Wednesday, 05 September 2012 20:00

Sex, Love and Longing

(Excerpted from Debra L. Kaplan's book due out in 2013)

I am often asked in therapy (with deep reluctance and trepidation) if it is a pre-requisite of therapy to explore childhood issues. "That depends," I say. "I have no desire to dwell in your past but exploring your past childhood relationships might help us both understand your current relationship style and how you relate in romantic relationships."

When we are no longer able to push away the emptiness in our life that we work so hard to ward off we succumb to either seek therapy and explore that loneliness or continue to disconnect from the world and wallow in distress.

Our current relationships are informed by how we learned to bond with and attach to caregivers and others. These early experiences greatly determine how, or if, we feel safe and secure and therefore lean into connection, or dismiss, and avoid emotional connection all together. In other words the past remains present if we do not heal unresolved early relational disturbance. A trigger in the here and now will only serve as summoner to our buried pain, carrying it forward- front and center- causing us to experience significant internal and relational anguish. The ways in which that relational distress is exhibited depends strongly on the type of relational distress (or outright trauma) we experienced in childhood, the duration of those traumatic relationships, and the family system in which we lived. Of substantial importance to the outcome is our support system, our own character traits, personality, or adaptability.

In the Beginning

Attachment is an emotional bond to another person. Any discussion about attachment and relationship would be incomplete without a explanation of what attachment is and the two names synonymous with having pioneered attachment theory; psychologists, John Bowlby and Mary D. Salter Ainsworth. John Bowlby is a British psychoanalyst and the first individual to develop the theory describing attachment as a lasting psychological connectedness between human beings (Bowlby). As humans we are motivated by a primordial need to seek proximity and comfort from such figures in times of distress. Bowlby postulated that caregivers who were consistently available and responsive during times of distress were fundamental in helping an infant create a safe haven from which s/he could explore the world and begin to safely and securely form attachments beyond infancy. He also believed that four key characteristics of behavior were an infant's natural adaptation to regulate proximity to an attachment figure:

  • Secure Base: A caregiver provides a consistent secure base from which the child can explore the world.
  • Safe Haven: When in distress a child will return to the caregiver for comfort and soothing.
  • Proximity Maintenance: The child attempts to stay near the caregiver, thus assuring safety.
  • Separation Distress: When separated from the caregiver, a child will become upset and distressed.

Mary Ainsworth, (1913 - 1999) an American born psychologist worked with John Bowlby researching maternal-infant attachments. She came to define attachment as "an affectional tie that one person or animal forms between himself and another specific one - a tie that binds them together in space and endures over time." (Ainsworth)

Attachment Gone Awry

If early bonding and attachment is so vital to our later adult relationships, what happens to attachment in the face of not-good-enough parenting? And, how do anxious and avoidant attachment patterns present in romantic relationship? Many individuals come to experience relationships as anxiety provoking and enmeshing and a situation warranting escape; their earlier childhood bonding and attachment to caregivers was, in all likelihood, anything but secure.

Preoccupied Attachment

Where an individual finds him/herself on the anxiety and avoidance axis, will determine the extent to which that individual trusts/distrusts others (exhibits low anxiety or high anxiety) or fears others in relationship (exhibits low avoidance or high avoidance). Likewise, the extent to which an individual finds him/herself on the anxiety scale determines how safe (comfortable) vs. fearful that individual feels about being in relationship. Consider the following:

  • Janet was obsessional about checking her partner's phone and laptop when he was in the shower. Despite the fact that her partner was neither unfaithful nor gave her any reason to question his commitment to her or the relationship, she tended to be possessive. Janet often started arguments just to convince herself that he wasn't going to leave. While Janet wanted his affection she was nonetheless afraid of getting too close. He began to question if staying in the relationship was worth the struggle.
  • Bryan knew that his wife was faithful but couldn't help wonder why as beautiful as she was, she didn't cheat on him. He often found himself thinking "It is only a matter of time that she will ask for a divorce and leave me."
  • Gail has been in several relationships before she met Alex. Unlike her other boyfriends, Alex stated that he would not sleep with another woman. Despite Gail's concerns about Alex's flirtation with women and his online sex chat behavior, she was afraid to leave. Over time Alex's pornography use increased resulting in little to no sexual contact between them. Gail's anxiety increased but she remained staunchly committed to not leaving Alex.

As we read above, Gail's relationship is compromised due to her ever-present distrust of Alex and her fear of abandonment. Despite the sexual avoidance and emotional disconnect in the relationship Gail is unwilling to change the situation. A look back to her childhood reveals that Gail's mother was a doting mom to her three girls in the face of her husband's ongoing infidelity. Gail's father worked long hours to make ends meet and was rarely physically or emotionally present with the family- except on weekends. It was then that Gail would accompany him on his fishing trips or jaunts to the local bar; anything just to be with him. She felt special when she was with him although he spent his time joking with the others at the bar and laughing with the women who surrounded him. It never occurred to her that being with her dad meant doing what he wanted and worse yet, being abandoned to watch the overt betrayal of her and the family. The emptiness she felt growing up was minimally eased by those moments of being in his presence. This early pattern of emotional distance endured into her adulthood even as she longed to connect with men. Her need for love, acceptance and reassurance created a self-deprecating pattern of exploitation in her relationships.

In childhood when caregivers were inconsistent with their responsiveness (here today but not tomorrow) or overly protective and distancing, the child forms an anxious attachment. If the infant turned child is distrustful in knowing that the parent will consistently be there, the child will do anything in its ability to ascertain their survival and lower his/her own anxiety of abandonment. Hence the child remains focused on the caregiver, staying close in proximity (although in an insecure fashion) in an adaptive mode of self-preservation.

These examples all illustrate the anxiety and avoidance that engulf an individual who has one foot in and one foot out in relationship. Preoccupied partners are more likely to focus on the others' behaviors due to an anxiety and obsession about "if" or "how much" their partner cares about them. This is contrasted to the insecurity of "if" the individual will be abandoned. An otherwise secure relationship will come to an abrupt end due to an increasing fear that "this is too good to be true" a fear that becoming too close will increase one's vulnerability to rejection or unsuspecting abandonment- I will leave before you inevitably leave me. The resultant behavior becomes a distancing by partner from the anxious individual further exacerbating the very fear of abandonment that drove the obsessive behavior in the first place. This becomes a worsening and vicious cycle. This preoccupation around the insecurity of a romantic attachment drives a need for intensity; of which the purpose is to mitigate the intra (internal) distress.

Fearful - Avoidant Attachment

  • John had yet to be in a romantic relationship. He is as fearful of women as he is fascinated by them and only wished that he had the nerve to ask one out. He has worked for years in a large corporation silently longing for several female coworkers, yet he goes home at night and fulfills his fantasies and dashed dreams online in chat rooms and on websites for phone sex.
  • Henry: "Being naked in front of my girlfriend is as terrifying as parading around in public with my pants down."
  • David and Ellen met online and were dating for 3 months when Ellen approached David seeking more emotional commitment from him. David became despondent and withdrew from the relationship which became quite distressing for Ellen. After two weeks of no-contact Ellen arrived unannounced at David's apartment to confront him. The only thing David knew to say was, "I'm sorry that I am such a disappointment to you." He proceeded to become aloof and cold giving no explanation for his behavior.
  • Judy spent many years in therapy hoping to heal from the wounds of childhood sexual and physical abuse. "I know that most men are good." Yet, whenever I'm approached by a male who wants to date me, I all but ignore his intentions thinking that he must be as damaged as I am! "Why else would he be interested in me?"

Fearful-Avoidants avoid emotional and sexual intimacy but nonetheless, struggle to connect. The behavioral course of action is to disengage and distance as a result of high anxiety and high avoidance. However, this attempt by the avoidant to deflect or avert deep feelings often backfires. Avoidant people cannot escape thinking about their close relationships no matter how hard they try not to. Scientists refer to this as the "ironic rebound effect," similar to what would happen if someone said, "Don't think of a white horse." Consequently, avoidant individuals tend to seek superficial physical/sexual encounters with others (e.g., anonymous one-night stands, online sexual encounters, pornography) outside the restrains of a rejecting relationship. Fearful-Avoidants experience attachment insecurities and turn to what researchers call "secondary attachment strategies - deactivating or hyper-activating strategies in an effort to cope with threats." (Cassidy and Kobak 1988)

The fearful-avoidant's childhood family system is characterized by hostile and violent abuse that reinforced the child's belief that he or she is defective, worthless and rejected. These individuals may display emotional symptoms of both the avoidant and the pre-occupied attachment styles.

John's upbringing is a perfect example of how terrifying childhood attachment figures, albeit unintentionally, can be. John learned early on that in order to be loved and cared for he would have to endure considerable loneliness. His early neglect and abandonment in childhood came by way of spending many nights alone waiting for his mother to return home from her second job as a janitor. John's overwhelming sense of isolation and fear during those countless nights by himself served to reinforce his belief that to be loved and cared for, "I will be abandoned." While his mother never intended any harm and by today's standards may have constituted child abuse, her single mother status and necessity to support her son conveyed this painful mixed message. As an adult and in the face of a potential emotional and romantic entanglement John experienced such internal distress and shame that he became emotionally walled off preferring instead to remain alone versus being threatened with potential and "inevitable" abandonment.

Dismissing - Avoidant Attachment

  • Allison could barely contain herself when she exclaimed to her friends that she met a new guy online. Allison had always enjoyed her independence so this long distance relationship was just what she wanted. Besides, she acknowledged, "I don't like guys getting too attached. If they do I just move on to the next. I let them know up front so if they have a problem with this it won't matter. It's not like I didn't tell them."
  • Jim was unsympathetic to his girlfriend's attempts to connect with him. "I don't understand why you would be so into me?" she probed, "and now you couldn't be less interested!" In her efforts to be emotionally intimate with Jim she asked that he join her in counseling to discuss how they can resolve this disconnect. "I'll go with you if that's what you really want, but I think it's a waste of your time and money."
  • Michael was enjoying his new found success with his budding yet lucrative investment company when his wife Lia gave birth to their first born child. It was at that time that Lia became overwhelmed and needed his help with their new baby. Michael loved his independence but began irritated as he saw it slip away and as he put it, "fade out of view." It was at this stage in their marriage, that Lia began to see how alone she was as Michael so comfortably escaped into his work commitments.
  • "Relationships!" Brendan blurted out, "Do I really want to get involved with a relationship just to have great sex? I'm not that kind of guy. Give me gorgeous, self-sufficient women who don't need to be rescued, and I'm all in; that is until they want more. Then I'm out of there!"

Allison, Jim, Michael and Brendan are all individuals who are emotionally unavailable and actively disengage from real intimacy. Individuals like them often present with a charming wall of seduction; a seductive come-on that conveys interest, but does not allow for deeper emotional and relational connection. This engaging behavior albeit non-relationally can be irresistibly alluring to the "neediness" of the individual with a pre-occupied attachment style because their need for attention and connection is fulfilled by the seductive nature of the dismissive-avoidant. The seductive "all in" quality of the dismissing-avoidant masks his or her yet-to-be-revealed unwillingness to be relational thereby setting the stage for the preoccupied individual's eventual self-fulfilling relational anxiety and relational demise- here today/ gone tomorrow. The Dismissing-Avoidant eventually becomes uncomfortable with the closeness of the partner and begins to detach from emotional and relational intimacy. In the process the avoidant may engage in addictions (drugs, food, sex, money) or addictive processes (compulsive masturbation, internet porn, anonymous sexual encounters, work addiction) in an attempt to put distance between them and the partner/relationship. Nonetheless, the initial allure that captivated the pre-occupied individual plays into the precarious cycle of anxious and ambivalent connection given the preoccupied individual's tendency toward low avoidance and high anxiety. Since the avoidant's childhood attachments were consistently unavailable or overwhelmingly engulfing their ability to remain relational is slim to none. A child that experienced too little interaction will learn to be self-sufficient and counter-dependent. That same child that may experience an overinvolved and smothering attachment will later in life, make all efforts to attract a partner but not emotionally connect with her or him. For the dismissive-avoidant, sex, for example is a mechanism that expresses connection but not relational intimacy.

Debra L. Kaplan, MA, LAC, LISAC, CMAT, CSAT-S is a licensed therapist in Tucson, Arizona. Ms. Kaplan specializes in the treatment of attachment and intimacy disorders, complex traumatic stress and accompanying dissociative disorders. Debra's area of expertise includes sexual addiction/compulsivity; issues that are often rooted in unresolved childhood trauma. Debra serves as faculty for the International Institute for Trauma and Addiction Professionals (IITAP), founded by Dr. Patrick Carnes and publishes and presents nationally on trauma and sex addiction.

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Tuesday, 16 November 2010 19:00

Dating in Sobriety

"In desperate love, we always invent the characters of our partners, demanding they be what we need of them, and then feeling devastated when they refuse to perform the role we created in the first place." - Elizabeth Gilbert (Eat, Pray, Love)

In Facing Love Addiction, Pia Mellody outlines how childhood trauma creates relational patterns of love addiction and love avoidance in adulthood. Love addicts "invent the characters of our partners." We enter relationships from a wounded child ego state, believing that we are less-than and making up a fantasy about our partners. We make ourselves completely vulnerable, we tell ourselves that we are "bad" when our partner pulls away from us, we become needy, and we act out-of-control. We demand that our partners become what we "need." Often, we look at them to give us the love that our parents did not. As a love avoidant in relationship, we become the "character" that is expected of us. We enter relationships from a better-than position, we act invulnerable, we demand perfection, we are needless, and we attempt to seek control by creating intensity to feel alive. We get our sense of worth from taking care of someone we perceive as needy, but we resent him or her for it.

At The Meadows, patients often ask me what a "normal"relationship looks like. Of course, this is relative to the individual's experience of what is "normal." And it begs the question: What do functional adults do in relationships? What do recovering love addicts and love avoidants do? How do we date again? In order to address these important questions more completely, we are introducing a new workshop. It will help patients explore what a healthy relationship looks like by first tracing their own relationship histories and then considering what they want in potential partners.

First things first, sobriety must be established from any addiction that is present. Patients also must begin to examine their childhood traumas and identify whether they were abandoned or enmeshed in their families of origin and how this impacts their current relationships. Then we identify how they operate from a love-addiction or love-avoidant relational cycle. Often patients will tell me about how their partners have wronged them. In this process, participants begin to discover how they have re-created their own families of origin in their relationships and can understand what they bring to those relationships. Before someone can be intimate, he must begin the process of loving himself and knowing who he is. In our dating workshop, we will start by studying an individual's value system. In active addiction, people live outside of their values, so we want to remind them to reflect on their values. This way, they can begin to live in integrity and choose partners who have shared values. Next we have a patient define what is non-negotiable, negotiable, and "gee, it would be nice if..." about a future partner. For example, if you are a sober person, a non-negotiable may be drug use and "gee, it would be nice if he was 6 feet tall." Examining values and what is non-negotiable is important because love addicts are notorious for abandoning themselves to be with partners. This exercise helps them gain understanding of who they are and what they want.

The next step is to clearly define the impact that sobriety has on dating. Just like we define our sobriety when we get sober, we must have a plan when we enter the single world. This plan should include specifics, such as how many dates per week, how much phone/text contact, when physical contact is okay, how to discuss sobriety, social networking contact, etc. In essence, we are establishing boundaries. It may be helpful to have the patients set an intention for their dating experiences and future relationships. For example, they may say, "It is my intention to be myself while dating."

The goal is to be a functional adult when dating. This means entering relationships from a position of equality, with realistic expectations. We are authentic, we maintain our lives outside of the relationship, and we are mindful of our partner's walls in addition to our own. As the relationship progresses, we acknowledge our disappointments and feelings of overwhelm, and we communicate. The goals are to resolve conflict, negotiate, and repair disharmony while acknowledging our own childhood woundings that may be surfacing. We also bring our sober living skills into our relationships. The idea is that we enter relationships with self-esteem, boundaries, reality, willingness to express needs and wants, and a commitment to moderation.

Lastly let us remember love and respect. To quote Pia Mellody's book The Intimacy Factor, "Love is a continuum that ranges all the way from respect to very warm regard, the latter of which most people call "love." For many years, I mistakenly thought that if I loved someone, all I needed to do was to continually have a deep sense of warmth for him. Although that deep sense of warmth is basic, there are also other degrees of love that have to do with the condition of the relationship. As we experience the truth of another person, that person may be difficult- human. We might naturally feel fear, pain, and shame - not exactly pleasant. I had the idea that if I felt these unpleasant emotions, I was not loving the other person. And early on I actually wasn't, but as I got into recovery, I began to feel something healthy in its place. I learned to recognize another ingredient, and that was respect."

First we respect and love ourselves, then we practice respecting and loving others.

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