to this, as emotional manipulation can lead you to believe your desires are different from what they truly are. She encourages you to get in touch with your own desires as part of this discerning process.

Practical Tools and Next Steps

At the end of each chapter in the book, Vernick gives specific action steps to help you explore changes you can make to move out of feeling stuck in your marriage.  At several points through the book, she refers the reader to her website for resources to download that help you begin to set boundaries in your marriage.  She has video resources available for both spouses to understand the dynamics of the emotionally destructive marriage. 

Challenges Toward Growth

Vernick knows her audience: the wife in the emotionally destructive relationship is probably the one reading this book, not the husband.  She also knows that many of these women want to change their spouse, but they have little to no control over that change.  Instead, she challenges women to do their own work: becoming more confident and supported so that they can take steps toward healing.  At one point she discusses her intentional decision to refrain from talking about reasons for husbands to become emotionally abusive: to her, it doesn’t matter how it happened, but instead that it is happening, and the wife needs to respond to protect herself and her family.

For Partners of Sex and Love Addicts

When I’m working with partners of sex and love addicts, I see the devastation that trauma causes and how it can limit a woman’s sense of personal power. It is important to allow the husband to carry the blame for stepping out on the marriage. And it is incredibly important for your own healing to recognize how these actions have affected you and how you may be responding negatively in your own way as a result.  Taking ownership over your own response can help you regain a personal sense of power.  Acknowledge the reality of the trauma you’re experiencing, but also acknowledge steps you can take to regain control over your own choices and life.

Practicing Self-Care

Healing from the trauma of an emotionally abusive marriage requires taking care of yourself and processing your own past hurt that may be contributing to your response.  Practice self-care by getting in touch with your own needs, which probably have been hidden because you’ve been focused on appeasing your spouse.  Find support through trusted friends, therapy, and support groups: you cannot do this alone.  Learn to communicate boundaries with your spouse and say “no” when you feel uncomfortable.  The best way to do this work is to get into your own therapy to explore how your actions has been affected by your upbringing and past trauma such that you respond in the unique, particular way you do.

How to Communicate with an Emotionally Destructive Spouse

There often comes a time where direct communication needs to happen with your spouse in order to open the door for change.  Vernick suggest templates for how to talk about what you’re willing and not willing to tolerate, emphasizing the need for follow-through on what you commit to do in response to his intolerable behaviors.  She reminds you not to get sucked in to the emotional abuse or manipulation, remaining calm as a way of avoiding destructive dynamics from the past.  She encourages keeping yourself safe as the highest priority, suggesting this confrontation happen in public and with support individuals nearby.  These practical tips help this process feel more manageable.

If you are wondering if you might be in an emotionally abusive or destructive marriage, pick up this book and give it a read.  Do the assessments and follow the action plans.  Learn to communicate clearly and directly with the specific and practical steps Vernick offers.  Open yourself up to explore your own history and how it might be influencing your spouse to your spouse.  My hope is that this will give you the courage you need to take a stand and take up space in your marriage.

Releasing Your Body from Trauma's Grip: A Review of The Body Keeps the Score by Bessel van der Kolk

If you’ve experienced a traumatic event, you know the symptoms that follow.  It could be physical or emotional pain directly related to the trauma, but also symptoms in response to reminders of the event once you’re physically healed.  You might be dealing with panic or out-of-control flashbacks that pull you into re-experiencing the trauma.  You may have trouble putting words to what happened to you, with gaps in your memory or difficulty placing a beginning, middle, and end to your experience. 

Bessel van der Kolk, in his book The Body Keeps the Score, describes the experience of holding trauma in our bodies both through changes to the structures of our brain and effects of trauma on daily living for those who have experienced traumatic events. 

In his 40+ years of clinical experience as a psychiatrist, van der Kolk has done extensive research on the effects of trauma on brains and bodies of children and adults.  His focus on neuroscience and attachment form the basis of his points in his book.  

How This Book is Organized

How Trauma Affects the Brain and Body

Van der Kolk begins the book giving background information about trauma and how it impacts both the structures of the brain and interpersonal relationships.  He discusses how trauma activates your fight-or-flight response in the amygdala, or emotional center of your brain.  This affects not only how you remember and tell the story (typically more images than biographical details), and it also changes how that information is stored in your brain.

He normalizes traumatized individuals’ difficulty improving, not because they don’t want to, but because of the impact of the symptoms and the weight of self-blame they carry in response.  This can cause physical symptoms and reactions in the body that echo long after the traumatic event has ended.  It can affect their lives as they lose their ability to focus or concentrate, they dissociate or disconnect emotionally, and they have difficulty feeling safe with other people.

“When the subject of blame arises, the central issue that needs to be addressed is usually self-blame – accepting that the trauma was not their fault, that it was not caused by some defect in themselves, and that no one could ever have deserved what happened to them.”

— Bessel van der Kolk

The Impact of Trauma in Childhood

Next he moves on to discuss the impact of childhood trauma and insecure attachment on adults.  He highlights insights from research with children and teens to highlight the detrimental effects of trauma and how it can be reversed.

One insight he shares is that how we cope with trauma as children usually translates into how we cope as adults.  We learn to survive amidst chaos using certain strategies, some of which can include addiction, destructive relationships, or other unhealthy patterns.  Recognizing where these patterns originated can release some of the self-blame you carry. 

“Many traumatized children and adults simply cannot describe what they are feeling because they cannot identify what their physical sensations mean…trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies.”

— Bessel van der Kolk

How to Treat Trauma

Luckily, trauma is not a death sentence, because our brains are designed with healing mechanisms in place.  During this section, van der Kolk highlights several different methods of psychotherapy that can help heal the effects of trauma, such as EMDR (eye movement desensitization and reprocessing), yoga, internal family systems therapy, writing, theater, psychomotor therapy, group therapy, and others. 

He speaks about using an approach to trauma treatment that focuses both on top-down interventions (strengthening the control center of the brain with activities such as mindfulness and yoga) and bottom-up interventions (regulating the emotional brain through breathing, touch, and movement).  He emphasizes that revisiting the trauma is an essential part of this process, but it needs to be done when you are feeling safe and grounded in the present moment.  Ultimately, he believes (and I agree) that experiential knowledge is much more powerful than intellectual knowledge, and therapy should incorporate these aspects.

“More than anything else, being able to feel safe with other people defines mental health; safe connections are fundamental to meaningful and satisfying lives.”

— Bessel van der Kolk

How to Use This Book

If you are someone who has experienced trauma or helps others who have been traumatized, The Body Keeps the Score will be a helpful resource to put words and explanations to what you feel and experience.  You might discover a completely new perspective on your story of trauma as a result.

Begin with the first section of the book if you are curious to understand how trauma affects the brain.  His anecdotes about individuals who have experienced trauma coupled with images of brain scans illustrate the connection between trauma and the brain.  My guess is that you’ll find your story to be more common than you realized.

In particular, I think the first section of the book is helpful for women who have experienced sexual assault or other violent crimes.  He speaks at length about the freeze response of the brain that shuts down and inhibits the victim’s ability to fight back against their attacker.  This survival response often becomes a source of self-blame after the traumatic event.  Knowing it is a natural biological reality to shut down can lift some of that blame.

If you’re interested in the concept of attachment and how trauma during childhood can affect development, read the middle section of the book, where van der Kolk shares research insights into the impact of attachment on children.  He speaks about the impact of a caregiver’s ability to emotionally attune to their children and respond to their needs so that children can learn to self-regulate.  Children who don’t receive that attunement can grow up to be anxious (feeling too much) or avoidant (not feeling at all).

If you want to learn more about a particular type of therapy to treat your trauma, jump ahead to Section Five of the book, where van der Kolk outlines the different methods of therapy that have been helpful in his experience of treating trauma.  As an EMDR practitioner, I enjoyed how he described the way a typical EMDR session works, as that can give you an idea of what to expect.

Overall, I think the combination of personal anecdotes, research, and hope this book offers make it an invaluable resource for therapists who work with traumatized clients, but also for those who are seeking to heal from their personal stories of trauma.