LIBRARY Michigan State University PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE DATE DUE APR 1 E 2055 6/01 cJCIRC/DateDuepes-sz GENDER DIFFERENCES IN THE EXPRESSION OF FEELINGS IN COUPLES THERAPY SESSIONS By Julie Bennett Brownell A DISSERTATION Submitted to Michigan State University In partial fulfillment of the requirements For the degree of DOCTOR OF PHILOSOPHY Department of Family and Child Ecology 2002 ABSTRACT GENDER DIFFERENCES IN THE EXPRESSION OF FEELINGS IN COUPLES THERAPY SESSIONS By Julie Bennett Brownell Social science research suggests that there are gender differences in the approach to discussion of feelings. One area of difference points to most males as less skillful and less inclined to discuss feelings than most females. lf male therapists share these characteristics, this finding has implications for those who structure training programs for therapists. Transcription form 10 couples therapy sessions demonstrated several important findings. The overall time devoted to discussion of feelings was very low, averaging 1 feeling word/feeling expression (FWIF E) in 13 turns speaking. Female therapists in the study used more FWIF E and took longer turns as measured by number of words used than their male counterparts. Male therapists took more turns speaking, but used less of their turns to discuss feelings. Male clients as a group both spoke less altogether and spoke less about feelings than both female clients and therapists of both genders. One of the most intriguing and consistent findings points to an inclination of both therapists and clients to speak more to the opposite gender than to the same gender. Expanding the study of gender differences in discussion of feelings is important to helping practicing therapists to reflect on their approach to discussion of feelings in couples therapy sessions and for those designing training programs for therapists. ACKNOWLEDGEMENTS I am grateful for the support of my guidance committee, Dr. Dolores Borland- Hunt, chair, Dr. Robert Lee, Dr. Dennis Keefe, and Dr. Steve Weiland. Your patience and willingness to mentor me through what was for me a long process has been invaluable to me. And, although she retired before I was finished, I appreciate Dr. Norma Bobbitt's guidance through most of the process. I especially appreciate the assistance I received from my friends, Ellen and George Leroi, who have always been willing to take the time to give help or advice when I said I needed it. I thank other friends, Shawn Johnson and Dorothy Mirkil for prodding and encouraging me. And, I am grateful to Whitney Brosi who took time to help me even though we don’t know each other well because that’s the kind of person she is. I am grateful to all of my professors and my fellow students. You have challenged me and l have learned a great deal from you. I treasure the experiences we had together. And finally, I honor Mary Jo Stibitz, a fellow student and friend. I think often of Mary Jo and imagine she has been with me through the process. LIST OF TABLES Table 1. Description of Sample: Male Therapists’ Cases ................................... 30 Table 2. Description of Sample: Female Therapists’ Cases . ............................. 31 Table 3. Therapist Use of Feeling Words/Feeling Expressions ........................... 32 Table 4. Ranked Use of Feeling Words/Feeling Expressions ............................. 33 Table 5. Standard Deviations for Therapist Use and Combined Therapist! Client Use of Feeling Words/Feeling Expressions .............................................. 34 Table 6. Client Use of Feeling Words/Feeling Expressions ................................ 35' Table 7. Client Use of Feeling Words/Feeling Expressions (FW/F E) by Therapist Gender .............................................................................................. 36 Table 8. Male Therapist Use of Feeling Words/Feeling Expressions by Client Gender .............................................................................................................. 37 Table 9. Female Therapist Use of Feeling Words/Feeling Expressions by Client Gender .............................................................................................................. 38 Table 10. Client Response to Male Therapist Use of Feeling Words/Feeling Expressions ...................................................................................................... 39 Table 11. Client Response to Female Therapist Use of Feeling Words/Feeling Expressions ...................................................................................................... 41 Table 12. Male Therapist Use of Feeling Words/Feeling Expressions by Session Time Segments ................................................................................... 44 Table 13. Client Use of Feeling Words/Feeling Expressions by Session Time Segments in Male Therapist Sessions .............................................................. 45 Table 14. Female Therapist Use of Feeling Words/Feeling Expressions by Session Time Segments ................................................................................... 46 Table 15. Client Use of Feeling Words/Feeling Expressions by Session Time Segments in Female Therapist Sessions .......................................................... 47 Table 16. t-Test for Significance of Therapist Gender. ....................................... 47 Table 17. t-Test for Significance of Client Gender ............................................. 48 Table 19. Use of FWIFE by Group by Time Segment. ....................................... 49 Table 20. Therapist and Client Turns and Feeling Word/Feeling Expression Use ................................................................................................................... 56 Table 21. Therapist Cross-gender Talk ............................................................ 69 Table 22. Client Cross-gender Talk ................................................................. 69 Table 23. Comparison of Therapist Turns Speaking With Use of Feeling Words/Feeling Expressions .............................................................................. 70 Table 24. Total Turns Speaking, Total Words and Words Per Turn by Therapist Gender .............................................................................................. 71 Table 25. Comparison of Client Words and Turns by Therapist Gender ............... 71 Table 26. Comparison of Client Total Turns Speaking and Total Words by Gender .............................................................................................................. 73 Table 27. Client Words Per Turn ..................................................................... 74 Table 28. Comparison of Total Turns speaking and Total Words by Group .......... 74 Table 29. Ranked Comparison of Words Per Turn ............................................ 75 Table 30. Comparison of Turns and Words by Group. ....................................... 76 Table 31. Ranked Comparison of Feeling Words/Feelings Expression Use, Turns Speaking and Words Used by Group ...................................................... 77 Table 32. Comparison of Female Client Total Turns and Total Words ................. 78 Table 33. t-Test for Significance of Female Client Use of FWIFE in Sessions with Male Therapist vs. Sessions with Female Therapists ................................... 78 Table 34. Comparison of Client-to-Client and CIient—to-Therapist Turns Speaking ........................................................................................................... 84 Table 35. Client Direction of FWIF E ................................................................. 100 Table 36. Comparison of Female and Male Gender Totals ................................ 101 Table 37. Comparison of Words per Turn by Group .......................................... 102 TABLE OF CONTENTS LIST OF TABLES ...................................................................................................... iv CHAPTER I PROLOGUE ................................................................................... 1 Scope of the problem ..................................................................................... 1 Purpose Statement ........................................................................................ 3 CHAPTER II REVIEW OF THE LITERATURE .................................................... 4 Male/Female Socialization ............................................................................. 4 Gender Communications ............................................................................... 6 Gender Communications in Therapy .............................................................. 9 Efficacious Therapy ...................................................................................... 13 CHAPTER III RESEARCH METHODOLOGY .................................................... 15 Research Objectives .................................................................................... 15 Research Design .......................................................................................... 16 Research Questions ..................................................................................... 16 Conceptual and Operational Definitions ....................................................... 17 Sampling Process ........................................................................................ 23 Data Collection Procedures ......................................................................... 26 Stage 1 - Pre-test ........................................................................ 26 Stage 2 - Identification and Transcription for Analysis ................. 28 Stage 3 - Analysis of the data ..................................................... 29 Stage 4 - Qualitative analysis of the data .................................... 29 CHAPTER N RESULTS AND DISCUSSION ..................................................... 30 CHAPTER V QUALITATIVE RESULTS ............................................................ 55 CHAPTER Vl SUMMARY AND EPILOGUE ..................................................... 108 APPENDICES ................................................................................................... 111 Appendix A — Pre-test Documentation ....................................................... 1 12 Appendix B - List of Feeling Words/Feeling Expressions Counted ............ 122 Appendix C - Transcription of Cases ......................................................... 127 Appendix D - VIdeotape VIewing Checklist ............................................... 193 REFERENCES ................................................................................................... 195 vi CHAPTER I PROLOGUE Scope of the problem Research on male/female socialization, points to definitive differences in the socialization of males and females in our society. Among these gender differences are those involving communication behaviors. Philpot (1991) concludes that emotional expression is acceptable for women, but not for men in our capitalistic society. Other researchers have indicated that success for men in our society is linked to learning suppression of emotionality and to hiding fears, insecurities, and tender emotions, resulting in failure to self-disclose and to emotional isolation for males (Chodorow, 1978, Doyle, 1989, Farrell, 1986, Goldberg, 1976, Miller, 1984, Parson & Bales, 1955). Deborah Tannen, a well known scholar of gender communications, writes that years of study have led her to the conclusion that each gender has a communicative style that is akin to a cultural background. As a consequence, misunderstanding can easily arise in communication because speakers from different cultures (in this case genders) have different meanings or interpretations, different linguistic strategies, and different modes of expression (Tannen, 1994). Using a similar premise, John Gray’s conceptualization that men and women are from different planets -- Mars and Venus -- (Gray, 1992) has become very popular with the lay audience, spawning additional books, seminars, study groups, and television shows. The differences in male and female communication behaviors are relevant to the mental health field of couples therapy. Newberry, Alexander, and Turner (1991) point out that social rules for appropriate behavior are quite clear and may influence the behavior of therapists. Expert practitioners in the mental health professions have speculated about the potenb'ally inhibiting or strengthening effects of different socialization of the genders on therapy (Nut 8. Gottlieb, 1993, Hare-Mustin & Maraceck, 1992, Warbuton, Newberry, and Alexander, 1989), but little research has been done to verify these intriguing speculations. When contemplating gender communication differences, some questions arise. Are male therapists typical in terms of socialization, finding emotional expression unacceptable or difficult? If so, does that difficulty have an impact on therapy sessions conducted by males? Are therapy sessions concluded by females different from those conducted by males? Do the therapy sessions conducted by female therapists contain more communication about feelings? Are the males who become therapists different in their communication behaviors from the typical male as described by the research? Purpose Statement The purpose of the present exploratory study was to investigate whether there are differences in male and female therapists in the level of discussion of feelings with their clients in couples therapy sessions. Specifically, It explored the level usage of feeling words and feeling expressions (FW/F E) in couples therapy sessions by male and female student therapists. It also sought to determine if there were differences in the level of usage of FWIF E by male and female clients in couples therapy sessions. It also considered whether the use of a feeling word or feeling expression by a therapist elicited a client response that contained a feeling word or expression thus raising the level of usage of feeling words or feeling expressions on the part of the clients. And finally, it considered whether time affects discussion of feelings in a couples therapy session by noting whether discussion of feelings increased as the session progressed. CHAPTER II REVIEW OF THE LITERATURE The relevant literature forming the basis for this study comes from empirical research conducted in four areas: Male-female socialization, gender communications, gender communications in therapy, and efficacious therapy. While no studies similar to this proposed study were found, there seemed to be ample indication from these four bodies of research that this kind of study would be both relevant and informative. MaleIFemale Socialization Much of the literature on male-female socialization finds definitive differences in socialization of the genders that has a marked impact on behaviors and specifically on communication behaviors. Although researchers use varying terminology or models to describe the differences, similarities can be found. Chodorow (1974) writes that males and females in our society are socialized toward different aims. She indicates males develop relational personalities and develop toward denial of relationships. It is theorized that males must deny attachment, particularly dependence on another, and must repress and devalue femininity (Chodorow, 1974). Males need to define themselves sexually as separate and different from the primary caretaker. The male child has to draw boundaries and separate. In an industrial society like ours where the father is often absent, the definition of what is male is not derived from an intimate daily life relationship with father, but more from being not like mother. In other words, maleness is not female. Intimacy for male children implies a sense of loss of self to another. Female children define themselves as similar to and like mother, so that there is a sense of connectedness and intimacy implying continuity of self (Chodorow, 1978). This view is echoed in psychoanalytic theory. It is posited that there are profound developmental differences in males and females. Female identifications with mother develop into images of self in relation to others. Males, on the other hand, must establish a sense of differences from mother and give up early identifications and wishes to be like her (Lukton, 1992). There are other models or terminology conceived to illustrate the male-female differences. One view is that males are socialized to behave instrumentally or assertively, and to be in positions of power and trust. In contrast, females are more likely to be socialized to behave expressively, acting as caregivers, valuing intimacy in relationships, and emphasizing interpersonal skills (Chodorow, 1974; Gilligan, 1982; Hare-Mustin & Manacek, 1986; Westkott, 1986). In her seminal work, Gilligan (1982) theorizes that males make moral decisions based on abstract principles and see that process as the highest possible level of functioning. Females put the relationship above the principle, placing higher value on what is good for maintenance and nurturance of the sense of connectedness. OItner ( 1974) gives another frame in which to envision gender differences. She is of the opinion that men are equated with culture and women are equated with nature. Culture is seen as distinct from and superior to nature in that culture can transform (socialize or culturalize) nature. Sattel (1983) expresses the opinion that our society expects boys and then men to devalue expressiveness because they are expected to grow up and hold positions of power and prestige. Further, it is an effective exercise of power to give the appearance that one’s entire behavior is the result of unemotional rationality. Being impersonal and inexpressive lends "rightness” to decisions and position. In summary, it seems reasonable to conclude that males and females are socialized differently in our society, resulting in differences in communication behaviors. Gender Communications An examination of the research in gender communication finds support for the existence of differences between male and female communication behaviors. A consistent finding is that women are perceived to be or report being more expressive communicators (Pruett, 1989). In a meta-analysis of eight studies using both self and other reports which included communicator style and biological sex, Pruett found men to be more dominant, dramatic, and contentious, and women to be more animated, attentive, open, and friendly. Also relevant to this study is Tannen’s assertion that women give each other a lot of direct verbal and physical feedback in conversation, and that men don’t provide each other with ongoing verbal and non-verbal feedback (Tannen, 1990). This may prove explanatory if this study finds differences in male and female therapists. Additional studies verify the existence of differences in communication behaviors. Aries (1976) found that males develop more ways for expressing competition and leadership than do females. Females develop more ways to express affection and interpersonal concern. Another finding of the study was that males in all- male groups talk very little about themselves or their relationships, while females in all-female groups share a great deal of information about their feelings and their relationships. Further, gender of the partner determined interaction patterns (Carli, 1989). When instructed to influence a partner, it was found that males exhibited a higher percentage of disagreements with other males than with females. Disagreements were found to be negatively associated with influence. Fishman ( 1983), seeking to determine the role of power in daily interactions, found that women engaged in strategies to produce and maintain conversational interaction. Female subjects used more questions and attention beginnings (phrases such as “this is interesting”) and supported male conversation. Men subjects, on the other hand, relied on statements and expected responses to them. Men more frequently discouraged interactions than women did. Similarly, Simkins-Bullock and Wildman (1991) pointed to powerful and powerless language features, used by powerful (male) and powerless (female) speakers. Studies aimed at assessing marital communication behaviors also find some gender differences in communication behaviors. Honeycutt (1989) found that both married and divorced females believe they have the greater responsibility for the expression of feelings in their relationships. Both married and divorced males agreed, attributing the expression of feelings to their partners. White (1989) determined that marital satisfaction could be differentiated on the basis of degree of coercive vs. affiliative communication and inferred the data could be interpreted as attempts of two different sexes to solve problems drawing on their socialization: males taking control to distance and analyze the situation, and females maintaining connection long enough to figure out what to do. Thus the empirical research on male/female socialization and on gender communication seems to dovetail, both indicating gender differences in socialization and communication behaviors and some indication of relatedness between the two. Gender Communications in Therapy Review of the literature specific to gender communications in therapy yields both additional germane findings and the need for additional studies like the one being proposed in this area. Several studies were found exploring aspects of gender in relation to family therapy: Mas, Alexander, and Barton (1995) determined that there were differences in both the frequency and kind of communications used by mothers, fathers, and adolescents in family therapy depending on the gender of the therapist. In a study to determine differences in male and female therapist use of executive and joining skills, Shields and McDaniel (1992) found that male therapists talked more than female therapists, that male therapists were more instrumental and directive than female therapists, and that both the male therapists and the families they worked with engaged in more battles related to power and control. That is, families argued about logistics or structure of treatment, tried to control the direction of treatment, and/or disagreed with the therapist more frequently when the therapist was male. In a survey of clinician members of the American Association for Marriage and Family Therapy and the American Association of Sex Educators, Counselors, it was determined that therapist gender did not have an effect on male and female therapists’ prognostic decisions, but that gender did influence which client characteristics were used to formulate prognostic decisions. Female therapists used “seriousness of the presenting problem” and “spouse’s satisfaction with sexual intercourse.” Male therapists used “wife’s desired frequency of sexual intercourse: and “husband’s sexual satisfaction” (Zygmond 8: Denton, 1988). Snell, Hampton, and McManus (1992) sought to determine factors associated with client willingness to disclose personal information. They found that women are more willing to disclose personal information and that both men and women are more willing to disclose such information to a female counselor. Further, the study found that relational consciousness (defined as awareness of the dynamic internal features of one’s relationship) predicted women’s willingness to disclose. The same was not found to be true for men. In an earlier study contradictory to the above, Stokes, Childs, and Fuehrer (1981) found males reporting numerically greater willingness to self-disclose. Disclosure in this study was not determined in a therapeutic context, which may account for the differing results. In a review of the literature on gender communication in martial therapy, O’Donohue and Crouch (1996) point out that we must understand both the 10 client and therapist gender expectations in order to accurately interpret the role of gender in interactions among them. A number of expert practitioners have offered their insight on the role of gender in therapy. In a discussion of personal authority and competence for trainee female therapists, Reid, McDaniel, Donaldson, and Tellers (1987) caution that dependent behavior and attitudes are interactional problems that must be overcome in the process of training. They also offer their observation that women frequently seem to have difficulty differentiating maintenance and support from caretaking and over-functioning. Philpot (1991) offers an opinion on gender- sensitive therapists. He indicates that ideally they are knowledgeable about and consider: “...the differing perception of reality for men and women growing out of biological differences, male/female developmental theory, socialization in a capitalist/patIiarchal society, value systems, levels of moral development, role-definitions and real power differentials in the political, economic and legal arenas” (p. 19). In an article they describe as both personal and political, Reimers and Dimmock (1990) discuss gender issues for male therapists from their perspective as male therapists. They speculate that males are not trained in personal problem solving as children, which leaves them poor problem solvers as adults in 11 relationships. Calling for additional research, they pose the following questions as indicative of challenges men, and in particular male therapists, may have should they want to be effective: 0 Do we want to help the men we meet in therapy to address the issues of balancing work and family life? Do we want to learn from other men’s experiences and share what they mean, good and bad? . Do we really want to know about the experience of women in the world? Are we prepared to listen when they tell us? . Can we be caring and affectionate toward gins in therapy without resorting to seduction? Can we help fathers struggle with expressing their affection for their daughters? Can we help them empower their daughters? Addressing the isomorphism that exists in therapy and supervision of therapy, Rigazio-Digillio, Anderson, and Kunkler (1995) recommend that supervisors need to engage in the types of collaborative dialogues that promote multiple ways to conceptualize and approach gender. Similarly, Roberts (1991) addressing gender issues in family therapy training, indicates that in order to be effective, therapists have to work to understand gender at three levels: 1) personal experiences with gender; 2) gendered interactions in our professional lives, and 3) gender work with clients. 12 Studies to determine preferences for therapist gender may also be relevant to the proposed study. Pikus and Heavey (1996) found that clients who have a gender preference believe that therapists of the same gender will understand their problems better, and that it is easier to talk with a particular gender. Stamler, Christiansen, Staley, and Macagno-Shang, (1991) found that females were more likely to express a gender preference and that female clients who saw a female intake counselor were twice as likely to express a preference, with the opposite being true for males in the study. In summary, the literature on gender in therapy supports the importance of considering gender as a variable, but leaves much as yet unstudied. Efflcacious Therapy Finally, it seems necessary to review the literature on therapy to determine whether understanding and communicating about feelings in therapy is considered important to an effective result. Many types of therapy exist, some of which aim to access previously unacknowledged feelings. Often, therapists assist clients to reprocess experiences in the present in order to construct previously disavowed emotions (Dandeneau & Johnson, 1994). One type of therapy, Emotionally Focused Therapy (EFT) is based precisely on the premise that identifying and disclosing underlying feelings to a responsive partner is both 13 helpful and effective. EFT outcome research is available and robust in comparison to some other types of therapy (Greenberg, Elliott, & Letaer, 1994). The goal of EFT is to access, express, and reprocess emotional responses underlying each partner’s interaction patterns to increase accessibility and responsiveness (Johnson 8. Greenberg, 1987). The disclosure of underlying feelings to a responsive partner has been shown to increase intimacy both at the time of the occurrence and over time following the occurrence (Dandeneau & Johnson, 1994). Research relating process to outcome in marital therapy suggests that therapists should focus on facilitating self-disclosure and exploration (Johnson 8. Greenberg, 1988). Therapy to facilitate the expression of emotion was found to be effective as measured by four outcome measures and self-sustaining as found on two of the measures (Johnson & Greenberg, 1985). Further, some therapies which discourage the expression of emotion have been found to be less or ineffective. Cognitive marital therapy (CMT) discourages the expression of affect in treatment of marital discord and was found to be less effective for couples (Denton, 1991 ). Integrative systemic therapy has been found helpful at the time, but less self-sustaining (Goldman 8 Greenberg, 1992). This study is undertaken with the assumption that exploration of feelings in couples therapy sessions is important to a satisfactory outcome from therapy. 14 CHAPTER III RESEARCH METHODOLOGY Research Objectives The objective of this study was to determine if therapist gender differences exist in using feeling words and feeling expressions (FWIFE) during marital therapy sessions. In addition, the study took note of: . The impact of using FW/F E on the interactions in therapy sessions. . Whether the usage of FWIF E increases as the therapy session progresses. This determination, if replicated in various settings, would inform the content of therapy training programs. Research Design This was an exploratory descriptive study of therapist gender differences in the use of FW/F E. The sample studied was small (see Sampling Process below). 15 Therefore, research questions rather than hypotheses were more appropriate to guide the researcher. Research Questions Two major research questions guided this study: 1. How does gender affect the use of FWIFE during a couples therapy session? 2. Does the use of FWIFE increase through the segments of the session. More specifically, the study addressed the following questions: 1. Did male therapists use FW/F E less than female therapists in the sample? 2. Did male clients use FWIFE less than female clients? 3. Did male therapists use more FW/F E in interactions with female clients than in interactions with male clients? 4. Did female therapists use more FWIF E in interactions with female clients than in interactions with male clients? 16 5. When either a male or a female therapist used a feeling word or feeling expression, did the female clients respond with a feeling word or feeling expression? 6. When either a male or a female therapist used a feeling word or feeling expression, did the male clients respond with a feeling word or feeling expression? 7. Did the frequency of use of feeling words/feeling expressions by male therapists and clients increase as the therapy session progressed? 8. Did the frequency of use of feeling words/feeling expressions by female therapists and clients increase as the therapy session progressed? Conceptual and Operational Definitions The terms “emotion” or “feeling” are used often and broadly in psychology and psychotherapy. The terms tend to be used interchangeably. To illustrate, Webster’s New World Dictionary defines psychology as the science dealing with the mind and with mental and emotional processes (p.1086). Pierce (1983) indicates that feelings are central to all humans and every psychotherapy treats feelings, aptly summarizing the ubiquitousness of these terms. Because this 17 study used FWIFE as its unit of analysis, it was necessary to narrow the definitions. Emotionally Focused Therapy (EFT) provides the organizing concepts for this study. As stated earlier, the goal of EFT is to access, express, and reprocess emotional responses underlying a couple’s interaction patterns to increase the accessibility and responsiveness the partners have to each other (Johnson & Greenberg, 1987). EFT also assists in defining the concepts of emotion and feeling. In EFT there is a distinction made between “emotion” and “feeling” (Johnson & Greenberg, 1990). Emotions are labeled as primary and are thought to be anger, sadness, fear, joy, disgust, and surprise. Feelings are more subtle terms that are useful for finer distinctions of blends of emotions. More specifically, Johnson and Greenberg say: “ . . .we use the word feeling to refer to all the finer differentiations of human affective experience. Feelings are dependent on learning and are idiosyncratic. Emotions are innate and universal (page 133): They further elaborate that both feelings and emotions are conscious experiences. The basic emotions represent innate, universal aspects of the human experience available to consciousness. The feeling terms represent individually learned, cultural/social cognitive/emotional syntheses. The more 18 subtle feeling terms (of which there are hundreds) are “useful for finer distinctions of emotion blends and emotion/cognition integrations” (p. 138). An important premise in EFT is that primary emotions are rarely in awareness when a client begins therapy. The goal of therapy is then to bring fliem into awareness by accessing, expressing, and reprocessing the emotional responses underlying each partner’s actions and thereby facilitate a shift in these the actions toward being accessible and responsive to each other. Since this study measured aspects of the interaction between client and therapist that is aimed at accessing and expressing emotions and feelings, it was necessary to further delineate the criteria that caused a therapist or client utterance to be included or counted as a feeling word or a feeling expression. The following describes the criteria for inclusion that was utilized for the study: . Therapists’ utterances were counted when they are designed to elicit or access a feeling or emotion from a client. Said another way, if the therapist says something designed to get a client to express something about an emotional state, the utterance will be counted. Example — the therapist says, “I wonder what you were feeling when that happened.” . Therapists’ utterances were counted when they are self-disclosures describing a feeling or emotion the therapist has or has had. Example — 19 the therapist says, “I sometimes feel very angry when it seems my wife isn’t listening to me.” Clients’ utterances were counted when they are relating a feeling or emotion. Example — the client says, “I feel lost and sad when I think about that.” When clients are described feelings but used “we” instead of “I” and the utterances provide insight to their own feelings, the utterances were counted. Example — the client says, “We were both feeling very sad.” Therapists’ and Clients’ utterances were not counted when they begin an utterance with the words “I feel” but then go on to describe a situation, or state an idea or an interpretation of something. Determining if the word “think” can be substituted for the word “feel” helps to identify this kind of utterance. Such utterances were not counted because they do not give insight into feelings or emotions. Example - the client says, “I feel that I need to take action.” When clients described their partner’s feelings or emotions, rather than their own, the utterances were not counted. Example -— the client says, “I felt Joe was angry.” 20 In an effort to determine if the above criteria were sufficient to define the unit of measurement, FW/F E, the researcher performed a pre-test. The pre-test is described in the Data Collection section below as Stage 1. The independent variable in this study is the therapists’ use of FWIF E. The dependent variable is the clients’ use of FWIFE. The control variables are the therapist’s gender and the client’s gender. The following are additional operational definitions needed for this study: Gender: For the purposes of this study, gender is the observed gender as opposed to individually determined gender. Clients: Couples who have utilized at least four therapy sessions at a mid- western university family and child clinic. Couples: Two pe0ple, one of whom appears to be male and one of whom appears to be female, involved in some kind of intimate or committed relationship including, but not limited to marriage. Family and Child Clinic: A training facility for the Marriage and Family Therapy degree program at an AAMFT-accredited mid-westem university. 21 Master’s-level Therapist: Master's degree student with between one and five hundred direct client contact hours. PhD-level Therapist: PhD. student with between five hundred and one thousand direct client contact hours. Session Segment #1: The first fifteen minutes of a therapy session. Session Segment #2: The second fifteen minutes of a therapy session. Session Segment #3: The third fifteen minutes of a therapy session. Session Segment #4: The final segment of a therapy session. Therapist: A graduate student learning marital and family therapy as part of a master’s practicum or a Ph.D. internship. Therapy Session: A session including a couple and a therapist. All sessions used in this study are the fourth session or the fourth occasion a couple came to the mid-western university family and child clinic for therapy. VIdeotaping: It is the policy of this mid-western university family and child clinic to videotape all client sessions (with written client permission) for the purposes of Ieaming and supervision. \fIdeotapes of the intake, first, fourth or tenth, or final sessions are retained for the purpose of research. Unit of Transcription and Analysis: Five minutes of each of session segments 1, 2, 3, and 4 were transcribed for analysis in this study. Sampling Process It is the policy of this mid-western university’s family and child clinic that student therapists videotape therapy sessions with clients. The videotapes are then reviewed and used by the supervisors of student therapists to guide Ieaming. VIdeotapes of the intake, first, fourth or tenth, and final sessions with clients are retained in a videotape library to be used for research purposes. The sample for this study comes from that videotape library.1 VIdeotapes of fourth sessions were used for this study. The researcher chose to use the fourth session videotapes for three reasons: 1Thedataused inthestudywastakenfromadatabasedeveloped by Dr. DoloreeBorIand-Hunt with computer assistance from Julie Brownell, Graduate Assistant. 23 . The intake and first sessions with clients at the mid-westem university family and child clinic follow a largely scripted format that limits the therapists individual technique; . By the fourth session it is assumed that rapport has developed between the therapists and the clients; . Clients do not always continue therapy for ten sessions. Use of the tenth session tapes further limited the number of tapes available for the study. An inventory of the videotape library revealed videotapes of fourth sessions existed for five different male therapists. All male therapists for whom there were videotaped fourth sessions were included in the sample. The five male therapists included two at the Masters level and three at the PhD. level. In a COAMFT-accredited degree program such as the one at this mid-westem university, Masters level therapists have between one and five hundred direct client contact hours, and Ph.D. level therapists have between five hundred and one thousand direct client contact hours. All videotaped therapy sessions conducted by or supervised by the researcher were eliminated from the videotapes of female therapists. To ensure similar levels of clinical experience as a therapist, the female therapists were matched to 24 the five male therapists by degree level (Masters or Ph.D.). Two Masters level females therapists were randomly selected from all the female Masters level therapists for whom tapes were available. Three Ph.D. level therapists were randomly selected from the female therapists available. Because this study concerns differences in gender communication, only therapy sessions with couples were used. When there was more than one fourth session tape for a therapist, the tapes were sequenced randomly. A few minutes of each videotape was then reviewed to determine that the session was with a couple and that the tape quality seemed sufficient for transcription. If a videotape was not a therapy session with a couple or could not be heard well, the tape was eliminated and the next tape in the randomly determined sequence was reviewed. This process continued until a session with a couple with sufficient audio quality was identified. The videotapes in the sample were copied onto audiotapes before they were transcribed. VIdeotapes were copied onto audiotapes for two reasons: 1) Audiotaping allows the subsequent use of dictation equipment, the features of which facilitate transcription; 25 2) Using an audiotape ensured that no damage occurred to the original videotape as a result of constant stopping and starting during transcription. Data Collection Procedures Data collection for this study occurred in four stages. In Stage 1, a pre-test was conducted to ensure that the criteria for determining inclusion of session utterances as FWIF E were tested for sufficiency. ln Stage 2, the sample was described. In Stage 3, the actual session tapes were analyzed. In Stage 4, an analysis of the effect of gender and time was conducted. The following are more detailed descriptions of the four stages of data collection. Stage 1 - Pre-test To ensure the sufficiency of the researchers criteria for including a therapist or client utterance as a feeling word or a feeling expression (described in the definitions section above, the researcher used the following steps: . Four videotapes of couple therapy sessions (two from male therapists and two from female therapists) were selected. The four tapes selected were not part of the data used in actual study. . Each videotape was fast-forwarded to approximately the middle of the tape . Five minutes of the videotape was copied onto an audiotape . The four audiotapes were transcribed and three copies of the transcription were made . Using one copy of the transcription, the researcher marked utterances to be included applying the criteria defined for the study . Having had the experience of trying to apply the criteria for inclusion, the researcher amended the criteria to increase its effectiveness . The other two unmarked copies of the transcription were given to two experienced therapists who had agreed to test the inclusion criteria by marking FWIFE in a copy of the transcript The two experienced therapists were also given copies of the inclusion criteria, and the researcher answered their questions about the pre-test. . The marked transcripts completed by the two experienced therapists were compared with that of the researcher. Inter-rater reliability was 79% . The researcher again amended the criteria for inclusion based on comments from the therapists who participated in the pre-test. Pretest transcription is included in the Appendix A. 27 Stage 2 - Identification and Transcription of Time Segments for Analysis Therapy sessions at the mid-westem university family and child clinic are intended to be fifty minutes long. In actuality, student therapists are learning to control session time so that there is variation in total session times. With that in mind, the following steps were followed for each case: 1. \fIdeotaped therapy sessions were audiotaped onto audiotape #1. Footage and time for each tape was noted, beginning when the clients and therapist entered the therapy room and ending when the clients and therapist left the room. 2. Using total footage the therapy session tape was divided into four equal segments. 3. The midpoint (in footage) of each segment was determined. 4. Five minutes from the midpoint of each of the four segments was transferred to audio tape #2. 5. The twenty minutes (the four five minute segments) of audiotape #2 was transcribed. 28 Stage 3 - Identification and Counting Units of Analysis Images in this dissertation are presented in color. FW/F E were highlighted in the transcribed segments by the use of colored fonts. Red was used to indicate FWIF E that were counted as such. Blue indicates discussion that was situational in nature and did not fit the criteria for inclusion as a FWIF E. The interaction was identified as coming from the therapist or each member of the couple, and tallied. The complete transcription from the 10 cases is found in Appendix C. Stage 4 - Qualitative Interpretation of the Dam Following the analysis described above, the researcher watched the videotapes of the entire sessions several times and recorded her qualitative impressions on the form found in Appendix D. This qualitative analysis found in Chapter V. 29 CHAPTER IV RESULTS AND DISCUSSION Description of the Sample All of the clients in the sample used for this study appeared to be Caucasian with the exception of the male partner in Case #M3. That gentleman’s name and appearance suggested he is an eastern Indian. The therapists were all Caucasians. The average age of the clients in the sample was 37 years for males and 35 years for females. The average length of the relationships in the sample was 7 years. Further information describing the sample is found in Table 1 and Table 2. (The male therapist cases are labeled M1 through M5, and the female therapist cases are labeled F1 through F5.) Table 1. Description of Sample: Male Therapists’ Cases Therapists Clients Clinical Age Ethnicity Education Length of Case Experience FC MC FC MC FC MC Relationship 30 36 White White High School High School Unknown M1 Ph.D. Presenting Problem: ere had affair; husband retaliated by having an affair 28 31 White White Some college Unknown 4.5 years M2 Ph.D. Presenting Problem: Reduce anger/conflict in the marriage 29 40 White Indian B.A., plus 8.8., plus 2 years M3 Master’s Presenting Problem: Marital conflict Considering ending marriage 30 Table 1, continued Therapists Clients Clinical Age Ethnicity Education Length of Case Experience FC MC F C MC FC MC Relationship 4o 28 White White HighSchool HighSchool 1.5years M4 Master’s Presenting Problem: Court-ordered therapy resulting from domestic assault 33 36 White White 8.8. Somecollege 15years M5 Master's Presenting Problem: Difficulty communicating. Differencesin parenting Avg. 32 34 5.8 years Table 2. Description of Sample: Female Therapists’ Cases Therapist Clients Case Clinical Age Ethnicity Education Length of Experience FC MC FC MC FC MC Relationship 31 38 White White Sornecollege HighSchool 7years F1 PhD. Presenting problem: Improve cornmuniceting and parenting 40 45 White White Somecollege HighSchool 3years F2 PhD. Presenting problem: Parenting problems between bio-morn and step-morn 40 35 White White 8.8. Sornecollege 8years F3 Master’s Presenting problem: Communication, handling stress, not enough time Associate’s 35 41 White White B.A. plus Degree Byears F4 Master’s Presenting problem: MistnIst-wifehadandlair Associate’s 42 41 White White BA Degree 17years F5 Master's Presenting problem: Husbandgetsangry Avg. 38 40 8.8years 31 Research Question 1 Do male therapists use feeling words and feeling expressions (FWIFE) more than female therapists? Male therapists in this study used fewer FWIF E than the female therapists (see Table 3). Female therapists used FWIFE 3 times or 12% more than male therapists. Table 3. Therapist Use of Feeling Words/Feeling Expressions Male Therapists # FWIF E Used Female Therapists #FWIFE Used Case M1 4 Case F 1 2 Case M2 3 Case F2 1 Case M3 6 Case F3 14 Case M4 10 Case F4 0 Case M5 2 Case F5 11 Total Used 25 Total Used 28 % Total 47.2% % Total 52.8% The variation in rates of usage should be noted. One therapist (a female) used no FWIFE during the 20 minutes transcribed from the session, the lowest usage in the study. Another female therapist used feeling words and feeling expressions 14 times in the 20 minutes transcribed, the highest usage in the 32 study. Although female therapists as a group had the higher total use of FWIF E, five male therapists used more FW/F E than three of the female therapists (see Table 4). Table 4. Ranked Use of Feeling Words/Feeling Expressions Therapist Usage # FWIFE Therapist + Client Usage # FW/F E Female - Case F3 14 Female - Case F5 23 Female - Case F5 11 Female — Case F3 22 Male - Case M4 10 Male - Case M4 19 Male - Case M3 6 Male — Case M1 15 Male — Case M1 4 Male — Case M3 11 Male — Case M2 3 Male - Case M5 9 Male - Case M5 2 Male - Case M2 8 Female - Case F 1 2 Female - Case F1 4 Female - Case F2 1 Female - Case F4 2 Female — Case F4 0 Female — Case F2 1 There was less variation in the male therapists’ usage of FWIFE. The standard deviation for the FWIFE usage of the male therapists is 3.16. The standard deviation for the FWIFE usage of the female therapists is 6.43 reflecting the greater variation in the female therapists’ use of FWIFE (see Table 5). Table 5. Standard Deviations for Therapist Use and Combined Therapist/Client Use of Feeling Words/Feeling Expressions Therapist Use Combined Therapist/Client Use Female Male Therapist Female Male Therapist Therapist Cases Cases Therapist Cases Cases Mean 5.60 5.00 10.40 12.40 Std. Deviation 6.43 3.16 1 1.10 4.56 When FWIFE usage of the therapists and clients is combined, use of FWIF E was higher in four male therapist sessions than in three female therapist sessions (see Table 4). Again the usage of FWIF E shows less variation in the male therapist sessions as shown in standard deviations of 4.56 for the male therapists with clients and 11.1 for the female therapists with clients (see Table 5). Research uestion 2 Do male clients use feeling words and feeling expressions more than female clients? Taken as a total group, male clients used FWIFE 22 times or 77% less than female clients (also combined) who used FWIFE 39 times (see Table 6). However when the male clients are separated by therapist gender, male clients in sessions with female therapists used 40% more FWIFE than female clients in the same sessions (see Table 7). Table 6. Client Use of Feeling Words/Feeling Expressions Male Clients Female Clients Case M1 1 10 Male Case M2 0 5 Therapist Case M3 2 3 Cases Case M4 3 6 Case M5 2 5 Case F 1 0 2 Female Case F2 0 0 Therapist Case F3 7 1 Cases Case F4 0 2 Case F5 7 5 Total 22 39 % Total 36% 64% Table 7. Client Use of Feeling Words/Feeling Expressions (FWIF E) by Therapist Gender Female Total Male Total Therapists FWIFE % Total Therapists FWIFE % Total Total Male Clients 14 (58.3%) Male Clients 8 (21.6%) 22 Female Clients 10 (41.7%) Female Clients 29 (78.4%) 39 Total 24 37 61 Research uestion 3 Do male therapists use feeling words and feeling expressions in interactions with female clients more than in interactions with male clients? Male therapists in this study were egalitarian with respect to using FW/F E with male clients and with female clients, using 10 FWIF E (40%) with each gender (see Table 8). Male therapists used FWIFE when speaking with the couple (not specifically addressing either the male or the female client) 20% of the time. Table 8. Male Therapist Use of Feeling Words/Feeling Expressions by Client Gender Clients Male Therapists To Female To Male To Couple Case M1 2 2 0 Case M2 2 1 0 Case M3 1 2 3 Case M4 3 5 2 Case M5 2 0 0 Total 10 10 5 % Total 40% 40% 20% Research uestion 4 Do female therapists use feeling words and feeling expressions in interactions with female clients more than in interactions with male clients? Female therapists in this study used more FWIF E when speaking to the couple than when speaking with either the male or female client (see Table 9). It should be noted that one female therapist used 10 FW/F E when speaking with the couple, skewing this result and negating its value in generalizing. By contrast, three other female therapists used no FW/F E when speaking with the couples and a fourth used only 2 FWIF E with speaking with the couple. Also of note is 37 that when FWIFE were used when speaking with one of the clients by female therapists, it was 67% more likely the interaction would be directed to the male client than to the female client. Table 9. Female Therapist Use of Feeling Words/Feeling Expressions by Client Gender Clients Female Therapists To Female To Male To Couple Case F1 2 0 0 Case F2 1 0 0 Case F3 2 2 10 Case F4 0 0 0 Case F5 1 8 2 Total 6 10 12 % Total 21% 36% 43% Research uestion 5 When a male therapist uses a feeling word or feeling expression, do the clients respond with a feeling word or feeling expression and does that vary by gender of client? The use of a FW/F E by the male therapists did not result in the client responding with a FWIFE the majority of the time. When male therapists used FWIF E, clients responded with a FWIF E 7 of 25 times or 28.0% of the time (see Table 10). It was over three times more likely that the clients would not respond with a FWIFE. Table 10. Client Response to Male Therapist Use of Feeling Words/Feeling Expressions Total FWIF E Response Directed To Response Without Direction Clients WIth FW/F E FW/F E MT—>MC 2 1 1 Case M1 MT—)FC 2 1 1 MT—>C o o o MT->MC 1 o 1 Case M2 MT—>FC 2 1 1 MT—eC 0 0 O MT—+MC 2 o 2 Case M3 MT—>FC 1 1 0 MT—>C 3 0 3 39 Table 10, continued Total FWIFE Response Directed To Response Without Direction Clients With FW/F E FWIFE MT-—>MC 5 1 4 Case M4 MT—>FC 3 0 3 MT—>C 2 0 2 MT—>MC 0 0 0 Case M5 MT—>FC 2 2 0 MT—sC 0 O 0 MT—>MC 10 2 8 Totals MT—>FC 10 5 5 MT-—)C 5 0 5 Totals - All Cases 25 7 18 % Total 28% 72% In the male therapists’ cases, the female clients were 1.5 times more likely to respond with a FW/F E than the male clients. Female clients responded with feeling words or feeling expressions 5 of 10 times. No FWIF E directed to the couple were responded to with a FWIFE. 40 Research uestion 6 When a female therapist uses a feeling word or feeling expression, do the clients respond with a feeling word or feeling expression and does that vary by gender of client? As with male therapists, the use of a FWIF E by the female therapist did not result in the client responding with a FWIFE the majority of the time. When female therapists used FW/F E, clients were over 3 times more likely not to respond with a FWIFE. Clients responded with FWIFE 6 of 28 times or 21.4% of the time (see Table 11). Table 11. Client Response to Female Therapist Use of Feeling Words/Feeling Expressions Total FWIF E Response Directed To Response Without Direction Clients WIth FWIF E FWIFE FT—sFC 2 1 1 Case F1 FT—>MC o o o FT—sC o o o 41 Table 11, continued Total FW/F E Response Directed To Response Without Direction Clients With FWIFE FWIFE FT—-)FC 1 0 1 Case F2 FT—)MC 0 0 0 FT—>C 0 0 0 FT—>FC 2 1 1 Case F3 FT—)MC 2 2 O FT—>C 10 0 10 FT—>F C 0 0 0 Case F4 FT—>MC o o o FT—)C O 0 0 FT-+FC 1 0 1 Case F5 FT—sMC 8 2 6 FT—>C 2 0 2 FT->FC 6 2 4 Totals FT—sMC 1o 4 6 FT—>C 12 0 12 Totals - All Cases 28 6 22 % Total 21% 79% 42 The male clients in the female therapist cases were 50% more likely to respond to a FWIF E than were the female clients. As with male therapist cases, when a FWIF E was directed to the couple, there were no responses containing FW/F E. Research uestion 7 Did the frequency of use of feeling words/feeling expressions by male therapists and clients increase as the therapy session progressed? Time did not have an impact on the use of FWIFE in the male therapists’ sessions. None of the male therapists had consistently increasing usage of FWIF E as the session progressed in time (see Table 12). While two of the male therapists showed an increase in use of FW/F E when comparing the last time segment to the first time segment of the session, there was not a consistent pattern of increasing usage from each time segment to the next time segment. Table 12. Male Therapist Use of Feeling Words/Feeling Expressions by Session Time Segments Time 1] Time Time Time Time Time 4 1 2 Change 3 Change 4 Change Change Case M1 2 o (2) 0 NC 2 +2 NC Case M2 0 0 NC 2 +2 1 (1) +1 Case M3 2 4 +2 0 (4) 0 NC (2) Case M4 2 1 (1 ) 4 +3 3 (1) +1 Case M5 0 2 +2 0 (2) 0 NC NC Total Male 6 7 +1 6 (1) 6 NC NC Similarly, client usage of FWIFE did not increase consistently as the male therapists’ sessions progressed in time (see Table 13). Although there was 1 case in which there was an increase in the use of FWIFE comparing the last time segment to the first time segment, no cases had a consistent pattern of client FW/FE use from each time segment to the next time segment. Table 13. Client Use of Feeling Words/Feeling Expressions by Session Time Segments in Male Therapist Sessions Time 1] Time Time Time Time Time 4 1 2 Change 3 Change 4 Change Change Case M1 3 4 +1 0 (4) 4 +4 +1 Case M2 1 3 +2 1 (2) 0 (1) (1) Case M3 2 2 NC 1 (1) 0 (1) (2) Case M4 3 2 (1) 1 (1) 3 +2 NC Case M5 4 3 (1 ) 0 (3) 0 NC (4) Total Client 13 14 +1 3 (11) 7 +4 (6) Research Question 8 Did the frequency of use of feeling words/feeling expressions by female therapists and clients increase as the therapy session progressed? As with the male therapists, there was not a consistent increase in the therapist use of FW/FE as the female therapists’ sessions progressed in time (see Table 14 and Table 15). Four female therapists’ usage of FWIFE increased when comparing the first time segment to the last time segment of their sessions, but again, this does not represent a revealing pattern. Three therapists used less FW/FE in one of the time segments than they had in the previous time segment, one had two time segments in which there was no change in the level of usage of FWIFE, and one used no FWIFE. None of these results represent a consistent pattern. Table 14. Female Therapist Use of Feeling Words/Feeling Expressions by Session Time Segments Time 1] Time Time Time Time Time 4 1 2 Change 3 Change 4 Change Change Case F1 0 0 NC 1 +1 1 NC +1 Case F2 0 1 +1 0 (1 ) 0 NC NC Case F3 3 3 NC 0 (3) 8 +8 +5 Case F4 0 0 NC 0 NC 0 NC Nc Case F5 1 o (1) 2 +2 8 +6 +7 Total 4 4 NC 3 (1) 17 +14 +13 Similarly, the clients in the female therapists’ sessions did not increase the level of their use of FWIFE as the sessions progressed (see Table 15). The usage of FWIFE appears sporadic, not showing a consistent pattern in relation to time of the session. Table 15. Client Use of Feeling Words/Feeling Expressions by Session Time Segments in Female Therapist Sessions Time 1] Time Time Time Time Time 4 1 2 Change 3 Change 4 Change Change Case F1 0 0 NC 2 +2 0 (2) NC Case F2 0 0 NC 0 NC 0 NC NC Case F3 2 4 +2 2 (2) 0 (2) (2) Case F4 2 0 (2) 0 NC 0 NC (2) Case F5 2 0 (2) 6 +6 4 (2) +2 Total 6 4 (2) 10 +6 4 (6) (2) Analysis of Gender Effects The data were further analyzed to determine if gender of the therapist predicted the use of FWIFE. Using a t-test, therapist gender was not found to be significant in this exploratory study (see Table 16). Table 16. t-Test for Significance of Therapist Gender Total Mean Std. Error 95% Confidence Interval Therapist t df Sig Difference Difference Lower Upper FWIFE -.187 5.83 .858 -.60 3.20 -8.49 -7.29 47 The same test, a t-test, was used to determine if client gender predicted the use of FWIFE. Client gender was significant in predicting the use of feeling words/feeling expressions (see Table 17). Table 17. t-Test for Significance of Client Gender Mean 95% Confidence Interval t df Sig Difference Upper Lower Female Client 4.219 9 .002 3.90 1.81 5.99 Male Client 2.538 9 .032 2.20 .24 4.16 Analysis of Time Effects As mentioned earlier, no consistent patterns were found the data were further analyzed to determine if time predicted the use of FW/F E by the therapists or by the clients. Time did not effect the use of FWIFE by the therapists or by the clients (see Table 19). Table 19. Use of FWIFE by Group by Time Segment Time1 Time2 Change Time3 Change Time4 Change MT 6 7 +1 6 (1) 6 NC FT 4 4 NC 3 (1) 17 +14 MC 9 5 (4) 5 NC 3 (2) Fc 10 13 . +3 8 (5) 8 NC Total 29 29 NC 22 (7) 34 +12 DISCUSSION Prior research results in socialization and gender communication points to differences in males and females with respect to communicating about feelings. Considering those results in relation to additional research results in the areas of gender communication in therapy and the importance of understanding and communicating about feelings in couples therapy, the question of whether male therapists might be less inclined to discuss feelings in couples therapy sessions arises. This exploratory study looked at the use of FW/F E in ten couples therapy sessions by therapist and client gender, interactions resulting from the use of FW/F E, and considered use of FWIFE in relation to the time of the session. Findings in this exploratory study revealed that although gender of the therapist was not significant in predicting the use of FW/F E, the gender of the client did 49 predict the client use of FWIF E. Similar to the research in gender communications indicating that females are generally more likely to discuss feelings than males, the females clients in this study discussed feelings more than the males clients in couples therapy sessions. To establish the generalizability of this result, a larger sample and further testing are necessary. If replicated, the results have important ramificab'ons for the design of training programs for mental health professionals. For example, therapists may require explicit baining to assist male clients with discussion of feelings. Although therapist gender difference was not statistically significant, female therapists used more FWIFE than male therapists in this study. The variation among female therapists in this study was striking and necessitates caution about conclusions. Future studies with larger sample sizes could determine whether, as in this study, there is consistently more variability among female therapists than among male therapists. Again if replicated, these findings would inform therapist training programs and would necessitate that those supervising training therapists be alert for this kind of variability among trainees. The results of this study showed that when the therapists used a FWIFE, clients responded with a FWIFE less than one-quarter (24.5%) of the time. The clients of male therapists responded to a FWIFE with a FW/F E 28% of the time; the clients of female therapists responded with a FWIFE 21% of the time. In other words, in this exploratory study, there is a negative relationship between therapist and client usage of FWIFE; the more FW/F E used by the therapists, the less response of FWIFE from the clients. Further, when the therapists directed FW/FE to the couple, rather than to one of the clients in particular, there were no FWIF E responses from clients. These findings indicate the need for further study. If replicated with other therapists in other settings, the low number of these paired interactions about feelings may indicate that therapists are too easily deflected from the discussion of feelings and may need further training to recognize the deflection and bring the client(s) back to discussion of feelings. And finally, no consistent relationship between the time of the session and the usage of FWIFE was found in this study in either therapist usage or client usage. The premise for exploring this area was that therapists and clients would need time to re-establish a level of comfort with each other at the beginning of a session before exploring sensitive areas such as feelings. If the findings that time does not have an impact on discussion of feelings were replicated in further studies, therapists could be trained that feelings may be discussed throughout the session. If time of the session were found significant in other studies, it would indicate the need for therapists to learn techniques to put clients at ease before exploring areas of feeling. 51 Limitations The small sample used for this exploratory study limits generalization of the findings. Results of this study do provide interesting ideas for additional research. The transcription of the couples therapy sessions yielded an additional limitation from the sample selected for study. In four of the ten sessions in the study sample, the therapists spent part of the session attending to a task that had the effect of structuring the interaction between the therapist and client couple. The tasks were as follows: a Two of the female therapists spent part of the therapy sessions reviewing the scores/results from a battery of tests that had been given to the couples previous to the session. The tests are given to all couples treated at this mid-westem university family and child clinic and are designed to assist the therapists in assessing the couples’ relationship difficulties. The therapists in these two sessions gave the couples a lot of information and explanation about the meaningflnterpretation of their responses on the tests. Explaining the test results meant that the therapist was talking for a lot of the session time. 52 One female therapist spent almost the entire session using a technique designed to assist couples with communication problems to communicate more effectively. The technique, called ”Speaker/Listener” requires the clients to communicate in a structured way (Gottman, 1976). The technique is designed to assist couples to describe what they are feeling and to take ownership of their own feelings, but couples often find the structure awkward as they are Ieaming it. The couple in this session had a great deal of difficulty with the technique. This meant that the therapist frequently had to intervene to remind them to follow the structure of the technique. One male therapist spent part of the session constructing a genogram with the couple. A genogram is a tool used by marital and family therapists to determine patterns occurring across generations in a family. Constructing the genogram meant that the therapist asked a lot of specific, closed- ended questions about aspects of the clients’ families and the clients responded with short answers containing factual information. Although undertaking these tasks during the sessions did not preclude discussion of feelings, the structure imposed by the tasks took precedence and may have resulted in lower usage of F EWIF E. Eliminating sessions with structured tasks from the samples used in future studies could provide data that are more consistent with a typical couples therapy session. 53 It should be noted that the researcher considered and reviewed the data remaining after removing the above cases with structured tasks from the sample. Because that meant comparison of only 2 female therapist cases with 4 male therapist cases, the findings seemed meaningless. One additional limitation is the nature of the training program at this mid-western university family and child clinic. Training therapists are encouraged to try out various theoretical methods of therapy. It is possible that some of the therapists were trying to use a method of therapy in which the discussion of feelings is not felt to be important. The researcher is familiar with such approaches and did not find them evident in any of the sessions in the sample, but structuring a sample to eliminate that possibility in future studies could provide data that are more typical. CHAPTER V ANALYSIS OF THE STUDY FROM A QUALITATIVE PERSPECTIVE The data that are the basis for this exploratory study lends itself to additional and different analyses. Matocha (1992) indicates that when a qualitative research approach is used, the researcher has the freedom to alter methodology to be responsive to the emerging patterns of data. Each finding can raise more questions. Using grounded theory methodology, the researcher found herself constantly resorting and/or re-categorizing the data to see if a finding represented an emerging pattern or category of meaning (Rafals and Moon, 1996). The study as originally conceived does not make sufficient use of the data. More can be understood about therapist/client discussion of feelings from the data using a qualitative approach. Additional Findings The most striking finding in this exploratory study is that very few feeling words/feeling expressions (FWIFE) were used in the couples therapy sessions regardless of gender of the therapist or client. The data can be used to put this finding into a larger context. The data demonstrated that although the therapists took 513 turns speaking during the transcribed portions of the couples therapy sessions, they used FW/F E only 53 times or an average of once in every ten turns speaking (see Table 20). The clients used 61 FWIFE in 973 turns or an average of once in 16 turns. Further, when therapist and client usage of FWIFE is combined, 1486 turns speaking were taken, and FWIFE were used only 114 times. This result is an average of one time in every thirteen times someone took a turn speaking. Table 20. Therapist and Client Turns and Feeling Word/Feeling Expression Use Turns FWIFE Use FWIFE Per Turn Male Therapists 277 25 .09 Female Therapists 236 28 .12 Female Clients 530 39 .07 Male Clients 443 22 .05 Total 1486 1 14 To elaborate further, the longest discussion of feelings was three turns. In other words, person #1 spoke about a feeling, person #2 spoke about a feeling, and person #1 spoke about a feeling again. That occurred only four times in three of the cases in the study. Those incidences are shown below: Case M1 Female Client: Male Therapist: Female Client: Having to explain everything over and over and, you know. It’s like you feel like a broken record. It’s like I just want one person, you know. Like you. I feel comfortable with you. You know, but then again... Whew! How are you feeling now? I mean in terms of the suicidal thoughts, ideas. Oh. It terrifies me to think that I was like that. It was just so terrifying to think that, you know. I was just really ready to, you know... Case M2 Male Therapist: Female Client: Male Therapist: What's emotional about it? What‘s, what’s the emotion that you need to have met? Well, I guess it would probably depend on the circumstances. Probably either hurt or anger or something. I don’t know. What’s the need that you have that causes you to get upset? That’s not being met? 57 Case F5 - Instance #1 Female Therapist: Male Client: Female Therapist: How would you respond to that? That usually the anger... I think it doesn’t come until we've tried to... We’ve had this confrontation and I’m trying to do some explaining or some reasoning. And I feel like it just... It’s not the point it comes to. It comes to the point of well who’s in power here. And I feel like I’m not being listened to, and ahhh... So it’s affects you more on an emotional level? Case F5 - Instance #2 Female Therapist: Male Client: Female Therapist: Whereas FC can deal more with issues and get her anger out there and leave it and it doesn‘t continue to... She... I feel like I’m just... When we have a disagreement, I feel like she's just ignoring me. Saying well, not only am I going to ignore you, but I'm going to say that I won’t listen to you because you’re not reasonable. Where I feel like I am being reasonable. And she's just setting up this alibi for... So it evokes some of the... Further examination of the transcription reveals that clients “offered” therapists opportunities to discuss feelings that were not taken by the therapists. The following are examples in which the therapist does not respond to or “pick up on” feelings that are being voiced or offered by me client. These examples represent instances when the therapist could have encouraged more discussion of feelings and did not: Example 1 - Male Therapist Case Speaker Discussion Comment Female Client: And so then I left and I’m like Client offers feelings of being I’m just gonna bag it. I’m tired or discouraged and tired of it. I’m gonna smash hopeless. my car against a tree. So I go back down to the house and get the rest of my bottle and tell (male son’s name), “See you, (male son’s name). You go call your dad and have your dad come get you.” You know, I mean I’m angry. Male Therapist: What day was this? Therapist ignores feelings and asks for more information about the situation. 59 Example 2- Male Therapist Case Speaker Discussion Comment Male Client Yes. I'm terribly frustrated. Client offers that he is Many little things just sets feeling frustrated, me off. Mostly everything hopeless, and gets sad or depressing or discouraged. negative. Nothing to the future, nothing’s gonna change that. Nothing to look, wait and see things. Everything’s bleak. Male Therapist: For you? Therapist does not seem to understand what the client means and tries to clarify. Male Client: No. Her response. Her Client offers that he is response comes in the form feeling tired of the of all those and I’m just... situation. I'm very tired of it. Male Therapist: Okay, that’s FC’s responses. Therapist does not comment on either of feelings client has offered. Male Client: Right. Example 2- Male Therapist CaseI continued Speaker Discussion Comment Male Therapist: Okay. How do you feel? You don’t feel things are bleak? Or do you feel the same way? Therapist seems to ignore the feelings the client mentioned -— frustration and tiredness -— and asks him if he feels the same way as the female client feels (bleak, the same way). Example 3 — Female Therapist Case Speaker Discussion Comment Male Client: And it’s hard to have them Client offers feelings of clean it up. I mean, you know, so... But that’s a little stressful for me because I haven’t been able to get in there and really do what I want to do. I want to tear out the doors and the trim. The window trim. Paint, you know. And it’s just real hard 61 stress and frustration. Example 3 - Female Therapist Case, contined Speaker Discussion Comment Male Client, to stand up do it all. So I get confinued: frustrated and that because I can’t do that. I know if I was better and that I could start doing that and once I get it done. And then (male child #1’s name) could move in and then... Things... You know the domino effect. Things start taking care of themselves and that. So for me that, you know, is a source of frustration sometimes. But I guess it’s going to take time. Female Therapist: So you had an instance Therapist ignores the where... You talked a little bit male client’s feelings and a couple weeks ago about begins to address the how if you had dishes and you female client on rushed them to the table at something else this night. Left something undone. therapist apparently wants to get covered. Example 4 - Male Therapist Case Speaker Discussion Comment Female Client: It didn’t make sense for me Client says twice that she to get up with her when he was “really ticked.” was still up. See what I mean? And then he did say well, FC, you’re probably going to have to take care of her because I have to go to bed. Well, I was just kind of expecting that he would say... you know... bring her to bed and then he can get in bed and I would have taken over. But then that comment really made me mad because it was saying... You know I wake up anywhere from her 3-5 times a night with her every night for the last 5 months ever since she’s been born. Ever since she’s been with Speaker Discussion Comment Female Client, confinued: Male Therapist us. And I didn’t feel like that was balanced... That wasn’t fair of MC. So I was really ticked. And he said that l breached... That I made a breach in our relationship. I called him an asshole. I’ve never called him that before, but I was... I was really ticked. I mean I don’t want to say that you made me call you that, but... She just wanted... You Therapist does not comment thought since he was up he on anger, he comments on might as well be taking care the situation at the time. of her and you thought since you were supposed to be working tomorrow she should take care of her. Example 5 - Female Therapist Case Speaker Discussion Comment Male Client I feel like I’m going to get the blame for it though, whereas I feel the same feelings. Female Therapist: And that’s... That’s your, your perception that is to react defensively to that because then it seems like, “Oh, I’m doing something wrong and she’s just not going to approve of.” Male Client: Um hmm. Or I should be more in charge of my thoughts. Client offers his feeling. Therapist interprets the client’s feeling as defensive rather than empathizing with what he is feeling Client agrees with Therapist’s repudiation of his feeling. In contrast, only 2 examples of therapists persisting in moving the talk of the session toward discussion of feeling could be found in the data: 65 Example 1 -- Male Therapist Case Speaker Discussion Comment Male Therapist Okay. So you went down to Therapist asks male client Ingham Medical. Let me ask about a feeling. you again. As you saw what was going on, tell me how you felt. Male Client I hoped I could try and talk Client evades talking about her into going and get help. how he felt. Male Therapist Okay, but how did that make Therapist persists in asking you feel? for the feeling. Male Client It made me feel like shit. I Client discloses painful couldn’t live with her. I had to leave. I couldn’t stay with her. She beat me. feeling. Example 2 - Male Therapist Case Speaker Discussion Comment Male Therapist What’s going on for you, MC, Therapist notices client is right now? ”drifting away” and probes for the reason. Male Client Just wondering what time it Client confirms he is not is. focused on the talk going on in the session. Male Therapist Oh. Female Client Male Therapist Doesn’t look like any of us have watches. That’s right. Well we’ll just be here till it’s five o’clock. When she’s saying those things to you right now, what’s that like for you? Record the emotion. What’s the word for it? Therapist dismisses the time factor and directs the client to name the feelings he’s having and tells him how to do it. If we assume that clinical faculty subscribe to the importance of guiding clients to explore feelings in therapy sessions, the results of this study are cause for concern. If these results were replicated in other settings, it would become important for therapists to increase the session time devoted to exploration of 67 feelings. Student therapists, regardless of gender, may need specific coursework during their degree program that ensures understanding of the importance of discussing feelings, emphasizes the dynamics inherent in the discussion of feelings, and teaches techniques to increase client discussion of feelings. In addition, supervisors of student therapists would need to emphasize the exploration of feelings when reviewing therapy sessions with their supervisees. Additional studies in different clinical situations should be done to determine if results beyond this study persist in indicating such a need. Cross-gender talk A second noteworthy finding in this study concerns Interactions with the opposite gender. The data reveal that therapists and client interact more with the opposite gender than with the same gender. More specifically, both therapists and clients used more FW/F E with the opposite gender, took more turns addressing the opposite gender, and used more total words in talking to the opposite gender than they did to the same gender (see Table 21 and Table 22). Talking to the opposite gender is labeled “cross-gender talk” in this study. Table 21. Therapist Cross-gender Talk # FWIFE % Total # Turns % Total # Words % Total Therapists —> Opposite- 20 55.6% 222 52.5% 3861 57.5% gender Clients Therapists —) Same- 16 44.4% 201 47.5% 2859 42.5% _gender Clients TOTALS 36 423 6720 % Higher with opposite Gender 25.0% 10.4% 35.0% Table 22. Client Cross-gender Talk # FWIFE % Total # Turns % Total # Words % Total Clients —+ Opposite- 30 75.0% 320 54.1% 8747 61.9% gender Therapists Clients —9 Same-gender 10 25.0% 271 45.8% 5387 38.1% Therapists TOTALS 40 - 591 - 141 34 — % Higher with opposite Gender 300.0% 18.1% 62.4% The cross-gender findings in this study may be the most relevant and informative pattern found and should be further explored in future studies. Minimally, a replication of this finding in further studies would have an impact on both training for and conducting couples therapy. Making use of the tendency to talk more with the opposite gender could become part of therapy technique. For example, the therapist might point out the tendency and have opposite-gender client notice/comment on how it seems different to talk with the partner from talking with the therapist. More about the therapists As mentioned in Chapter 4, results in this exploratory study demonstrated that female therapists used more FWIFE than male therapists. Looking at that finding in a larger context, the data revealed that although male therapists used less FW/F E than female therapists, male therapists took 17% more turns speaking than the female therapists (see Table 23). In this exploratory study, then, male therapists spoke more often than female therapists, but were less inclined to speak about feelings. Table 23. Comparison of Therapist Turns Speaking With Use of Feeling Words/Feeling Expressions (FWIFE) Turns % Total FWIFE Use %Total Male Therapists 277 54.0% 25 47.2% Female Therapists 236 46.0% 28 52.8% Total 513 53 The finding that the male therapists took more turns speaking than the female therapists can be further clarified. The data were used to determine whether taking more turns speaking equates to actually talking more, as turns speaking might be short or long. The data demonstrated that female therapists used 14% more total words and had a longer average turn Speaking (see Table 24). Thus 70 although male therapists took more turns speaking than did female therapists, their turns were shorter as measured by less words. Table 24. Total Turns Speaking, Total Words and Words Per Turn by Therapist Gender Turns Words Wordsfl'urn Female Therapists 236 6508 27.6 Male Therapists 277 5731 20.7 TOTAL 1486 32564 The clients of these male therapists took more turns and spoke more words than clients of female therapists (see Table 25). This raises at least two questions for clarification in further research studies: 1) Do clients of male therapists take more turns and use more words because male therapists are better at listening than female therapists? And 2) when therapists speak less, does that mean that clients speak more? Table 25. Comparison of Client Words and Turns by Therapist Gender Turns % Total Words % Total Clients With Female Therapists 453 47% 9085 45% Clients with Male Therapists 520 53% 11047 55% 71 A clearer picture of the male therapists in the study emerges by looking at other aspects of the data. Male therapists used less feeling words and feeling expressions than female therapists. Male therapists took more turns speaking than female therapists, but their turns were shorter as they used less total words per turn. A conclusion of this study is that male therapists took more turns speaking but used fewer of those turns to discuss feelings than did female therapists. With a more complete picture of the context in which the therapists used FWIF E, there is additional support for the finding that therapists, and particularly male therapists, need additional training on speaking about and encouraging clients to discuss their feelings. If these findings were replicated in other settings and with other groups of health care professionals, the supervisors responsible for training therapists would need to emphasize the discussion of feelings in therapy sessions, helping supervisees to recognize and take advantage of opportunities to assist the client in discussing their feelings. More about male clients Results in this study showed that male clients as a total group used 77% fewer FWIFE than did female clients. Calculating he number of turns speaking and the number of total words give that finding a larger context. In addition to using 72 fewer FWIF E, male clients in this study had 20% fewer turns speaking and spoke 59% fewer total words compared with female clients (see Table 26). Male clients also had fewer words per turn than did female clients (see Table 27). Table 26. Comparison of Client Total Turns Speaking and Total Words by Gender Turns % Total Words % Total Turns Words Male Clients with Female Therapists 219 22.5% 4024 20.0% Male Clients with Male Therapists 225 23.0% 3752 18.6% Sub-total Male Clients 443 45.5% 7776 38.6% Female Clients with Female Therapists 234 24.0% 5061 25.1% Female Clients with Male Therapists 295 30.4% 7295 36.2% Sub-total Female Client 530 54.4% 12356 61.4% Total Clients 973 20132 Table 27. Client Words Per Turn Words/Turn Male Clients With Female Therapists 18 Male Clients With Male Therapists 17 Female Clients With Female Therapists 22 Female Clients With Male Therapists 25 73 The data also demonstrate that male clients talked less than therapists of either gender. Male clients had the fewest turns speaking and spoke fewer total words compared with both male and female therapists (see Table 28). Male clients also used the fewest words/turn or took shorter turns than the therapists (see table 29). Table 28. Comparison of Total Turns speaking and Total Words by Group Group Turns % Total Words % Total Female Clients 530 35.7% 12356 38.2% Therapists 51 3 34.5% 12239 37.8% Male Clients 443 29.8% 7776 24.0% Total 1486 32371 74 Table 29. Ranked Comparison of Words Per Turn Group Words/Turn Rank Male Clients With Male Therapists 17 1 Male Clients With Female Therapists 18 2 Male Therapists 21 3 Female Clients With Female Therapists 22 4 Female Clients With Male Therapists 25 5 Female Therapists 28 6 Total Male Client 18 1 Total Female Client 23 2 Total Therapist 24 3 By looking at additional comparisons in the data, a more complete picture of the male clients as the least participative group in couples therapy sessions emerges. If these findings about male clients were replicated in other studies, the importance of the need for therapists to encourage and assist male clients to increase their level of discussion, particularly discussion of feelings, in couples therapy sessions would be clear. Therapist training could then be structured to meet this need. 75 More about female clients In this study, the female clients as a group took 3% more turns and used 2% more words than therapists as a group did; female clients as a group also took 19% more turns and used 61% more words than did male clients as a group (see Table 30). Table 30. Comparison of Turns and Words by Group Group Turns % Total Words % Total Female Clients 529 35.6% 12356 38.2% Therapists 513 34.5% 12239 37.8% Male Clients 444 29.9% 7776 24.0% Total 1486 32371 AS shown in Table 31, female clients in male therapist sessions were the most talkative group in the study. They used more FWIF E than any other group. They also took more turns speaking and used more words than male or female therapists or male clients. 76 Table 31. Ranked Comparison of Feeling Words/Feelings Expression Use, Turns Speaking and Words Used by Group FWIFE Rank Turns Rank Words Rank Male Clients with Male 8 1 225 2 3752 1 Therapists Female Clients with Female 10 2 234 3 5061 3 Therapists Male Clients with Female 14 3 219 1 4024 2 Therapists Male Therapists 25 4 277 5 5731 4 Female Therapists 28 5 236 4 6508 5 Female Clients with Male 29 6 295 6 7295 6 Therapists TOTAL 1 14 1486 32371 A comparison of female clients in male therapist sessions with female clients in female therapist sessions reveals several intriguing findings. Female clients in the male therapist sessions took 26% more turns and used 39% more words than the female clients in female therapist sessions. And, as shown in Table 32, female clients in the male therapist sessions also used FWIF E more frequently (29) than the female clients in the sessions with female therapists (10). This difference is statistically significant as shown in Table 33. Table 32. Comparison of Female Client Total Turns and Total Words FWIFE %Female Turns %Female Words %Female FWIF E Turns Words PC with MT 29 74.4% 295 55.8% 7295 59.0% PC with FT 10 25.6% 234 44.2% 5061 41.0% Total F C 39 529 12356 Table 33. t-Test for Significance of Female Client Use of FW/F E in Sessions with Male Therapist vs. Sessions with Female Therapists 95% Confidence Interval Mean Std. Error FC Total . . . FWIFE t df Sig Difference Difference Lower Upper use 2.66 8 .029 3.80 1.43 .51 7.09 As shown in Table 32 above, female clients in male therapist sessions used more FW/F E than their therapists. The data also demonstrate that female clients in the male therapist sessions directed FW/F E to the male therapists more than the male therapists directed FW/F E to them. Male therapists directed FW/F E to their female clients 10 times. Female clients directed the FWIFE to the male therapists 13 times or 30% more. Of the 29 times female clients used FW/F E, 7 were in response to a male therapist using a FWIF E. In the other 22 incidences, the female clients directed FWIFE to the therapists 13 times and to their partners 9 times. 78 With a more complete picture of the female clients as a group in this study, it is clear that the female clients were the most active group in the study. If these findings were replicated in other studies, they would be an indication that therapists, but especially male therapists, have to take steps to balance the amount of discussion that occurs with male and female clients in couples therapy sessions. Therapists may have to encourage and assist female clients to do more listening to their male partners while talking less. Replications of these findings would be important not only to those who structure training programs for mental health professionals, but might also guide practicing health are professionals. More about the therapists and clients in relation to each other Therapy session time is, of course, limited to about 50 minutes. The length of turns speaking varied from one word to over 400 words. Two therapists in the study (one male and one female) talked more than both their clients combined. The longest turn taken by a male therapist (Case M3) was 457 words and is shown belovm Okay, I really want to pursue... Have you finish for me the stuff that you first started when you came in and then I’ve got the Marital Satisfaction Inventory which is going to take you about maybe a 79 half hour to finish. And I really want you to do that... So I can start... Like I say, that’s the one measure that will tell you exactly what areas you’re having the most difficulty. And I can chart for you where you’re both at on things like trust and where you are in different areas of the relationship. I can plot that for you. And then we can monitor our progress and see which areas you’re both going in opposite directions. If we work on some things and you start coming down a little bit and maybe start going the same direction. Okay? So you can do that next time if you want. If you’ll come in like maybe a half hour early next Tuesday. And then I want to get some information from you about your families so we can work on this... This is called a genogram, by the way. This is the beginning of a genogram. A genogram is kind of a family tree. You've probably each seen family trees before. A genogram’s actually a biological... It’s a model if you’re tracing hereditary traits and things like that in a family. But we use it a little bit differently. I want to be able to plot out both of your families and look for areas where maybe the ways that you feel and the ways that you think actually didn’t start with just you. It probably came up here somewhere or with your parents or your grandparents or somewhere in your family of origin. Okay? And because you, F C, just didn’t decide one day that you were going to be a pretty organized person when it comes to moving. You just didn’t decide 80 that. That probably came somewhere from your family and, like you said, you’ve got this ethic from your family that you work first and play later. So that’s important to keep track of. And I’m sure MC has some things up here from his family we could talk about. So when we put these things on the table like work first and play later and if MC has something from his family that is totally the opposite, play first and work later, then we need to work around that thing. We need to start discussing that. How we put that idea of his family in with your idea of your family, and come to some agreement so you guys can get on with your lives with how you work and play. Okay? It is interesting to note that twice during this long turn the therapist asks, rhetorically, if something is “okay?” (see yellow highlights above) but then does not pause for a response from the clients. Additional detail from the data reveals more about this male therapist: c He had highest number of total words of the 10 therapists in the study. 0 He averaged 4 words for every 1 word the clients (combined) spoke. a The male client in this session had the lowest number of words and the lowest number of turns speaking of any male client in the study. 81 o The female client in this session had the lowest number of words of any female client in the study. The female client had the second-to-the-lowest number of turns speaking of any female in the study. There is a similar finding among the female therapists. The therapist in Case F4 had the longest turn of the female therapists, and the second (to the above) longest turn in the study. The turn was 329 words and is Shown belovw Yup. Absolutely. That’s their job. This is the Family of Origin Scale. We’ve talked about your families in here. And, the way this... These are your scores. And FC, yours are highlighted in the yellow and MC, yours are highlighted in the blue. And what I look at here is how they line up. Because the areas where there is greater space, those are the areas that your families of kind of further apart. But your families were fairty similar in "Clarity of Expression," and ”Responsibility," and "Respect For Others.” But there’s a big discrepancy here in "Conflict Resolution." And that kind of shows up in the communication style that the two of you have. And that's probably an area that needs attention. But it’s not like you’re way up here on that. You’re still in the moderate range which indicates that both your families were pretty functional. In fact, you’re up above... In the high functioning area. Let’s see. FC, you’re in "Separation and Loss," and MC, "Mood and Tone," yours is above the high range. Generally people that score consistently high are people that really know how to work these tests. You know, they’ve been in therapy a long time and they kind of know what the test is asking. And so whenever we see scores that are way up in the 19-20 area, we always kind of wonder... “Cause nobody’s that healthy. You know, so, you know that they’ve had some therapeutic training or something. And typically people that are down in this range don’t show up for therapy unless they are court-mandated to. They are generally pretty dysfunctional and mostly what we see in here are people who are in the average or moderate range. For the most part handle things pretty well. So what we look for in couples is your range discrepancy. And the two of you are fairly similar. Your families of origin are fairly similar in 111031 areas. This female therapist has a similar impact on the session: 0 She spoke 2.1 words for every word the clients (combined) spoke. 0 She had the second highest (second to the male therapist discussed above) total words for a therapist (more than all therapists except the above) 0 The male client in this session ranked 8th of 10 in total words; the female client in this session ranked 9th of 10 in total words. 83 This finding appears unrelated to gender, but is germane because it has an impact on clients’ ability to discuss feelings by limiting the time available to them. This finding also represents another area in which supervisors of training therapists must be vigilant. Another finding in this study related to the use of time during the session is the amount of discussion that occurred between the clients (without the therapist) compared to the discussion occurring between the therapist and a client. There were five cases in the study (3 of the female therapist cases and 2 of the male therapist cases, highlighted in yellow below) in which the clients took as many or more turns talking with each other than they did talking with the therapist. In contrast, there were 2 cases (1 of the female therapist cases and 1 of the male therapist cases, highlighted in blue below) in which the clients used very few turns talking to each other (see Table 32). Table 34. Comparison of CIient—to-Client and CIient—to—Therapist Turns Speaking Male Therapist Cases M1 M2 M3 M4 M5 Total Total Client to Client 42 12 4' ' 49 75 182 Total Client to Therapist 105 51 64 55 63 338 Female Therapist Cases F1 F2 .. F3 F4 F5 Total Total Client to Therapist 36 65 Total Client to Client 103 L 1 ii 13 42 41 200 I ; 70 41 41 253 If the clients are talking more to each other, particularly if that discussion is the same as they would have outside of the session, the limited time in the therapy session is not being used productively. The following examples show couples interacting without the therapist: Example 1 - Male Therapist Case Female Client: Male Client: Female Client: Yeah but supposedly you said before that’s why you’re upset because I’m not listening to what you’re wanting me to listen to in the past. And I’m not caring about your feelings that you express to me at some point. So why say it again and again and again and again? Well, why sit there and live unhappy because I’m not doing something you want me to do when I’m telling you I don’t know what the hell it is. You’ve got to tell me again. You just like a It’s gonna get you nowhere every time you didn’t tell me. That would be more frustrating for me than where I’m at. At least I know I express to you all the time and you’re just not willing to do it or something else is going on. But with you I have no idea and Example 1 - Male Therapist CaseI continued Female Client, confinued: that drives me crazy. You know I’m willing to try to make things better but you won’t tell me what it is that you need. And I’ve asked you six million times. And you won’t tell me. Example 2 - Female Therapist Case Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: I was just wondering if you were going to invite her over or not. You hadn’t talked to her all week. Pretty nice week so far. That’s not why. It’s nice because we make it nice. Yeah but still... Yeah. That’s probably true. I thought it was a pretty nice week. What? I thought it was a pretty nice week. Yeah. It was. Yeah, because we were together without any outside interference. So you still think that our relationship is going to be made or broken because of (cousin’s name). No, I didn’t say that. That’s what you’re saying. You’re saying it’s only good if we don’t talk to her. Example 2 - Female Therapist CaseI continued Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: You’re over-reacting. No, because I feel so very strongly about them, you know. Well, you survived all week without having to see her. I talked to her. Yeah but it is still you didn’t hang around with her as much as you did before. So that doesn’t mean I didn’t want to see her. Yeah. So. I was just saying I like the situation. You shouldn’t be getting so up tight about everything. You know... I mean, that’s my opinion. I thought it was nice. I didn’t say anything else beyond that. It’s you that brought up the theme of breaking us up. You’re the one that said that. I didn’t say that this time though, did I? No, but that is what you think. No. I didn’t. You can’t tell me what I think. What did you say last time? I said this time. What I’m talking about is what I said this time. I said it was nice. So your feelings have changed or what? No. I didn’t say that either. You know. I just have to put it out of my mind. Is what I did. I just didn’t have to think about it. 87 Example 3 - Female Therapist Case Female Client: Male Client: Female Client: Male Client: Female Client: Well, do you understand that? You know what I’m saying. I feel like I... I feel like you don’t really care that we’re... No, no, no. Wait, wait, wait. That we’re spending a third of our money just to pay interest on our debts. No, MC, that’s a gross exaggeration, a gross exaggeration. First of all, I’m feeling frustrated right now because I feel like I have a legitimate... I feel it’s okay for me to react to you like, “My god, you’re going to be gone every Saturday. And not only Saturday, but Friday night you’re going to be needing to go to bed early “cause you have to be there at 6:00.” This is an impact on us. And I feel like you can allow me a reaction. I had a 5-minute reaction to that. At the most. That’s it. I was more like, “Ohhhh.” Example 4 - Female Therapist Case Female Client: Male Client: I guess I can prove that to you. When I say something to you that doesn’t involve conflict or emotions or anything, a lot of times you just don’t even answer me. For instance? Example 4 — Female Therapist Case, continued Female Client: Male Client: Female Client: At night when we’re watching TV if I’ll say something to you. “Oh, I paid that bill today.” Or I whatever. You just don’t answer me. The only times you really notice is when I get mad, you know. I think. You know, I understood what you said. But I think that And again I’m adding and not answering you. It’s really hard to do. But I was thinking of something else even though I heard what she said. I was thinking of something else. No, you’re deliberately blowing me off. Example 5 - Male Therapist Case Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: I guess I don’t remember it. Because it’s hard for me to go to bed when we’re still like that. I don’t remember that. Didn’t you sleep on the couch or lay on the couch or... No. I don’t remember that at all. Neither one of us has slept on the couch in a long time. No. You came back in. You just went out on the couch... You didn’t... Oh. I don’t remember. Well then I’m confused. (Husband back off of his assertion.) 89 It is easy to imagine that these interactions mirror the way the couples talk with each other outside the therapy session. As such, they do not represent productive use of session time and instead furnish opportunities for therapist intervention to break a pattern. In contrast, the following are examples of therapists intervening in an argument that was occurring in the session and using an aspect of it to teach or model a new behavior to the clients. Example 1 - Female Therapist Case Speaker Discussion Comment Female Client: You’re the one that said that. Male Client: I didn’t say that this time though, did I? Female Client: No, but that is what you think. Male Client: No. Ididn’t. You can’t tell me what I think. Female Client: What did you say last time? Male Client: I said this time. What I’m talking about is what I said this time. I said it was nice. Female Client: So your feelings have changed or what ? Example 1 - Female Therapist CaseI continued Speaker Discussion Comment Male Client: Female Therapist: Male Client: No. I didn’t say that either. You know. I just have to put it out of my mind. Is what I did. I just didn’t have to think about it. Yeah. What I think MC was Therapist intervenes to saying was that he just didn’t break up a repetitive have to think about it over the argument to rephrase week. That he wasn’t what the male client has reminded of anything. But I said so that the female think what FC is getting at is client can hear it better. that it’s still kind of a sensitive area. Is that the week was nice. Not because of anything that her cousin did or didn’t do but because of the two of you... Right. I thought it was nice too because we were together. 91 Example 1 - Female Therapist CaseI continued Speaker Discussion Comment Female Therapist: Well, I think you’re both making the same point. That the reason that it worked well was because the two of you were doing things together and doing things with the family and that was going well. Independently of whatever else was going on, that went well. I don't think it's going to helpful to analyze that too much. Just kind of let it lay and appreciate it and enjoy it. Therapist continues to draw attention to what the couple is doing that worked better Example 2 - Female Therapist Case Speaker Discussion Comment Female Client: Male Client: Female Client: Male Client: Female Client: Male Client: Not only that, I... That you don’t care, and that it’s too bad for me. "Too bad for you, I am not going to deal with your issue and I’m going to have my own way. Forget it." You know. Give up. I don’t care. Go to hell. Well. Do you understand how that feels? I don’t know. No. Not really. It’d be like a child going... That’s probably where our conversations go. Because we really are being focused on what the other one’s saying. 93 Example 2 — Female Therapist CaseI continued Speaker Discussion Comment Female Therapist: Wait a minute. You know that Therapist uses self- is... When I think of that and disclosure to help the when I think of when I’ve clients see the impact of been in situations like that, it’s their pattern of just very painful to keep going communicating over and over and over again Male Client: Shit yes when you only retain 2% of the part of the same conversation Female Client: I almost think we’ve become accustomed of not really listening to each other. Example 3 - Female Therapgt Case Speaker Discussion Comment Female Client: No, you’re deliberately blowing me off. Male Client: I’m not... Example 3 — Female Therapist CaseI continued Speaker Discussion Comment Female Therapist: No, no. I think what he says Therapist stops repetitive is very important. Because argument by helping what he is saying... female client to understand what male client is saying. Female Client: You’re watching TV. You’re Female client does not not thinking of anything. listen. Male Client: It doesn’t matter. I’m still doing what... I’m still doing something at the point. Okay, I’m still... Female Therapist: He’s taking responsibility for Therapist reiterates her what he’s doing that stopping point about hearing the him from listening to you. Did meaning of what the male you hear him say that? client is saying Female Client: He’s taking responsibility for Female client doesn’t what he’s doing? understand. 95 Example 3 - Female Therapist Case, continued Speaker Discussion Comment Female Therapist: Yeah. He’s already thinking of something. You know, I heard what she said but I’m thinking about this other thing. And boy, it’s a real tug-of-war. What I’m hearing is that people collecting evidence. I have evidence. I’m going to prove it to you that this is the way it happens. Therapist elaborates her point again and then begins to draw attention to the pattern in the couples’ argument. Example 4 — Male Therapist Case Speaker Discussion Comment Female Client: Uhhhl I don’t care what you had. It doesn’t matter. You used to be a pig. Male Client: So I’ve changed. Female Client: Right. Now I don’t consider myself a pig. I consider myself a victim of children. Male Client: I just... Example 4 - Male Therag'st CaseI continued Speaker Discussion Female Client: Male Client: Female Client: Male Client: You hate the way the car is. I look at the van as an investment, not a vehicle. Oh yeah, well you shouldn’t look at it that way. Because we had a negative equity for years and years. We didn’t know what it was like to... We didn’t know what it was like to make money on a car. We only knew what it was like to lose money on a car. And when we bought the van, I said let’s keep this van clean because if we pay it off within 3 years... I thought it was going to be but it was four. It was a grand illusion. We’ll make a profit on this car. So if we keep it decent. . 97 Comment Example 4 - Male Therapist CaseI continued Speaker Discussion Comment Female Client: Male Client: Male Therapist: I know. But I’m not letting them eat chocolate syrup and red pop. Cheerios ain’t like that. I’m not saying it can’t all be cleaned. I just... Anyway... Well I was just going to say it’s interesting that a few minutes ago when I asked about who needed to be more tolerant. Then you both thought of the other one right away. I think you did, or that’s what I saw. So... And that’s the big challenge in doing the (inaudible) when you’re stressed or angry it’s very easy to get frustrated and so you want to blame it on somebody. It’s very hard to say, “What’s my role in this? What can I do to kind of change this whole Speaker Discussion Comment Male Therapist, pattern?” So that’s the Therapist intervenes to conhnued: challenge. But one thing you comment on the process of guys are both doing well the interaction he is seeing tonight and other times is that you are taking responsibility. You are speaking for yourself. You’re saying, “I felt this way.” And a whole lot of couples have the hardest time with that. You guys do it well. Therapists in the study could have intervened in a manner similar to the above three examples more frequently during the sessions to assist the clients in improving their communicating or listening behaviors. This finding if replicated informs the need for additional training and supervision. Further examination of the data related to the use of FWIF E revealed that FWIFE were directed by the clients to therapists 40 of the total 114 times or 35% of the instances in which FWIFE were used in the study (see table 35). 22 were directed by female clients to the therapists and 18 were directed by male clients to therapists. Table 35. Client Direction of FWIFE Cases T——>MC T—)FC T—sC FC—sT MC—>T FC—)MC MC—>FC Total FT 10 6 12 2 10 8 4 52 MT 10 10 5 20 8 9 O 62 Total 20 16 17 22 18 17 4 114 % Total 17% 14% 15% 19% 16% 15% 4% Table 35 also shows that: . FWIFE were directed from one client to the other client (with no therapist involvement) 21 of 114 (18.4%) of the total times FWIFE were used. . 17 of the 21 FW/F E (81%) directed by one client to the other were female clients addressing male clients. . Examination of the 21 FWIFE revealed no responses containing a FW/F E. In other words, when one client directed a FWIFE to the other client in the session, that action did not evoke discussion of feeling from the other partner. These findings reinforce previously mentioned findings that the therapists in this study did not emphasize discussion of feelings in the couples therapy sessions. The clients used FW/F E expressions to the therapist or to each other 61 times. The therapists used FWIF E to the clients individually or to the couple 53 times or 15% less. Assuming a therapeutic orientation to encouraging discussion of feelings, these findings represent opportunities when therapists could have 100 assisted couples to delve deeper into discussion of feelings and to attend to each other’s discussion of feelings. More about gender When the data are sorted to look at gender regardless of position (client or therapist) they reveal that females used 43% more FW/F E, took 6% more turns speaking and used 40% more total words (see Table 36). Table 36. Comparison of Female and Male Gender Totals Female F C FT Total % of MC MT Total Male % Total Female Total Male of Total All FW/F E 39 28 67 58.8% 22 25 47 41.2% 1 14 Turns 529 236 765 51 .5% 444 277 721 48.5% 1486 Words 12356 6508 18864 58.3% 7766 5731 1 3507 41 .7% 32571 In addition, female clients and female therapists averaged almost the same number of words per turn (see Table 37). When female therapists and female clients are combined, their words per turn are 32% higher than male therapist and clients combined. 101 Table 37. Comparison of Words per Turn by Group Group Words/Tum Total Male Client 17.6 Total Male Therapist 20.7 Total Female Client 23.3 Total Therapist 23.9 All Male 18.7 All Female 24.7 The preponderance of female communication in general and communication about feelings in particular found in this study echoes previous research reviewed for this study. Additional Limitations of the Study Using a Qualitative Approach Because of the dearth of research on this topic, it was necessary for the researcher to design criteria for feeling words and feeling expressions that would be included in the quantification. That criteria can be found in Chapter III under Conceptual and Operational Definitions. Having closely studied the transcription of 20 minutes from 10 couples therapy sessions, it seems that the criteria may have been too narrowly defined. There 102 were frequent examples in the data when it was clear that a client or, less frequently, a therapist was trying to describe the way slhe felt, but either was not clear what the feeling was or did not readily have the vocabulary or words to describe it. An example for each case is shown below in which the word “feeling” or some form if it is used or a feeling is described from each case that was not counted because it did not fit the criteria: Male Therapist Cases: Case M1 Male Therapist: Sober up and you’ll feel better. Male Client: You had guilt. Female Client: No, but I made it better because I figured this way I would stop everybody’s pain. I would stop hurting everybody. Male Therapist: FC, I think you can get on a medication that will make you feel as normal, I think as MC and I feel right now Case M2 Female Client: And I just, you know, I need to be able to tell you howl feel about what you’re doing with him when I see this or whatever. Male Client: You just said you feel very independent. 103 Case M3 Male Client: Because everything seems to make him mad. Male Therapist: The barrier is made up of a lot of anger and all that stuff. Case M4 Female Client: But that comment really made me mad because it was saying... You know I wake up anywhere from 3—5 times a night with her every night since she’s been with us. Male Client: But it doesn’t... She don’t feel like... It doesn’t seem like she is... Since we’ve been married and stuff it doesn’t seem like she’s... Standing over me like that, you know. Case M5 Female Client: Male Client: Male Therapist: Do you see why? What made me angry. And you’re like mad... You’re saying, “I felt this way.” And a whole lot of couples have the hardest time with that. 104 Female Therapist Cases Case F1 Female Client: Female Client: Male Client: Female Client: That’s when he tells me how he feels. I tell him that he’s not feeling that way. He just don’t care. I wonder how it would feel to you if, you know... The way I feel is by what happens. But number one, immediately you just shut up The way I feel you don’t understand. Do you understand how that feels? Case F2 Male Client: Female Client: I express myself or my feelings when I need to but I don’t go on and on. And I feel like it’s on purpose. I swear! Case F3 Female Client: Female Therapist: Male Client: It makes me feel that he has a good time with me. When you have the feeling that he’s depressed, what happens? And I don’t know if that’s how every parent feels with their kid at that age or not. But we just feel like he’s still tired SO... 105 Case F4 Male Client: Female Client: Female Therapist: I feel, ummm, you know, just getting by without arguing is a good step. He’s definitely got an attitude, you know. Sullen all the time and he’s... I mean not all the time, but there’s time when he, you know, you can teel he doesn’t want to listen to me anymore. That neither of you feel that your families of origin were extremely dysfunctional anyway. Case F5 Female Client: Male Client: Female Therapist: Male Client: Just off the top of my head, I feel like MC doesn’t assert himself a lot. No, no. But it feels like its’ the sort of things that she would have done. Normal anger is being held down till it builds to a point of intensity. I feel like you push me over the edge... Since part of a therapist’s role is to teach clients how to talk about their feelings, and since clients often come to therapy with problems communicating, clients often make somewhat awkward attempts to identify their feelings. Some of these attempts to express a feeling may be appropriate to consider for inclusion. If 106 future studies of expression of feelings and emotion are undertaken, it may be wise to broaden the criteria. 107 CHAPTER VI SUMMARY AND EPILOGUE This was an exploratory descriptive study of therapist gender differences in the discussion of feelings in couples therapy sessions. The sample studied was small and may not be generalized. The quantitative and qualitative data derived in the study indicate the following: The amount of discussion of feelings in this sample was low, averaging 1 instance for every 13 times one of the clients or the therapist in the couples therapy session took a turn speaking. Although various methods of therapy vary in their emphasis on and value for discussion of feelings, these results seem extremely low. The low level of discussion of feelings must be kept in mind when considering the following results. Given the previous research in several social science areas indicating that males are less inclined and perhaps less skilled at discussing feelings, this study sought to determine if male therapists might also be so characterized. As a group, female therapists in this study did discuss feelings more than the male therapists did. This finding, however, is complicated by relatively large variation among the female therapists. All 5 male therapists actually discussed feelings more than 3 female therapists, making a conclusion from this data even more precarious. 108 When clients and therapists are grouped together by gender, the females in this study were both more inclined to talk and to talk about feelings. In this sense, this study agrees with previous research. Male clients as a group were least likely both to talk and to talk about feelings. As measured by total words, the male clients in female therapist cases were more inclined to talk than those in sessions with male therapists. The male clients used 75% more FWIFE in sessions with female therapists than the male clients in sessions with male therapists. Female clients were more talkative than male clients. Not only did female clients as a group take 19% more turns speaking than male clients as a group, they used 61% more words and 77% more FWIFE, all of which means less time available male clients to speak. The female clients in the male therapists’ cases were the most talkative group. Female clients in sessions with male therapists took 26% more turns Speaking, used 39% more words, and used 190% more FWIF E than did female clients. 109 . Both the therapists and clients in this study devoted more of their interactions to the opposite gender. This finding is intriguing. If replicated, it has many implications for both practicing therapists and those who train therapists. The findings in this exploratory study indicate the need for further research to determine if these findings are consistent in other settings with other therapists. If replicated, these findings have important implications for the design of training programs for therapists and would guide the supervisors of training therapists. The findings may also have implications for practicing therapists. The low level of discussion of feelings in this study, regardless of gender of therapist, is dismaying if you assume, as this researcher does, the need for successful therapy to include accessing and expressing feelings in order to understand and manage the impact of those feelings on relationships with others. 110 APPENDICES 111 APPENDIX A Pre-Test Document 112 #45 behemwwww wwwwNNNNNNNNNN-b-l—l—t-l—t-l—l—l—h Ere-test - Researcher 19% FT: Last week , (MC), when we did this, one of the goals that I had for FT: (F C) was that she felt you knew what it was like for her when this occurred. Whatever event it was we were talking about last week. So I am wondering, do you feel as if she knows what it’s like for you when this happens now after talking with her? No. No? Why is... why is that? I don’t think she could just totally black out what that is -- I guess a defense she probably learned when she was a young kid. But she can’t do it now because it’s something she never did before since then. She blacked out her whole childhood. So I’m wondering what you can say to her to help her understand what it is like to be you when this happens. Iwish I knew what to say. Idon’t remember specific incidents. You know, If you could ask about certain incidents in the past, originally. With (FC)? With when you were little, or... Pretty much. Did you say in the past? In the past. In general... Ever? Ya. I remember a couple of ‘em and that’s where I totally lost control. I’m yelling. She’d see me angry probably twice and that’s not usually at home that I’d get angry like that. I’d just stay calm. She’d think I’m ignoring everything in the world, but I’m just staying calm. Okay so you have this -- (FC) comes at you. You have this reaction that you make a decision, based on that reaction, to ignore or not to ignore. And that reaction that you have, those feelings that you have 113 47 48 49 50 51 52 53 55 57 58 59 60 61 62 63 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 MC: FT: MC: FT: MC: FT: MC: FT: MC: FT: are familiar. Because that’s what happened in the past. Correct? Okay. So when you said you can’t remember the different incidences like whether you were... What caused them. Right. Right. Right. What she was talking about or events surrounding them but I’m wondering if you can tell me how the feelings with that reaction are similar? What makes it the same as the others? The tone of voice, the general attitude, the person who’s doing it, wrath occasionally. The loud tone of voice, I think. Okay. What, how would you describe that tone of voice. Angry or upset. Okay, so this angry and upset tone of voice triggers a reaction in you. And that reaction is a familiar feeling. Been there before. What about that is familiar. That’s whenever I usually shut down like that. That’s all of it. I guess I’m seeing a missing piece. And I'm just, you know, wanting you to clarify it for me... and maybe you can correct me if I am wrong. What I’m seeing is here’s this angry tone of voice that comes at me. And something happens -- I make a choice in my head. And my reaction to what happens inside of me is shut down. What just happened inside of me? Why did I choose that? 114 81 82 83 85 86 87 88 89 90 91 92 93 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 Tape #2 MT: FC: MC: FC: MC: FC: MC: F C: MT: MC: MT: MC: MC: MT: FC: MT: FC: MT: Why was Sunday good? What was Sunday? We hosted my family. It was good, wasn’t it? Yes, because I was doing what you want me to. They didn't like it. What didn’t? They didn’t want to be there. They didn’t want to be at our house. That’s not true. She thinks they didn’t want to come over. They left so quickly. Well why did it work well between you guys? We didn’t argue. We didn’t fight Everything was preplanned. You didn’t argue and fight today. You just had a couple :iitszggfeements until you got here to argue. So you did Sunday just We knew about it in advance. They came for an hour and a half. Well what about you guys? Because you knew in advance, was that helpful? Did you talk about what you would do? What did happen? Yeah. Did you disagree about this? Whose guests were they? They were MC’s guests. And so did he take charge? Even as I was cooking... We had them for brunch so I prepared the food and the table and everything. And then, you sort of survived things... 115 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 FC: MT: FC: MC: FC: MC: FC: MC: MT: MC: MT FC: MT: No I guess whatever we had planned in advance... You know it’s ,a meal I often make -- french toast with a fruit salad or whatever. 'You know, and coffee and juice. And there was nothing like that I didn’t offer that I should have I guess. Or it wasn’t like he had a thought all of a sudden we have this let’s offer them. He didn’t offer them his mother’s cookies. Did that spark some argument? What if I had offered them you mom’s cookies. I wouldn’t say a word, you know, definitely not when they’re present. Maybe until we go out for a big fight You’d be very upset then. I’d be very upset because I’m not eating them myself. My mom made them for me. 1’m not eating themfor me -—-1’m not eating them, you know, for us. But only for her friends to try some. They’re very.... You know they’re delicious. They are all delicious you must admit. Everyone who has them says they’re heavenly. I’m sure that they are. He says that very cynically. I’m not cynical... I’m just... I just can’t stop thinking about this whole process that you guys go through because I know you do it well a lot of times and I’m trying to figure out... How we manage to do something without fighting? No, no I know you manage do that. I’m just trying to figure out what purpose you guys get out of fighting over small things. 116 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 Tag #3 MC: FT: MC: FC: MC: FC: MC: FT: MC: FT: MC: I’ve gotten it out. So it’s out. It’s like I don't think about it anymore. I don’t worry about it. I don’t know. I just got it out. Wow! I was pretty calm this weekend, wasn’t I? Yes. I thought I felt calm. Ya. Um it’s um like that always. I also, I feel like I don't have anything else to say now. I got it out. So I’m totally relaxed. Especially since I did. What has been occupying your thoughts, then? Well it’s taken a long time but I’m understanding that you have to be patient. And, just take this area — I can understand -- it’s hard to grasp that amount. After going through the hell that we went through, it just takes time to rebuild the relationship and get it back on solid footing. To rebuild the trust and the faith, and you know, it’s just going to take time. I can see where... Go back and see more cleany where we’re progressing. It’s like that. There’s a more solid foundation that way? I feel more comfortable with it. I guess I can understand I’m really bonng. FC: MC: FC: MC: FC: Ya. And I’m really boring. It took a long time to see. The value of it and that it will take time to see the progressions. I now understand. It’s easier to understand the feelings. It’s easier to understand my feelings? Ya. It’s easier for me to understand... Ya 117 21 0 21 1 212 21 3 214 21 5 216 21 7 21 8 21 9 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 MC: FT: MC: FT: MC: FC: FT: MC: FT: MC: That, um, just because something’s not going my way or the way I expect it, it doesn’t mean it is going wrong or going bad. Ya. Okay it’s another option there I’m starting to see. Wonderful. (Laughing) For real. You like that. May I ask what helped enlighten you? What do you think it was that triggered the understanding? Part of it comes from, you know, about six months of talking to people who were trying to hammer this into me. And we finally hit you hard enough that... And, um, FC’s been, especially since, especially since last Thursday, but also I could see it over the past several weeks where she’s been building up to this. Where, urn, FC feels more comfortable with me. And as FC said in the very beginning, as I hold back, she has the tendency to follow. And um, so she feels... she’s been more... um... she’s been a little more touching and caring and that’s been real comfortable, you know for me. Makes me feel real good. It's like I can look, I can see, I can see how the little steps are helping to just to build relationship. You know I couldn’t see that before. Understand what was going on at the time behind what I was maybe seeing or hearing. The graphic that was going on behind it. I had too many assumptions about her feelings that l was thinking things about it. Several discoveries in my own mind. 118 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 Tag #4 MC: FC: FC: MT: FC: MC: FC: MT: FC: MC: FC: Ya, you should have told me and reminded me about it and I would have said okay, let’s plan Labor Day weekend. Let’s ah get Chuck and the kids and everything and get that group campsite again and everything and we’ll go. I mean I would like to go too. It’s not something I don’t want to do. You know... (Mumbles something.) What was that? I said we can’t do everything. We’re moving one weekend. Then the weekend after we move classes start. And the week after that is Labor Day. Then the weekend after that he’s taking a week off of classes to go to Tennessee. So, you know, you can’t do it all. Yeah. As you talk about it you give the impression... You said it in a way that it’s all about Eric and I’m wondering what it felt like to you. Well, all summer long he’s been extremely busy. Your children have been acting out The program’s done and instead of spending time with his children — which they don’t see him a lot and spending time with me, he’s going away with his friends. It’s just getting back to the old mentality that they used to have where everything focused on MC. MC’s career. MC’s schooling. MC’S time. Because he had been being really good about family and chores and everything, but the summer got screwed up with a project and that took awhile, and he’s off with friends. I don’t understand why this one thing means I’m not trying. It’s not that. It’s just it’s taking up the time that would have been Spent as our family trip and now our family trip is not going to happen. I was wondering where do you feel like that leaves you? Well I just feel... She feels it leaves her at home with the kids with me away. Yah I just feel like as the summer culminated, then the break. In the end it’s for him because his summer was stressful. 119 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 31 1 312 31 3 314 31 5 31 6 31 7 31 8 31 9 320 321 322 '323 324 325 326 327 328 329 330 331 332 333 334 335 MT: FC: MT: FC: MT: FC: MT: FC: MT: FC: MT: FT: MC: What's that like? It’s just a little frustrating. Because I went okay well, yes, he has had a hard summer, but so did I have a hard summer. You know it just... it feels like him -- his importance takes over again as opposed to mutual enjoyment. And his importance takes over -— what does that mean? It just means that I’m just stuck with the kids. His importance takes over and as far as who you are in the relationship and who you are as a person... I’m number two. You know it’s not we’re here and the kids are here, . it’s MC, then FC, and then the kids. A one-down position. That’s why when we found out about the trip I was very excited because it would just be us together. No children, no family, nothing. Just us together. And I was very excited about that and l was excited that it was a cruise because everything was right there. I didn’t have to drive from a hotel to a restaurant to go out. Nothing. Because it was just all right there. And he was just like, “Yah, okay”... It was like no excitement. No anything. Just the fact that we were going to spend time together. Nothing. And when you don’t see the excitement. When you don’t see it or hear it in his voice, does that play into this feeling that I’m number two, no excitement? Well yeah, it seems like number 10 was his hiking trip and this was just like a 5. You know, like, “okay cool.” Like, “Great. Glad you’re going with me.” You know. So it kind of where you’re at on his scale of importance. Yah. Kind of ruins the excitement of going on vacation and the other person is just like whatever, not happy, not excited or anything. It’s not that I’m not happy or excited. It’s just... I mean you can kind of... that’s the thing. You have to try to understand my position. Like I’m trying to explain to you. It’s like you know that I’m really into the backpacking, stuff like that. Going on these hiking trips, right. That’s something that I know. That’s something that I can get excited about 120 337 338 339 340 341 342 343 345 347 FC: MC: very easily because I know it. I’ve done it. It’s with people that I don’t ever even see. That I haven’t even seen more than like 5 days in the last 5 years. But that was their fault because they won’t come up or anything. That’s not what I’m talking about. That’s why I’m saying this. Because it’s like that. But on cruises —- that’s not, you know, something that I don’t know anything about, or anything like that. It’s not that I mean that I’m not excited. It’s just that I don’t have that same level of connection with that. 121 APPENDIX B List of Feeling Words/Feeling Expressions Counted in Study 122 LIST OF FEELING WORDSIFEELING EXPRESSIONS COUNTED IN STUDY Case F1 F0 I feel like you’re saying, “Shut up. Too bad. It’s your problem.” That’s how I feel FT I feel PC I feel like you might as well say the words out of your mouth. Shut up. I don’t care. It’s your problem. You’re alone. That’s how it feels when you shut down or you just don’t even answer me FT Would that feel better for him to say that to you Case F2 I FT I I could tell, FC, that you were very upset Case F3 FT Mentioned you’re feelirLg secure FC It makes me feel, ummm... It makes me feel secure MC Well then I’m confused FT Feel more comfortable FT I’m a little bit concerned FT It feels different to you MC Right. It’s a feeling FT And how do you know he’s depressed? What gives you that feeling that he’s depressed FT How does that make you feel to know that she thinks you’re a lot more fun to be with MC That makes me feel good MC Personally I’ve been very frustrated MC I’ve been feeling pretty good about us MC That’s a little stressful for me MC I get frustrated FT Feelipgblamed and they’re feeling on the defensive FT Feelim like they have to protect themselves FT How I feel; This is how I feel; I feel angry FT And I feel hurt FT You feel insecure; May never feel FT You feel heard; You feel each other is hearigg your needs and concerns FT It’s a better feeling You’re feeling better FT However it feels good to you to do it Case F4 F C I feel so very stronglyabout them F C So your feeligqs have changed or what 123 Case F5 FT May have felt that nobody was really terribly concerned about his position MC I never really felt close to people or attached to anybody, so... MC I have the feeling it’s already too late. I’ve already missed out on too much, so I’m going to have to make up for it MC I kind of feel like if I have to work Saturdays that’s not really my choice, for one thing FT But will it relieve you? It will be rewarding to yo for the sense that there’s less stress on you of having these debts PC I feel like I... FC I’m feelipg frustrated right now because I feel like I have afigitimate... FT So in other words, you would like for him to express some empathy for those feelings you're having MC I feel like I’m going to get the blame for it though whereas I feel the same feelings PC I have a little frustration with this PC I’m happy for you FT I sense from what you expressed in your feelings about your relationship is that you want some control back in your life. You feel as though maybe you’ve given too much of it over. And maybe you didn’t see yourself as having a major part in giving that control over. But now you want more input into decision making FT How would you respond to that MC And I feel like it’s just... It’s not the point it comes to. It comes to the point of well, who’s in power here. And I feel like I’m not beipg listened to FT So it affects you more on an emotional level FT Whereas F C can deal more with issues and get her anger out there and leave it and it doesn’t continue to... MC I feel like I’mjust... Where I feel I am being reasonable FT So it evokes some of the... FT Okay, so it brings up some of the sensitivities that you have to not feeling valued as a person. And that comes across in the conflict MC Lget angry FC I feel that... FT I care FT That you do care, that you do value each other Case M1 FC I’m tired of it FC I’m angry MT Tell me how you felt MT Okay but how did it make you feel MC It made me feel like shit FC That’s the ways I was feeling F C A little guilt too; there was guilt; a lot of guilt built up 124 IL ..I LILH - E IAIIKIINKIEI N ......L ( FWKIMFILHIIIILIIIILIIIIL Case M1, continued FC Nobody loves me; Nobody cares; They do love me; They do care FC I’m pissed at him FC I feel comfortable with you MT How are you feeling now FC It terrifies me to think that l was like that FC I’m being caused pain MT You feel like PC I feel comfortable with you. I do feel comfortable Case M2 FC I’Lget angry; I’ll usually get angry FC Do you feel like you have any independence from me FC I feel completely independent FC I feel independent MT What's, what’s the emotion that need to have met FC Probably either hurt or anger or something MT What’s the need that you have that causes you to get upset? That's not being met MT Are there times when you feel safe Case M3 MC I’m terribly frustrated MC I'm very tired of it MT How do you feel? You don’t feel things are blear? Or do you feel the same way MT You feel safe; does that seem like it hits home for your view FC I’m upset MT You’re feeling that there is just, between the two of you, there’s so much anger that you’re not to a point where solution is; A0901; Angfl He feels MT I’m wondering if I were to chart how you feel about your relationship; Your feelings are pretty low MT How about you F C I don’t care FC Do you feel that Case M4 MC Lgot resentful MT So you had an attack of guilt. On of those gilt trips FC I was really ticked. l was really ticked MT So you’re both pissed off at each other... Upset. You were throwing your left-hand curved ball and you’re coming back with anger. FC I felt that that was a veryunfair comment FC l was jealous 125 Case M4, continued MT You mean there’s more comfort in the relationship MC Trust. More trust MT And it’s difficult for you MT So when you’re feeling happy and he’s feeling down... I’m wondering what that would be like MT I’m wondering if her mood affects you MT You just want to be in a bad mood MC I’m down FC I’m kind of tired of hearing it MT What’igxiingg for you, MC, right now MT What’s that like for you? Record the emotion. What’s the word for it FC I would feel real insignificant or feel like really nervous about my abilities or somethigg MT He’s feelingdown. You’re feeling down. Being down Case M5 FC I was mad FC I’m just like cooked MC I’m even more tired. I’m tired. I’m tired MC I’m feeling_good MT You got mad because he was mad FC I didn’t get mad FC I’m tired. Tired. MT So you feel kind of fried after having the kids all evening PC I feel very fried some nights 126 APPENDIX C Transcription of Cases 127 CASE F1 TRANSCRIPTION Key: FC-FemeIeCIienLFT-FemaIeTherapist,MC-MaIeCIient FC: That’swhenhetellsmehowhefeels, Itellhimthathe’snotfeelingthatway. Hejust don’t care. FT: Askhimifthat’s... Didlgetallofit? FC: Didlgetallofit? MC:Yep. AtsomepointJdon’twanttocommunimte. Andlalreadyknonwherethe conversation’sgoing. FC: That. lagree with that. PI”: Whatdidyouhearmesay. Askherwhatsheheard. FC: At some point you don't want to communicate... MC:Doyou understand? FT: Yes. Whatdidyouhearmesay? MC:Whatdidyouhearmesay? FC: Thatatthat pointwhenlsayyou reallydon’tfeelthatwayandyoujustdon’tsare. Then you’re done talking. You don’t want to talk anymore. You shut down. FI': Didlgetitall? FC: Didlgetitall? MC: Yep. FC: Mypointexactly. Ifldon’tagreewithyou,thenyoudon’twanttotalkaboutitbeeausewe don’tagree. Youalwaysgetyourownwayregardlees. MC:Iunderstand you. Iunderstandwhatyou’re saying. FT: VWTatdidyouhearhersay? szmathamn’sanagumeretweenusbewseslehashaopinbnaMIhave mine. Andthere’snohappyrneeting point. Andthat’sbasicallywhatshesaid. That... FT: Didlgetitall? MC:DidIgetitaII? FC: Iguess, you know... Iguessthat’sit. I... You know... Whenyousaythingsbacklguess itjustsoundssodifferent. FT: Whaareyouhearing. That’simportant. MC: Yedt. FT: That’simportant. Whatareyouhearinghimsay. Hemaynotbesayingthesarnething thatyou’lesaying. FC: Yeah. Itwasin differentwordsandlguessldon’tthinkithas... Idon’tknowifithasthe sarnemeaningornot. Themeaning is immediately you knowwhetherlagreeordisagree withyou. NIdifIdisagreewithyothenyoushutnghtdombewuseyoudon’tmrflto talkaboutit. Because you knowthere’s going to have tobesomemediation there. And that’snotgonnahappen. Andthat’swhenlcomebackwith,“Youdon’twe.” MC: Now, what makes your decision? Or what is your argument over doing it the way that I talk toyouaboutit? Didyouget 'rtaII? FC: What... Yeah. FT: You want to knoafl FC: YouwarfltoknoerafsmyargumeMoverhavingflIearenamflieotherside? MG Yeah. FT: You’re adring her to be the speaker now. MC: Yeah. 128 CASE F1 TRANSCRIPTION FC: Myargumentisthatifitendsonthenorthhandsideoflhemad... Numberoneit’snotin themiddieofthehayfield. Whichisthat’sprettysrnallanyway. Soittakesoffpartofthe hayfield. Numbertwo... Fl': Tryandkeepitshort. FC: Thesecondreasoniswithitonthenorthside... Thenorthsidedipsdownandsopeople drivingbywouldbelookingdownonit. Sotheycouldseeverywellthearenawhat’sgoing onfrornboth directions. lfitwasonthesouthside,theycouldn’tseeitcomingfromthe northbemusethehouseandallthetreesareinthewaymumberone. Andnumbertwo. onthenorth—handsideitwouldhavetositbackfaranditwouldbeuphighandalotof people would missitjust for that reason. And number three, Ithink it’s windier over there andyouknowandthat’swherelwantedit. Didyougetthat? MC: Yeah. FT: Okaythen... FC: Didyougetthat? MC: Yep. FT: Whatdidyouhearmesay? FC: Whatdidyouhearmesay? MC:Thatyouwantedittobeonthenorthsideit’sdounlowerandpeopleandseeitbetter. Andonthe south side you said it's gonnabeinthemiddleofthehayfield which it’snot gonna be, you know... FT: That’sediting. MC:Andthat you think it’swindieroverthereandpeople mn'tseeitaswell. FT: Didlgetitall? MC: Didlgetitall? FC: Yeah. With peoplenotseeingaswell, they can... Thatwayeverybody goingbywould seeitfrornboth directions allthetime. It’s very visible right there. MC: Okay. Handit over here. FI': Areyoudonewiththespeakerpilloufi FC: Iguessso. MC: Alright. Alright. Ifyouhadto compare... Apafiureiswhereyouputananimalintoandit grazes,okay. Anditneedsxamountofroomtorunaround. Doyouagreethatthenorth pasture is not very large. Do you understand? You'reasking me... : You’re addngmeifthenorth pasture is very large? Yeah. There’salotofpastureout back. :Northpaaure. Rightbesidethehouse. :Ummmmm You’reasking me... : You're askingmeif thenorthpasture is very large. :You... No,it’snotneallarge. :O.kay lgotit. Youdonothaveaconceptofsize. :’..ldontbelleve. MO: I don’t believeyou have a concept of size peryour telling methat you don’t understand size. FT: Whatdidyouhearmesay? FC: You don’t think it'sasgood... FT: Whatdidyouhearmesay? 8.391 35358966 129 MC: FC: MC: FC: MC FC: MC FC: FC: MC: : People an... I mean it's biological. It’s not anything... Some people have better FC: FC: MC: FC: FC: FC: CASE F1 TRANSCRIPTION What did you hear me say? You don’t think I have a good compt of size. Yes. If you were to put an arena in there, the size of it would diminish your pasture. So that wouldn’t be of use. And if you’re going to have other animals in that pasture, you don’t take another animal into the same pasture and work it. Did you get what I said? Umhmm. If you going to have an animal in that pasture. you don’t take another animals in there and work “em. :Because... Didlgetitall? :Yes. Alright. Andthesouthpasturel’mnotgoingtoputitintothecenterofthefield. I’m going to put it on the side of the field. Okay. Your exposure isjust as much people comingfrorntl'lenorthasitispeoplecomingfromthesorth. You haveasignoutthat says “horse boarding.” You’ll have a fence out there. Hopefully we’ll have other horses around there. At that point you’re going to get too much exposure. You’re going to have more than you want. Alright. And you need a flat... She knows where I’m coming from. No, I’ve already lost part of it. : Alright. Okay. You’ve explained a lot of things. I can’t... That’s... memories. And we have to practice in terms of memories. But in terms of listening, especially when it’s emotional... : There’s certain things too. If it’s numbers or reading, FC’s much more... She understands it. Okay. If it’s thinking out a Situation like cutting a piece of timber or bailing hay — mechanical things — that’s my expertise. Because that’s what I do every day. And I think of those things. : Okay. Soyou’resaying... MC: And marketing. I think of marketing stuff all the time. I guess I canprovethattoyou. When I saysomethingtoyouthatdoesn’t involveconflict or emotions or anything, a lot of times you just don’t even answer me. : For instance? At night when we’re watching TV if I'll say something to you. “Oh, I paid that bill today.” Or I whatever. You just don’t answer me. The only times you really notice is Men I get mad, you know. I think. You know, I understood what you said. But I think that And again I’m adding and not answering you. It’s really hard to do. But I was thinking of something else even though I heard what she said. I was thinking of something else. No, you’re deliberately blowing me off. : What? Whatwasthepurpose... MC: : No, no. Ithinkwhathesaysisveryimportant. Becausewhatheissaying... MC: I’m not... I’m telling the truth right now. You’re watching TV. You're not thinking of anything. : It doesn’t matter. I’m still doing Miat... I’m still doing something at the point. Okay, I’m still... : He’s taking responsibility for what he’s doing that stopping him from listening to you. Did you hear him say that? He’s taking responsibility for what he’s doing? 130 FC: FC: FC: MC: FC: MC: FC: FT: FC: MC: FC: MC: FT: MC: FC: MC: CASE F1 TRANSCRIPTION Yeah. He’s already thinking of something. You know, I heard what she said but I'm thinking about this other thing. And boy, it’s a real tug-of-war. What I’m hearing is that people collecting evidence. I have evidence. I'm going to prove it to you that this is the way it happens. That’s not as important... And communication's out the window. Think of it this way. If I say to you... Well I wonder how it would feel to you if, you know... The way I feel is by what happens. By number one, immediately you just shut up. You refuse to communicate about it so... Okay so, even if you don’t say it, I feel like you're saying, “Shut up. Too bad. It's your problem." That‘s howl feel. What did you hear her say? What did you hear me say? That was a very good statement. Very good. In terms of owning it. :Thathowdoyou... Howyou... Howyou feel whenyousaysomething tomeand I don't respond or act as if I don’t quite hear what you're saying or I don’t care. Is that about what you said. : Yeah. The part about what happens. But how do I... The way I feel you don't understand. When you shut down or you don’t answer me... : I feel... : I feel like you might as well say the words out of your mouth. Shut up. ldon't care. It's your problem. You‘re alone. That’s how it feels when you shut down or you just don‘t even answer me. :Whatdidyou hearmesay? :Whatdidyou hearmesay? MC: That you feel that when I don't ansvier you, it makes you feel like... That I don’t care when I’m shutting down, I guess. I don’t respond. Not only that, I... That you don’t care, and that it’s too bad for me. "Too bad for you, I am not going to deal with your issue and I'm going to have my own way. Forget it." You know. Give up. I don’t care. Go to hell. Well. Do you understand how that feels? I don't know. No. Not really. It’d be like a child going... Wait a minute. Wait a minute. Before you try and convince him, he says he doesn't understand how that feels and... You know, maybe I should do that to you. Maybe then you'd understand. I don't know. I’m really having a hard time right now listening now. I guess. I don’t know. I'm just telling you. Well I’m gonna feel that way. I... I understand some of it. It's really funny. You’re sitting there saying something and I catch on just a little. That’s probably where our conversations go. Because we really are being focused on what the other one's saying. Wait a minute. You know that is... When I think of that and when I think of when I’ve been in situations like that, it’s just very painful to keep going over and over and over again Shit yes when you only retain 2% of the part of the same conversation I almost think we've become accustomed of not really listening to each other. Yeah. I agree. ‘Cause... 131 TI 0 TI 0 easesaaeaaey 52": 85955? FC: FC: MC: FC: FC: CASE F1 TRANSCRIPTION : Because other people... Where there’s no emotion. Where there’s no nothing. They can talktomeforanhourandIcanprobablytellyouprettymucheverythingtheysay. :Firstofallweneedto havesomecommunicationwiththekidstofindoutMtatisgoingon with them. Okay. :Weneedtofindoutwhattheproblem is. Okay. What is she asking right there? : To have some communication with the kids to find out what’s going on. :Butheknowsithopeless,just Iikeme. ‘Causethey’ll shut upand notsayaword. : No... ' That’s why we never work out anything. He’s... : Okay. Hold it. Hold it. Hold it. Hold it. I disagree. Okay. :So many times I've tried... Yeah I know, you’ve got to go... We’ve got just a few more minutes. : I’ve tried practicing what FI' and stuff has taught us and I’ve said, you know, let them talk, and stuff. You know and... And sometimes you disagree because you’re upset too over that. Over the issue. : Idisagreewithwhat? :Withtryingto... Tryingto... Youwantananswer... Youwantthekidstoanswer immediately what you’re asking too. And sometimes you’re talking right over top of what they‘re trying to say. And that’s why (male child's name) won’t communicate with you. And you’re talking for (male child’s name). : This is a two-way copy. (Male child’s name) and I both talking. That’s because you and I both knowvmat he’s buffaloing... Wait a minute. There’s a difference between you saying... : This is what (Male child’s name) told me. : You're automatically agreeing with (male child’s name) and that's what I do period. Not that, you know, by the way, (male child’s name) has told me that he feels this way because : Would that feel better for him to say that to you? Yes. Because I would believe what (male child’s name) says. Not hm MC perceives what (male child’s name)’s saying to MC. : That’s what (male child’s name) was talking about. I should beableto makemyowndecisionsbywhat hesaystoyou. That's what (Me child’s name) said to me. By this time you’ve made the decision and you’re putting the verdict on me. :Dothetwoofyousee howpouerfulwordsare? MC: : There’s quite a few examples. Definitely. Wellwhat’smentioned... Youknow. Justaswesathereandlsayonethingandhehears another... Well you takesomebodysaying somethingtosornebodyelse. Somebody maldngtheirdecisionsandthentellingflteomerpersonMiatmeythink. Notexactlywhat theotherperson said. Ohyeah. Didyoueverplaythatgamewhereyou... : Yes. Soyou mightnoteven reallyberight. Andifyou... Andevenifyouarerightor wrong, it still may not help (male child’s name) because it still may not be the real... What (male child’s name) is getting at. 132 CASE F1 TRANSCRIPTION MC: Sohowareyougoingtoflnditout? FC: Well I guess (male child’s name) and I would have to talk to it. But see, I don’t even realize it. Because you've already made your judgement to tell me what you think, not what (male child’s name) said. MC: That’s what (male child’s name) said. FC: Whatdidhesay? MC: (Male child’s name) says that you’re too judgmental and you don’t ever believe what he is FT: FC: FT: FC: FT: FC: MC: FC: FT: MC: FC: 8.3.13 31 .1153 FC: FT: MC: trying to tell you. So maybe the two, you and (male child’s name) should talk about this. Or maybe you could go to (male child’s name) and see how.... If this is really howr... The only problem with (male child’s name) is that he lies through his teeth all the time. But it’s going to be real importantthatthetwoofyou get these skills down... But howrwould we... I mean it’s like... I would have to spend probably 15 minutes thinking about every sentence first to try to... Andthat’sokay. Changeitaround. It‘s just short subjects. Like one... Like one little subject... Iguess... You know... Whatweneedtofocusonishowwe feel. Notwrhatyou'vedone to me. How you make me feel when you do this. Like we could... Like through the issue of (female child’s name) and (male child’s name)... We could talk about everything that (female child’s name) does or doesn’t do and how MC has responded to it. Right. That’s not important. : And we could talk about (male child’s name) and what he has done and howyou have respondedto himand howMC hasrespondedtohimandvisaversa. All that’snotthe issue. The real issue is I feel like our kids are not being treated fairly. : Fairly. They’re not. MC: Alright. How an we make sure that we are each treating both (female child’s name) and (male child’s name) in a fair way. Because you know, one’s a parent biologically. The other one is a step-parent. Pseudo-step—parent. So. .. :That’snotevenwhylthinkhedoesit. Well, for whatever reason. : I think he does it because (female child’s name) is a girl and she could do... Commit murder and it would be fine. (Male child’s name) is a boy and he needs to pay hell. It could be a male/female thing. It could be values. It could be a lot of things. : A lot of things. But what are we going to do to try and make it fair. Should we make it fair? Do you believe it should be fair between them? Do you feel like it should be fair between them? If you both agreethal it should befairthen it should be pretty simple on coming upwith something. Now if one person has a different belief. No I think it should be different because of this and this and this. Because they’re male/female. Because one’s older and one’s younger. Because one is more responsible and the other one isn’t. Whatever the reasons are. Then we start understanding... I think it’s very obvious that everybody in this world should be treated equal and fairly. Different people... That is your belief, FC. That isn’t the way it is. 133 CASE F1 TRANSCRIPTION FT: Andthatisveryvery relevant. FC: You don’t believe that, do you? FT: Buttherearea Iotofpeoplewhodon't believethat. MC: No. FT: That you wouldn't give the same rights to one person... MC: And I’m not talking just our kids either... FC: No. No. I’m not talking... Rights! It depends on what you consider rights and what you consider privileges or responsibilities. FT: And that’s how... F : Obviously you shouldn’t give a drunk the responsibility of running a corporation. Okay. FT: And that’s kind of what we’re talking about... MC: But that’s what the statement you said, so you were. FC: No. No. I’m talking about treating people fairly and equally. FT: Butthenyou needtogointoinwhatareasarewegoingtotreatttemfairlyand... MC: Right. There’s a lot, you know you. FC: Well, how about judgement and punishment and discipline. FI': Andthcsearecn‘tical areas. Andseehmthatkeepsitveryspeciflcandveryfocused. Tonight we’re just going to deal with responsibilities. Tonight we’re just going to deal with leisure activities. 134 CASE F2 TRANSCRIPTION Key: MC - Male Client, FC - Female Client, FT - Female Therapist MC: No FC: I would have like to have been but I don’t think that would have assisted. MC:Thepersontheresaidthatthosetwoshould nevertalktoeach other. FT: The person that was at this meeting? MC: Yes. Right after, you know, what was discussed and so... FT: What... I mean howdid itstartout ? Hasitalwaysbeendifticulttotalkwith her. Because I wanted to... This was one of the things we discussed, you know. We were leading into something I wanted to get a better handle on. I sensed that there you knowr... I was sensing something uncomfortable but you started to avoid me and I couldn’t get a handle on the interactions between the two of you. So can you give me a little bit... Help me understand, you know, how it evolved or... MC:IwasaIwaysthatway, I guecs. Shealwaysthought I shouldtalkalotrnorethan I did. I’m just not that kind of person, I guecs. I don’t know. lexprecs myselfor my feelings when I needtobut l don’tgoon and on, I guess. I don’t chit-chat, I guess. That’swhat I’mtrying to say. FC: He does too chitchat. MC: I don’t have the problem with FC. Sol guess maybe it wasn’t all my fault. FT: When you separated with the children, you attempted to... I mean with the divorce, was it just really difficult to... It took the divorce decree to set up parameters or... MC:WeII itwasjust kindofwenttothenorrnal situation, I guess. Whenshemovedout, I would see them on the weekend. FT: So it wasn’t spelled out officially that you wrould see them on mkends, she’d have them during the week and then... MC: No. I would have them every otterweekend. FT: Right. MC: I didn’t see them all that much. FT: Oh. So initially it was you that had them every other weekend. MC: Yah. FT: Okay. Sowhenthatstartedtochange? MC:Well, shedecidedshewasgoingto moveoutand l don'tknowwhalsheexpected meto do. So I filed for divorce. FI’: Sure. Uh huh. MC: And reconciliation was out of the question. So I filed. And that surprised her. That I had donethat. Soitevolvedandbecameacustodycaseandshehasthemafewmoredays tten I do, but not a lot. FT: Solnthedivorcecaseitsaysthatyouwill havejointcustody? MC: Joint Iegd and joint physical. FT: (lnaudible) MC: Yes. FT: And so nowthe outcome ofthis hearing... You said many things were talked about... Can youtell rnea littlebitaboutwhatwastalked about? MC: Well we talked about the medical problems that we discussed. FT: Whatwastheresponseon herparttothat? MC:WeIl shethought FCwasoveneactingandlwastryingtogetoutofthatbysaying people aren’t the same. She may be more wnsitive than she is. That doesn’t mean she’s overreacting. 135 mean CASE F2 TRANSCRIPTION FC: I guess I need to say something too. I intervened and those children were taking medicine. Theywereillwithstrep. Andthelasttimeshedidcomeoverandshewas coughing and she was ill and she didn’t have strep. That was the first instance she did not. And I think I had every right. Because she would send the child with medication without telling anyone. Then she would send her to school with medication which is not FT: She’s infected, right? FC: Bothofthern. Both ofthem. FT: Both? FC: Both. I mean so she not only really put those children in jeopardy by putting them and thinking they’re adults and can do it on their own, but other children who have access or could possibly haveaccesstothe lunch bucketand start... You know. You knovvhawkids are. And not only that, but then her negligence of telling them that if they did have strep shewould takethern. Notjustwhenlsaid they’vegotit, I’m sure, butshehadtakenthem m andtheyhadhadstrepalso. AndnottellusandsendthemoverandtheyhadnotMnon antibiotics for even 24 hours. You know, I mean I had every right. I’m sorry. I was not overreacting. I was being practical. FI': And you have a medical orientation, you know, to handle that. FC: It’s a common sense orientation l’ m talking about. Fr: ltbecomesverymuchtheexpectationthatthetwohousesaredifferentforthegids. MC: It rs. Extremely. That rs true. I think they’ve adjusted pretty well. FC: (Female child #1’ s name) hasn’t though. MC: Well, I know she hasn’t. She has these stories. These honor stories about this or that goings on or this or something happening to us or things that were said. But I think that’s. .. You knowyou can hear or get feelings from children. And if it gets to be a habit. You knowwhen she’s proddingthernforinformationwhether it’scorrectoraskmorequestions. There’s a lot to play with. And (female child name)'s old enough that she's Ieamed that. FC: She plays us. MC: She plays us and it’s not... She’s a very bright girl. I think she... That’s a way for her to get attention too. And when her mother... FC: She knows it. MC: She babies that girt way too much, you know, and... FT: So that's something... MC: Tantrurns are okay. Go ahead and... FC: Oh man. I’ve never seen a 10 year old girl throw themselves because they couldn’t go out. I mean it was storming. It was raining. She’s wranted to go out. I mean... Wanted to down the street. Well, you know, personally I’m afraid of the storms. You can get struck by lightening or, you know, it’s cold out and you can get a cold. She threw herself down and threw a tantrum like I’ve ever seen in my life. FI’: This wrasjust recently? FC: This was when we first... I first moved in. FT: Okay. Sothiswasaperiodwlenthereweretantrums. FC: She’ll sulk. But she knows that that’s not acceptable behavior. If you have something to sayoryou’vegotagoodmasonwhyyouwenttodowhatyouwanttodo. But ifit’sjust notacceptableandshehastostayhome, thenshe’ll sulka lot. ii 1% CASE F2 TRANSCRIPTION FT: Itsoundslike,youknow, thattherewasaperiodoftimewhenparentingwesagroupof people. It was really just laissez faire. I mean they just let the kids do their own thing and they will rear themselves, you know. And it’s sounds like that’s how your ex-wife is rearing her kids. You know, they can potty train themselves when they get ready to and they can throw temper tantrums if they would like to. You know, I nmn it's just sort of whatever they do is behavior that is tolerated. FC: Well, that’s kind of... That came out from (female child as name) saying that, you know. “My mom said that’s okay.“ And the rationale behind it and it’s like... I told her, "I don’t think so. Not here.” FT: Iwonderhowyou respondedtothat. FC: I just... Just what I said. I don’t think so. Not here. You know. No. That’s not amptable here. FT: Ummm MC: (Female child 12’s name). I think that’s a real problem with... (Female child #1 name) keeps telling me that... FC: I think she’s... Well, lwrant to... I brought it. I’d say that except she... I get the impression she slighted at home and that... MC: Well, that’s the thing... FC: And that (female child #1’s name) is way up here and (female child #2’s name) is way down here. FT: Well, this incident, you know. I could tell, FC, that you were very upset. FC: Oh. Shemadernecry. Shemademecrywhenlheard her. Thegirl mademecry. FT: Because she was upw. FC: She was upset. FT: Didthiscomeup, youknow, inthemeeting? You know, theneedsofthechildmntohave the parents attending school functions? MC: No. It didn’t... That didn’t come up. FT: Okay. Iguessshewassototallyengrossed in herschoolthatshedidn’t haveanytimefor the children. Is that what happened? FC: (Female child #1’s name) is always on time. I don’t think... I’d say within the past year. I kind of get the impression that (female child #2’3 name) doesn’t want to go. There are times (female child #2’3 name)... Sometimes she just... She really doesn’t went to go. Sometimes she’ll get excited. Sometimes she doesn’t. MC tries to... He was always (inmdible). And sometimes I think he tries to manipulate their thoughts. I don’t really care. I don’t want to hear it. I’ll say, “Did you have fun?” I won’t say, “What did you do? What do you think?“ FT: So you ask more global questions? FC: And that’s it. FT: And they‘ve Ieamed not to volunteer a wrhole bunch? MC: They do on their own sometimes, you know. They’ll say things. FC: (Ex-husband’s name) just tries to be... You know, he does little things. I think he does. To try to know what’s going on. It’s in his personality. And umm he did have an episode wherehehad him convincedthathewesgoingtogeta$90090—cart Andguesswho’s goingtopayforit. ltwesn’tgoingtobehimmditwrasgoingtobeus. Youknow,andl hadtositdownandmlkto him. Anexplainabwtwortdngforthingsandworidngtoward things. And I had to (inaudible). FT: (lnaudible) 137 FC: FT: FC: FT: CASE F2 TRANSCRIPTION Butthenhetries tousethatmanipulative thing Iikewithoutsaying, "Ask your mother." Sornehowhehasawayofconvincinghimthatheisgonnadothat. SothenMenhe comeshorneand it’s like they’re gonnadothis for me Andit’slike, ahhhh,ldon’t think so. That'sanice thing to want to believe. Yeah. That’skindofhowlhadtoput'rttohim. Andtrytogethimtoseetherealisticpart, youknow. lflgaveyouhalf,youknow,wouldyouworkforhalfofit? lfyouwouldwork forhalfofitlmighthelpyouormorethanthat. Imighthelpyouhelpatsornepoint. Givethemproblemsolvingsolutionstorcachagoal. MC: Thatwasaboutthetimewestartedtore—sidethehouse. Andhewasupset. Hewasin FT: tears. Andlwentuptotalkto him Itold himiflhadthemoney, Iwouldn’tjustgiveitto him. Butlhadawayforhimtomakesomethingtmerdsthatifwantedto. Theirpartwas asltookthesidingoffthehousetotakethebacldngoffsowecouldrecycleit. Andhe couldhavewhatwegotfrornthat. (lnaudible). MC:Andthatsortofgothisfocusbacktowhereitshould be. Andhedidthat. Andnowhe’s FT: FC: FT: FC: : That would be... I can understand howyou would feel that. Well, we’ve got just a little FC: Fr: looking forotherwaysto make money. What a nice summer thing. Butitwasdifficultforustoworkthatwtafterhecamebackwithallofthatpropaganda, you know. So it sounds like both these Ex’s are leaving some dilemmas for you to have to work out. And I just feel like it’s on purpose. I swear! time and I wanted to take some time with the children. But I just wanted to take and show you the results of... :Iwanted you to havethistoobecausethatwrassomethingthatlhad... :Thankyou. Okay. lsthatsomethingthatyou’dratherdonmvormaybewewndothis nexttime? Doyouwanttogooverthesewhenlhavethechildmn’srewltsnexttime? Is this something youwanttodonow? : I don’t have to. : I’ll keep that and I’ll bring it next time for you to tell me about. This, the couples, the relationship... : Oh no. Terrible aren’t we? You’re going to tell us how bad? : You’re delightful. I mean I’m reading these and going. “Oh, how nice. This is such a nice couple to work with.“ You both score very high on “Cohesion." Being together on things. That was one or two standard deviations above the norm which is like only 2 or 3% of people go higher than that. :Ohso... So it says that you support each other in the couple relationship. “Satisfaction.” You both rated very high on satisfaction with the relationship. And you both identified some areas of dissatisfaction. It’s amazing. You both are answering so similar I thought did they do this together? We did not. I know you didn’t. You think very much alike' In a lot of areas. MC:Ithinkitmighthelp. Maybeyoucouldshedsomeligl'rton... Asfaras(femalechild#1’s name and female child #23 name)’ 3 situation. Bear in mind that I never prodded them for information on their lives with their mother, analyzed their mother. I’m conwrned about intruding on that. I don't want to do that. 138 FT: CASE F2 TRANSCRIPTION No, no. That’s very wise. You need to keep doing that. I think it’s malty important for them right now that they have a totally separate person that they can relate to. If I would... I would use... With the children it would be play therapy. And basically children talk through toys and play much louder than they talk with words. I think it would be beneficial toseetlem. l’mgoingtoknowmoreexactlywherethesituationiswhenwegetthe teacher’s reports and I compare their reports with your reports. I do went to go over that with you next week. I think... I do think I definitely went to see (female child #1's name) tonight. You know just from what I’ve seen at this point and just thinking about your concern that you’ve expressed. The other two also. I'm just not quite sure how to go about... I don’t want to single one out or single another one out. I don't know howto exactlygoaboutthis. Unlesswedid ita halfan hourwithtwoandtwo. Youalmcstneed at least a halfan hour. Which child... Which onesdoyou want to come in, thetwo of you? MC: Well (femde child #1's name) obviously has the most problems because it becomes FC: attitude when she first comes back. She’s unbearable now. She’s anogant. It’s a drastic change for her to have to accept coming to our house. Whether she’s resentful or whatever. She has the worst problems. : That's... Just let me reassure you. They have done multiple studies on step families. And often24 hoursbeforethechild hastogototheotherfamily... : It happens. And24 hoursattertheygetback... : Her frustration comes out. Yes. :Andwehavetocopewith it. And this is why when there's switching it’s hard to stabilize it. I think there’s a couple other things I want to go into with you. So maybe next week I will just... If next week the two of you will just come again and then we’ll solidify and see... I’ll have those teacher’s reports. And then after that we’ll break it up into the children. We will talk about parenting and that wayyoucansupportmeinthetherepyroleandlcansupportyouintheparentingrole. Oh. MC: Oh okay. FT: FC: FT: FC: FT: lamgoingtobringthemuptoletthemseethatvideo. Igotitsetuphere. lpromised them Dowegettowatchthemordowehavetoleave? You canwatch ifyou like. They gm to watch us. Remember how they were acting? FC: Terrible. FT: They were just making funny faces in front. If you’d like to go downstairs and just tell them to come up here, I’ll... Thank you. 139 CASE F3 TRANSCRIPTION Key: FT - Female Therapist, FC - Female Client, MC - Male Client FT: What's that doing to your sense of security? You’ve said in here. Mentioned you‘re feeling secure? FC: It makes me feel, ummm... It makes me feel secure. It makes me feel that he has a good time with me. That he enjoys being with me. Because he’s not so down all the time — in a bad mood. You know, I can be... You know, if you like who you’re with and you... FT: Um hmm. FC: You have more fun. You enjoy yourself. You're yourself. FT: What do you think is happening different nowf? Or what do you see has changed that is causing him, his mood to be better? FC: I don’t know. Everything is still the same in our lives. I just think that MC’s really really trying. FT: Okay. Remember the last time you were here and you felt like things were going better? And I tried to get you to predict a relapse. To predict what happens if. The “what if' kind of thing. And you were thinking about making a contract with each other as to what you would do if you felt a fight coming on or things escalated. Did you try doing that or did you think about that? MC: Ummmm, yeah. We thought about it a little bit. Actually, we did have a little fall- out there. That night you went to bed mad. FC: I don't remember. MC: Ummm. We more or less decided that, you know. That we would try and work it out within, you know, an hours time frame or something like that. And if it gets too late into the night or it gets to where it’s not productive, then maybe we’d just would be better off sleeping on it. Sleeping together. Just, you know, understanding that, and, you know, in the morning feeling more refreshed and better able to talk and understand and you know... Other than late at night which sometimes it gets and you get a little tired too, you know. So that’s kind of what I got out of it. I think... I think that’s what she got out of it too. A little bit. FC: I guess I don't remember it. Because it's hard for me to go to bed when we're still like that. I don't remember that. MC: Didn't you sleep on the couch or lay on the couch or... FC: No. I don’t remember that at all. Neither one of us has slept on the couch in a long time. MC: No. You came back in. You just went out on the couch. You didn’t... FC: Oh. I don't remember. MC: Well then I‘m confused. FT: Well, it's just that kind of thing that I wanted you to think about together and talk about predicting that. So that you feel more comfortable about it if that happens, what are we going to do about it? Instead of like now everything’s going along real great and that’s really good. But I’m kind of... I'm a little bit concerned just because it’s difficult for you to explain to me what's better or different or what’s changed. And because of that, I know you're trying harder right now. Ummm. In a year from now and you're not coming here anymore and things seem to be resolved and you’re not coming here and you have one of these flare-ups. Do youseewhat l’mtryingtogetat? FC: Um hmm. 140 CASE F3 TRANSCRIPTION FT: That’s what I’d like you to think about. When are... One of the questions I wranted to ask you is that... You talk a lot about being close and feeling close. And when you’re not feeling close, that’s when you seem be a little bit more on edge and fights occur for you more often. That’s what I’ve heard you say. How do you knowwhen that feeling happens? What’s going on when you're not feeling as close? And what are you going to do to prevent that? MC: Ummm. I guess maybe not being close a lot of times is just doing our own thing throughthedayandnothavlngachancetospendwitheachother. Andthenyou go a period of two or three days where you’ve really been tired. She’s doing the dinner. I’m watching the kids. We eat for a few minutes. You know, we read the stories. The kids are to bed. We’re tired. We watch TV. We don’t talk. We go to sleep. Some routine like that for a few days. And, you know, no touching, no... I mean not no touching. FT: Yeah. MC: Limited touching. Limited intimacy. Leads to, you know, I guecs maybe not feeling as close to that person. And then if something is said. Something is taken wrong. Somebody gets mad. Since you’re not as close, you know, you feel a little more distant. You don’t ummm... You know, you feel more defensive. FT: Um hmm. MC:Iguessthat’skindofsomeofit. FT: It feels different for you. MC: Right. It's a feeling. FC: Differences I’ve seen... Like he’s been more ummm... He’s been more fun to be around. You know, laughing, smiling, not seeming as depressed. FT: When you have the feeling that he’s depressed, what happens? FC: Inside of me? FT: Inside of you. And how do you know he’s depressed? What gives you that feeling that he‘s depressed? FC: Hejust kind ofmopesaround. Hejust doesn’ttalkatall. And ahh, you know, he snapsback. Hesnapsalot. Iflsaysomethinghesnapsandgetsvery defensive. You know I’ll say something. He’ll go, “Well, I didn’t dothat.‘ And I’ll go, “I didn’t say you did do that.” You know, that’s not what I said. Like, you know, he gets real defensive ummm like ummm go away if you’re going to be so grouchy. Go play golf with your friends. Go away. You know. But, like he’s beenalotmorefuntobearound. FT: Have you told him that? FC: Ummm. I don’t know. I don’t think I have. MC: I don't think so. I don't really remember per se her saying that to me. FT: How does that make you feel to know that she thinks you’re a lot more fun to be with? MC: That makes me feel good. FC: He was, ummm, cracking a lot of jokes the other night. And I told him, you know... I told him that he was being fun and it was fun and everthing. And then hegotuptogotothebathroom andwhen hecame back, you know, hewastired and he wanted to go to sleep. FT: Umhmm. FC: You know it was like you’re not fun anymore. MC: Yeah, yeah. 141 CASE F3 TRANSCRIPTION FC: I’m done wn'th the bathroom, it’s time to go to sleep. So... FT: It’skindofneatwhenyou notice littlethings likethatabouteachother, to leteach otherknowthat. Becausea lotoftimeswegive feedbackwhen each otheris doing things that we don’t like. But a lot of times we forget to give feedback when they’re doing things that we like. So if she’s been more relaxed and happier and that makes you feel good, it’s good to let her know that and visa versa. If he’s been morefunandfunnier, it’sgoodto let people knowthat. ‘Causethat’sthe thing that keeps those feelings going. You’re talking about the closeness and feeling close. Maybe you haven’t been able to be close. But just a small compliment like that saying, “Gosh I’ve really noticed this past week we’ve had a really busyweek, butyou’vebeeninareallygoodmoodandthat reallykeepsme up and makes me feel really close to you.” Just giving that little verbal feedback. Sometimes the way to keep that closenecs there without needing to feel it physically... Or, like you mentioned. Sometimes you don’t have the time to be closeand intimateandtouching. Thenthat’skindofaway to do that closeness. MC: Yeah. Just taking things a little on the lighter side. FT: Umhmm. MC:’Causereallyit’sbeenkindofhardlately. Becauseofmyleg hasn‘tenabledme todoalotofthingsorhelparoundthehouse. And FC’sbeendoingalotofthings aroundthehouse Andlknowit’shardonher. But, you know, andthatcouldbe a situation where we’re both tired and one thing is said. And we’re tired and we’re just, you know. Andallofasuddensornebodysnapsandthenyouget defensive and a fewwords are passed. It’s not a big fight, but you have bad feelings. And that right there is had to patch up. Nobody wrants to give in. On that. So umm, it like it’s been kind of hard lately in that aspect. And I knowthat personally I've been very very frustrated. It’s been hard to mlk around like this foramonth. Togoto Floridaonvacation and belikethat. And notbeabletorun and do all the things that I like to do and that. So that’s been really frustrating. So it... FT: Um hmm. MC: I’ve been feeling pretty good about us, you know. Because we’ve been getting alongandit’s,youknow, beenkindofhardtakingcareofournephewforaweek there when his mother and dad were having... FC: Yeah. That (nephew’s name) thing has been going on for a couple weeks... MC: A couple melts. FC: And then we. So MC was bringing them home every night “cause he’s Mn going to the babysitter with his Gmndma. So MC was bringing them home every day sothey could, you know, stay overthere and help herand not pick him up till late. FT: Um hmm. An extra kid makes a big difference. MC: One extra kid. FT: Oh yeah. 142 CASE F3 TRANSCRIPTION MC: Yeah, he’s you know... He’s a little over a year younger than (male child #1’s name). And you know (male child #1's name) is, you know, five now. So he's a little more... You know, you don’t have to watch him as much. You can watch him go over to the next door neighbor's and go in the yard and then come back in and, you know, sit down for ten or fifteen minutes before we go out and see. Vlfrth him you can’t do that so it takes a little more time. FT: How do you think you could get him to dress himself? FC: Well, we got to get him to bed earlier at night. MC: Well, see, you... I mean that's hard too. lt’sjust... We work and we eat and he playsalittle, andyou know... Andhe’shadahardtimeatschool. FC: That would create more stress for us if (male child #1 ’3 name) had to be in bed and be done by 8:30. Like we have... FT: That’s pretty earty though too. FC: He needs... He could sleep for twelve hours. He gets... He runs all the time. Really hyper. He runs. (Male child #1’s name), we try, like on a weekend... MC: Yeah, like we try to have him in by 9:00. FC: 9:00 with everything done. MC: ‘Cause wejust feel that too that that’s, you know, that’s about a good time. FT: Sure. MC: Especially since he gets... When we get up in the morning and he’s just zonked out and wewake him up, you know... FT: Umhmm. MC:AndIdon’tknowifthat’showeveryparentfeelswriththeirkidatthatageornot. But we just feel like he’s still tired so... FC: We get him up at a quarter to seven. MC: So it’s ahh... FC: But he’s just kind of 3... He’s kind of spoiled. If we ask him to do something, a lot of times he’ll say, “I don’t went to.“ “(Male child #1’s name), 90 do it" And he’ll ignore you. MC: There’s... The thing is if that’s our fault. FC: Yeah. MC: He’s spoiled. So... FC: Whereas (male child #2’3 name), I don’t know. (Male child 12’s name) is always going in the bedroom and straightening up. He’s always... He says to me, “You wanttocomeinthebedroomandhelpmeclean?‘ No. Notthathereallydoes anything constmctive, but he thinks he is cleaning up. FT: Sure. FC: l-le putsthingsall in a big pile in a comer, you know. Putsthreeorfourthings In a tackle box under his bed. He does it like that. But he... He likes to do chores. FT: Um hmm. FC: He can get out the vacuum and plug it in and... MC: I suppose we could give him chores. I mean give him actual chores to do. FC: That's something we could start. “Cause (male child #1’s name) been talking about wanting an allowance. FT: So when he does his chores, he’s rewarded for his work. MC: We just... We feel toothat itwill be a little easierwten I get bathrooms and (male child #1’s name) room done and get him in it. We have a bedroom now that’s just junk. You knowwith... 143 CASE F3 TRANSCRIPTION FT: Thenthey’lleach havetheirown room? MC: They’ll each have their own room. Yeah. We have bunkbeds in there. It’s a mess because theyjust... Boys... You know kids that age get things out... FC: It’s a small room and they’ve got all their junk in there. MC: And it’s hard to have them clean it up. I mean, you know, so... But that's a little stressful for me becauselhaven’t bsenabletogetinthereand reallydowhatl want to do. I want to tearout the doors and the trim. Thewindowtrint Paint, you know. And it’s just real hard to stand up do it all. So I get frustrated and that becauselcan’tdothat. Iknowiflwasbetterandthatlcouldstartdoingthatand once I get it done. And then (male child #1’s name) could move in and then... Things... You know the domino effect. Things start taking care of themselves and that. So for me that, you know, is a source of frustration sometimes. But I guess it’s going to take time. . FT: Soyou hadan instancewhere... Youtalkedalittlebitacoupleweeksagoabout howifyou haddishesandyou rushedthemtothetableat night. Leftsomething undone. FC: Ummm. MC: The other night we kind of left it. Now how do you mean? Just something that we figured was something thatwe normally do but... FT: We’re talking about if we left the dishes. PC doesn’t like to leave the dishes that night. And then the next morning. We’re kind of talking Saturday. Friday night, Saturday morning thing where you’re all in bed. In that she wouldn‘t feel like getting up to do it And you would say, “I will help you.“ Or, you know, “Relax.” Or... And the kids get you up early anyway. And we talked about having the kids gogettheirowncereal and lettingyou relaxalittle bit. MC: Right. Right. FT: Hasany... FC: That... I don’t think that... MC: Mother’s day. FC: Yeah, Mother’s... Well it’s because of Mother’s day. Mother’s day only comes once a year. MC: Well, I know it but it’s something. FT: I’m meant her doing it voluntarily. Not as a gift, but her just feeling okay about not doing something. MC: Oh. Okay. FC: I guess... I guess... lguessthat it hasn’t really come up. FT: Okay. FC: lguessbecausethatcausethekitchen hasn’tbeenasbigamessbecausel’ve been bringing food home. 144 FT: MC: FT: MC: FT: MC: FT: FC: FT: FC: FT: FC: FT CASE F3 TRANSCRIPTION Well, it sounds like you agree to disagree on that issue. But even if it is brought up once a year, it might be something that if you feel more like you have a resolution for it. it won’t be an issue. It won’t be that sensitive issue that you will bring up and... That's what I was talking about as far as having a plan so that when you have your next fight, the more things that you are able to resolve when you are not fighting, be able to talk them over, the less things you’ll have to bring up when you fight. And if you remember to try to remember to fight fair... When I talk about fighting fair I mean you don’t bring up the past. You don't bring up the past issues. You fight about the issue at hand. And you don't blame. And you use “I' statements. That’s fighting fairly. I think I mentioned that to you before. : You don't use we or you? It’s just all l’s? It’s “l' statements and you can use "we." But when you say, "You make me do this. You make me feel. You don't have the right to." And if it’s you, you, you, the person is feeling blamed and they’re feeling on the defensive. And they‘re feeling like they have to protect themselves. And many times it’s more difficult to listen when you’re being attacked all the time. And I'm not saying that you're not going to have times when, you know, you really piss me off or something like that. I mean that’s just the way life is. Right. But if you consciously think about well what is it that I'm mad about. Well, he did this and this is how I feel because of it. So instead of blaming him, it's this is how I feel because whatever. You’d dowhatever. I feel angry and | feel hurt. Lotsof times you feel insecure. I’m not liking howthis is going. I'm not liking howl am feeling. I’m not liking howthe house looks. I'm not liking... And that way you can say we kinds of things. We need to talk about it. We need to decide what we’re going to do about this. We need to have some conflict resolution. We need to problem solve. The we comes in in what can we do about it. That makes fighting a little bit more fair when we don’t bring up past issues. But if that's a thing that keeps coming up and it's an unresolved thing that might be helpful and it may never be resolved completely. You may never feel like either of you have completely made your point. And, like I’m right... Right. But as long as you feel heard, as long as you feel each other is hearing your needs and concerns, you can empathize with each other a little bit more. Putting yourself in each other‘s shoes. Being able to kind of step outside yourself and observe. Observe yourself as a couple. And what’s going on and what those unresolved issues are abort. That makes it much more helpful. It's a better feeling. You’re feeling better about the situation. I see what you mean. I think that would probably be good. Okay. Well, we can do that next time. But we don't have to do that next time. If you guys would like to work on something different next time, we’ll do that. We can... We can go ahead and make our list. Okay. I’d like to make our list separately. Okay. ‘Cause I don’t want to give him any ideas. : Okay. Why don't you decide what you’d like to do. You can make a separate list and you can make a together list. You could do both. 145 FC: FC: FC: ' That’s alright. Two weeks is alright? FC: Yeah. (Male child #Q’s name) has a spring concert on Wednesday night. FC: FC: CASE F3 TRANSCRIPTION Okay. However it feels good to you to do it. Okay Okeydoke. See you next week. Well, FT, we can’t come next week. Oh, will he sing? Yeah. Kindergarten through fifth graders sing. And then the seventh and eighth graders put on a little play. : Awww. Okay. And than (male child #1) has like a baseball game on Thursday night. So... : Busy family. FC: : Springtime is always very busy. Yeah this is baseball season. 146 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Male Client, FT - Female Therapist MC: Fr. MC: FC: MC: FT. MC: FT: MC: FT: MC: FT: MC: FT: MC: FC: MC: FT: FC: MC: FT: FC: MC: FT: MC: FT: FC: MC: FC: MC: FC: MC: FC: MC: FC: MC: FC: MC: FC: MC: FC: Well we talked and we drank some wine that one night. Last Monday? WasitlastMonday? Idon’t knowwhen itvvas. We go to lunch? No. You wanted to go with (relative's name). You really wanted to work out. Yeah. We went to work out. So you have had some time together? Yeah. A little. Because she knows where I’m going to go do the stair stepper. Uh huh. Yeah. We spent time together. We went out Saturday night. I went to the footbdl game earlier. The MSU football game? Yeah. I saw it on TV. Um hmm. Sad loss. They were leading almost the whole game. Uh huh. It was pretty intense. They were awful. They couldn’t do anything. They just let them score. We do some talking at night when we are laying in bed too. We talk abort (inaudible). Do things go any better? In terms of talking? Uh huh. Yeah, I guess. I mean, we didn’t have any major arguments or anything. Have you tried the reflective listening at all? I guess we’re... I feel, ummm, you know, just getting by without arguing is a good step. How has it been for you, FC? Good. He’s still wanting time to ourselves. Talking to my cousin. He says, “You’re not going to invite her over are you?“ That’s the only thing. I wasn’t even talking to him, you know. lwastalkingtoheronthephone. HetumsontheTVand istryingtohearus. I wasjust wondering if you were going to invite her over or not. You hadn’t talked to her all week. Pretty nice week so far. That’s not why. It’s nice because we make it nice. Yeah but still... Yeah. That’s probably true. I thought itwasa pretty nice week. What? I thought it was a pretty nice week. Yah. It was. Yeah, because we were together without any outside interference. So you still think that our relationship is going to be made or broken because of (cousin’s name). No, I didn’t say that. That’s what you’re saying. You’re saying it’s only good if we don’t talk to her. You’re over-reacting. No, because I feel so very strongly about them, you know. Well, you survived all week without having to see her. I talked to her. 147 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Hale Client. FT - Female Therapist MC: FC: MC: FC: MC: FC: MC: FC: MC: FC: MC: FT: MC: FT: Well, I think you’re both making the same point. That the reason that it worked well was MC: FC: MC: €745 Yeah but it is still you didn't hang around with her as much as you did before. Sothatdoesn'tmean l didn'twanttosee her. Yeah. So. I was just saying I like the situation. You shouldn’t be getting so up tight about everything. You know... I mean, that’s my opinion. I thought it was nice. I didn’t say anything elsebeyondthat. lt’syouthat brought upthethemeofbeaking usup. You're the one that said that. I didn’t say that this time though, did I? No, but that is what you think. No. I didn’t. You can’t tell me what I think. What did you say last time? I said this time. What I’m talking about is what I said this time. I said it was nice. 30 your feelings have changed or what ? No. Ididn’tsaythateither. You know. ljusthavetoputitortofmymind. Iswhatldid. I just didn't have to think abort it. Yah. What I think MC was saying was that he just didn’t have to think about it over the week. That he wasn’t reminded of anything. But I think what FC is getting at is that it's still kindofasensitivearea. lsthattheweekwasnice. Ndbecarseofanythingthather cousin did or didn't do but because of the two of you... Right. I thought it was nice too because we were together. becausethetwoofyouweredoing thingstogetherand doing thingswiththefamilyand thatwasgoingwell. Independentlyofwhateverelsewasgoing on, thatwentwell. I don’t thinkit’sgoingtohelpfultoandyzethattoomuch. Justkindofletitlayandmpreciateit and enjoy it. Yeah. That’swhat I wasdoing. ljustthorghtitwasa niceweek. It was. Well, I’ve been going through all of those testing materials. We flunked, right? Well, lthinkpeoplehavetheideathatthisisapasslfail kindofthing. What itisisjust information about how you were feeling the day that you were... That you did this. And it can change anytime. This isnot This is a lot of information, but it’s sort of uptoyouto kindoff'rll meinonwhyyouchosetheanswersthatyou did andwecanseehowaccurate the test scores reflect the way that you understand your relationship and your functioning. You both have the same ideas that your families for the most part had. And, what you’ve said in hereandwhatwe’vetalkedaboutistheproblem reallycentersaroundtletwoof you and one part of your relationship. But overall, the family is in pretty good share it looks like ummmm in terrnsofthewaythingsarenow. Andyourkidsareatthepoint where they're still manageable. They haven’t really hit adolescence. :Wehadthemtostartvvithso... Your oldest is... : Thirteen. He’s definitely starting to get that attitude, you know. Sullen all the time and he’s... I mean notall thetime, butthere’stimeswhen he, you know, you can tell that he doesn't want to listen to me anymore. We don’t know how he is. We don't know... There’s no possible way to knowwhat he's thinking, you know. You can see that right in hiseyes. You canseeitand I canjust rememberfromwhat I did. 148 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Male Client, FT - Female Therapist FT: 3% 953% MC: FC: FC: Yah. That indicates... This piece of the assessment, we would, if your son were to come in, we would give him the adolescent version. So that we would punch his score in on here someplace. But often what happens when you have a parent who is very centripetal, who's very focused on the family... When you have an adolescent, it causes a lot of difficulty because the adolescent is ready to go out and explore the world and they want to kind of get a little more freedom from the family. A little more autonomy. And they often end up kind of at odds with parents. Particularly if one parent is very focused on family. Whereyou are. And I think FC hastheadvantageofbeing a little morecentrifugal ora little more flexible in terms of looking outside the family. That she may be able to relate to yoursoninawaythatyoumightnotbeabletobecauseyourexpectationsaremoreto stick with the family. : Ummm. Sothatmightbesornethingthatwewould explore lateron in tennsoflooking atthe overall family function, berause I knowthatwe have kind oftouched onthat. Thatthat is a somewhat of an issue in terms of FC’s relationship with your son. And down the line we might be able to talk about how to promote wablishing a relationship with him that’s a little different. He’s getting older now and he doesn't. probably doesn’t want the parenting but he still needs the adult supervision in his life. : Nodoubt. Yeah. Theyneedthatforalongtime. Althoughtheydon'twantit. : Um hmm. You give ‘em a little bit afraid of freedom and they take a mile. Yup. Absolutely. That's their job. This is the Family of Origin Scale. We’ve talked about your families in here. And, the way this . . . These are your scores. And FC. yours are highlighted in the yellow and MC, yours are highlighted in the blue. And what I look at hereishowthey lineup. Becausetheareaswherethereisgreaterspace, thosearethe areas that your families of kind of further apart. But your families were fairly similar in "Clarity of Expression," and "Responsibility," and ”Respect For Others." But there's a big discrepancy herein ”Conflict Resolution.“ And that kind of shows up in the cornmunlcation style that the two of you have. And that’s probably an area that needs attention. But it’s not like you’re way up Mrs on that. You’re still in the moderate range which indicates that both your families were pretty funaional. In fact, you're up above... In the high functioning area. Let's see. FC, you’re in ”Separation and Loss," and MC, ”Mood and Tone." yours is above the high range. Generally, people that score consistently high are people that really know how to work these tests. You know, they’ve beenintherapyalongtimeandtheykindofknowwhatthetestisasking. Andso wheneverwesee scoresthatareway up inthe 19—20 area, wealways kind ofwonder... ‘Cause nobody’sthat healthy. You know, so, you knowthatthey’ve had sornetherapeutic training or something. And typirally people that are down in this range don’t show up for therapy unless they are court-mandated to. They are generally pretty dysfunctional and mostlywhatweseein hereare peoplewhoareintheaverageormoderate range. Forthe most part handlethingsprettywell. Sowhatwelookfor in couples isyourrange discrepancy. And the two of you are fairly simila. Your families of origin are fairly similar in most areas. Well, maybeso, butitgetspretty badwhenwe’renottoo... When? : Recent times. I don’t think so. 149 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Male Client, FT - Female Therapist MC: FT: .115 I do. You may not... You may think it’s... lthinkwe werejust as bad. You know, we’re arguing and you’ll go back and shut the door, or I’ll walk out and we stop talking. We never resolve anything. But we’re stopping it. As long aswe are on this topic, lwant to get this... This is the MS]. This is the one you did last week. And this one kind of is more specific about communication problems and conflict and if there’s conflict over child rearing. And it just kind of covers the whole thing. And problem solving communication... I want to get this right, so let me get my “cheat sheet" out here. You guys scored above the 65. Here’s the 65. This is pretty high. And high elevations on problem solving communication indicates marital tension. Surprise, surprise. There is likely to exist a long accumulation of unresolved differences so that any minor incident may precipitate a major crisis. Distress is likely to have generalized across abroad rangeofareasincluding financesand rnaritallparental roles. Andasyouwere... : Finances... Oh my god... Yeah. You know that really reflects more specifically some of the problem solving. So I went to look at the scores here, this gray sea is mixed. All the gray areas are mixed scoring and the white is you and FC’s score. And so the two of you are very aligned in terms of the way you perceive this. Your score’s 29 and the MOS score is 31 so that you arenotthatfarapart inttewaythatyouperceiveit. Andagain, that’soreofthoseareas where at least you agree that you’re in the sane relationship. You both kind of perceive that your problem solving abilities or skills are pretty much in agmment. : That doesn't mean that we solve problems very well. ltdoesn‘trreanthatyousolvetheproblems,butitrreansthatyouarebothaware. There’ssomeinstanceswhereyou might have... And normally it'sthewn'fe. The wife mightbewayuphereandthehusbandmayberightdownherebecausehedoesn’tsee anyproblem. It’s like if yourmotherand fatherweretodothis, your father mightnotsee anyproblernatall. Becausehemakesadecisionandthat’sit. Noproblem. Andvery oftenthat’swhatwe’llseein coupleswhoare... Well, actually,whathappens isthewife dragstlehusbandtothermy. Andtlehusbandgoes,“Wedon’thaveanyproblems.” Andshe’sattheendofherrope. Andherscsrewillbewayupthere. Andhisscorevvill bedown. Andsowhenyouseeadiscrepancylikethat,it’salotharder togetthatonepersontomove. Butinyourinstancebecausethetwoofyou... lrrean youareboth awarethatyouhave difficulty solving problems. Solthinkthatthatn'eans that’sanareawecanworkonandthatyoubothwouldbemotivatedtoworkon. Whereas sonepeople would just say, “Well, Idon't haveanyproblems." Andwrouldn’t even addressthat. So,inaway,eventhoughthescoreishigh,it’sgoodthatthetwoofyou havescoredinalignrrent. MC: Yeah. 150 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Male Client, FT - Female Therapist FT: FC: MC: FC: MC: FC: MC: FC: FC: I like to use the Family of Origin Scale with the MS! because a lot of the things that come up in the family of origin sort of translate into problems later on with the family. This set you guys can take home with you. This has... I have to keep all the other stuff. But these are the questions and categories, and if you have a chance this week, you could go over this and see if there’s anything you think you ought to talk about. All it is is it’s a breakdown ofthequestionsthatyouansweedonfliesesleandwhatareastheyare concernedwith. And l’vejust... Yourscoresshowing again mostlyintheaveragerange— average to high range — so it indicates that your perception of your families of origin is adequate. That you didn't... That neither one of you feel that your families of origin were extremely dysfunctional anyway. That there were some needs that were getting met in your family of origin. Does that make sense to you both? : What does the high mean? loftengothroughtheBSlwithpeople. Thetwoofyouaresonon—symptomaticthatwe don’tneedtospendmuchtirrewithit. lrreanyoubothhadlotsofzeros. didn’teven bothertoscoreitbecauseFC,youmighthavehadoneortwoandMCyouhadore.l mean it’ssolowthat obviously whatever is goingonisnotcausing youalotofphysical symptomsoralotof... You don’t have... You haven’tdevelopedanyphobiasofparanoia oranything like that. lmean that’swhatthis is all abort. : What’s it ealled? BSI? Brief Symptom Inventory. And this is just a list of questions. “How much were you distressed by nervousness or shakinecs inside? Faintness or dizziness? Thoughts of ending your life? Poor appetite? Suddenly scared or lonely” It's just a list of different things. And both of you were... I mean you had a few FC, that said “a little bit.” But most of it was “not at all” for you and I don’t think I’m concerned until I get people who are abovetle moderate range. Whoare scoring lotsofthreesorfourswhich istypicallywhat I get initially. But this was very low for both of you. Now this also, I think, changes. Because there may be... Sometimes you get somebodythe right day and they're gonna mark a four where the next day it might be a one. So this is not something that is forever and always. This was on this particular day, the two of you did not display any real symptoms. Sol’m notreallyconcenedthateitheroneofyou isonthevergeofa nervous breakdown or anything like that. That’s sort of what this is. Screening for people being Wessedoranxiousorphobicinsomeway. So I’mjustnotconcerred. Whateveris troubling the two of you in terms of your relationship, it’s not manifesting in any physical symptoms. That’s good news. I thought it was good news. I hope you think it's good news. Do you think it‘s accurate? Is that a surprise to you? Did you think... : I'm not having physical problems. We’rejust kind of... Ourstomachswere kind ofupset. We had... We weren’t eating that much. I think that was like the biggest thing and we were kind of like wow... I think your stomach was more upset and I wasn’t having stomach problems. Okay, then you didn’t sleep. No You said you weren’t eating. You were saying, “Oh, I think I got an ulcer.” Don’t you remember that? Yeah, maybe... Yeahhhh. Well... Forget it! Well, but I think that was the biggest thing. You know, that... 151 CASE F4 TRANSCRIPTION Key: FC - Female Client, MC - Male Client, FT - Female Therapist FT: FC: MC: FC: MC: FC: MC: FC: FT: FC: Fr FC FT: FC MC FT: MC: FT: MC: FT: Just the tension? Yeah. Well, hopefully... Well, Ithink... We ate good over Thanksgiving. Yeah. We ate a lot. Well we had shrimp Ywi. Ummm. That was good. We had the last of the shrimp. And that apple thing you made. Oh yeah. I made a Bavarian Apple Torte. Ohh. Wow. Really good. First time. The kids helped. They were peeling the apples. They did all the apples. Cause it’s surprising how much apples you need. They said you only needed what... four cups. But that’s, you know... A bowl like that. : Um hmm. : But that’s a lot of apples. The kids did a good job, didn’t they? Everybody enjoyed it, huh? : Yeah. It carneoutgood. But we’re overthat now. :Youhavetowrorkitoff. Havetoworkout. Didn’tworkoutashardaslcould. lusually work out. During my lunch hour I work out. Ordinarily. But after being so relaxed on tle weekendandtryingtogetmotivatedtogetagoodworkort. Um hmm. Andtrytodowhatlusuallydo. And you walk to the refrigerator. Powenwalk. No, you tell the kids to go get me something. They need the exercise. 152 CASE F5 TRANSCRIPTION Key: MC - Male Client, FT - Female Therapist, FC - Female Client MC:Orjust impressed mewhen I did hearabout it. FT: Sure. MC: And maybe there was some bitterness too. FT: Um hmm. Okay. let’s see. "Range of Feelings.” You both scored up in this area so expressive families. Ummmm, "Conflict Resolution.” In this area you rated your family in empathy very high. Whereas MC tended to drop down in tie sense of empathy given to on another in the family. It's in the average range. Certainly, you know, I mean you don’t see them as not being empathic to one another but certainly not way up here where it is obviously a strength would be. FC: Um hmm. It’s interesting too. I can’t remember specifically this test, but, ummm, how can lsaythis? Doyouflndtlratflrere’smuchofadifferencesonefinesbetmnchildhood and adulthood? Like, I’m just wondering, like ummm, empathy for instmce. I think of your folks as pretty able to give empathy. But as a child you might not have felt that way. Do you knowwhat I am saying? FT: Uh huh. FC: I’m not trying to figure this out... I was just curious. I couldn’t remember the actual test. Whetleritwaslikeas I wasgrowing upthiswashowithappenedor... FT: Pretty much. FC: Or my family is... FT: Pretty much as you’re growing up. FC: Okay. Yeah, I was just curious. I couldn’t remember. FT: But you’re seeing... You're answering those questions as an adult, but you're mnembering the way you felt growing up. Your childhood. FC: Ummm FT: So... And it may be that, you know, MC is kind ofthe ortsider in the family. May have felt that nobody was really terribly concerned about his position. I’m putting words in your mouth, but that’s, you know, when you’re... I’m kind of questioning it. MC: The trust. FT: Yeah, yeah. MC: Might show that. FT: Year. FC: I had neverreallythoughtabout it until I thinkourlast sessionorttesession beforethat. If you didn’t ask for a lot or if you didn't demand a lot, if... And I'm not saying you should have, ldon’trrean itthatway, butthat Ijust neverthoughtofitthatway. Thatitcould correoutthatway. Thatyou know, ifyouweren’tpaida lotofattentionto, butthenyou weren’t a real demanding kind of kid. MC:Yeahandlthinkwhenlwasababythatljustneverkindoflearredtoattachmyselftoone person. Or, ahhh, oh I don’t know, maybe I... Maybe that happens before you're6 weeks old, I don’t know. Ijust knowthatl moved arounda lotand ahhh, it probably hasthesame effectonapersonasmoving aroundallthetirrefrom housetohousewhileyouare growing up and going through school. It’s probably similar. I never really felt close to people or attached to anybody, 50... FT: And you never really demanded that anybody pay attention to you. MC: No. 153 FT: CASE F5 TRANSCRIPTION Oryourneedsoryourwants. Somaybeatthattimeyoudidn’tknowwhattheywere sitter. Youknow,itwasjustamatterofifljustkeepsilentthingsvvillkindoffallintoplace withoutyou mcldngtleboatlikeyourbrothersweredoing obviously. Theyweregetting attentionandmaybethatwasnegative in someways. MC: Ummm H”: FC: FT: FC: MC: FC: MC: FC: MC: FC: MC: FC: FT: You may have Ieamed from their experiencesthat it’s bestjust not to ask fora lot of attention. I don’t know. I’m wondering how that’s affected the relationship that you two have. Doyoufindthathehasrepeatedsomeofthosepattemsofnotaskingforalot. 0f not asserting himself for his own needs throughout the relationship that you’re had? Just off the top of my head. I feel like MC doesn’t mu himself a lot. It’s not like he’s demanding. I guess there’s a difference between assertive and demanding. Uh huh. He isn’t demanding a lot, except that when he does want something, it’s like I haven’t asked for anything so I want this now! That’s just off the top of my head. It’s already too late. Too late? Well it’sthen l have the feeling it’s already too late. I’ve already missed out on too much, so I’m going to have to make up for it. Well, see, I differ with you. I feel that you don’t try. I think years ago when (male child’s name) was little or (female child’s narre) was little, we used to really think out on Saturdays, for instance. We would make a list of what was reasonable today and what wasn’t. And we would kind of prioritize it a little. And say well, how about if you do this this morning and I’ll do that this afternoon. Whatever. I mean I that was a long time ago. It didn’t always worked perfectly smoothly, but I feel like you do just kind of... That youjust have given up on that. That you just don’t eke time to do that. That’s true. That I don’t plan... Yeah, and at the end of Saturday or Sunday you’re really pissed at everybody around you because your weekend has been kind of crummy. And I’m saying I didn’t do anything to make your weekend crummy. What did you want to do? I guess I’m asking you to take more initiative. Not nececsarily. Sometimes you do that, sometimes you just say, "Well now I’m going somewhere.” And that to me is like the flip side of it. It’s either black or white. Not this gray area where we could figure out. And then I’m like, ”Gee this doesn’t workoutformerightnowthatyoujusttakeoff. lwasgoingtogodogroceryshoppingor something like that for supper tonight." That’s a rare time, but it’s like how about that gray areawherewe plan itouta little bitmoreand figureoutwhatworksforbothofus? Well, like it must be very common for everybody not to have time to do anything that they want to. I mean, let’s be so... Idon’t know. What everyone else does this... Yeah. Idon'teither. I havetoadmit it. I don’tknowhowotherpeopleworkthat. I know. And you’ve got a busy family. You’ve got four kids, so... But when you start finding that it’s breaking down and your feelings about being in the relationship, that’s a time to reexamine and say the costs here are greater than the sacrifice I’m making. And what do we have to do to change it. And it might be something as black and white as sitting down and communicating at tie breakfast table or whatever. This is what I would like to do today. It’s important enough to me to prioritize it. And, you know, each of you do that. Andtlen, you know, lookatwhatcanyou putofftill anothertime. : Uh huh. : So it sounds like you guys did that quite effectively before. 154 CASE F5 TRANSCRIPTION FC: Yeah, as long as my memory’s right. MC: We used to make lists, yeah. Then the lad 5 years or so lists have been kind of a... You don’t like lists anymore. FC: Theway you say that and I say... It just blows me away. You’re doing it right now. I have never unliked lists. And I don’t know what it is. You have said this to me before. And I said I don’t know where you get this. MC: Ummm. FC: Did I stop you from making lists over tle lad 5 years? MC: I think you’ve thrown them away or something. FC: No. That That That is not true whatsoever. You couldn't find it and I was to blame. MC: No. Well, I’ll try to keep better track of them. FT: So tle lid idea worked for awhile and then it kind of fell by the wayside. Which is pretty typical- FC: Yeah. It worked for quite awhile, really. I mean... And it wasn’t necessarily a lid that was ajointlist. You know, I mean sometinesyou hadyourlid and I had mine. Andthenwe would figure out well, you do the morning and I’ll do the afternoon or something. FT: Well even ifyoujudverbalize it, you know, andyou don't put itdown on paperunlessyou know, there’s discrepancies between the way that you receive one another’s communication about it and then later there’s some unhappiness about well, you know, this isn’t the way it was intended. But if you can communicate and you fully understand what the other person intends to do, you might be able to negotiate time. FC: Uh huh. FT: Around those things. FC: Uh huh. It may be worth trying, or sornahing like that you know. FT: You know, going backtotheladsessionwhereyou guysweredoingsorrecornmunication skills. Practicing. We never really addressed the issue that you are talking about. And I wondered ifthetwoofyouramebacktogetherandtalked about itwhenyou metagain. FC: We didn’t. About the issue with... FT: The kids... FC: Thekidsand likeforindanceiflsaysomethingthat’saeprimandandyousaysorrething along with it. MC:I kind of feel like if I have to work Saturdays that’s not really my choice, for one thing. I mean notentirely my choice. Notmychoicetohavethese... Thesedebts, you understand me? FC: Right. Well I know that. FT: But it will relieve you? It will be rewarding to you from the sense that there’s less stress on you of having these debts. MC:Ummm. But itappearsthattherewon’tbeasmuch rewardforFCthat l’mworkingon Saturdays. FT: Yah. MC: But... FC: Well, doyou understand that? You knowwhat I’m saying. I feel like I... MC:| feel like you don’t really care that we’re... FC: No, no, no. Wait, wait, wait. MC: That we’re spending a third of our money jud to pay intered on our debts. 155 FC: FT: FC: FT: FC: CASE F5 TRANSCRIPTION No, MC, that's a gross exaggeration, a gross exaggeration. First of all, I’m feeling frustrated right now because I feel like I have a legitimate... I feel it’s okay for me to react to you like. “My god, you're going to be gone every Saturday. And not only Saturday, but Friday night you're going to be needing to go to bed early ‘cause you have to be there at 6:00.” This is an impact on us. And | feel like you can allow me a reaction. I had a 5- minute reaction to that. At the most. That’s it. I was more like, “Ohhhh.” So in other words, you would like for him to express some empathy for those feelings you're having. Yes and let me have them. I mean, we'll work it out. I’m not saying let’s. you know... Yes. You know, quit the job or anything. MC:I feel like I‘m going to get the blame for though whereas I feel the same feelings. FT: And that’s... That’s your, your perception that is to react defensively to that because then it seems like, “Oh, I'm doing something wrong she's not going to approve of." MC: Um hmm. Or I should be more in charge of my thoughts. FC: FT: FC: No. It's more of... It's more sometimes I have a little frustration with this because I'm. and I think I’ve told you this. I'm really glad that you're: a) working, b) that you kind of like this work. Like you said to me lad week... Maybe we talked about this. He said to me one night. “For what it’s worth, you know, I look forward to going to work." And I said, “That is worth a lot.” I said, “I‘m happy for you. That’s fantastic.‘ You know, and I said... And then I tried to say, "Like when you have a down day," I said, you know, that down days are wally normal. It’s okay to not have up days everyday. Everybody has “em. You know, I try to be supportive of this. But one thing I guess I have to get off my chest here is you’re expected to work from 7:004:30, okay, Monday through Friday. 6:00—2:00 on Saturday. And they have one week vacation. Uh huh. :Andso I havealittlebitofachipon myshoulder. Notatyou. Butwhenyoutoldmewhen you interviewed for this job you said it might be Saturdays a half day. Half days to me means 4 hours. That’sjust a rough idea I get in my head. So when you said to mejust now it's from 6—2:00. I did have a reaction to that. That’s an entire day. And | feel like you are mad at me because I had this normal reaction like, “Shit, he's going to be gone 6 days of the week.” You know? I mean... But I'm wondering too if you weren’t already anticipating that kind of a reaction. on, I'm sure he was. MC: Yeah. I didn't want to tell her. FT: FC: Yeah. But see... And I understand that. But FT, this was something that happens a lot. Not a lot, but it has come up occasionally. Is that I’m not allowed to have feelings about this kind of thing. That I’m supposed to support it. Because he already feels bad about it. And so, "I already feel bad, so don’t react." And I’m saying. “Hey, I’m human.” This does impact on all ofus. And I feel like I should be able to react to something like this. And alsotrust me that we will work it out. That I will calm down. But give me... MC:You really do come across to me as blaming though. Like, like I should have known ahead FC FT: of time that it was 8 hours instead of a half a day. Or I should get my facts straight. Or that I shouldn’t have taken a job without knowing for sure what I was going to be doing. :Well I don't mean to... And I don't... Does she say this? MC: No, no. But it feels like it’s the sort of things that she would have done. CASE F5 TRANSCRIPTION FT: So there's an anticipation of what she would do. I think that your job may be to try to surprise each other. You can no longer anticipate what the others going to do. You know, and perhaps finding a different way to approach the subject. FT: I sense from what you expressed in your feelings about your relationship is that you want some control back in your life. You feel as though maybe you given too much of it over. And maybe you didn't see yourself as having a major part in giving that control over. But now you want more input into decision making. MC: Yes. Yeah. I just need to speak up more. FT: Yes. And that will come with communication as well. Okay. Well, let's leave it at that. And umm you might want be thinking too if there are any other goals that you want really to work on besides the area of communication. FC: You know, ahhh. The one area... And I hate to bring it up because it's a very sensitive area, but one thing that I really deal... Have a hard time with... And that's in the communication area, is ummm, to put it bluntly, MC's level of anger. Okay. His intensity of anger. FT: Uh huh. FC: I do have a real hard time with that and I’m not trying to point the finger, but it . . . I just have a hard time with it. FT: Is it sonething that seems to be periodic? In other words, that maybe some of it’s being held down. Normal anger is being held down till it builds to a point of intensity. And then it kind of... Then it’s very apparent? FC: I don't know. FT: Okay. FC: Ummmm. Ummmm. You know, If we have a disagreement that gets... That we're just gettingnowherewith... Ummmm. Ahhhh. Ijust... I... You get real angry. FT: Uh huh. FC: Ummm. And I jud don't deal with it very well. I gusas I was thinking hejust has a really bad temper. FT: How would you respond to that? MC: That usually the anger... I think it doesn't come until we've tried to... We’ve had this confrontation and I’m trying to do some explaining or some reasoning. And I feel like it just... It's not the point it comes to. It comes to the point of well who's in power here. And I feel like I’m not being listened to, and ahhh... FT: So it‘s affects you more on an emotional level? MC: Uh huh. FT: Whereas FC can deal more with issues and get her anger out there and leave it and it doesn't continue to... MC: She... I feel like I'm just... When we have a disagreement, | feel like she‘s just ignoring me. Saying well, not only am I going to ignore you, but I'm going to say that I won't listen to you because you‘re not reasonable. Where I feel like I am being reasonable. And she's just setting up this alibi for... FT: So it evokes some of the... MC: Not having to listen to me. FT: Okay, so it brings up some of the sensitivities that you have to not feeling valued as a person. And that comes across in the conflict. MC: Ummm. You know, it’s not even that... It turns from the issue that caused the problem. It tums from that to the discussion or it’s not the discussion but the interaction we have from that. 157 CASE F5 TRANSCRIPTION FC: Well, yeah. It gets distracted really quickly. MC: I don’t think... FC: Sometimes. MC:I don't get angry right away. I feel like you push me over the edge and then I get angry because I can't get anywhere with you. I can’t even talk about it with you. FC: Well, I don't really agree. I feel that... MC: Bemuse you have your mind made up and... FC: No. I feel that the talking part... It doesn’t stay the talking part for very long and treat each other kind ofcivilly. Vlfith some... And it gets kind of mean and all I... MC: I don't think it’s civil just to say, "Well, when it gets down to it I know it’s right and you don't." FC: No I don't do that. MC: Well, you do that. FC: Idon’t. I... How many times have I said to you we can disagree 1000% on this. It’s okay if we disagree. FT: Agree to disagree. FC: Well, let's at least first figure out what... Let’s at least get to that point. We never even get to that point. FT: See if you have a balance going on where you can indicate to each at other times, you know. you truly are valuable to me. I care. It would be much easier to address conflict. FC: That’s true. FT: Because if there’s only conflict, that’s only one message. I’m not valued and therefore this isjust another piece of evidence of it. So if you can communicate to one another, you know, that you do care, that you do value each other, then you can get beyond the conflict. Gettheconflictintoaspherewhereit‘sjustthat. Adisagreernent. And itdoesn't reflect upon personally who I am in this relationship. FC: Ummm, I think we have argued less lately and that could be, you know. one reason why. I think we are trying to get closer together and have more confidence and that helps. 158 CASE M1 TRANSCRIPTION Key: MT - Male Therapist, FC - Female Client. I” - Male Client MT: Have you-all ever had an argument that got physical? FC: Not really. MC: For a month. F C: Yeah. MC: But she never hit me before. MT: Right. MC: For a month now she comes out swinging. There’s no more words. Argument of words. It’s fists. MT: Okay. Was that the first time she attacked you? MC: Oh no, no. FC: No, it’s not the first time. I’ve been attacking him quite a bit in the last month. MT: In the last month FC: Yeah. MT: Okay. Go ahead with your story. FC: 80 (male son’s name), like I said, (male son’s name) started crying because he didn’t want to go with us, you know, and my nephew's sitting there and he’s telling (male son's name), you know. "There's nothing wrong with it.’ You know, and, 'All they're gonna do is ask you some questions.’ And (male son’s name)'s like, ‘No, no.” And I says, “Well I’ll mil daddy. Daddy..." And (male son’s name) is saying, ‘No, don’t call daddy, he'll make me go.’ And I said, ‘Well you need... You talk...’ ‘Cause I knew then when he said that MC could get (male child’s name), you know. So... MT: Now where did you want to get (male son’s name) to 90? FC: Well (male son's name) has to go see... (Male son’s name) has to. He has to go see somebody and be tested for his reading. MT: Okay. MC: No, not now he don’t. FC: Not now he don’t? MC: I talked to his teacher. FC: Well that’s... MC: They think all the problem is is.... FC: A lot has to do with me. What is happening to me is what is happening to (male son’s name). MT: Oh, I hape they’re not putting too much of this on you. But go ahead. FC: No, but umm, so I called MC up and his dad said he was sleeping. And that automatically set me off, to think that he’s sleeping, you know. And then I says, “Well, I need to talk to him.” So they go down and get him. And MC gets on the phone and I try to pass it to (male son’s name) and (male son’s name) won’t talk to him. No way, no how would he talk to MC. You know, ‘cause he's crying. So I get back on the phone and I says 'He don't want to talk to you.” And I don't know what MC said to me but he set me off and I said, "Forget it!” And I just hung up on him. So I'm setting there and I’m drinking a little bit more, you know, and then I wait about 15 minutes, and then I’m like this is shit. And I... And then I go down there. And then I start in on him. I didn’t start hitting you, though? I never hit you that time. MC: Yeah you did. FC: Where’d I hit you? MC: You hit me right here in the arm. FC: Oh. 159 CASE M1 TRANSCRIPTION MC: It was black and blue. FC: I don't remember that. MT: Were you drunk, F C? FC: Oh yeah. MT: Were you drunk? Were you drunk when you grabbed him in the groin? FC: Oh yeah. Oh no, not that time. Yeah, we were. Yup, I was drunk. Yup. MT: Okay. . FC: And so then I left and I’m like I’m just gonna bag it. I’m tired of it. I’m gonna smash my car against a tree. So I go back down to the house and get the rest of my bottle and tell (male son’s name), 'See you, (male son’s name). You go call your dad and have your dad come get you.” You know, I mean I‘m angry. MT: What day was this? FC: This was Monday. MT: Monday. FC: Monday. So I get my bottle and I go by their house. And I’m like, shit I’m gonna come back and I’m gonna let him know, you know, that when he finds me again I’m gonna be out in that front yard in a tree. MT: You stopped by where he is? FC: Yeah, so I went back again and then I just started causing a major scene and stuff, you know. And then when I got ready to go and then they wouldn't let me go, you know. His mom was going to get in the car with me, you know. If I’m gonna take my life then I’m gonna take hers with me, you know. MT: I thought you were close to his parents? FC: I am. I am. That’s why she wouldn't let me go without her. MT: Good. FC: You know, so she said if I'm gonna take my life, then I’m gonna take hers with her. You know, she wouldn’t let me get in my car. So by that time then they had called my brother. And then they called the cops. Well and then my brother’s telling me that I need to go to jail. You know, and I... And MC’s... I guess MC had been talking to the cops and telling ‘em take me somewhere, you know. Where I can get help. And my brother comes up to me and tells me that I need to go to jail and sit in a jail cell and, you know, and think about this shit. MT: Sober up and you’ll feel better? FC: Yeah. Um humm. So the next thing I know I got the cops trying to put handcuffs on me and shit. They had me down on the ground and they finally got the handcuffs on me. MT: You were resisting? MC: Oh yeah. FC: Well, of course I’m gonna resist. I don’t need to go to jail. You know. It’s like I wasn’t doing anything wrong, you know. At that point I was just... MT: Hold on a minute cause I really do need to hear this. What were you doing? What were you thinking as you were witnessing this what must look like insanity? MC: When they came, they talked to me first. And they asked me... The cops asked me, says well, “If we take her somewhere, will you admit her for psychiatric help?” I go, ”Yeah. Let's go. I’ll ride with her. That’s why you're here.” MT: Were you sober? MC: Oh yeah. I was sober, FC: Yeah he was. 160 CASE M1 TRANSCRIPTION MC:And uh, next thing I know we go over and talk to her brother and she’s in handcuffs going to jail. Okay. Okay. Did you know we took her... What was it, about a month ago now. We took her to Ingham Medical. I don't think we ever told you that. MT: I don't think I read anything on your... MC:Yeah, me and my ma and her girlfriend took her down to Ingham Medical a month ago 'cause she wanted to end her life. And we got her talked into going down there. MT: Was this before or after the shotgun in the mouth thing? MC: This was before the shotgun. MT: Okay. FC: This was why we come to you. Because I made the appointment at that place. MC: Right. Yeah, they gave us your... MT: Oh. okay. FC: That was why I made the appointment. MT: Okay. So you went down to Ingham Medical. Let me ask you again. As you saw what was going on, tell me how you felt. MC: I hoped I could try and talk her into going and get help. MT: Okay, but how did it make you feel? MC: It made me feel like shit. I couldn’t live with her. I had to leave. I couldn’t stay with her. She beat me. MC: It could be. It happened two years ago that I wasn't close to her all this and that. That's why we're here. We’re trying to get close. But... MT: I know. MC: Why she's doing what she's doing I don't know. MT: Okay. I don't either. And I don't think she does either right now. And, you know, we obviously will deal with that. I just wanted to get a better idea of... Perhaps how you understand what you're seeing. How deeply FC's affected by being married to you. Do you know what I am saying? Okay. If you heard blame in that, I apologize and I don't think that’s true. I just think that it points to the significance of something that she needs. Something I think you need too. Okay? MC: What's that? MT: A marriage where you are not being chased around the house and being assaulted and abused. MC: I know that I can’t live like that. MT: A marriage where she feels like she can come to you in a rational way and maybe you could share... I hate that word... Maybe you can be deeper with her, if you know what I mean. MC: Be what? MT: Deeper. Emotionally. More there. Connected with her. FC: Oh, these last few days, MC has... I mean MC’s been so good, I mean so supportive. I mean it’s like... MC: I've been supportive to you through the whole thing, I thought... FC: Well, yeah you have. But. to me, at that point, you caused it all in my eyes. You're the one... Then... Not now. But I'm just talking, if you would have asked me Friday night, if you would have asked me Saturday, you would have caused it all. You were to blame for everything, you know. That’s the way I was feeling. MC:You know what I thought? At one time I thought maybe you were having guilt for what you did. FC: No. MC:That's why you understand. You had guilt. 161 CASE M1 TRANSCRIPTION FC: It was. A little guilt too. It was that too. It was for the fact that I did go to somebody else and I didn't come to you first and say, “Hey, look, you’re either going to start giving me what I need or I’m gonna leave you, you know. Yeah, there was guilt. There has been a lot of guilt built up to that. Definitely. I know what you are saying. MT: I just want to be sure you’re okay to go on. FC: Oh yeah. MT: Yeah? FC: Yeah. They gave me an EEG today and the shit that’s in my hair is driving me crazy MT: I’ve never had one of those. What do they do? FC: They just put 23 little wires hooked into your head, you know? MT: 23? FC: Yeah there’s 23. And then they take brain waves... It's a... It takes the brain waves and makes a little pattern there, you know. And that stuff... And he come got me right after they had it done. So it’s like so gross. MT: Are your brain waves okay? FC: Yeah, so far. I guess. And they're doing a CAT scan on me Friday. MT: Okay. FC: Just to make sure they got me on the right stuff. Because I had an accident in February of '92. A severe one. My head bent the steering wheel. So that's how hard I hit. MT: Geez. FC: 80 when I told them that today. So that's why they're doing... Just to make sure that they, you know, I ain't got no tumors or anything like that that could be throwing me off balance. There’s this book that they gave me that has pictures. MT: Well, I'm glad they gave you something that you can look at and identify with... FC: Oh yeah. Definitely. MT: What happened... What happened after the police had you in 'cuffs. FC: Yeah, so I was setting in jail for what... Five or six hours. And the whole time I’m thinking, “See, nobody loves me. Nobody cares.” You know, this is what I kept, you know, convincing myself. One minute I’d say, "No, they do love me. They do care.” You know, and the next minute it's like... I mean my mind would jump back and forth towards it. And then all week, you know, basically I would be alright for a moment, you know, and then, especially when he wasn't there during the day. If he wasn't around me, and of course he's at work, you know. So I'm fighting with myself. One minute I’m pissed at him and the next minute I’m not, you know. And I go back and forth with it with myself. And by the time he gets home, I'm basically pretty, you know... MC: By the time I get home I don't know where you're at. FC: You know. You know. And then... MT: Now. Because... Sony, I want to make sure that I'm on the same page as you guys in terms of the timeframe. Are we just talking basically the last month? FC: You wouldn’t have known, though. You wouldn’t have known. I was in the garage. You wouldn't have known. By the time you would have... By the time I would have stopped talking to you, you wouldn’t have known. MC: Yeah but I'd already called your mother and told her it was in her ballpark now. FC: So. Well, they would have got there too late too. MT: What do you mean by that? You’d ccll her mother to say. ”It was in your ballpark?” MC:Yeah. FC: Because he couldn't do any more. He had... You know, I’d already... MC:I can’t handle her. Every other day she wants to kill herself, you know. MT: Okay. 162 CASE M1 TRANSCRIPTION F C: So this time I was able to do it. There was more crying about it. How I was going to do it. MT: You had... You were pretty serious. FC: Yeah. I was there and then all of a sudden um, l’d gotten sick. I was like, whoa all these fumes and the car and everything, you know. And I’m sitting there, and I’m like... And I'm trying to get back to the door because this time by then, you know, everything had really gotten into my system. So I’m sitting there at the door and I’m like, do I want to do this or not, you know. The next thing I know here comes (sister’s name) and all of ‘em. (Female friend’s name) looking in the door at me. And break my door, my garage door down and they pulled me out. And then from that point on.... MT: Are these the two that came by that night when you had the shotgun. Were these the same two? FC: No that was my sisters that came by that night. But (Female friend’s name) has been there through everything. MT: Yeah. Okay. FC: (Sister's name) is real... ‘Cause (female friend’s name) had called me when l was in the garage. That's why... Oh okay. “Cause (Female Friend's Name) had called me when l was in the garage and asked me for a ride to work. And I said, ”No, I can’t give you a ride to work.” And I hung up on her. And she knew something in my voice right then and there. So she called (sister‘s name) up and that’s why they come over to the house. I didn't tell them to come over to the house, but they just heard something in my voice. MT: You’re still in the garage? FC: Yeah. I'm in the garage. “Cause I got a cordless phone. MT: Okay. FC: 80 that’s why when I was going to talk to MC on the telephone... While I was in there, I just wanted to, you know, let him know that this was it. You know? MT: So they dragged you out of the garage. MC:And you left notes in your car too. Did you know that? FC: Uh huh. MT: What did you want people to know? What did you want to convey in that suicide note? FC: Idon’t... Idon't remember what was in ‘em. I mean I don’t. Do you know? MC: I’ve got it. FC: Do you got it? MT: What do you think she was trying to say in her suicide note? FC: The hospital has 'em. MC:I made a copy for them. FC: Oh. MC: I think the cops has got ‘em. I think (name of a township) got one of ‘em. FC: Oh. Oh boy. MC: Well that’s who... I had to get it from them. (Name of a township). They had it and I had to go get it from them that night. MT: I don’t want to put too much emphasis on that. But is there any way I can get a copy. You might be able to bring copies in next time. Just for the files. So I could get a sense of where you were at that time. I could get a better idea if I can read... MC: You know you left one in your car too? FC: No. I didn’t know there was one in my car. MC: Yeah. You were going nuts and (sister's name) found it. She found it in your car. I don’t know what it said. It was only maybe four sentences. Five sentences. But you didn't even have your name on it or nothing. You didn’t sign it. MT: Okay. So... 163 CASE M1 TRANSCRIPTION FC: But, from that point there... From that time on and then they were like... They took me to... I guess they took me to the police station. From the police station they took me to Sparrow. From Sparrow to like Ingham Medical Emergency, or I mean their one place that I had went to to get your number here. And then from there I went to St. Lawrence. And I been in St. Lawrence ever since. MT: They took you to the police first? F C: Yeah, because they couldn’t revive me. (Mother's Name) and (Step Father‘s Name) did. They took me ‘cause they couldn’t revive me. MT: You were unconscious. FC: Yeah. MT: 80 you don’t remember this? FC: No, no. MC: It wasn’t (Mother's name) and (Stepfathers name) who took you. F C: Who was it? MC: It was (female friend's name) and (sister's name). FC: Oh. (female friend's name) and (sisters name) took me? MC: Yeah. FC: Oh, I can’t.... I’m sure I don’t know. My goodness, maybe you should tell this part. MT: You went to the hospital? FC: I remember waking up in the ambulance. I remember waking up in the ambulance. They tied my hands down. MC: (Sister’s name) and (female friend's name) was throwing you in the car taking you when your mother and all them showed up. So they went and followed you over there evidently. And (Mother’s name) rode in the ambulance from there. MT: So you went from your place in an ambulance to the hospital? F C: No. I went from my place to the police station... MC: Right around the comer. (Township name) Township is right around the corner from us. And then, ‘cause I remember waking up in the ambulance and then he told me something, so I'm trying, you know. I remember (Sister's Name) saying, ”She’s strong. She's strong.” So the next thing I know they’re tying me up. From that point on, everybody kept tying me up. Everyone wants to tie me up. When they tied me at Sparrow they were, you know, they... I told “em I’d be good. You know, I said, ”Just don’t tie me up no more. I’ll be good.” You know, and then one minute I’d turn on MC and the next minute I was sweet to him. And MC’s like, shit, you know. He didn't know if he was coming or going. And so, and then they were going to tie me up because I wasn't, you know... They weren’t going to let him stay in there with me, you know. Or he couldn’t stay with me because I was being such a bitch. You know, and so... And then I told the nurse, the one nurse that I’d always been real honest with her, you know, times we were there. I says, ”Please. I promise. I already FC: told you I'll be good." She said, “Okay.” You know, so... And then this other male nurse, they’re like, okay. So the next thing I know here comes this bitch of a doctor and she says, "I said tie her up." And I'm like... And I'm getting ready... And I started ripping my IV out... And I'm ready for a fight. 'Cause you’re not tying me up. You know, and M08 like, 'It’s gonna take more than just what you've got in here.” And so the doctor’s like, ”Alright, fine then.” You know. So they didn’t tie me up. And I was fine, you know? MT: Um hmm. 164 CASE M1 TRANSCRIPTION FC: How can you sleep in a hospital? Especially when you've got all these weirdos. And you’ve got this woman next to you who one minute is getting up and down and crying and screaming and laughing and, you know. In the middle of the night and stuff. And you want me to sleep? You know. Excuse me, how can you sleep? MT: Ah, you're, ah, you're getting therapy at the hospital during the daytime? FC: Yeah. I’ve got, what, four doctors. That you know. And so I’m supposed to be getting out Friday. I was supposed to get out today, but then they when I told them about the hit on the head I had they wanted to do the CAT scan, EEG on me. So they can't get the CAT scan till Friday, so I can't get out until Friday. MT: Have you talked to the counselor? FC: Yeah. MT: Okay. FC: (Counselor's Name), she’s the counselor there. Or the Social worker. And she's got me an appointment over at Ingham Medical with ahhh a psychologist, I guess. Somebody that’s going to have to be able to prescribe me my medications. MT: A Psychiatrist? FC: Yeah. MT: Okay. FC: So. I guess I get to talk to him tomorrow. I’m just so tired of talking to all these people. MT: Oh, I’ll bet. FC: Having to explain everything over and over and, you know. It’s like you feel like a broken record. It's like I just want one person, you know. Like you. I feel comfortable with you. You know, but then again... Whewl MT: How are you feeling now? I mean in terms of the suicidal thoughts, ideas. FC: Oh. It terrifies me to think that I was like that. It was just so terrifying to think that, you know. I wasjust really ready to, you know... MT: Yeah. FC: Toss it all away. MT: And, MC, you make a good point too. You know, when people that, I don't think they stop long enough or often enough to think about how that’s going to destroy the lives of a lot of other people. FC: Yeah. But Ijust... l ummm made it better... MC: You were just thinking of yourself... . FC: No, but I made it better by me because I figured this way I would stop everybody‘s pain, I would stop hurting everybody. You know. I can't think of the word I want to use, but it was like I wasjustifying... MT: Right. You were rationalizing. FC: Yeah, I was. You know, but... What am I doing now? You know. All's I’m doing now is hurting everybody and I‘m being caused pain. So this way I'm not going to cause any more pain and I'm not going to have any more pain. You know. And it made sense to me. You know. It did. At that time it made sense to me. MT: Yeah. FC: Now it don't, you know. But... (audible sigh) MT: What are you most concerned about right now? FC: Right now? My kids. MT: Okay. What do you mean? FC: Because they, I mean, they're on an emotional roller coaster ride right now. You know. Being able to get them back on track and just let them know that mom’s not going to flip out again. You know. 165 CASE M1 TRANSCRIPTION MT: Yeah. Boy. that’s a big one. FC: Mom's been flipping out so much here lately, it’s like, you know. So that’s the... 'Cause I know MC... MC knows... I mean he can... I mean he’s been so strong and he know that I’m trying, you know, but with the kids... They’re too young yet to really, you know, be able to handle this all. So they’re my biggest worry right now. You know, how they're going to come out of this emotionally. 'Cause I done it a lot. Definitely. MT: Well. Gee whiz. Sounds like you’ve got some choices. You know. We can continue meeting like this on Monday evenings at 7:00. You know, I’m available to you. And I think that we can get some good things accomplished. FC: Urn hmm. MT: But, you know you said a few minutes ago, and I can really appreciate that too, that you feel like you’re having to tell the story to everybody in the world —- psychologists and psychiatrists. .. F C: Yeah. MT: It kind of hurts your brain after awhile. F C: Yeah. MT: And I think it is important that you find one or possibly two people that can kind of like take a flashlight in the dark and say I think you need to be on this path over here. FC: Yeah. MT: 80 I'll let you to decide that. If you want to continue doing this. MC, I think it would be terrific if you could be in here too for most of this. Because I think right now the emphasis... MC: Oh, I’ll be here all the time. MT: Okay. MC: That’s it we decide to come at all. MT: Okay. Okay. MC: Really what we need to do is get someone to talk to her kids right now. FC: Would you be, I mean... MT: Sure. Yeah. I talk with kids all the time. MC: We promised to have a... You know, they want to know why we're coming here... MT: Okay. You want to bring your kids and you --- the four of you -- your whole family? FC: Orjust them. Whatever you think would be... Just the two kids by themselves, or just, whatever... MT: Yeah. FC: However you think that it might be... MC: That’s what they told us up at the hospital too. It’d be nice to... FC: To let the kids be involved in this. MT: I just don’t want the kids involved too soon. But if, you know, if your kids are starting to do bad in school, or you're starting to notice behaviors that are really concerning you. FC: Oh, (Son’s name) is, yes. Especially now. MT: Okay. Let’s get the kids. If you guys decide to come back next time... Because if... FC: Will you then... Like if I don’t have to... I mean like do I have to go see everybody else? I mean, can you... MT: FC, I think if you can get on a medication that will make you feel as normal, I think as MC and I feel right now... FC: Um hmm. MT: 80 that you’re more rational. FC: Because I do. I feel comfortable with you. I do feel comfortable. And I... Just like I said. I’m just so tired of telling my whole story over and over. 166 CASE M1 TRANSCRIPTION MT: I understand. MC:And he knows more about it than anyone else. FC: Yeah. But you don’t know everything 167 CASE M2 TRANSCRIPTION Key: MC - Male Client, MT - Male Therapist, FC - Female Client MC: I’m not sure. I think more of a nececsity. I think um... It’s getting to the point where he’s having problems with school and so forth so it’s becoming a necessity where before it wasn’t... The necessity wasn't there so we stuck more probably to what your ideas were. MT: Okay. 11 Q Orlthinkmorebeforelwasdoingmostofthedecision—makingandhewaskindof backgroundmore. MT: Okay. Sowitl'isomeofthechallengeshe’spresentedatschool, it’skindofbroughtyou ESBSBSES§ SE5 3 0 together in dealing with some of those things then. :Wellit’sbroughtustogetherinthefactwetoknowsomethingneedstobedone. : Okay. :We’renotthatnecemrilytotathogetheronwheretogowithhimyet. : All right. Sure. Yeah. EspeciallynowbecauseMC’swith himmorethanlamwithmynewjob. : Okay. MC’sreallyhavingtogetahandleonsomestufilikethat. Sowereallyneedit. : How'sthatworking? Foryou tospendmoretime with him thanyouhave been? :ltworksfinewhenwe’redoingit. Ukeayearorsoagoshetookasecondjobforawhile and like shewasworking nightsand (male child’s name) and I weretogether all thetime andthatwasfineforthemostpart. : When you’re with (male child’s name) and you’re dealing with (male child’s name) you get along okay. You guys do fine? : When it becomes regular. Yeah. : Okay. WhenyougetadiancetogetreacquaiMedmdadjustedandngetthingsset things up like you want it to be. : Yeah. MT: Now, how does that differ when you’re alone with (male child’s name), you’re one-on-one S fiéiéfififififi withhiminequalsenseasopposedtowhenFC'saroundandyou'redealingwithhim? : Well, hmmm, basically it probably just has to do with, you know, if she hasn’t been around forawhileandwegetintoaroutinethenshealmostmessesuptheroutine. Notthatthat’s aproblem,Mwhenshecomesinandflenandshedoesn’tseemtoeverwemtofdlow throughwithwhatwe’ve alreadygotgoing. Okay. :Itwouldbelikeaproblem. Okay. :Ummm. Moresothanprobablythananythingelse. Andlgetirritatedsolkindofquit. Youkindofbackoutofit? Youdoit. Youbackoutandyou kindofthnowitbackovertoFCthen. Yeah. Whenthathappens, howdoyourespondtothat? 168 FC: i i 5 85 $55 3% iii CASE M2 TRANSCRIPTION Ummm. Well, wually I’ll get angry and I’ll say, “No, that's not what needs to happen here.” You knowljustneedto... It’seithersituationwherelcatchthetail endof something and it’s something I don’t agree with or, or um I’m just having a conversation with (male child’s name) and I don’t knorv that they‘ve already discussed something and I’m telling him something else. And then if he does react like that I say, “Well fine, screw it. I’m not doing this anymore.” Or whatever and then I’ll usually get angry and say, “That‘s ridiculous. You know there’s no reason for you to react like that. I just didn’t knorv whatwasgoing on.” And Ijust, you know, I needtobeabletotellyou horvl feel abort what you’re doing with him when I see this or whatever. : He’s going along and you kind of come in and acting somewhat in ignorance, not knowing what’sbeengoingon,whatyouguyshavedealtwn‘th. Lackofknouledge. Notmeaning you're stupid, FC, it’s just lack of knowledge, your lack of understanding what they've agreed with and then MC’s perception is that its being changed. : Well, it’s my perspective, but I think (gives name of male child #1) responds a lot better wlen you’re consistent with him and so forth and then I, you know like you know it's just thattheremight besomeplaceswhereit’sokaytoactacertainwayand other places where it’s not. But he doesn’t understand the difference. So he’s pretty much trying to get what he wants both places even if it’s not totally necessary, you knorv, all the time. But that'swhenshegets madatmewhen shethinks I'm beingtoohardon himorsomething like that. Gets irritated and she goes, “Fine!” Well, you know.." Let me make a comment that’s kind of reflective of this conversation, this part of the conversation. The fact that you summarized about 15 years of some major research that wasdoneoncouplesattheUniversityof Denver. Andtheyspent big bucks, lotsoftime, and a winole bunch of effort. And they kind of pulled all together. And what they've come upwith ina nutshell isthefactthatthedifferencesareokay. But howyou handlethe differencas is the issue. And, umm, that is the issue. How you handle differences in the relationship. It is okay to be different. Is it okay for you guys to be different? : That’s quite a compliment she gave you. Did you realize that? :Ummm. Notreally. Well, Iguessshehassaidthatbefore, butnotquiteinthosewords WMisthelevelofdependencyyouguyshaveononeanother? Howdoyoudependon eachother? Ahhhh... Well,ldependonhimtohelpmeoutwith(malechild'sname)inmyworksituation. Idon't knowsomuchaboutbeingdependentalthoughlum... Iamveryawrareummmthathe’s extremelyimportantasa... Asmylife partnerorwhatever. You knolv, lwouldreally miss having him there. Or just with the day-to-day things. What... Maybedependencymingikeoneofdnsesomefimesnegafiveconnoatimsto where...Or,orconnotationstoit. Maybeanotherwordlikeequality. Howdoyouguys cooperate? :lthinkmaybeweshouldkindofcooperatealittlemore. Alright. Thatmaybetrue. Buthoivdoyoucooperate? Inwhatwaysdoyoucooperate? :WdlwewopaatemMiereve’reheadedfinanddlyandoherbiggerissueswepretty much cooperate on, I think Okay. We cooperate with our household responsibilities. We probably have to be reminded abort the relationship. Okay. 169 FC: MT: MC: FC: MC: FC: FC: MC: MC: FC: FC: MT: MT: MC: CASE M2 TRANSCRIPTION Seemslikeit. Wesplitthestuffupandweeachdoourpartinseparateareas. Idothe bills and all the financial and he does all the remodeling and all the household stuff with me. On the opposite side of that, how do you experience, how would you describe your level of independence? Your time. Your freedom from one another? I don’t know I don't think... Do you feel like you have any independence from me? Not a lot. I don’t think we’re all that independent. I mean we’re independent... I don't What do you think independent is? See, I feel completely independent. Norv, are you defining independent as, you know, how often you go out with the guys? : No How are you defining it? Our life I... I... our life is very dependent on each other, don't you think? : Yeah. You just said you feel very independent. No, I mean as a person, I feel independent. I mean I have my ownjob and my orvn friends. Just like you do. You know, things that you do outside the marriage : That reflects, you know, a sense of you each have your own... Your own lives and you have some social relationships that are separate from each other. Umm. But yet you still are connected. By the marriage and the relationship. But I don't feel we kind of, like I have in the past. I mean I don't... sometimes like when he's in Iowa and I'm sure stuff's coming up in the backyard, or I don't knorv what I’m doing with the lawn mower and I'm trying to ride the tractor around that's when I feel like I need a husband. But for the most part I feel like I could probably do pretty much anything if I had to and I have never felt like that. When MC came in your life he did give you a lot of freedom. He didn’t start doing things for you. You know, that may or may not have been a conscious choice on his part. But, was there a conscious choice on your part somewhere along the way that said I'm going to beindependent? I'mnotgoingtobesodependentaslwas. What's surprising about it? Well, I ahhhh... ‘Cause I don’t think we are. Ummm. Seems to me like a lot of times when she starts getting like to arguing. I mean, or something. She starts getting her exaggerating a lot and it gets to the point where Well... What she's discussing with me doesn't make any sense any more. It's like we’re no longer dealing with... The issue’s beensofarblownortofproportionorsornethingthatldon’tknorvhoutodealwithit anymore. MT: Does FC bring in other issues? : Actually she... not too much.... She's pretty good at not. you know she complains about me doing that quite a lot. But um not too much. MT: Okay. You've nailed what for you guys is an important issue. To focus on the issue at MC: FC: hand without bringing other things into it. That gets you sidetracked. I think both. A lot of times I have problems even discussing it because I think she's ccrries it so far that we no longer have a picture of what the problem is. I think it's trying so hard. That it’s just the fact that it's something I feel strongly about and then I'm going to, you knorv, go overboard with it because it‘s emotional to me. What’s emotional about it? What’s, what's the emotion that you need to have met? 170 585 FC: FC: 535555535 FC: 5 333535 55.5 CASE M2 TRANSCRIPTION Well, I guecs it would probably depend on the circumstances. Probably either hurt or anger or something. I don't know. : What’s the need that you have that causes you to get upset? That’s not being met? Alotoftimesit’sjustthatheactslikehedoesn’tcarewhatlsaid. : So for you the core thing is not being heard. If you were heard, and knewyou were heard, thatwould takea Iotofthe heatout ofthiswholething. Howcan MC let you knowr? I’m notasking you whetherit is rational or reasonableornot. But howcould he let you know that you’ve been heard? Probably just tell me. :Giveyouthecuethatheheardyou. Yeah. He should probably... One thing that I don’t like is, probably ‘cause of the way I was raised, is I think it‘s really disrespectful if you’re not looking at somebody when they are talking to you. And if he umm... He’s, you know, acting like he could ccre less about what I’m talking about that implies to me that I’m not being head. Even if he's, you know, he’s just sitting there like, ”Oh alright, I’m listening to you.:" I guess I would appreciate if he could, you know, act like he's caring about what I’m talking to him about, even if it’s something he’s heard six million times. You know, it’s something I need to get off my chestorexprecsto him. It’simportantto me. Ifhecould, you know, Iookat meand acknowledgethe fact, and then say‘Okay, I hearwhatyou’re saying and I understand what you mean. It’s important to you” : So his body language that says ‘I’m listening” or ”I’m not listening.” Uh huh. :Likejustthefactthathelooksornotlooks. Uh huh. : He’s sitting facing you at this point in time. Uh huh. : That’s important, isn't it? Uh huh. :WhathappenedinmepastwhenyouambeinglookedatMensoneoeistalldngmyou oryouweretalking to someone. Whatisthatall abort? Ohhhh. Wewereusually punishedwhenwewerenotlookingatmystep—dadwhenwe talked to him. :l'mnotsurelunderstand. Well ifmydadwashaving conversationwithusasfarasareprimand orwhateverthe situationmaybe. itwouldberepeatedoverandoveragain. :Isityoucan’ttellher,oryoudon'twanttotellher,oryou’rehesitanttotellherbecauseof wrhat reaction it might create? Yes. : Yes to all of the above? : Yes. No it’s not. It’s... I.... It’s not that I can’t tell her. I don’t think that’s the main issue. Asmuchasitisl’mhedtantofwhat’sgoingtohappenwhenltell her. Sothere’saquestionofyorrsafety. Yes. : Do I risk saying this? Beeause... Yeah. Yeah but supposedly you said before that's why you’re upset because I’m not listening to what you're wanting me to listen to in the past. And I'm not caring about your feelings that you exprecstomeat somepoint. 171 MC: FC: FC: MF: FC: MC: CASE M2 TRANSCRIPTION So why say it again and again and again and again? Well, why sit there and live unhappy because I’m not doing something you want me to do when I’m telling you I don’t know what the hell it is. You’ve got to tell me again. You just like a It’s gonna get you nowhere every time you didn’t tell me. That would be more frustrating for me than where I’m at. At least I know I express to you all the time and you’re just not willing to do it or something else is going on. But with you I have no idea and that drives me crazy. You know I’m willing to try to make things better but you won’t tell me what it is that you need. And I’ve asked you six million times. And you won’t tell me : How can you each make it safe for each other? Are there times when you feel safe raising questions? Raising issues? Ummm. Idon’t know. Idon’t knowif it’ssafesomuchorjustalotofthings Ijustdon’t bring up any more just because he gets so upset that it’s easier just not to discuss them. I hope it’s not. I don’t think I ever felt a time when I could talk to MC about... Except it’s not really safe except for I know if I bring it up he's going to ignore me or say nothing so I don't bring it up. Again I think you guys have a similarity here. You guys are experiencing the same thing but you’re handling it differently. What I hear is that you’re both needing and wanting from the other one. Acknowledgement of what you’re saying. That it’s important for me to hear it. I’m not getting that. You’re not getting it fiorn FC when she keeps saying things over and over and over. And you’re saying I’ve already said that. And you’re not getting it when heshutsdown. Soyou’re both askingeachotterfortheverysamething. lsthat true? You're saying, “Hear what I’m saying. Listen to me.” And you’re saying, “I need for you to hear me. Listen.” It’s the same thing. Um hmm. :Sohowcanyougiveeachotherwhatyouneed? CanyougivethattoMC. Ifyouwereto give him your ears without talking, just listening. But it’s more than just listening. You know, it's actually acting on something. You know I could sit here and listen to her all day. I'd like to see something resolved come out of that talk. Rather than just have the talk again two days later. I’d rather see something resolved during that talk and see something acted on it. MT: Right. You’re right. There needs to be follow-through. But the first step is being able to 1., .Q listen. Being able to hear. Right? Um hmm. MT: Then the next step is acting. FC, I’m going to make a very stereotypical statement. She 5% 5.33 probably doesn’t want you to do anything, per se. She probably just wants you to listen, even if it’s listening to the same thing. Right? Um hmm. : You are a doer. A problem solver. Right? You’re a kind of You’re a get—it-done guy. If there’s something here to fix, l’II fix it. : Or at least make an effort. : Sure. And you wouldn’t be doing what you’re doing if you didn’t if you didn't have that kind of respect in terms ofyour career. Your own profession. And that gets in yorr... In our way of being able to relate to a female who really wants us to listen. Is that what it is? Um hmm. I think so. 172 CASE M2 TRANSCRIPTION MT: Butontheotherhand,therearetimestoothatMCwantssomethingstobedonetoo. That he’s asking for. That he needssomethings tobeacted on. Sowhen MC listens, and againit’soneofthose... Whatdoyounwdtobeactedonrightnow? Whatdoyouneed from meright now/2 lsthataquestion you could askeach other from time to time? FC: Umhmm. MT: If you could do it,doit. If you can’t, then youknowlreally wantdothat but rightnowl just can’tdothat. I’mnotabletomeetthatneed,butlunderstandwhatyouaresaying. What you’reaskingfor. Thatwayhecanknowthatyoucare. Okay? Iwishlcouldgiveyoua magicone,two,three. 173 CASE M3 TRANSCRIPTION Key: MC - Male Client, MT - Male Therapist, FC - Female Client MC: Well, like I said, we didn't select any time and put a tag and title to it. This is like you know some special hour or something. It just... Things were just going along, or moving MT: Okay. MC: Without any, you know, interruptions or any disagreement or disapproval or anything. And Sundayeveningwespent mostofthetimetrying to pumpthewateroutofthepool cover andthat’showmostthetimewasspent. MT: Okay. Ummmm, what’s the last time the two of you did something together that you really enjoyed? MC: I can’t think of one. MT: FC, how about you? FC: When we went to Washington? MT: How long ago was that? FC: Three years. MT: Three years ago. That’s the last time you can remember doing something? FC: He doesn’t like to do anything. MT: Okay, well fromyourperspective? FC: So we don’t do anything. So there’s nothing to remember. MT: Soyou haven’t like gone out to dinner and had a good time, or... MC: We do that. It’s just... I just... I don’t think it’s all that wonderful or memorable or has a lasting impression on her. We just can’t do that that often. MT: Um hmm. MC: (lnaudible) MT: Okay. MC: Likelasttime, you know. You remember. Wewentortfordessertatsomefancy reoaurant in Okemcs. FC: That was nice. MT: Hoard that 90? MC: All right. FC: All right. MT: Does your relationship serve any purpose besides just um the utility of being married. What I mean lsthat, do you feel matinyourrelationshipyou reallygettoenjoyeachother as individuals, as social people. Ummm who like to do things together. Or do you just kind ofcomehorne, dowhatneedstobedoneathome becauseyou haveto livethere. Goto work. Come home. Goto work. Come home. But very little interaction between. Andwhatinteractionyoudohaveisrelatedtoworkorrelatedtosomethingwiththehoee. or... What kind of relationship do you basically have? MC: Badcally that. FC: Lately that’s what I like to have. MT: Okay. So why do you like to have that kind of relationship? FC: Because anything else seems to make him mad. He yells at me if we do anything else. Try to do anything else. MT: Doyoudoa lotofyelling? MC: No. Disagree, but no. The yelling part comes after some conversation. MT: And does it like escalate or... 174 CASE M3 TRANSCRIPTION MC: Yes. l‘m terribly frustrated. Many little things just sets me off. Mostly everything gets sad or depressing or negative. Nothing to the future, nothing’s gonna change that. Nothing to look, wait and see things. Everything‘s bleak. MT: For you? MC: No. Her response. Her response comes in the form of all those and l'm just... l'm very tired of it. MT: Okay, that’s FC's responses. MC: Right. MT: Okay. How do you feel? You don‘t feel things are bleak? Or do you feel the same way? MC: No. I think I have a very rough time kwping my head straight. And not to have that mode of thinking. MT: Okay. MC: l'm having a much difficult time coping with her or any dealings with it. MT: Okay. Sometimeswhen people are depressed orwhen people are stressed... And you may find that you do this to some degree... Some people do it more than others... But when you're stressed or under a lot of pressure or when you’re depressed you tend to not want to do things that require a lot of thinking. Or things that require a lot of planning and preparation. Or things that, you know, making decisions that have any long-term consequences. And the reason is, is bewuse that when... Kind of a way to protect yourself from getting into trouble and making a decision that may be to costly when you don't feel you've got all your faculties together for thinking. That you just kind of go around to another level where there are simple things to deal with. You know, simple tasks. You know you ssn clan the house bewuse you know how to vacuum the floor and dust and you know all the routines and it doesn't really require anything. You can just do that. And that's all there is to it. And you avoid, you know, tackling problems that might lead to conflict. Because, you want to avoid conflict. So you just stick to what you feel is safe. So sometimes when people are depressed, they just sen move into that way of thinking. They want simple things. They want, you know, just a very narrow focus. They don't want to do long-term planning. They don't want to tackle any heavy issues. Does that seem like it hits home for your view? MC: Yeah. FC: I know what you mean about that. I do. And l’m aware enough of that. That’s would not be the reason why l’m upset. I mean it's a little bit upsetting and everything, but he literally satthereandwatchedmepackandwatchedmemoveand promisedmethathewould help me unpack. And then he's watching me do that again. And I think no matter what my frame of mind was, that would really really bug me. MT: Right. But how do you cope with that? How do you get over that? Either you confront somebodyaboutthatandthencometoasolution, arriveatsomekindofsolution. Ordo you... FC: I can't arrive at a solution by myself. 175 v— CASE M3 TRANSCRIPTION MT: That'swhat I'm saying. You‘re feeling that there is just, between the two of you, there‘s so much anger that you're not to a point where solution is... Whereyou're finding a solution and putting a band-aid on. This over here is not going to save something from happening over here. You're still going to have to put band-aids all over the place. And then that’s not even going to be a very solid structure. Ummm so... And I can understand, and I've heard you say many times how very angry you are about the move and everything related to the move. And I've heard MC say that he has some anger about the move and how he feels it was handled and like I said before, last week when we made the... I, you know, showed you the different levels of communicating and the meaning that things have. That probably had a lot beneath it besides just the move itself and how it was handled. There's probably a lot more there... Trust in each other, thinking about your future plans together, things like that have not even been touched on. And l’m wondering if I were to chart how you feel about your relationship today, I would imagine your feelings are pretty low compared to what they were Friday. Is that accurate? FC: Yeah. MC: (lnaudible) MT: That's not necessarily to be considered bad. Or contrary to what we're trying to do. I assume there will be setbacks. But it probably seems like every time you go up a little bit, you go further down or you're always down and you still haven't gotten to a point yet where you're feeling very comfortable with your relationship. And, when's the last time you have had a break from each other? When you've been separated from each other? FC: A couple weeks? MC: Just for one week? MT: But other than that you haven't had any space from each other and the move certainly made you feel very close to somebody bewuse you’re practically on top of each other trying to find things and, you know, all that. Before that time, when was the lag time you’ve been separated from each other? MC: Probably two weeks prior to that. Two weeks prior to that. MT: So other than that you've only spent like a few days or a week apart from each other, other than let's say a weekend or a business trip or something. FC: I know he had to go away in September for a couple of nights and then... And then just... You haven't gone anywhere, have you? MC: Just that. MT: Hmmm. Your situation is kind of such that you don't have very much opportunity to get space from each other when you need it. Since you don't have a lot of family up here and I don't know how old your... How close you are to your friends... If you're able to go visit thernormaybestayvviththern. Butwoulditbepossiblethatyou mightgetsornespace fromsachotherlikespendingaweekendawayoracoupledaysawayfromeachother? FC: Um humm. MT: What do you think, MC? Is that a good idea? Do you think it would be possible? FC: Yeah. MC: I don't know whether that would be helpful or not, but I’d welcome that. MT: Pardon? MC: I don’t know whether that would be helpful or not but I’d welcome that. MT: Okay. You'd welcome a break. How about you? FC: Idon‘t care. MC: That's the routine. She goes to sleep in five minutes. 176 CASE M3 TRANSCRIPTION MT: Okay. Well find somethingthatyoubothlikeandbewilling to compromise. Just simple musicselection. Okay? lfyousandottetJhenyoucanjustputalittlecheckmarkinthat box andsaythat’soneweaccomplished. Okay? FC: That’sthe pointwherewe’re at. MT:Whydoyousaythat? :lt’sprettypatheticwehavetobeproudofagreeingonacassette. :Well, given what you said already that you’ve been disagreeing about quite a fewthings... : Yeah, you’re right. :You have to start counting little things. 4 : Ijust neverthoughtofthatone. You’re right, though. :Andno. It’snotentirely pathetic because it’s just isawayof whittlingdownatthat barrier betweenthetwoofyou. ThatbarrierismadeupofaIotofangerandallthatstuffinthe pasthowever long thishasbeen going on. Okay. Soifwehavetowhittleitatiny pieces atatime,we’lldothat. Wecandothat. Andifyoucen’tagreeonthemusic,oneperson pickthemusicgoingthereandonepersonpickthemusicgoingback. Andevenifone falls asleep,youstill listen toitbecausethat'sacompromise. Okay? If you’re willingtodo thatforherand she’s willing to do... If you’re willing to listen tohermusicononeway, she’llbewillingto listen toyoursontheother. Okay? lfyoucandothat.... Thenit’s something you can do. Okay? Andifyou can orchestrate getting sornetimeawayfrorn eachotherthisweekend,andtrytohaveagoodtime. lfthat'spcssibleJlendoit. Maybe thatwillbringustoabetterpointwhenyoucomenextweekandwecansitdownandroll upour shirtsleevesalittlebitfurther thanwedid tonight. Okay? Sowe’renot... Not... Notusingtheskillsthatyoulearnhere. Soyoucanstarttakingthis stuffhome. Andworkingonit. lsthatpcssible? FC: Whichpart? MT: Allofit. FC: Do you feel that? MC: Yeah, it’s possible. MT:Andyou,FC? FC: Idon't know. We neverseeeachother. MTzYeahbutyoudon’thavetohavetoseeeachother. You’renotatthepointofbetweennow andthenexttime. lthasnothingtodown'thseeingeachother. FC: Butyou saidabouttakingthingshomeandvorkingonthem overthe... MT: Butthat‘safternextmek FC: Okay,soalllhavetodoisgetaway? MTzAllyouhavetodoisgetawayfromeachother. FC: lcsndothat. MT: lfywcandosoneconstmdivenoseeingeachotherasopposedtonotseeingeach otheroravoidingeachother, let’sdoitconstructively if you’re going todoit. Make sense? FC: Ithink. 535833 177 MT: MT FC: MT FC: MT: FC: MT: FC: MT: FC: MT: FC: MT: MC: MT: MC: MT: FC: MT: CASE M3 TRANSCRIPTION Okay, I really went to pursue... Have you finish for me the stuffthat you first started when you came in and then I've got the Marital Satisfaction Inventory which is going to take you about maybe a half hour to finish. And I really want you to do that... Sol can start... Like I say, that's the one measure that will tell you exactly what areas you’re having the most difficulty. And I can chart for you where you’re both at on things like trust and where you are in different areas of the relationship. I can plot that for you. And then we sari monitor our progress and see which area you’re both going in opposite directions. If we workonsornethingsandyoustartcomingdownalittlebitandmaybestartgoingthesame direction. Okay? So you an do that next time if you want. If you’ll come in like maybe a halfhoureartynextTuesday. Andthen l wanttogetsomeinformation from youabout your families so we can work on this... This is salted a genogram, by theway. This is the beginning of a genogram. A genogram’s kind of like a family : a family tree. You've probably each seen family trees before. A genogram’s actudly a biological... It’s a model if you’re tracing hereditary traits and things like that in a family. Butweuseita little bit differently. lwenttobeabletoplotoutbothofyourfamiliesand lookforareaswhere maybethewaysthatyou feel andthewaysthatyouthinkactually didn’t startwithjust you. It probably come up heresornewhereorwith your parentsoryour grandparents or somewlere in your family of origin. Okay? And because you, FC, just didn’tdeddeonedaythatyouweregoingtobeaprettyorganized personwhen itcornesto moving. You just didn’t decide that. That probably same somewhere from your family and, like you said, you’ve got this ethic from your family that you work first and play later. So that’s important to keep track of. And l’m sure MC has some things up here from his family we could talk abort. So when we put these things on the table like work first and play later and if MC has something from his family that is totally the opposite, play first and work later, then we need to work around that thing. We need to start discussing that How we put that idea of his family in with your idea of your family, mdconetosoneagreememsoyouguyscangetmvwfliyoulwesvdflrhowyouwork and play. Okay? :Sothat’swherewhenyousayyouaregoingtoColumbus, you... Ohio. I used to live in Ohio. : Okay. What year... Any major-like health problems or anything like this of your family members? No. And I seeyougotonherewhatonesaremanied. Right. And I see you’ve got on here married... You’ve got... My rnorn’s remarried. All your brothers and sisters are single. Right. Especially the 10 and the 4-yea-olds. Yeah. Ummm. And everyone in your family is married except (sibling name)? Yeah. Okay. Let’s see. So you met each other in June of... What year again? 1992 1992? Where did you meet? Columbus. How did you get down to Columbus? 178 CASE M3 TRANSCRIPTION FC: lgotajobthere. MT: Okay. And then how did you end up in Columbus? MC:Igotanassignment there. MT: And, umm, you got married... FC: June 3rd. MT: 613/92. ln Lansing? FC: Um hmm. MT: Okay. Seewhat l’m doing uphereis l’m making time line. l’m puttingwhenyou guys first metandgotmarriedtotoday. And l’mgoingtoaskyoudomeafavor. Thatistodothe sarnekind of thingonyourownw'rthyourown lives. Nowyou’re... You’re going to start for yourindividual liveswithyour birth. Andthencorneupto now. Butthenatsomepoint afteryoutakeabreakandweseeeachother, l’llhaveyousitdomanddoingatimeline whenyouguysfirstmettonow. Okay? FC: Whatkindsofthingsdoyouwantonthem? MTzAnythingyouwanttoputonit. lfyouwanttoputonyour... Ummmeventsoryou graduated from high school andwentto college, came tothe United States, gota job in Columbus, oran assignment in Columbus, whatever. Any moves that you made, any major events, you can talk abort your parent’s lives or your family’s lives. Whatever you wenttooutintherethatisimportanttoyou. Okay? l’mgoingtocopythisandthenhave youtakethiswithyousoyoubothspendalittlebitoftimefillingout Youdon’thaveto smndmorethansay150r20minuteson it. Makesureyou bring it. MC:You startitwhen? MT:Whenyouwerebom. Tothatpresenttimewtenyouarefillingitort. Okay? Canyoudo that? Maybeinthecar. And,youknow,justbychanceifthetwoofyougetboredor something,andyoudcn’tgotodeepyouventandtryandtacldewhat’shappenedtoyou since the time youmetto now, you’re certainly welcome totryto that, but I don’t expect youto. Okay? Sotheplanistogetsomespacefromeachotherthisweekend. Afteryou of course have traveled a great distance in the car together. To get some space. And thenlhavenothadanysallsbackonpeoplelhavetriedtogetaholdofforyoufor psychiatrists, but I wastold that becauseofthe holiday it’s really difficult togetanybodyto doanythingbecausemostlytheyareortoftom. Solwillkeeptrying. Whenyougo downtoColumbus,isthereisanychancethatyoumightbeabletotryandhcokupwith thedoctoryousawthere? FC: ldidn’t see anybody there. MT: Tha’sright. ltwasinNowJersey,right? FC: Um hmm. But he's moved to California now. Sothere’snot much chanceof seeing him. Mr: Okay. Sonextweek,sametime? FC: Youwantuseartlertotake tests. MT: Yes. Cornein... lfyorwanttocornequarterafter,7:30,anywmerein there. That should giveyouplentyoftimetoflllthatout. 179 CASE M4 TRANSCRIPTION Key: MC - Male Client, FC - Female Client, MT - Male Therapist MC: FC: MC: FC: MC: You just say whatever. You just kind of get going. And then it's the beginning of the week. And then you slip back into your routine. But there was no routine. A routine never developed last week. And that wasjust... For you. For me. No. See I don't need routinesthat much. Asyousantell. llikernorespontaneous. Spontaneous lifestyle. Anywayswhat happened isshehadbeenstayingoutand l was. Iwasgetting upwith her at night. But I didn’t really want to. And that um... then Saturday, was it Saturday? Friday, right? It started then ‘cause I was working Saturday. I was going to work Saturday morning. Doing what? : Um... lwasframing houses. Framing houses? Oh. :lwentandframedanddidalittlebitofwork. Andsoljustnaturallyassumedthatvell sincelwasworkingthenextday,FCwouldtakecareofher. Youknow,ifshewashaving troublethatnight. Butitdidn'tworkoutthatway. Andlgotkindof.... Andthatvaswhatthefightwasabout? : Year. I got resentful and made left-handed, snippy remarks and instead ofjust coming out and saying... You know Whatever. Whatyou meant. :Oreveninsteadofjustsayingwhydon’tyoujusttakecareofthebaby‘causel’vegotto worktomorrow. Andshejusthadthis Madesornerernark. Oneofthernwaslikeyou knowwhatyousaidyouwantmetogetuporsomething likethat. And I saidwell I didn’t wanttodrag yourmoutofbed. No, you said if you can drag yourself out of bed... I said something. So you had an attack of guilt. One of those guilt trips. : Well,see,myperwfionofitwasthm... :Anyway,sheyelledatme. But... :Myperceptionofitwasthathevasupanyvaybeceuseweventtobedlikerightassoon aswehadgotten home. ltwasaboutelevenandlwentrighttobedand(babyname), shewokeupaboutanhourlater. Sol’dalreadybeeninbedsleepingandhewasstill up. Soitdidn't make sense... : Well, not only that... ltdidn’t makesenseformetogetupwith herwhen hewasstill up. Seewhatl mean? Andthenhedidsaywell, FC, you’reprobablygoingto havetotakecareofherbesausel have to goto bed. Well, lwasjust kind of expecting that he would say... you know. bring hertobedandthenhecangetin bedandlwould havetakenover. Butthenthat comment really made me mad because itwas saying... You knowlwake up anywhere from3-5timesa nightwith herevery nightforthelast5 monthseversince she’sbeen born. Ever since she’s been with us. And I didn’t feel like that was balanced... That wasn’t fair of MC. Sol was really ticked. And he said that l breached... That I made a breach in our relationship. I sailed him an asshole. I’ve never called him that before, but I was I was really ticked. I mean I don’t want to say that you made me call you that, 180 MC: MT: MC: FC: MC: FC: FC: MC: MT: MC: MT: FC: FC: MT: MC: FC: MC: MT: FC: FC: FC: CASE M4 TRANSCRIPTION She just wanted... You thought since he was up he might as well be taking are of her and you thought since you were supposed to be working tomorrow she should take ssre of her. Yeah. So you’re both pissed off at each other... Upset. You were throwing your left-hand curved ball and you're coming back with anger. Yeah. Well, yeah after that happened. Before that... I mean I would have gotten up. It's just that I’d already been sleeping and you know I was exhausted after working a week and it's hard to... I figured you were up. And I didn’t know that you were getting ready for bed. So how‘d you... How did this get resolved? I went to work. And then when he same home I just said that i felt that that was a very unfair comment for you to make beseuse... You know bewuse I get up with her every night many times a night and didn't think that’s fair. Um humm. Basisally he apologized. And then I apologized. And that's it. You think so? Yes. I think so. It’s easier to see. But when you first started dating... I said, ‘Man, I can’t stand that woman. I’ve got to have her.” Yeah. No matterwhatthey do. Seems like no matterwhat they do, you seethegood things. Oh well. See he's honest. : And seems like as the relationship keeps going and going you see the bad things instead of the good things. See I think our relationship is better than when we were dating. We didn't have a very easy courtship. I was jealous about all his friends. Tell us about how it’s better. Well, I guess it’s not. Well of course we know we're each other‘s friends. We know more about each other and everything and the background and where we’re coming from. So like we don't have that trying to drag things out of him that you have to drag out four years ago. Uh huh. You mean there‘s more comfort in the relationship? Yeah. : Trust. More trust. MT: MC: : What else is better? What else do you think? What else is better? I don't know. For awhile though there... Things got really bad and we're still... Before we started coming here. So it was real good for awhile and then it got really really bad and then it's getting better. : Hmmm. MC: We can think of two things that turned better. Well, what's better for you? : Hmm. You're not as um.... MT: Psst. You are more... 181 MC: MT: MC: : You are more... FC: MC: FC: FC: MC: MT: : No. She probably... Butlhaven't said that. FC: MC: FC: FC: MC: : No, it's true. MC: FC: MC: : I though it was very distracting. FC: FC: FC: FC: FC: FC: MC: : Well, l’m sorry what did you say? MT: CASE M4 TRANSCRIPTION Huh? You are more... Oh, you’re not as... You're more... Okay.... Say it again. I have a certain amount of phrasing problems too. Or else forget it. You're... l have to rephrasethewhole thing. Aw it's just you‘re more trusting and seeming less fearful of whatever. You'd get upset. You'd just... You didn't seem like you trusted me. I was always testing you? : Ysah. I don't know what to say about that. Sowhatweresomesignsthatshewastrustingyou more? Ah there's more. what do you call ‘...em Subliminal... I don’t know. It’s not as overt. Not overt. Not glaring signs. Just little things, you know. Do you know some of them? No? Doesn't seem like she... Whenwe first weredating it seemed like I always had towatch out to not look at other... Look at women. Other women. 'Cause she was always... You could tell... She was always kind of on the lookout for it. ‘Cause you did. You did. : Ah that’s right. That's how I told you off a few times. Well, I never said I didn’t. But it doesn't... She don't feel like... It doesn't seem like she is... Since we've been married and stuff it doesn't seem like she's... Standing over me like that. you know. Well, you remember how that went about. I didn't want to dig up the past but basically I told you how I felt about that. Uh huh. But ah, at some point you just get tired of just trying to ignore... That’s like before my ignoring comes in. You know where I just pretend like he’s not even there. : Ummm. So it’s the way you're trying to say, "He's down. I still want to stay up." Yeah. : And it’s difficult for you. Yeah, it is. : So when you're feeling happy and he's feeling down, when you just go on with your day and it's a great day for you, you're saying, you know whatever you're doing, it's a great day. l‘m wondering what that would be like? Well first of all I sent be there. I can't be at home much of the week. : Uh huh. That's all there is to it. : What doyou imagine would happen though ifyou stayed there? It takes a lot of energy just to ignore him, you know. He's not asking you that. l'm just wondering what you see as happening. 182 FC: FC: MC: FC: FC: MC: FC: MC: FC: MT: FC: MC: : You just gave me a hug or something. MC: FC: FC: MC: FC: MT: MC: CASE M4 TRANSCRIPTION If I stayed there? I don’t think it’s very effective. I mean it’s hard for me to... Like I say, it takes a lot of energy to do that so it’s not as effective if I stay there. : So FC's saying your mood affects hers. MC: MT: MC: Uh huh. I’m wondering if her mood affects you? l’m trying to think of whether there’s been an incidence. It think there has. Yeah, I think that they bounce off each other. And ah... React. ‘Cause I'll be in a fairly decent mood and she'll come home cranking about this or that. And complaining about, seemingly to me, insignificant things we don't have a lot of control over. :Soyou both bringeachotherdown. Canyou bringeachotherup? MC: Have we ever tried? I tried tremendously. It's very hard to try to affect your mood and bring you up. Many many many many many times. It doesn't work very well. So I gave up. : Sometimes you'rejust persistent. Y0u just want to be in a bad mood. MC: Um hmm. l‘m down. Stubborn that way. To a fault. I can't... I don't think that I ever played the reverse role. No. I don't think I've ever, you know (inaudible). It's a lot easier to make me feel stupid probably. Idorernernberoneinstancenottoolongagowhenltoldyouthatlwashavingabadday. And you... You seemed like you had a nice, you know, supportive way about you that was very rare and nice. And I don‘t know if you just kept giving me a hug or something... Or maybe said just a couple words or whatever, I don't remember exactly what they were. But I rernemberitwasreally niceand itwasprobablyoneofthefirsttimesthatyou'd ever done that. Just recently? Yeah. Hmmm. And, it's always was nice to feel that you have somebody who you... Who's your emotional reserve, you know what I mean. Or can kind of help you. In times when you're not having such a good time. Yup. That isn’t something I felt I had often in this relationship. Me too. I remember... What? : I remember what day you were talking about. Well tell me what it was then. 'Cause I don't remember the details. Oh, I don't know. You hadaharddayatworkorsomething. And ljustaskedyou ina supportive manner. And I can't tell you what I said or what I did, but outside of that I remember what you’re talking abort though, okay. I don't remember what day of the week it was but... lsaid maybe l’m kind of hard on you when it comes to that besause l‘m kind of tired of hearing it. You know, and I might say well you know if you think you're a loser, you're gonna believe you’re a... You know if you keep saying it, you're gonna believe it. What‘s going on for you, MC, right now? Just wondering what time it was. FC: MT: MC: FC: FC: MC: FC: MC: FC: FC: MC: FC: 5.5535 CASE M4 TRANSCRIPTION ' Oh. Doesn't look like any of us have watches That's right. Well we’ll just be here till it's five o'clock. When she's saying those things to you right now, what's that like for you? Record the emotion. What's the word for it? I don't know if there's any emotion involved. I mean I've heard it before. And it's all very valid, but it’s just doesn't seem... It’s never been that easy just to start saying well I'll just change what you think. I just won’t do that anymore. I just don't do that. : You mean, "Just say no." MC: Right. That's... You don't think it's possible? : I don't think it's that simple. If it was that simple, l'd would have done it. Well... That’s like saying, 'Well just go change your socks." Well, l'm kind of speaking in a sense of I've been through that myself, you know. Bewuse I've not always had good self-esteem. That’s true. You’ve told me that. And it's a method of thinking that is different than the “well I can't probably do that because..." : It’s proactive. I don’t even knowwhat it's called. I mean like I say I've read about it. I've, you know, Ieamed some of it in my service training. Ummm. You know where you say to yourself... Like say for instance I would sometimes have trouble with authority and I would feel real insignificant or feel like really nervous about my abilities or something. And ummm one of the ways that I would get through is just tell myself. you know, you're experienced in your job, you, you know, have parents that love you, you have a husband that loves you. You know, just things like that. And then I would immediately benefit from that. And it would carry me through. And as a result of that l have been able to achieve greater sense of self-esteem and self-confidence and a better feeling about myself just because I continuously thought things through. That, okay, no you're not, you know, insapable. You've done this. You've done that. You’ve done that. You know what I mean? So there's something to that. There's something worthwhile in that. But this continual feeling you know, well nobody wants me because I can’t find ajob and, you know, l'm a loser and, and, you know doing things that you know make you feel bad and then feeling worse about them because you did it. Like staying in bed or whatever. But if that makes you feel worse. Get ort of bed. You knowwhatl mean? Now I've been depressed before, so I know what it feels like to be depressed. I mean it's not that easy. Ummm... : Can I stop you? : Yeah. Is this helpful for you? Somewhat. ‘Cause I want to get back to what's gonna be helpful for him. Because it seems like you want him to be able to come to you. Or is that not it? : Well, he doesn’t need that. He doesn't need to come to me nwessarily. He can go to anybody. I mean I would like to know how he's feeling and, you know, for him to ask me for support or some advice or something. Or at least confide in you? Yeah. I’d like you to confide in me. But I can't handle this all the time -— this l'm a loser bit. It makes me very nervous. CASE M4 TRANSCRIPTION MT: So we’ve really got a dilemma here. Okay? You’re sick of hearing his complaining about whatever and san’t find a job forever and he's feeling down. And when you’re feeling down, that's, I mean, some of the things that you go through. And it‘s hard to talk about things. I mean l’m not sure, but that how your strategy of doing it. Of being down and maybeeven getting ortof it istotalkabort itinthatway. Butshe’soverheresaying l’m not really... I don’t really want to hear it. MC: Uh huh. 185 CASE M5 TRANSCRIPTION Ksy: MC - Male Client, FC - Female Client, MT - Male Therapist MC: FC: MC: FC: MC: FC: MT: FC: MC: FC: MT: FC: 85555 I told you once. You told me twice. I told you once. You asked once. You were outside or on your way out the door. And I toldyou l was mad. Whycouldn’tyou havedonethattohelpmeort? Sowhy couldn’t you have dove that to help me ort? Ahhh... l have no... I have no excuse. Doyou seewhy.. What made me angry? Yas. Kindoflikeifyouweregetting readytogotoworkandyou hadtotakethekidaloigwho just pooped in herpants. And I setonthecoucheating myceealwhileyou’rewatching the time go. So... That was just today, or... That doesn't justify it. Yeah, that was this morning. And the last few days have been rough because, like I said, the kids have been sick... I haven’t slept more than four and a halforfive hours a night. One’s crying... And, you know, it'sjusttheway it’s been. Yeah. You know. Every night l'm like okay I'm going to get six hours of sleep uninterrupted. Being, you know, being a mom. That’s just how you live your life. When you get straight sleep, itsureisnice. Afterabout4or5daysofthatinterruptedstufflstartbeing really crabby. : lbetcha. Sleepdeficiencydoeswriorsthingstothebody. Yeah. It's been hot. The stupid van is not working again. I took the carwhich has air conditioning which is a plus. : Ahhh. You know. Andthenwemadean agreementbesausetotryand make his lifeeasierl let him drop (female child #1’s name) off in the morning to the Y. Then I pick her up in the afternoonon mywayhone. Whichshedoesn’twanttogetpicked uptill4z15myway because they're having a snack and swrim till 3:30 or 3:45. So anyway, ummm, but I’ve ban picking her up which is... From the timel leavework, it akes me an hourto get hone. Because I gogetthelittleonesatdaycare. Which isnotfun. You knowhowitis And this and that. And they're, 'Monmie, monmie.“ and it’s just kind of a maul session anddrag ‘emoutthedoor. You know, andall that. ThenwegotheYandwe'rethere another 20-25 minutes. We have to look at the pool and go upstairs and do all this crap. And then by the time I get hone, l’m just like cooked! The whole day is didn’t bother me tilllgotthekidsandanhorrwothofgettingthemhome,youknow. Andlgethomeand it's time to cook dinner immediately because like he’s gonna be leaving for work. And he ain’t been sleeping much and so he's dragging around like a zombie when I get hone. Bitching about stuff he didn’t get to get done because he slept too long. And, you know. That’s kind of what it’s like all the time. :Whyis... Whyhasitbeendiffererrtthelast coupleweeksthough? Idon't know. :What'stheproblem? :Wasittwomksagolventtoiflhours? : Yeah. Hewasworking 10 hoursandthatwasjust.... Incredible. 186 MC: FC: MC: 5.35.35 MC: FC: MT: FC: FC: FC: MC: FC: FC: MC: FC: MC: CASE M5 TRANSCRIPTION That was ummm... I'd have to leave the house about quarter to seven or seven—fifteen and ummm it was a long week. I drag in around 8:00. I have to get some sleep. So the kids have to play outside. Don‘t feel guilty. They play. It’s in the morning that gets ungodly. When it’s this hot, they don’t even wait to be ortside. I’ve been real busy the lad couple weeks. A lot of commitments and this and that we had. l’vebeenverytiredthelad liketwoweeksasfarasl get50r6 hoursofsleepandwhen I wake up like l'm even more tired after I’ve been up for an hour. Usually an hour after l’m up l’m feeling good and lately it seems like I get worse. Then the kids come home and it’s like well we gotta play now and stuff. And l’m like, you know, I want to sleep. So I'll sit on the couch and sit on the chair. I’m not dong anything. And, ummm, FC's tone of voice the last... Which is understandable, but there's like a thing in my ear and it just hones in on it. Like you finger on a chalkboard or sonething. So... I just kind of sit back and wait for her to, you know, jump on me abort something l’m not doing or something I should be doing bemuse I'm tired. And she’s gonna let me have it, you know. l’m like I’m gonna say I’m tired. And she’s gonna say well that’s no darn excuse, you know? And it's like I... I avoid situations because in my mind I haveajudified remonforit. But I knowahead oftimethatshe’snotgoing toacceptthat reason. You know what l’m saying? : Is it like that becorseyou’re not getting enough sleep? It’sjustbeenall the : You can’t blame it on sleep though. No. ‘Cause we’ve done with a lot less. : l’lI avoid situations because I've been in situations before, you know? Arguments or conversationsorl’vetriedtobeastnrthfulaslcan. Ortrytogetmypointacrossthebest waylknowhowandit’snotthatshedown'tbelieveme,butit’sjustnotgoodenoughor something. That’snotwhylwentoutside Whylwentoutsideisbecauselwanttohaveacigarette. Solcouldcomeinthehouseandhaveashowerandgetreadyforbed. You seemed mad. You were mumbling on your way out the door. Areyou sayingyou thoughtthat he overreacted to that situation? Well... Yeah, inaway. lmeanhedid andhedidn’t. : In my mind I probably did. Yeah. He got mad. I could tell. I can... See, just like he knows when l’m mad. I know when you're mad. It's like the way you get up and... You know, you don't even have to say anything. How you walk or, I mean... : Idood up. Igotuptogoortside. Ihadtogetready, but Well... Or... Yed'l, but you were pissed. : I didn’t yell a the kids. No. I didn’t grorch around. I didn’t yell at you. I just kind of tried to make my way through the horse and go ortslde and have a cigarette. And you‘re like mad... : You got mad because he was mad. No, no. Ididn't get madathim. ljud... Inoticedthathewas... Okay. How should I handle the situation? 187 FC: MC: FC: FC: CASE M5 TRANSCRIPTION I think he... Well, see this... loverreactandhaveashortfuse. What you tend to do... What I see is that I feel you have been... Well, you know, me too. I had my monents this week. But, you don't seem to tolerate the kids very well. Like whenweget homeandyou’re in thegarageorsomething. Likeyesterdayortheday before, or whatever. It's hot and you’re dirty and you’ve bwn working ort there. And the kids come home and it’s, “Daddy, Daddy, Daddy." And all this stuff’s going on and when l’m home 5 minutes and you’re yelling because you’re whatever. You know. : l’m yelling? : Well, it’s like, “Go do that. Get over here" You know, and stuff like that. And then l’m in the house for 3 minutes and it’s, “FC.” You know, like I’ve left him out there in the lion’s den. ”Come and rescue me.” :Soyoudon'tordinarilywhenyougethomeyoudon’tbring‘eminthehouse? Right. :Gettheirdinners. Goort. Dragthernin. Yeah. : You want them in the house for dinner. So I bring “em in. Yeah. When we get home it's almost time for dinner. So? And usually when (female child #Q’s name) gets home and the garage door’s open, she’s right in there. Yeah. You know, trying to kill herselfon a bike orgetting strollers out, you know, and so... Well, we admitted to being very impatient. :Icallthekidsinthehousearidsay"hi'orwhatever. Impatient. We try to analyze ourselves. :lgotanewlawnmower l’m tired. Tired. :lgotausedlawnmower. lgotdosoneswitchingaround. lgotagrillforfather’sdaythatl gotthebasepartiallyassembled. You know, and it’s like, lguessaborta halfan hour today, a half hour tomorow, a half hour day after tomorrow. I told FC today. I said, "Well maybe by Sunday.” That irritates him by no means. : I said, “Maybe by Sunday.” He’sthe kindofguythatwmtstodartajobandfinish ajob. lcanjudseethehairon his backstandingup. : I told her today. I says, “Maybe by Sunday I’ll have the grill finished.” And she says, “Well, I talked to the lady at the store and she said some dumb kid could do it in a hour.” Oh, okay. l'm being conpared to a kid jud got out of high school and put a grill together. Go clean the back yard up. But that’s... Ididn’t nean it like that. lwasjud seyingthat I asked the lady... :Again,whatwouldyouthink? Youbuyagrillandyouworkonitforhdfhoureveryother dayforaweekandthmummopeyouhaveitdonebySunday, honey. Andyouwifetells youthekidattheplacewherelgotitdiditinanhour. Okay. I’ll give you that one. Geesh. :Thatwasajab. :Yeah. Well, I didn’t mean it that way. Like I asked you. I says, “Is this hard to put together?” ”Well, no. You can put it together in a little over an hour.” 188 CASE M5 TRANSCRIPTION MC: Uh huh. So? FC: She basically said no. I said, “Well, sure, he’s experienced at doing these things" And she basically said, "No he’s just a dumb kid” So... MT: Can'tjud buy it. Have to fix it. FC: It's not like he can't do it. He just hasn't had the time. And it’s frustrating, frustrating, frustrating. MT: So you feel kind of fried after having the kids all evening? FC: Oh man. I feel very fried some nights. MT: There’s actually a term fo picking up kids at daycare. It’s called “the re-entry frenzy.” FC: Exactly. It is. It is a frenzy. MT: All kids do it. FC: It’s jud like that. MT: Becausetheyhaven’tseentheirparentsalldayandtheygocrazy. FC: They do. Theygo bananas. It’s like I have to pick uponefirst becausetheotheroie’s gonnagetmorebananas. Andyousan hearthemscreamingwhentheyhearmecoming. They can see me through the glass. MT: Yup. FC: But all the kids are like... Get all excited. Like whose mom is it now? And it’s kind of like ouhhhhh. Look at those sharks? MT: Yup. FC: Which one’s gonna bite me. They all start, you know. MT: Is there anything you guys could do now to further that? I mean not that you’d have more timeto spend. Idon’t know. Theweekendsorothergood times. lsthereanything else you could do? MC: During the week? MT: Quality time. Yeah. MC: Not really. FC: Idon’t see where we could fit anything in. MT: Anyoftheanxietiesthatcould be... Sounds like partofthe issuecomeswithyouguys like you said, a short fuse or whatever. FC: I think we need to work together a little bit better. We jud got this picking upldropping off andoffissuetheotherday. lnademypointthismomingabout,youknow, I hadapoopy diaperwhile nrshingtogetouttowork. You could helpmeout more inthemoning. And l’vebeenhopeful about saying, ‘Wouldyoupleasegethershoesonorfindwhatshedid with hersocksor, you know, helpmeort.’ MC: Yeah but some mornings, when you’re getting ready for wok, what am I doing? FC: Um hmm. MC: I’m on the corch... FC: Snoozing. And l'm like, “Go to bed.” “Huh, huh?” MT: Whattimedoyouusuallygethone? MC: 6:30 FC: And l’m upatquartertosix. ltrytobereadyby6z30. Sothatthekidscan... Startgetting them up by twenty to or quarter to. Most of the time you’re still up. So when I leave at... I was leaving at 7:30 but I’ll be leaving at quarter alter. MT: To take (female child #1 ’5 name). FC: So, I have to go jud a tad earlier. 189 5,335.5. FC: MC: FC: MT: FC: FC: FC: MC: FC: FC: FC: FC: MC: FC: CASE M5 TRANSCRIPTION : Soyouwake up inthemoning an hourandahalfbeforeyou’vegottogotowokandtake ashowerandgrababitetoeatandgetofftowork. Yougetortofwork,andyou'vegot fron4or5intheaftemoontill like 10 o’clockatnight. Well, lgetup... Istartworkat 8:30. The shift startsat8:30. l’m upat3z30. l’m up5hours beforelhave to start work. Sowhenlgethomel'mlikereversedasfarasldon'tgethomeandgomowmylawnand drinkabeerandgoovertoa(malename)houseandseehowhislawmmower’sdoing. Andyouknow,lhavetogohoneandgotobed. Whatareyoudoingintheaftemoonsbeforeyougo? : Ummmm... Usually sleep too long. :Liketodaylgotupat3z40. lcrawlortofbed,brushmyteeth,combmyhair,threwsome clothes on. I(female child’s name) by4:00. And I gothorneand (female child’s name) wantedtoplayvideogamesandlsatintliecliairaridkindofbabysatheralittlebit. And umm,whenshegothone,ahhh,lwasinthehorsefor15minutes Wentortsideandhad acigarette. Tookashower. Gotdressed. Andleftandwentoutagain. : Geesh lgothome. Madeagounnetdinnerofallorangefoodforthechildren. MCgotthereand heleft. lsayoangefood. Carrots,macaroniandcheese,andpizza. Yah. Likeohmygod. It’s all oange. That’swhathappenswhenyou’re doing something quick. It’squick. Orangeisafoodgroupwhenyou'reakid. ldon'tsare... Solspent10minuteswithhim. :lagreewn’ththat. Nonnallylhavethree,threeandahalfhours Buttodaylhadtwohours. :Sowhenyou’re talkingabortmakingthosethings runmoesmoothly, FC. You’re saying workingtogetherrnore. Whatsortofthingsdoyouwanttoseemoreofolesofwithin that little window you guys have as a family. Well, let's see, he could cook dinner.... Ahhh. I think first of all getting (female child’s name)cutsa half hourto45 minutesoutofmytirne. And ummm, lguessinthe moriings not sitting in the chair and going, you know... You could get somebody’s shoes on or changethediaperwould helpmeout ifl’m notready. Usually l’m ready. Butwiththeway, you know... Lad night wasn’t too bad. We got to bed abort 10. But tlon (Female child #2name)gotup. Foabortan hour. ldon’tknowwhatherproblemwas. Shewashappy as a clam but she was like awake from 2:00 to 3:00. And umm... : What could help in the mornings is to get (female child #1 name) up in bed at night. Well, I don’t know... She’s your... The rnajorthom in your side. (Female child #1 name)’s the worst. I nean... : She doesn’t get to bed? MC: She’ll wake up in the morning... Wait a minute. She was in bed by 9:30 lad night. :She’ll walk in the kitchen... Walk in the kitchen and open the cupboard wherethe cereal is andsitonthefloorandsitthereforjud 10minutes Well, excuse me! Igotinthecar(makesa growling noise). : That ain’t me. Okay. lt'sjust... Idon't mind you driving mycarbut l jud gotthings abort my car because... It's very antique. 190 MC: FC: MC FC: MC: FC: MC: FC: MT: FC: MT: FC: 35% 53585 CASE M5 TRANSCRIPTION My Chevy. l have a ’74. I’ll drive it next week. Oh good. I ain't driving it. We’ll drive separately. It’ll get towed away before (inaudible) is up. It's a '74. Who’s ever known us knows where we live if they see this car. It’s rusted to hell. It looks like it doesn’t even beloig in a junkyard and it’s always cleaner than her van. Yup. My van’s a shit hole. It’s a cheerio-packin’, gum-chewing mess. Kids can do that to a car. Andnowlworkinmycar. You know,lamtravelingsolhave... Hone visits? Yes And I liveinthatcaralldaylong. ldousually50to 120 milesadayand . .. You know, lgetmyjunkorteveryday, but,youknow,lgotrnyworkstuffintherenow. And thekidshadsomecheeriocatastropheintheback. You knowyoucouldfeedathirdworld country off all them damn Cheerios. :Iwouldn’t... lwouldn't allowthatinmycar. Just bemuse... : Well, seewehadthislittlethinggoingandtheyverebothkindofcrabbywhenlpicked them up. So I’d have this little container. And I’d bring cheerios or you know, sonething. Dry cereal’s was a big thing and (child name) would feed me, and that was her thing, you know. ‘Cause like I brought her M&M’s once and that was a mistake, ‘cause then they wanted M&M’s every day. And I was not going to give them M&M’s every day. And the chocolate didn't help me “muse it melts on your hands and face wlen you’re a kid. So we didthecheeriothing. Andttenonedayladweekitmnt“boon"andsothere'scheerios everywhereinthecar. Seelhavemoetolerancefortheldds, l don'tcareifthere’s Cheerios in the sar. : You’re more tolerant of their eating. : See, well, that's it. It’s either that or spend half your life cleaning. You see we have gore full circle because when this man conmuted, you couldn't sit in the froit seatofhissarforthegarbage. Itwasall in there. :Yeahbutlhadapowerconmute. Uhhhl Idon’tcarewhatyouhad. ltdoesn’tmatter. Youusedtobeapig. :Sol’ve changed. Right. Now I don’t consider myself a pig. I consider myself a victim of children. ljud... You hate the way the car is. :llookatthevanasaninvestnent,notavehicle. Oh yeah, well you shouldn’t look at it that way. : Because we had a negative equity for years and years. We didn’t know what it was like to... Wedidn'tknowwhatitwasliketomakemoneyonacar. Weonlyknewwhatitwas liketolosemoneyonacar. Andwlenveborghtthevaanaidlet’skwpthisvanclean becauseifwepayitoffwithin3years... lthoughtitwasgoingtobebutitwasfour. ltwas agrand illusion. We’llmakeaprofitonthismr. Soifwekeepitdecent... lknow. Butl’mnotlettingthemeatchocolatesynoandredpop. Cheeriosain'tlikethat. :l'mnotsayingitcan’tallbecleaned ljud... Anyway... 191 5.33% 1, .Q 5.35 FC: CASE M5 TRANSCRIPTION :Well lwasjudgoingtosayit’sinterestingthatafewminutesagowhenlaskedaboutwho needed to be more tolerant. Then you both thought of the other one right away. I think you did, or that’s what I saw. So. And that’s the big challenge in doing the (inaudible) when you’re stressed or angry it’s very easy to get frustrated and so you want to blame it on somebody. It’s very hard to say, “What’s my role in this? What can I do to kind of change this whole pattern?” So that‘s the challenge. But one thing you guys are both doing well tonight and other times is that you are taking responsibility. You are speaking for yourself. You're saying, “I felt this way.” And a whole lot of couples have the hardest timewith that. You guys do it well. : You should see us at home. Yeah. Why'd you say that? : Soyou’rempableofthat. Somepeopleseriouslydon’tseemtobeabletodothateven if they're prodded. So... Ahh we can. We just... We kind of say it’s your fault. : Of course it's easier to. No. We both are smart enough to know that’s not so. :Soit'sjustamatterofbackingupandlookingatwhatwassaidanddecidewhat’sgoingon ratherthan reacting. It’s hard to do. 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