Showing posts with label family of origin. Show all posts
Showing posts with label family of origin. Show all posts

Friday, December 4, 2015

When The Holidays Are Hard


The holidays are here, and it's a difficult time for some people. There are lots of ideas about what the holidays should be like: a loving, supportive family all gathering together to celebrate, sharing family time, all getting along well. Just add snow and something wonderful cooking in the kitchen. We want the Norman Rockwell view of the holidays.

As it turns out, even Norman Rockwell didn't have that happy family. I recently read American Mirror, a new Rockwell biography by Deborah Solomon with a psychological look at the artist's life and work. His childhood years weren't that happy. His mother was a hypochondriac, self-involved, and they lived in a boarding house for many years because she was too overwhelmed to cook or care for the family. As adults, he and his brother stopped any contact, with his brother writing to lament the fact that he didn't know anything about Norman or his family. In his own adult life, happiness and close family relationships were elusive. Norman was married 3 times, worked 7 days a week until he got dementia, and wasn't that involved as a husband or father. Appearances aren't always what they seem: even the families portrayed in his paintings were usually assembled groups of strangers.

There is pressure during the holidays to have a close family, decorate your home, buy meaningful and expensive gifts, cook excellent meals, and feel happy inside.

What if you don't feel happy?

Not all families are close. For some people, the holidays underscore the gap where meaningful extended family relationships don't exist. You may have had an emotional cut-off in your family, with some family members not speaking to you.

This might be your first holiday season after the death of a family member or person close to you.

This could be your first year coping with the changes and loss of a divorce. Maybe you share custody of your children and will be without them for some or all of the holidays.

You might be coping with depression. For people with Seasonal Affective Disorder, these short winter days can be extremely challenging, even before you add in holiday tasks.

How can you rethink the holidays if it seems overwhelming or difficult?

1. Give yourself options. You can keep the usual traditions, or give yourself permission to change things up.

2. Do extreme self care. During the holidays, keep up your exercise, your healthy eating plan, and schedule some alone time.

3. Do something different. If you have never volunteered before, starting now might really give your mood a boost and put things in perspective. No matter what your loss or difficulty, there is always someone who needs your help.

4. Give yourself permission to say no. Several of my clients that have become sober this
year are opting out of party situations that might put their sobriety at risk. Great choice! You can also take your own car to visit family, and shorten up the time frames on visits with family members who stress you out.

5. Carry your own holiday boundaries. In family gatherings and work events, seek out the people you enjoy and resonate with. Focus on the people you enjoy. Minimize the contact with the Debbie Downers, and other toxic people in your family. Be pleasant but brief.

6. Take your inner adult with you to visit the family. Even the famous family therapist Murray Bowen wrote in an article called "Going Home" that when he went home to see his parents for the holidays he struggled to keep channeling his inner adult and stay differentiated in a healthy way. There is something about that primordial soup of undifferentiated ego mass that tries to suck you into feeling powerless and 8 years old. Don't go there!

7. Consider making plans to invite people you know who might be alone at the holidays to join you.

8. Show flexibility. If the children aren't with you on Christmas, have some fun making another day Christmas. It's your mood and spirit they will remember, not the date.

9. Take the focus off of buying stuff. Focus instead on experiences and relationships. It's not about stuff, or creating debt for January.

10. Use this holiday season to listen to music that inspires you, develop your spiritual side, and begin envisioning what you would like to create in the new year as we wrap up 2015.

11. Reach out for more healthy support: people who care and are a good influence on you.

12. Avoid alcohol if you are feeling down. Alcohol is a depressant. It will make you feel worse.

Create a holiday season that suits you. Don't give in to the pressure, hype and expectations to do things that no longer work for you. It's time for your own kind of holiday, and you're just the person who can make that happen. The first holiday season following a loss can be difficult. You can choose your response to the loss, and find ways to be kind and gentle to yourself through a challenging holiday season.

Monday, October 20, 2014

Your Family of Origin: It's Where Your Story Begins

You get more than your eye and hair color from your family. Understanding as much as you can about your family of origin is incredibly helpful as a starting place for working on yourself. Just as we inherit DNA, we also get patterns of behavior and ways of being in relationships scripted for us. If we have insight about what our parents' and grandparents' lives were like, how they related to others, and what their emotional lives were like, we can better understand ourselves.

As a structural family therapist, I often draw out maps of family experience known as genograms. In them, I work with individuals, couples and families to illuminate and bring the family history to life. We go as many generations back as we have information about. Here are some family patterns to consider:

1. Where were your family members raised? Did they immigrate from somewhere else? Why?

2. What do you know about their childhood experiences? Socio-economic status of each part of the family?

3. What educational level did people have? What kind of work did they do?

4. What do you know about how happy the marriages were in both sides of your family? Were family members expressive? Unexpressive? Affectionate? Aloof?

5. Are there family members who struggled with alcohol or substance abuse? Was it treated or untreated? How did family cope with challenges in healthy or unhealthy ways?

6. Who struggled with anxiety or depression? Was it treated or untreated?

7. For deceased family members, at what age did they die, and from what cause? How did losses impact the family? Are there suicides in the family? Are there chronic or life threatening illnesses? Deaths from war?

8. Who stays married no matter what ? Do people divorce and/or remarry? Are there patterns of infidelity?

9. What role does faith play in any of the family?

10. What is each generations' style of parenting? How small or large are the families? How did parents discipline? Do families stay close, or splinter apart?

11. Where are the alliances? Who is close to who? Who fights with who?

12.What are the family traditions and values on each side of the family?

13. Who moves away? Who stays close to home?

14. Who cares for aging relatives? What is home like?

15.What is the family most proud of in terms of accomplishments?

There are many subtle impacts of your family of origin role models. For example, if your parents fought a great deal and were not openly kind or affectionate with each other, that's the script you get by growing up with them. If you understand that, you can choose to love your parents but decide to rewrite how couples interact with each other. You can decide to be caring and loving, and model something completely different to your own children. That's powerful change.

Knowing your family genogram isn't about blame. It's about understanding where and how your story begins and what feels "normal" to you. When you marry, your partner comes with their own family story. Neither one is all good or all bad. It's just where you start. The more honest, open and non-defensive you can be about the patterns in your family, the better. It allows you the emotional freedom to make choices about which parts of the family transmission pattern you want to continue, and where you chose to edit and rewrite your own life story.

Friday, August 2, 2013

Bring the Family: How Family Therapy Helps

I love doing family therapy. Some pretty amazing things can get unstuck and moved forward when we have more family members to work with.

About 20 years ago, I remember watching family therapy pioneer and psychiatrist Carl Whitaker do a demonstration of how he worked with the whole family in mind. He began the session on stage with one adult client. As they began talking about the issues that were upsetting for the client, Whitaker invited other family members to join them to help solve the problem. One by one the other family members appeared on stage to join in the session: mother, father, spouse, child, grandmother, grandfather, etc.

The effect of Whitaker's demonstration made the audience full of mental health professionals laugh as the session got bigger and bigger, but the point was made effectively. There are some concerns that can be very effectively treated by bringing in other family members to help.

Whitaker felt that the therapist needs to always consider the family as the client, not just the individual. While I do individual therapy as well, I agree with Carl Whitaker that the family you live with now, and the family you grew up with, may hold a great deal of information about why individuals struggle. Most people carry some wounds from childhood. Until you're a parent yourself it's hard to fully understand how hard it is to be a "good enough" parent while also staying married, supporting a family financially, and dealing with other life challenges.

Traditionally, family therapists believe most families have an IP or identified patient, who may be seen as the one who has a problem. Part of family therapy is shifting a family out of negative or blaming patterns, and not having an IP. In treating children and teens, I often see that they are the symptom bearers for other things that are going on in the family. Children can really struggle when a parent has cancer, an eating disorder, a chronic illness, or alcohol or drug issues. Children and teens are often painfully aware of marital conflict between their parents.

Family therapy has evolved over the years. I don't always have all the family members in the consulting room with me at the same time. I like the freedom to call in different dyads from the family as I can tell that it is needed . For example, I am currently seeing several teens who are depressed and including some work with their parents to improve their parenting skills, and some work with the siblings and my patient to increase their mutual support. Involving the family strategically can really speed up the course of treatment and improve results.

Got some things to work on in your life? You can work on it alone. You might also want to consider involving your family. Your family is the source of part of your own story, your past, and how you learned to be in relationships. Some of those scripts get reenacted until they get rewritten.

"When you look at your life, the greatest happiness is family happiness."
-Dr. Joyce Brothers

"The family: we were a strange little band of characters trudging through life sharing diseases and toothpaste, coveting one another's desserts, hiding shampoo, borrowing money, locking each other out of our rooms, inflicting pain and kissing to heal it, loving, laughing, defending, and trying to figure out the common thread that bound us all".
-Erma Bombeck, humorist

Wednesday, May 2, 2012

Getting Outside Yourself

One of the qualities I like best in people is the ability to transcend yourself and shift perspective to see a situation, a relationship, or a problem from another person's perspective. This is a sign for me of a person's emotional maturity, and spiritual growth. None of us is the center point of the universe, and if we recognize that, we can make great strides in increasing our understanding of ourselves and other people.

When I am counseling couples, I find it a hopeful sign when both partners see that there are often several right ways to approach most things.There are also two perspectives on most relationship conflicts.When you realize you are not always right, and the other person is not always wrong, you can begin to solve problems. Often, we think the way things were handled in our family growing up (like the distribution of chores for example) is the only way to do it. Guess what? Your partner was raised in a DIFFERENT family, and they probably think that the way things were handled in their family of origin is the best way. The real answer is that you will need to compromise, negotiate, and find a new way to deal with daily life decisions that works for the two of you as a unique couple.

I am reminded of a terrific line from the spiritual teachings of the Course in Miracles, which says, "Do you want to be right, or do you want to be happy?"  Holding on firmly to the false belief that you are always right creates disharmony and doesn't allow you to truly be in intimate relationships, which require humility and vulnerability, and less ego and self-righteousness. We have much to gain from being curious about how things look from other people's perspectives.

My counseling practice is in Newport Beach, California.While Orange County is not really much like the Bravo show 'The Real Housewives of Orange County,' there are many children and teens I have worked with over the past 20 years who are fortunate to have grown up with many advantages. As a parent myself, and as a family therapist, I find it incredibly important to help our sons and daughters grow up with some perspective on the people all around us living in hardship. My own daughters, and many of my teenage patients, learned to see the world differently through volunteering with at risk families and youth. When we think about learning to shift perspectives, time well spent at a food pantry, homeless shelter, or as a direct service volunteer with children or seniors in tough situations is more impactful than any words a parent can say.

I am also overwhelmed at times by some of my wonderful adult patients who are grieving a loss; a death, a break-up, a job loss, recovering from childhood abuse, etc., but decide at some point in their grief process to reach out to help others in some way. I am struck by how it helps them grow stronger and heal. Maybe it has something to do with realizing you still have something to give. It also means that you see that there are always people in better and worse circumstances than you. Talk about transcending self! It makes me think of Mother Teresa's insight that we don't need to do great things, but, rather, small things with great love.

This week, I challenge you to ask yourself if there is another way to see it when you have a conflict with someone who matters to you. Just like in viewing an optical illusion, your perspective really matters. Don't make assumptions. Be curious about how things look from the other person's perspective. Stay aware that sometimes there are several right ways to do things. Ask and listen to how a situation looks to the other person. You can do this. Learning to shift your perspective will help you grow and mature along your own life journey.