And if so, where, or with whom, does the problem lie?
Do either of you need individual therapy or should you both go for couples counselling?
In my psychotherapy practice, from time to time, I get enquiries from prospective clients about whether or not a particular problem should be dealt with in individual or in couple counselling.
Examples of problems where this type of uncertainty often occurs include self-esteem issues, jealously, trust/mistrust and anger. Because these types of problems aren’t usually evident when a person is single and will only seem to arise in the context of a significant relationship, clients are often unsure as to whether they, thier partner or their relationship should be the focus of the counselling or therapy.
I will select anger as an example.
When relationships are in trouble, there is usually, of course, a great deal of unhappiness and often high levels of conflict and anger. Effective communication is often an early casualty – in our first session couples invariably complain that they no longer enjoy an open, trusting and mutually satisfying communication pattern.
This leads in many cases to high levels of frustration and hurt feelings which are conveyed usually through overt anger or withdrawal.(John Gottman calls these response patterns the “Four Horsemen of the Apocalypse”- criticism, contempt, defensiveness and stonewalling and maintains that the existence of these patterns, particularly contempt, are warning signs that a relationship is in a potentially catastrophic negative spiral).
When anger becomes a problem in a relationship (in the absence, of course, of any type of ongoing physical or sexual abuse) I believe a good rule of thumb is for both partners to come along for couple counselling. Why do I say this?
1. Even if one partner in a couple has more problems in the way in which he/she communicates their frustration and anger, “it takes two to tango” – the other partner is also locked into a particular pattern of response, which they need also to understand and ultimately to change. Both partners need to appreciate, and take ownership of, their own contribution to the maintenance of the problem.
2. Often, in a couple counselling situation, each partner blames the other for the anger that gets expressed in the relationship. If one of the partners accepts the “blame” for the problem and comes along for individual therapy, there is a high likelihood that the partner who presents for therapy is regarded by them both as the dysfunctional “identified patient”, the partner gets let off scott-free and sees no need to change his/her response patterns and the opportunity to work on the underlying relationship issues is lost. This situation can have dire consequences for the future of the relationship.
3. Should the couple counsellor feel that one or both of the partners would also benefit from some individual counselling for anger management, this could be incorporated into the couple counselling programme or the counsellor or therapist could elect to refer one or both of the partners to other psychologists for individual therapy.
Reference: Gottman, J. and Silver, N. (2012). What Makes Love last? How to build trust and avoid betrayal. Simon and Schuster.