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

How Enduring Vulnerabilities Are Affecting Your Marriage

Have you ever had an intense emotional reaction to something your spouse says or does, even though the situation doesn’t warrant it?  If you haven’t noticed this in yourself, is this something you’ve seen happen in your partner while you’re in a disagreement?

What about when you get into an argument with your spouse, but later on, neither of you are able to remember how the argument began or what made you so angry in the first place?  Often it can feel like it began over something silly that escalated out of control within minutes.

When your reaction to a situation in the present is intensified by experiences from the past, these signal that there may be an enduring vulnerability at play.

What are enduring vulnerabilities?

The term “enduring vulnerability” was coined by Thomas Bradbury and Benjamin Karney at UCLA.  It references past experiences in relationships, your family-or-origin, or other traumas that have created a subconscious reaction within you to similar experiences in the present.

For example, a child who was frequently bullied about his or her weight may continue to feel heightened sensitivity around body image and weight into adult years.  When their spouse suggests an exercise program to do together, the spouse with the enduring vulnerability around body image may have a strong emotional reaction of anger, fear, and shame. 

Often these vulnerabilities stem from attachment wounds.  Attachment wounds occur when a primary caregiver in your childhood was not a safe or secure base for you.  You project those attachment wounds on your partner because they are now the closest attachment figure in your life.

Enduring vulnerabilities are unique to all people and are often the source of these unexpected emotional reactions.   In order to understand how they impact you, you must practice self-reflection and awareness of the current situation in order to put them into context.

How do enduring vulnerabilities impact couples?

Major arguments that happen in relationships are often fueled by these enduring vulnerabilities.  Something your spouse says or does reminds you of someone else or a past trauma, and you react as if you are right back in that trauma.

Sometimes, enduring vulnerabilities are worsened by actual harm done in your marriage.  When your partner makes a critical or contemptuous comment to you, it can intensify an enduring vulnerability that already exists.  If you have experienced betrayal in your marriage relationship, new vulnerabilities may form as your primary adult attachment figure now feels unsafe.

How can couples use enduring vulnerabilities to grow closer?

There is an upside to these enduring vulnerabilities, however.  John Gottman, in his research on couples, recognized that arguments provide an opportunity for couples to grow in intimacy as they get to know one another’s enduring vulnerabilities.  Understanding one another’s stories will allow you to increase your empathy in responding and caring for one another in your marriage.

Recognize them.

When you find yourself reacting strongly to an interaction with your spouse, take some time to self-reflect.  What was the most challenging part of the conversation for you?  Why do you think it was the most challenging? Ask yourself what the interaction reminded you of. What situations in the past may have set you up to feel the way you did?

Pay attention to the physical sensations that arose in your body, the emotions you were feeling, and the thoughts that were running through your mind.  Let your mind float back to similar experiences in your life. These memories may be the key to uncovering why you responded so strongly to your partner’s actions or words.

Talk about them with your partner.

After some time has passed post-argument and tensions have lowered, share what you felt particularly sensitive to about that argument and how it relates to what you now know about your enduring vulnerabilities.  Be sure to talk about your own experience using the talking formula rather than offering criticism or contempt about your spouse.

If your spouse is sharing their enduring vulnerabilities with you, listen to them.  Ask open-ended questions to understand more of their story.  Offer validation and empathy to show that you understand how what happened in the present must have been difficult for them, based on what they experienced in the past.

Conversations about enduring vulnerabilities can help you know one another more deeply and connect on a more significant level.  They create a stronger sense of intimacy as you begin to know one another’s stories and experience empathy and understanding.

Create a plan for situations like these in the future.

As a couple, you can decide how you want to approach these enduring vulnerabilities when they inevitably arise in your relationship again.  

It is important for the spouse who has the enduring vulnerability to take responsibility for their personal emotions, rather than blaming their reaction on their partner.  It may require them to do their own work in counseling or elsewhere to identify when enduring vulnerabilities arise and options for changing their automatic reaction to them.  This is especially important when that enduring vulnerability is impacted by a more serious mental health concern such as depression, PTSD, addiction, or others.

At the same time, the spouse who is not affected by that vulnerability can choose to adapt their approach in these conversations to lovingly support their spouse and avoid known triggers related to that vulnerability.  For example, if one of your spouse’s enduring vulnerabilities comes from being called “stupid” frequently by a verbally abusive parent, you might intentionally avoid using that word to describe them or choose to affirm their competence in challenging situations.

In order to avoid codependency and attempts at mind-reading, have a conversation with your spouse about what would be supportive to them when they are experiencing an enduring vulnerability.  Allow your spouse to make requests of what they would prefer, and consider if you are willing to offer support in that way.

Have patience with the process.

Understanding your own and your spouse’s enduring vulnerabilities is not an overnight process.  It takes time to fully understand how your unique stories and past experiences play into your interactions with one another, and often there will be some trial-and-error before you find the best ways to support one another.  Give yourself grace in this period of learning.

Know also that frequently couples have enduring vulnerabilities that intensify one another when they occur.  For example, he feels hurt when she walks away from the conversation out of fear of abandonment, but she feels scared when he comes after her due to her past history of abuse.  Recognizing and talking about these together can help you have more empathy for one another and grow into different approaches that work for your unique marriage.

How to Listen So Others Will Speak: Authentic Communication Part 2

In Part 1 of the Authentic Communication series, I shared a formula to communicate authentically about your feelings with people in your life: “I feel _________ about/because of ____________, and what I need is __________.”  In light of that, it is fitting to take a look at how to listen when you’re on the receiving end of this style of communication.  How do you respond when someone expresses difficult thoughts or feelings to you?

For most of us, it is unusual for someone to communicate emotions directly and in an assertive way like this.  We can feel insecure or uncertain about how to respond.  We want to be empathetic, but sometimes we worry that our words will be trite or dismissing.  Or maybe we’re uncomfortable with the fact that they shared this information with us in the first place, and managing that discomfort takes all of our attention.

We tend toward a few possible ways to respond when someone approaches us to share their emotions.  In general, we can be uncomfortable around negative or painful emotions.  We might avoid painful emotions in our own lives, so seeing or hearing someone express an emotion vulnerably might lead us to put pressure on ourselves to put a positive spin on it.  Or we can become defensive, particularly if the emotions being expressed are in response to something we’ve done.  Perhaps the person’s vulnerability in sharing feelings or needs from us requires us to apologize or identify changes we need to make in our own lives.

What holds you back from responding with empathy?

Ultimately, expressing emotions and responding with empathy to others is vulnerable, in that we have to connect with uncomfortable or painful emotions inside ourselves in order to understand them in others.

In order for us to truly empathize with someone else, we have to step into their shoes and look at the world from their perspective.  We may not fully understand, as we may not have had the same experience in our story.  But as they share emotions of anger, sadness, fear, or hurt, we can look at ways we’ve felt those same emotions before to get a picture of what they’re going through.

Brené Brown, a well-known researcher on shame and empathy, briefly explains the difference between empathy and sympathy here:

I love how she underlines the idea of “silver-lining” someone’s pain – looking for the “at least” or the message.  We can sometimes jump too quickly to comforting platitudes that do contain truth, but can silence any emotion or pain the individual is experiencing.  True empathy creates space for emotions to be felt.

How have you tried to “silver lining” someone’s pain?

In relationships, John Gottman talks about the importance of validating one another’s perspective in order to create intimacy.  Couples in conflict tend to get stuck in push-and-pull arguments that become battles to win or lose.  Slowing down and engaging in this practice of empathy rather than seeking to make your partner feel better or stop feeling the negative emotion creates intimacy in your relationships.

Take time to validate your partner.  Validation involves responding to another’s expression of feelings and experiences in a way that communicates you understand or you can see from their perspective.  In so doing, you don’t necessarily have to agree with them.  For example, your partner might interpret you forgetting to take out the trash as disrespecting him or her.  Even if that wasn’t your intention, you can still respond by expressing that you understand that feeling and how it might have affected them.  This diffuses the tension, as your partner will likely feel more heard and understood.

Here’s some examples of validating responses:

• I can see why you felt this way.

• I understand how my actions communicated that.

• It makes sense to me why you responded that way, knowing what you were thinking and feeling.

There is no perfect response here: you can’t say any magic words that will instantly fix any problems you have in your relationships.  But the more you are able to validate and empathize with the experiences of others, the more likely you are to build strong relationships where your loved ones feel safe sharing difficult emotions and experiences with you.

“Rarely can a response make something better.  What makes something better is connection.” – Brené Brown

This article was originally posted on June 1, 2017 under the title, “Empathy in the Face of Vulnerability: Responding to Authentic Communication”.

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.