Tampilkan postingan dengan label Conflict. Tampilkan semua postingan
Tampilkan postingan dengan label Conflict. Tampilkan semua postingan

Senin, 12 Juni 2017

Intrapsychic Conflict and Dysfunctional Family Patterns




There have not been a lot of studies done looking at how personality problems affect individuals over three generations within a family, and how they may be passed down from one generation to the next. Today’s emphasis is studying mostly biogenetic factors.

However, the few studies that have been done generally show the same types of things. Although there is never a one to one correlation (because people’s development is affected by the chaotic interactions of thousands of different variables – genetic, biological, interpersonal, and sociological), certain issues are highly likely to be passed down.

Earlier studies have shown what is known as intergenerational transfer of certain types of dysfunction for, as examples:

  • Boundary disturbances such as maternal overprotection and relationships characterized by lack of affection, enmeshment, and/or parent/child role-reversals (Jacobvitz et. al., Development and Psychopathology, 3, 513-527, 1991).
  • Emotional dysregulation with poor disciplining skills with children (Kim et. al., Journal of Family Psychology, 23(4), 585-595, 2009).
  • Substance abuse with parental substance abuse combined with abuse and/or neglect and low levels of family competence (Sheridan, Child Abuse and Neglect, 19 (5), 519-530, 1995).

In understanding this process, I try to incorporate concepts from different "schools" of psychotherapy. The most important task in integrating different psychotherapy models is to pose the question of how concepts from different therapies might relate to one another, and how slight modifications to specific aspects of these concepts may make relationships between them more clear.

In this post, I will focus on the relationship between several such concepts. We have the concept of intragenerational transfer of dysfunctional behavior from Bowen family systems therapy. Then we have a primary concept from psychodynamic therapy, intrapsychic conflict. People have conflicts between their innate desires and the values they have internalized as they grew up within their family and culture. 

To see how these two concepts can both be valid and also when combined explain certain human behavior, we can take a closer look at the intergenerational transfer question.

The attachment theorist Bowlby first suggested that these transfers occur, not through specific observable behaviors like “abusiveness” or psychiatric diagnoses per se, but through the generation of mental models of interpersonal behavior in the affected children. These working mental models are now called schemas by both psychodynamic and cognitive-behavioral therapists. They are also subsumed under the rubrics theory of mind or mentalizationby another set of psychodynamic therapists. We need to look at the subjective experiences of the involved children throughout their development.

Zeanah and Zeanah (Psychiatry, 52, 177-196, 1989) discuss the concept of organizing themes. They mention that studies show that abusing mothers tend to attribute more malevolent motives to their own children compared to other people’s children. More generally, they react with more annoyance and less sympathy to videotapes of crying infants than do non-abusive mothers. To think that these patterns would not be noticed or sensed by children through their daily interactions with their parents, and would not affect the development of their schemas, would be extremely naïve.

In turn, abusive mothers reported more threats of abandonment and role reversals with their own mothers than did control mothers.

These findings are probably the tip of the iceberg in terms of subtle characteristics of repetitive parent-child interactions, and as the Zeanahs say, “Patterns of relating are considered to have more far-reaching consequences than specific traumatic events” (p.182).

When Bowen therapists started doing the genogramsof their patients, which describe family interactional patterns over at least three generations, they noticed something that has not really be described much in empirical studies. While some children of dysfunctional parents had problems that were similar to their parents -  such as substance abuse - other children seemed to have developed behavior patterns that were exactly the opposite – they became teetotalers!

I have seen this sort of thing many times in taking genogram-related family histories from my own patients. One son of a workaholic will also be a workaholic, while his brother becomes a complete slacker who can’t seem to hang on to a job, or who does not even bother to look for one and goes on disability of some sort. Or who is enabled by the workaholic father.

In fact, in some families one generation has a lot of alcoholics, the next generation a lot of teetotalers, and the third generation goes back to having a lot of alcoholics. Or impressive successes in one generation are followed by remarkable failures in the next. McGoldrick and Gerson, in their book Genograms in Family Assessment, traced the genograms of some famous people like Eugene O’Neill and Elizabeth Blackwell and readily found such patterns.

If these sorts of issues were entirely genetic, it would be difficult to explain how progeny of the same parents could be so completely opposite from one another, as well as completely opposite from their own parents. So what might be going on psychologically within people that might lead to interpersonal behavior with their own children that generates such bizarre patterns?

This is where intrapsychic conflict may come in. Say a father was a young adult during the Great Depression of the 1930’s. He had grown up feeling that work defined him, and that he was obligated to keep his nose to the grindstone in order to support his family. He was lucky enough to have a job, but his boss made his life miserable. He could not quit because he would not be able to get another job, and therefore he began to subconsciously resent the very values with which he has defined himself.

This could lead him to develop an intrapsychic conflict over hard work which starts to tear him apart. He may relate to each of his sons in a manner that – very subtly - suggests to one son that he too should be just like him, while the other son is subtly rewarded for acting out the father’s hidden resentment towards hard work and self-sacrifice.

Likewise, a patient might come from overly-strict religious parents who had rejected any and all hedonistic pursuits, but who had preached to their child about the evils of alcohol in a highly ambivalent manner. Such ambivalence usually arises in them because of their having received mixed messages from their own parents. Their son may feel pushed to rebel, and therefore lead a licentious, alcohol-drenched lifestyle. Such a person often destroys himself in the process, because if his parents observe him being successful in spite of drinking, this would exacertate the conflict in his parents and destabilize them. This would frighten him. So he becomes a self-destructive alcoholic.

His behavior would be sort of compromise. He would be following the repressed urges of his parents and allowing some expression of them, while at the very same time showing his parents that repressing the urge was indeed the way to go.

In the next generation, his children may “rebel” just like he did, but the only way they can do so is by going to the opposite extreme themselves. They become teetotalers. Their children, in turn, “rebel” by becoming alcoholics.

I’m tremendously over-simplifying this process so the basic outline is clear to the reader, but I see these types of patterns – with many fascinating twists and turns - every day in my practice.

Jumat, 10 Februari 2017

GUEST POST When Conflict Brings You Together… And Then Drives You Apart





You initially bonded over a drink as you both shared similar tales about upbringings that could have mirrored one another’s. The abusive relationship with alcohol and drugs, the physical bruises that left far deeper emotional ones, the lack of communication within the family… these were things you both experienced and they bonded you together. You became inseparable because no one else could possibly understand what you had gone through. Until one day it all fell apart. The very glue that held you two together in the first place became a repellant, something you want nothing more than to leave behind forever, but their presence is a constant reminder…

This situation happens more often than you probably realize. Two people with common conflicts in their backgrounds meet and fall madly in love with one another, bonded by their mutual past troubles. This was true for one of my acquaintance and his wife. They both shared rough upbringings and came from broken families, and this shared past made them inseparable… for a while. 

This scenario is all too common for people coming from broken pasts. The troubles they face bind them in a way that true love, shared passions, and positive upbringings binds others, until one day the past troubles become a rock in your shoe. It’s annoying, but not entirely detrimental.

However that rock slowly morphs into a wedge that creates more conflict, and before you know it a full-blown wall between you and your professed lover. Such was true for my acquaintance. He and his wife followed a tumultuous course; one that almost exceeded his own troubled past, until they finally couldn’t stand to be around each other anymore. But why does this happen? How does something so binding become something so revolting?

One reason is that the constant reminder becomes unbearable. While you were initially able to share and empathize with one another over similar circumstances, when that becomes the defining point in your relationship the reminder of your past can become the only thing you’re able to see when you look at your partner. And that constant reminder can become unbearable to the point that it ruins the relationship. For my acquaintance, this meant turning to alcohol and drugs in an effort to blur reality and forget. It meant turning into himself and all the dark demons that had been following him.

Then there’s the point of needing to actually deal with the source of the problems. Being able to talk about something and share experiences with one another is not synonymous with actually confronting demons in your past and dealing with them. Sure you can talk through some of the basics of problems that are rooted in your past with someone who has been through a similar upbringing; however the basics are just that – they’re a superficial way of “dealing” with all of the negative emotions. 

What you really need is to talk to someone who is trained in helping individuals move past life events that have had a negative impact. At that point one or both of you should consider seeking professional help.

When you’re commiserating with someone over conflicted experiences you likely are only able to add your own two cents about a similar event. This rallying of negative emotions only adds fuel to the fire, and instead of diminishing the negativity it helps it flourish. For my acquaintance this meant that they went through harsh benders on drugs and alcohol together, pooling their shared miseries and fighting as they regained soberness. It was a never-ending cycle of bad happening upon worse, until they finally came up for air and found the strength to separate from one another. 

Neither is perfect now, but both are at least pursuing a future that doesn’t include rebounding negativity off of one another.

Dating someone who has a similar conflicted upbringing as you can be a breath of fresh air at first. However if left untreated, it can become stale, or worse, drive the two of you farther into a pit of despair, leaving your relationship stagnant instead of thriving.

Elizabeth’s Bio:
Liz just a simple lady tries to convey some of what it is like to date online through dating websites. For any further information on online dating you can email her at: liznelson17 “@ “gmail.com.