Friday, November 24, 2006

'Tis the Season of Greed and Gluttony

With Thanksgiving we are well into the Season of Greed and Gluttony. You know the season well. It starts with Halloween, where you get all the candy you can. Then, it continues with Thanksgiving, where you eat all the turkey you can. Then, comes Christmas, where you get all the presents you can. It finishes with New Year's, where you drink all the alcohol you can.

We also get to watch the War on Christmas, in which perfectly unreasonable people argue over where to put creches, what to say to each other, and who's more persecuted than they are.

Let us not forget the ancient admonition, "Peace on earth, good will to all. Unless you're different from me. In which case, you can stick it in your ear."

Monday, November 20, 2006

Reparative Therapy

Over at Staff Psychologist, there is a quick post which, citing the Ted Haggard scandal, briefly addresses the issue of reparative therapy. Reparative therapy is an attempt by religious conservatives to try to "cure" homosexuality."

It doesn't work, and it violates the Hippocratic Oath, "First, do no harm." It does a great deal of harm, in that it induces guilt in those who fail in their efforts to embrace heterosexuality. The author, William, Meek, has a great comment about it:

Essentially there is no reparative therapy debate. The American Psychological Association (resolution text) and American Psychiatric Association (resolution text), the two largest organizations representing mental health practitioners, do not recognize it and warn against participating in it. There is also a body of research documenting its ineffectivenss and harmfulness. To me, it represents the worst intersection of cultural judgement, prejudice, and psychology.
'Nuff said.

Tuesday, November 07, 2006

Love, Marriage, and Enmeshment

Stephanie Coontz, author of Marriage, a History: How Love Conquered Marriage, had an interesting piece in the NY Times today. Last month, the Census Bureau released statistics showing that traditional, married-couple households, are now in the minority. This is her response. She observes that we are overly dependent on our spouses, and this is a new thing in the history of marriage:

Until 100 years ago, most societies agreed that it was dangerously antisocial, even pathologically self-absorbed, to elevate marital affection and nuclear-family ties above commitments to neighbors, extended kin, civic duty and religion.

According to Coontz, the idealization of the nuclear family in the early twentieth century brought us to the current situation:

By the early 20th century, though, the sea change in the culture wrought by the industrial economy had loosened social obligations to neighbors and kin, giving rise to the idea that individuals could meet their deepest needs only through romantic love, culminating in marriage. Under the influence of Freudianism, society began to view intense same-sex ties with suspicion and people were urged to reject the emotional claims of friends and relatives who might compete with a spouse for time and affection.

The insistence that marriage and parenthood could satisfy all an individual's needs reached a peak in the cult of togetherness among middle-class suburban Americans in the 1950s. Women were told that marriage and motherhood offered them complete fulfillment. Men were encouraged to let their wives take care of their social lives.

Coontz is describing what therapists call "enmeshment," and it's terribly destructive to a marriage. Partners in a healthy marriage maintain a balance between engaging their partner and remaining individuals. They maintain a rewarding relationship, but still have a sense of their own individuality. This keeps the relationship stable. In contrast, partners in an enmeshed marriage experience two contradictory impulses.

On the one hand, enmeshed partners get very close to each other. Since they have only a few people in their social universe, a conflict with the partner means conflict throughout the universe. Losing that one person means losing one's entire social universe. That's pretty scary, and the tendency is to paper over conflicts, to give up your own identity to please the partner, and to draw ever closer to him or her.

But then, on the other hand, getting that close to someone represents a loss of individuality. Enmeshed partners begin to resent each other for not being perfect and not being able to provide everything they want. Then, a small problem arises, and starts a fight. The fight rapidly spins out of control as all the resentments against the partner emerge. After the partners are totally exhausted, they withdraw from each other for a while. But then, fears of losing their social universe start to arise again and they paper over their differences and the whole cycle starts again.

Some causes of enmeshment are characterological. People with personality disorders often have poor boundaries. They have trouble maintaining a healthy balance between engaging their partner and maintaining their own separateness. Most of my marital therapy clients don't have that problem. I think they often suffer from a problem at the intersection between family and society. For one thing, as Coontz rightly points out, working couples have little time for independent socialization. What time they do have, they choose to spend with the family. Reasonably enough, they don't want to slight their children or partner by not giving them enough time. I think there is more to it than that.

More and more we raise our children to be dependent on adults. Because of suburban living, our children may not live within walking distance of a park. Because of large schools, their friends may live miles away. So, children must rely on their parents to take them to places to play and to socialize. Children are less likely to go to the park and play a pickup baseball game. Instead, they are members of a baseball league. Organized leagues mean more than just times for the game, the children must also participate in practices. Parents have to drive the children to their activities and we all know the complaints of busy parents who spend their evenings chauffeuring their children around. Frequently, the father drives to one set of activities and the mother to another.

All this takes parents away from each other and further reduces time for independent socializing. They focus exclusively on their family, and are left resenting their spouses for not fulfilling all of what they want. There is a solution to this problem. As Coontz points out:

The solution is not to revive the failed marital experiment of the 1950s, as so many commentators noting the decline in married-couple households seem to want. Nor is it to lower our expectations that we'll find fulfillment and friendship in marriage.

After all, the 1950's and 1960's a time of a rising divorce rate. Maybe Coontz has put her finger on why. She continues:

Paradoxically, we can strengthen our marriages the most by not expecting them to be our sole refuge from the pressures of the modern work force. Instead we need to restructure both work and social life so we can reach out and build ties with others, including people who are single or divorced. That indeed would be a return to marital tradition--not the 1950s model, but the pre-20th-century model that has a much more enduring pedigree.

So, marriages are really products of the community. Healthy marriages are part of a healthy community.