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Authenticity at the Northern Existential Group

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Edited by Meg-John Barker, Monday, 5 Dec 2011, 11:02

24th November 2011 saw the third meeting of the Northern Existential Group (NEG). This month our reading was a paper called 'A Road Less Travelled' by M. Guy Thompson. Based on the author's own relationship with R.D. Laing, the paper wove together biography of the famous 'anti-psychiatrist' with an account of his understanding of the concept of 'authenticity'. What did authenticity mean to Laing, and how well did he embody it within his own life?

This paper was a perfect one for the NEG as our discussions tend to focus on the personal and pragmatic issues of the concepts under consideration. Are these existential ideas something that we want to strive for in our own lives and, if so, how might we go about that?

Here we will briefly introduce R. D. Laing for those who are unfamiliar with him. We will outline the concept of authenticity as it is presented in M. Guy Thompson's paper, and then give a flavour of the NEG discussion on the topic.


R. D. Laing

R. D. Laing (1927-1989) grew up in Glasgow. He studied medicine there and became a psychiatrist in the British army. Later he trained and worked at the Tavistock clinic alongside the likes of Bowlby and Winnicott. Laing formed the Philadelphia Association in 1965 and set up a psychiatric community project at Kingsley Hall and later other locations. At PA houses patients with diagnoses of psychosis lived together in communities with therapists and other patients, and there was minimal use of the restraints or drug treatments which were commonplace in mental health systems.

Although Laing did not embrace the term 'anti-psychiatrist', his views about mental illness were – and continue to be – radically challenging to conventional views. Influenced by existential philosophy he questioned the idea of mental illnesses which could be diagnosed according to symptoms (although his opinion on whether there were real mental illnesses or not altered over time). Instead he saw the feelings and behaviours of people with 'mental illness' as expressions of their lived experience and valid attempts to communicate their distress.

Instead of locating mental illness in biology, he saw it as a response to, often contradictory, messages within the family and wider society. Indeed, at times he suggested that 'madness' may be a saner response than 'sanity' to the impossible double binds in which people are placed when their experiences are not allowed to be articulated. These ideas are covered in Laing's famous book The Divided Self.


Authenticity

Laing's ideas about authenticity are explicitly related to his theories of mental illness because he suggests that people erect false versions of themselves in order to conform to society, and that this is why they frequently become confused about who they are. For this reason, part of the ethos of Kingsley Hall, and the other Philadelphia Association houses, was to communicate without falsity. People were encourage to speak in all conversations as honestly and openly as they would in a therapy session, with no small talk. Laing's own style was frequently confrontational in attempt to break through falsity in communication.

Thompson distinguishes Laing's version of authenticity from the kind of 'pop' authenticity of US talk-shows and self-help books. This latter form of authenticity is rooted in the humanistic view that there is some core inner self that we can get in touch with, often through our feelings rather than our thoughts, and that this authentic self will be a nicer, more loving, person. Such an idea is based on both a dualistic splitting of emotions and thoughts, an optimistic vision of what human beings are 'naturally' like, and a theory of selfhood that is problematic from an existential perspective.

Laing's authenticity was based more on Nietzsche and Heideggers' versions of authenticity which did not link authenticity and ethics and which dispute the idea of any core self beneath what we construct. This existential form of authenticity involves a courageous facing of the inevitable anxieties of life. This includes going against societal norms when they conflict with this. Heidegger's position was that humans were inauthentic the majority of the time (seeking approval, validation, recognition and so on). We get our sense of identity and – along with it – inauthenticity from the crowd we (seek to) belong to, but it is possible sometimes to transcend this. This is not about getting at any genuine self (because the self is always constructed) but rather being aware of our general inauthenticity and acting in a way that does not attempt to fit in or to court favour.

Laing's authenticity, however, was intrinsically related to ethics because he saw human suffering as resulting from inauthenticity (particularly the double-binds it places people in). Therefore authenticity was a superior way of relating which involved loving another person without 'trespassing' on them or doing them violence by using them for our own narcissistic ends. This requires both the courage to open up to another person, and the awareness to see when you are in danger of trespassing (for example, by demanding that they conform in some way rather than being authentic themselves). This is the awareness that Laing saw as frequently absent in the mental health profession: those who think they are being helpful deny the thoughtless way in which they treat the vulnerable people they are caring for, and the demands they place on them to act in inauthentic ways.

From Thompson's summary it seems that Laing's authenticity includes the following elements:

  • Honestly owning up to our inauthenticity

  • Acting without regard for what others will think of us (rather than being a 'phoney' and adhering to social niceties)

  • Having the courage to stick to our principles rather than being hypocritical

  • Being brave enough to open up, authentically, to others

  • Being aware enough not to trespass on others, doing violence to them by denying their authenticity

 

Discussion

The rest of Thompson's paper – and much of our discussion – focused on whether Laing, himself, embodied the form of authenticity that he espoused. This is part of a wider question of whether such thinkers need to 'walk the walk as well as talk the talk' in order to be convincing, or for us to take up their ideas. We could see both positions on this. On the one hand, when the personal is political as it so clearly is in Laing's work perhaps his personal behaviour should be under scrutiny. On the other hand, all thinkers are likely to have feet of clay and we can question whether it is acceptable to use this to pathologise them and to dismiss their ideas, as has been done with Laing, Neitzsche and Heidegger.

Thompson points out that Laing's writing became increasingly pretentious and inaccessible over time, that he courted fame despite this surely being a form of inauthenticity, and that his behaviour became bullying and cruel in ways that alienated most of those he was close to. Again, this latter seems far from Laing's ideals of open-hearted communication and not trespassing on others, although it could be argued that he was deliberately trying to confront people with their own inauthenticity.

A classic example of this was in his exchange with the American humanistic therapist, Carl Rogers. Thompson tells the tale of the night before the organised debate between Rogers and Laing. Laing and his group invited Rogers and his group round to his home and then out to a restaurant. Laing told Rogers that his 'California nice-guy' act would make an authentic exchange impossible. Laing proceeded to get drunk and to shout out (about Rogers) 'he's not a man, he's a perrrrson!' (a sarcastic reference to Roger's book On Becoming a Person). Later he spat in the drink of one of Rogers' colleagues.

The NEG group spent much time considering Laing's idea that anger is the Royal Road to authenticity. Is niceness always inauthentic? Is it always authentic to strip away artificial niceness however much trespassing is required to do so? We found ourselves questioning why the so-called 'negative emotions' would be considered more authentic than the 'positive' ones. Is this another problematic dualism? Also, we noted the contradictions between two aspect of Laing's authenticity (in order to be authentic in this way one has to trespass on others, demanding that they be authentic according to his definition).

We wondered if Laing would have the same impact if he had not acted the 'trickster' in these ways: punching holes through inauthenticity. Then again, might he potentially have had more impact if he could have expressed his ideas in a way that was more palatable to people. Related to all of this there is the question of whether one person can ever really judge the authenticity of another.

In response to this latter, we reached the conclusion that we certainly can't judge the authenticity of another (there can be no objective measure of authenticity), but that equally that we cannot really trust our subjective sense of whether we are being authentic or not because we are likely to be a poor judge of whether or not we are in a form of 'false consciousness' (believing we are being authentic when actually we are simply saying or doing what is expected of us). There is also the question of whether it is always authentic to go against the norms and conventions around us. We considered Sartre's example of wearing a moustache when everyone else was doing so: Would it be authentic to sport such a moustache nowadays (as long as we weren't doing it for 'movember' – the charitable event where people grow moustaches for the month of November)? Even in going against convention are we still in relation to this and potentially even reinforcing it?

As often in our discussions we related Laing's ideas to gender. We considered how somebody with Laing's ideas and behaviours might have been treated if they were a woman, and this led us to consider whether it was possible for women to be seen as authentic in the same way that men could be, given the way that men are regarded as 'normal' humanity (according to Sartre, de Beuavoir and others), and the potentially harsher sanctions (internal and external) against women behaving authentically.

Another question we explored was whether authenticity may only be possible when all ways of being were open to us. For example, some of us felt that kind of anger that Laing displayed simply wasn't an option in our behavioural repertoire. Did that condemn us to 'inauthentic niceness'? We decided that there would always be limits and constraints on what was possible, but that authenticity was possible so long as there was some degree of choice over how we acted.

In the group there was a sense that it was valuable to hold both a Laingian and a Rogerian way of being. The question which we kept returning to was 'how far do you go?': How much do you flout convention and how much do you police yourself? These are important, and emotionally loaded, questions. 'Too far' in one direction can leave us alienated and alienating, 'too far' in the other and we can loose ourselves completely in the (contradictory) demands of others.

In a way the contradictory nature of Laing's version of authenticity can provide a helpful constant corrective: be honest and courageous, but in open-hearted ways that does not trespass on others. Of course it is impossible to know how our actions will be experienced by others, but if we hold these tensions when engaging with the world perhaps we will occasionally experience moments which at least feel authentic.

 

Questions to Consider

  • Do you agree with the components of authenticity that Laing identified?

  • Is inauthenticity implicated in human suffering?

  • Is anger the royal road to authenticity? Can we be nice and authentic?

  • If we are being authentic is it our task to point out the inauthenticity around us, and in others' behaviours?

  • Is authenticity equally open to everyone?

  • How can we know if we, or others, are being authentic?

  • Is authentic something to aspire to?

  • Does authenticity lie in our actions or in the reasons behind them?

  • How far do you go?

 

Find Our More

You can download M. Guy Thompson's paper here.

The international R. D. Laing institute is here.

The Philadelphia Association is here and has plenty of downloadable pdfs on existential topics.

The BBC documentary, The Trap, covers R. D. Laing's ideas in some depth, as does the documentary Just Another Sinner.

The website of the Northern Existential Group is coming soon!

 

 

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Tragic Optimism in the Northern Existential Discussion Group

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Edited by Meg-John Barker, Sunday, 18 Sept 2011, 11:31

Tragic Optimism in the Northern Existential Discussion Group

7th September 2011 saw the second meeting of the Northern Existential Discussion Group. This month our reading was a short essay by the existential psychiatrist, Victor Frankl, called The Case for Tragic Optimism. He wrote this in 1984 as a postscript to his classic book about his experiences of the holocaust: Man's Search for Meaning. The essay makes the case for finding meaning in life despite the inevitable tragedies which we will experience. Frankl is, perhaps, one of the most accessible existentialist writers to read, and the essay is very engaging and thought-provoking indeed.

Here I'll say a bit more about the author, summarise his argument, and then give a flavour of our discussions: what we found inspiring about the essay, and where we felt it was limited or problematic.

 

Victor Frankl

Victor Frankl (1905-1997) was a professor of neurology and psychiatry who founded a type of therapy known as logotherapy. This was the thrid type of therapy to come out of the University of Vienna Medical School (following Freud's psychoanalysis and Adler's individual psychology). However, it was a lot more existential in nature than these more psychodynamic approaches, and has gone on to have a significant influence on the field of existential psychotherapy more broadly.

Frankl spent three years in Auschwitz, Dachau, and other concentration camps during World War II and these experiences had a marked impact on his philosophy and his therapy. They are movingly recounted in his book Man's Search for Meaning. Following the war, Frankl returned to Vienna where he practised, and wrote and published over thirty books. He was also a visiting professor at Harvard.

 

Tragic Optimism

The Case for Tragic Optimism basically advocates a certain way of living, that is saying 'yes' to life in the face of its tragic elements. Here is a quick summary of the argument:

Frankl states that life involves three inevitable kinds of tragedy, the 'tragic triad':

  1. Pain and suffering,

  2. Guilt, because we are free to make choices in our lives, and are responsible for the impact of those choices, and

  3. Death, and knowing that our life is transient.

He says that it is hard to find meaning in the face of such tragedy, but that if we do not, then our sense of meaninglessness lies behind our experiences of:

  1. Depression,

  2. Aggression, and

  3. Addiction.

He also argues that meaninglessness is a particular issue in current western societies (when he was writing in 1984) where the youth see themselves as having 'no future' and people 'have enough to live by but nothing to live for' (p.142).

Frankl then puts forward three ways in which we can find meaning in our lives:

  1. Through our work or deeds,

  2. Through experiences or encounters with other people (e.g. love), and

  3. Through rising above, and growing from, the inevitable suffering which we will experience.

So Frankl is advocating that we make meaning from all three kinds of tragedy:

  1. Pain and suffering – from learning from the experience and finding meaning in it,

  2. Guilt – by taking responsibility for our actions, and

  3. Death – by living our life as if it was for the second time, knowing how we got it wrong the first time.

Frankl says that it is easy, in the face of inevitable tragedy, to fall in to nihilsm or to chase after things like happiness, success or youth instead of seeking meaning, especially in a culture which seems to encourage such pursuits. However, he is clear that the quest for meaning is the only one which he considers worthwhile. He suggests that seeking happiness is a form of 'hyperintention': Like trying to get to sleep, or trying to have an orgasm, it is one of those things that if we try too hard to make it happen we will be even less likely to achieve it. For Frankl the only true way to happiness is through finding meaning.

 

Discussion of the Essay

The group found much to like in this essay, but we also had some serious reservations about some of the arguments. I'll try to summarise, first of all, what we resonated with, and then some of our key concerns about Frankl's philosophy.

 

The Potential of Tragic Optimism

First of all, I think we mostly agreed with the idea that life does contain a great deal of tragedy, and that it is useful to acknowledge this rather than denying it. We were interested that Frankl highlighted suffering and death as inevitable facts of life (in common with Buddhist, and other existential, philosophers), but that he also included guilt, which other writers rarely talk about. We wondered whether the experience of surviving the holocaust might have led him to reflect upon guilt more than most.

We also related very much to the pain of meaninglessness, and many of us agreed that our darkest and most troubling times were located in such experiences. We were struck that it is hard, or even impossible, to capture the feeling of meaninglessness in words, and that it is an experience which is kept private, and taboo, perhaps more than any other. We may express anger, sadness, joy, and fear, but the expression of meaninglessness is often shunned by other people, as if it were contagious. According to those who had experience of mental health systems it is also dealt with quite poorly there, perhaps because it requires an intuitive and nurturing response which isn't what professionals tend to be trained in.

In terms of Frankl's suggestions for finding meaning, we could relate to the ideas he put forward. For example, I reflected on my experience of writing and trying to get published this year. First of all I certainly found meaning in the deed of writing the book. When it wasn't immediately taken up by a publisher, I found that another way to meaning through it was in giving it to a few people to read and sharing an encounter with them through that. Finally, I found that it was useful to move away from a focus on striving for the accomplishment of publishing, to a decision to find meaning through the process of learning about how to get published, and through finding that I could deal with the inevitable pain of rejection that is part of this process. It seemed that perhaps cultivating all three paths to meaning (particularly the last one, as a fall back option) was a good way of ensuring a sense of meaning and fulfilment in life.

 

Problems with Tragic Optimism

One problem we had with Frankl's ideas was with the contradiction between the suggestion that it is good to pursue meaning, but not to pursue other things (e.g. happiness, success, etc.) We wondered why meaning was a special case of something that it was okay to pursue. Perhaps, just like pursuing sleep or happiness too vigorously, seeking meaning too desperately would also inevitably prevent us from finding it.

I reflected that my own way of dealing with meaninglessness in life, as well as employing many of Frankl's suggestions, has also been to embrace it as an inevitable part of life which will happen with some regularity. There will be times – perhaps quite frequently - when we feel that our projects are pointless in the grand scheme of things, or when the world feels an overwhelming and cold place to live in, or when disconnections and conflicts with others feel unbearable and we feel utterly broken by life. If we see such times as evidence that we are 'getting it wrong' and try desperately to find some meaning quickly, we are – perhaps – likely to spiral even further into hopelessness. Some of us in the group said that, when we had such moments, we instead found it useful to focus on the very basic mundane activities of life (walking the dog, making our breakfast, having a shower), getting on with it until it passed. And sometimes we just have to be with the horror of the meaninglessness while it is there without trying to change it, and without being able to do anything whilst it is happening.

We also thought that Frankl implied that meaning was 'out there' (or 'in us') somewhere to be found if we searched for it, and that disagreeing with this was a form of nihilism. We didn't all agree with this and many of us were more in line with philosophers such as Sartre and de Beauvoir who hold that we create our own meanings but that there is no intrinsic meaning in life. In fact, perhaps facing this fact is also a vital part of finding meaning (recognising that we create our own meanings and could create them differently).

Finally, we had a big problem with how individualistic Frankl's philosophy seemed to us. The focus appeared to be very much on each person finding their own meaning, rather than any collective meaning-making (although, you could argue, that both guilt and death are very relational experiences as one is all about the impact we have on others, and the other is only something we understand through seeing others die).

Frankl seems to see the ultimate in meaning as being the person who can 'hold their head high' in the face of suffering: for example, the people he saw who found meaning even in the hell of the concentration camps, or a person rendered paraplegic who insisted that 'I broke my neck, it didn't break me.' Whilst such examples are incredibly inspiring, we thought there was a real neglect of the different circumstances of people's lives here. Surely it is far more easy for some, than others, to find meaning: for example, for those in a position of relative privilege, and who have resources and lots of support, compared to those who are oppressed, marginalised and alienated in various ways. Frankl's philosophy could lead to a dangerous kind of victim blame where we judge people for not being able to make meaning from their suffering.

Also, he seemed to argue that it was never okay for somebody to choose death over life, and we felt that such a choice could be considered meaningful (and who is anybody else to judge this anyway?) We thought there were resonances of Frankl in recent political speeches and journalism about the UK 'riots': the focus on the individuals involved and the need for them to take more responsibility, rather than any consideration of the wider socioeconomic context in which these occurred.

 

Questions to Consider

  • Is life inevitably tragic?

  • Are pain, guilt and death the only, and inevitable, tragedies we will experience?

  • Do you agree with Frankl that we can't force ourselves to be optimistic, or happy?

  • Do you agree that meaning is the thing we should strive for in life?

  • Is meaninglessness the root of all depression, aggression and addiction?

  • Is meaningless a particular issue in contemporary society? Do Frankl's comments on youth, and on having nothing to live for, ring true at the moment?

  • Are the three paths to meaning work, encounters and growing through suffering?

  • How does the world we live in now encourage, or discourage, the kind of philosophy which Frankl was advocating?

  • Is our sense of meaning something that we can find (as Frankl seems to imply) or is it something which we create (in a world where there is no given meaning)?

  • In our search for meaning should we be looking for a great purpose or project (the meaning of life) or seek meaning in the more mundane, everydayness of life?

 

Find Our More

You can read another summary of The Case for Tragic Optimism, here.

You can list to an audio version of the essay here.

The essay is also included at the end of Frankl's famous book about his experience of the holocaust, Man's Search for Meaning, which you can find here, and summarised here.

There are several clips of Frankl himself talking on YouTube here.

 

 

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Multiple (perspectives on) Orgasms

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Edited by Meg-John Barker, Thursday, 16 June 2011, 18:00

Multiple (perspectives on) Orgasms

orgasmhurdle

During the last few days I have been attending the World Association for Sexual Health (WAS) conference up in Glasgow. Right before that, on June 11th, we had the conference of the College of Sexual and Relationship Therapists (COSRT), which is the key British organisation for this group of practitioners.

I organise the programme for the COSRT events and, to make it go with a bang, this year we decided to focus on the orgasm! On Saturday we spent the day learning about the science and art of orgasms, and on Monday we brought our various perspectives to the attendees of WAS in a very well-attended symposium on the subject. Here I want to give a flavour of just some of the ideas that were presented over the course of the two events.

 

Orgasm science

During the COSRT conference we were very fortunate to hear from three of the major international researchers in this area: Roy Levin from the UK and Beverly Whipple and Barry Komisaruk from the US. We learnt that many of the same underlying physiological processes are involved in orgasms regardless of the sex of the person involved: for example, increased blood flow to the genitals, activation of the dopamine system, and the involvement of the hormone oxytocin. Indeed, research has found that experts cannot tell the difference between descriptions of orgasms given by people of different sexes. Vaginal muscles, like those of penises, contract during orgasm, and many also ejaculate a specific fluid as well (sometimes called 'squirting'). However, there is no evidence that vaginal and uterine contractions are involved the transport of sperm for fertilisation (a common myth).

Given that the genitals begin in the same form in everyone – only being sexually differentiated later in foetal development – there are more similarities than we often realise. For example, the clitoris is not simply the 'button' that most people think it is, but rather a structure of much larger size stretching back through the body, meaning that some people with clitorises experience pleasure or orgasms from internal stimulation, for example of the 'G-spot' at the front of the vaginal wall. However, it is important to remember that 70% require external stimulation of the clitoris glans (the button) in order to orgasm, so orgasms from penetration alone are actually quite rare. Similar to the G-spot, the stimulation of the prostrate through the rectum can produce/enhance orgasm for many people.

 

Orgasm art

When I organised the programme for the conference and symposium I wondered whether there might be conflict or tension between the perspectives of the scientists who were speaking, and those of the therapists and others who were talking from a more practical, or even creative, point of view. Actually, nothing could have been further from the truth. There were so many resonances between the different talks. For example, we heard from Roy Levin that sounds made during orgasm occur at the same time as contractions and are an important part of the process. Then tantric teacher Barbara Carrellas echoed the importance of sound, and the involvement of deeper and higher notes in different orgasmic experiences.

Similarly, Alex Iantaffi and myself spoke about the fact that it is important not to see orgasms as the goal of sex. Psychosexual therapists find that clients who put too much focus on orgasms and/or erections or penetration often experience problems and don't enjoy sex as much. Beverly Whipple said exactly the same thing in her talk, emphasising that it is better for sex to be pleasure-directed, rather than goal-directed. There are many things that might be involved in sex (fingers, tongues, fantasies, imagery, kisses, self-touching, other-touching, holding, caressing, talking, various kinds of penetration, and various kinds of sensations – sometimes including orgasm), but not all of these are necessary each time or for every person.

We also heard from several speakers that genitals need not always be involved in orgasms at all. Barbara Carrellas introduced us to tantra-style energy orgasms which involve breathing in a circular motion up and down the body and squeezing the pelvic muscles during this process. Again, this is not done with the goal of orgasm, but can result in orgasmic experiences which build and build and which are indistinguishable from other kinds of orgasms when the brain activation is recorded in an fMRI scanner.

Speakers Michelle Donaldson and Sue Lennon spoke about the potential for widening out our understandings of orgasms, and the parts of our bodies and minds which are involved in them, for people with spinal injuries and various cancers. They may have less, or no, genital sensation, following injuries or surgeries, but they can still experience orgasms if they develop these wider understandings and experiences. Psychosexual therapist, Tricia Barnes, spoke at the WAS symposium about the importance of taking a biopsychosocial approach to orgasms, which incorporates the whole body, the perceptions and thoughts people have, and the wider sociocultural world they inhabit which may have positive or negative notions about sex and orgasms.

 

Question marks around the current treatment of orgasms

During the COSRT conference we screened the recent documentary Orgasm Inc which follows the race, in the US, to find a medical treatment for women who have difficulty experiencing orgasm (along similar lines to the popular treatments which exist for 'erectile dysfunction'). The documentary cautions against a purely medical approach for all the reasons that we have already mentioned:

  • The focus on attaining orgasms is goal-directed rather than pleasure-directed, and may therefore be counter productive in encouraging focus on a particular 'end point' rather than people being present to the whole experience of sex, whatever it involves.

  • Orgasms are biopsychosocial experiences, and medical treatments alone may stop us from considering the psychological and social processes involved. For example, many women feel they should have sex even when they don't want to in order to maintain their relationship, and there are many negative social messages about sex for women who have 'too much', or 'too little', sex.

  • Most people with clitorises need external stimulation in order to experience orgasm, and many of those seeking medical treatment are still under the popular misconception that it is 'normal' to experience orgasm from penetration alone.

  • There are whole body, emotional, and imaginative techniques which can open up orgasmic experiences which would be well worth trying before taking a medical treatment with potential side-effects which have not been researched long-term yet. Certainly a good starting point would be exploring what turns you on and communicating about that with sexual partner/s.

In our symposium at the WAS conference, Alex Iantaffi and I concluded that the constant focus on what is 'normal' in sex, and on diagnosing people with 'disorders' or 'sexual dysfunctions', is unhelpful. Instead it would be useful to recognise that orgasms mean different things to different people at different times. An orgasm can be experienced as all of the following things and more:

...a mechanical release, a demonstration of one’s masculine or feminine sexuality, a relief of stress, a loss of control, allowing someone to see you at your most vulnerable, a display of intimacy, the height of physical pleasure, a transcendent spiritual experience, a performance demonstrating prowess, a giving of power to another, an exerting of power over another, a form of creative self-expression, a humorous display of our rather-ridiculous humanity, an unleashing of something wild and animalistic, a deeply embodied experience, an escape from bodily sensations and pain, and/or a moment of complete alive-ness or freedom...

So orgasms can be positive experiences, they can be relatively mundane, or they can be negative. Not everyone sees them as an important part of their experience, and many may prefer other kinds of stimulation, or to stay in the realm of fantasy, or to focus on other aspects of life. Instead of worrying so much about having certain kinds of experiences (like orgasms), we could simply be with our sexuality as it is at the time, allowing it to be all that it is, and to ebb and flow over the course of our days, weeks, and lives. Instead of trying to force ourselves to fit what we perceive as 'normal', perhaps we could put that energy into letting go of our preconceptions about sex and discovering our sexualities anew.

 

Find Out More

  • The website for Orgasm Inc is here.

  • You can find the accessible book on orgasms which Beverly Whipple and Barry Komisaruk co-authored with Sara Nasserzadeh, and Dr. Carlos Beyer-Flores here.

  • Barbara Carrellas's Urban Tantra website is here.

  • The COSRT website is here, and their journal, Sexual and Relationship Therapy, is here.

  • The Scarleteen website contains useful information about exploring and communicating sexual turn-ons.

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Self-Care - for Depression Awareness Week

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Edited by Meg-John Barker, Monday, 11 Apr 2011, 13:15

Self-Care

This week is depression awareness week (11-17 April). The most important thing I have to say in relation to depression is about self-care.

Towards the end of this week I'm going to an event about which asks, among other things, how people can nurture practices of 'self-care'. Towards the end of last year I ran a weekly workshop on self-care practices, and I'm running a day for therapists on the same topic this Autumn. The first chapter of the book I've recently written about relationships focuses on self-care. Here I want to look at why I think self-care is so important, what it is, and how we can build it into our lives (both when we are depressed and when we aren't).

 

Why Self-Care?

There's something wrong with me that needs fixing.

 

The most striking thing, for me, after several years of working as a psychotherapist, has been that virtually every person who comes for counselling or therapy believes that there is something wrong with them which needs fixing. A big part of this is the sense that everyone around them is managing life fine, whilst they are really struggling. There must be some lack or flaw in them in comparison with the rest of the world and they are desperate to put it right. Why can't they just be normal? What is wrong with them? Why aren't they like everyone else?

 

Sound familiar? I was certainly extremely grateful for this experience of person after person expressing sentiments that I had felt myself so many times. I now try to imbue therapy sessions with this sense that what is normal is to feel abnormal and wrong in this kind of way.

 

Reading about this sense of lack I've recognised that much of it is down to the difference between the image we present to others and our own inner experiences. The reason that people feel that there must be something wrong with them is that they are comparing themselves against the perfect, shiny people they see every day at work, on television, in the shopping mall, on facebook. But of course they themselves are likely also presenting a similar image to other people. When someone asks how we are we generally say 'fine' and accentuate the positive. Recent research has found that we write about the good stuff in our lives on social networking sites far more than what we are finding difficult. We know the messy, ugly and frightening stuff of our own selves because we live in them, but our point of comparison is a bunch of people who are unlikely to reveal that similar stuff to us unless we are very close to them indeed, or perhaps their therapist!

 

There may have been an element of this kind of comparison through history, but it is certainly exacerbated at the time we currently live in. Just think about the number of times each day that you receive the explicit or implicit message that there is something wrong with you which needs fixing. Maybe try counting for just one day. The explicit messages are easiest, although we don't often think about them. Every billboard advert and commercial on television, radio, or at the cinema, tells us that we need to be younger, more attractive, more successful and happier by owning more products or have more experiences of the kind that they are offering. This is also an implicit message in many newspaper articles, Hollywood movies, and reality television stories which tell accounts of the achievement of happiness, success or beauty through doing certain things, or sometimes of failure to achieve because of not having done such things as going on a diet, buying a lottery ticket, starting up a business or appearing on a television show. And we are certainly encouraged to compare ourselves to the airbrushed images in magazines, the snapshots of people we get in a brief news story, or to the characters who are being acted out by professional performers. We become used to comparing against a selective version of somebody's life rather the full warts-and-all picture. We could also think more widely about educational systems and organisational processes which are about comparing people against each other and striving for 'excellence' rather than being good enough.

 

Clearly there are important political conversations to have about this socioeconomic situation which underlies a good deal of current human misery. This is something that is frequently ignored by solutions which focus entirely upon the individual, including many forms of therapy, drug treatments, and people suggesting that we 'pull our socks up' (not that these things can't be helpful in their place, but if they obscure the wider context then there is a danger that they reinforce the idea that there is just something wrong with the individual person). In addition to addressing the wider context, what can we do as individuals to protect against this kind of toxicity, to help us to see these process as they operate through us, and to support each other better?

 

One suggestion is self-care.

 

What is Self-care?

It could be argued that, at the same time that society has become so consumer-oriented and focused on individual improvement, we have also lost some of the means we had in the past for caring for ourselves and for reflecting on our lives. It is very easy now to go through days and weeks without ever having a moment of quiet alone. We can easily fill our lives with noise, work and distraction such that we are always playing games on our phone, listing to podcasts, emailing, watching television, meeting people, getting tasks done, or socialising. When we do this it often gets increasingly frightening to be alone with ourselves. We can be anxious about what we will find. If we are struggling this means that it can often reach a crisis point before we do anything about it.

 

I'm not saying that those kinds of activities can't be done in caring ways (see my last blog entry on mindfulness), but I'm arguing that it is useful to ensure that we have some time in our daily lives devoted to being quiet, to looking after ourselves and to tuning in to where we are at. Otherwise it becomes increasingly difficult to tune into our needs (are we getting enough rest, food, support, activity, etc.) and also to tune outwards towards other people and the wider world.

 

Self-care is not just another form of monitoring ourselves and finding ourselves lacking, although we are so used to doing this that we need to watch out for it ('damn I haven't built any self-care into today – bad me!'). Similarly it isn't about just giving up on ourselves and thinking we may as well do comfortable nice stuff because we are no good anyway.

 

People's biggest block to doing self-care is often the idea that it is a selfish or self-absorbed thing to do. My own view is quite the opposite. Constant self-monitoring and self-improvement is self-absorbed because it is so internally focused that it often prevents us from seeing the fullness and struggles of other people. It also exhausts us to the point that we have very little to give to anyone else.

 

Caring for ourselves means that we are more aware of the kind of painful processes going on for us that make us despondent or fearful. This means that we can tune in better to the fact that other people likely have those same processes, so we can be more compassionate with their snappiness, withdrawal or neediness. We are less likely to just feel hurt and betrayed when others treat us poorly, because we understand it better. Also, when we have looked after ourselves we generally have more energy and patience for looking after others and for engaging with the world more broadly. We are more able to open up because we are less fearful of showing the fact we are lacking and imperfect: we know that everybody is.

What kind of self-care, and how to build it in, is up to each person. Different things work for different people at different times. I'd suggest making space for two things: kindness and reflection. Kind self-care is a way of demonstrating to ourselves that we are as deserving of kindness as anyone else (even when we don't quite feel that we are). Reflective self-care is a way of checking in with ourselves, tuning into our body and our emotions, asking ourselves how we are, thinking through any issues we are currently dealing with, making sense of why we are finding something difficult.

 

Examples of kind self-care that work for some people include: having a hot bath, giving yourself a treat, taking half an hour in a cafe, spending time with friends, being in the garden or park, sharing a hug with a friend or pet, and watching your favourite programme. Example of reflective self-care include writing in a journal, having a session with a close friend where you both have time to talk through whatever is on your mind, going for a walk, and meditating.

 

It seems to be really hard to build these into our everyday life. Our tendency is often to leave them till last (if we get everything else done) rather than prioritising them. When things get tough we are often even less likely to do these things because we feel that we don't deserve it, and we are often scared to be quiet or to tune into ourselves because we fear that we really will find something terribly wrong with us. Gently trying to build in a daily kind act towards ourselves is often a good first step at such times, followed later by also taking some time to kindly listen and reflect upon what is going on in our minds and bodies.

 

Given the world that we live in it is likely that we will keep forgetting self-care and needing to remind ourselves, and that we will easily slip into beating ourselves up about it or doing it with the secret hope that it will make us all 'better' or stop us from ever struggling again. When those things happen it is just another reminder of our imperfect humanness, and of the messages that surround us and others that make this so hard.

 

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Mindfulness: It ain't what you do it's the way that you do it

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Edited by Meg-John Barker, Wednesday, 17 Aug 2011, 16:56

 

Mindfulness: It ain't what you do it's the way that you do it

I've been interested in mindfulness for several years now and will be writing a book about it in the next year or so, building on the chapter that I wrote for the OU counselling module.

Mindfulness is the big idea in counselling and psychology at the moment. The 'gold standard' of counselling - cognitive-behavioural therapy - is turning to mindfulness as its 'third wave'. If you go to a mental health services it is likely that they will offer some kind of mindfulness training. Self help books for depression and anxiety are increasingly mindfulness focused.

One conclusion that I have come to is that there is no such thing as an inherently mindful or non-mindful activity. People (including myself at times) often have the idea that only certain activities could be mindful: like meditating, walking in the countryside, perhaps painting or other such tranquil pursuits. There is definitely a notion that certain activities are anti-mindful, including things like watching TV, commuting or social-networking. As with the idea that you are doing meditation wrong if you don't have a completely 'empty mind' I think this is a misconception which isn't helpful and which often leads people to beating themselves up that they aren't doing mindfulness properly (which really defeats the purpose!) Just as you can sit in meditation without being mindful at all, I think you can also be mindful as you are texting or surfing the internet.

Here I want to say what I think mindfulness is and why it is all about the way you approach activities, not the activity itself.

Mindfulness

Mindfulness is an idea which originated in Buddhism over two thousand years ago. It involves being aware of the present moment in an accepting way. The theory of mindfulness is that much of human suffering involves our being out of the present moment (going over things from the past or planning for the future) in a way which tries to make things different, and which takes us away from any awareness of the here-and-now.

I wake up in the morning and immediately remember something I said in a meeting yesterday which I am worried sounded foolish. As I make coffee and eat breakfast I am going over and over how I could have done it differently and what people will be thinking of me. Walking to work I am planning for the day, concerned about how I'm going to fit everything in. I'm brought back with irritation as someone pushes past me on the tube. At work each task I undertake I am concerned with getting it out of the way so that I can get on with the next one. I keep refreshing my facebook and twitter because I'm not enjoying the work. I start worrying maybe this job is no good. If only I worked somewhere else, then I would be happy. I spend the journey home daydreaming about a different life but the distance between my life and that one brings me down. Once home I switch on the television and escape into my programmes.

The practice of mindfulness involves deliberately cultivating the opposite to this habitual mode of being. Instead of wishing that things were otherwise, we try to be with them as they are with acceptance. Instead of going off into past and future, we try to stay in the present. And instead of missing what is going on around us, and in our bodies, we deliberately bring awareness to those things.

That explains why the basic mindfulness practice is just sitting still and paying attention to your breath going in and out. That is a good way of practising being in the present moment and being aware of the most basic aspects of experience. Also, our breath connects us to the world in a fundamental way, and it is always there, so it is a useful focal point. But the idea that we should have an empty mind while we are practising mindfulness is a misconception because the whole point is to be present to whatever is here in the moment. Inevitably that will include sounds outside, thoughts and feelings bubbling up, an itch or pain in the body. Mindfulness is about embracing all these things in a kind of spacious awareness: not latching on to any of them, but equally not trying to ignore them either. And of course we will find ourselves following a thought process that is just too sticky to avoid, or forgetting our breath when the building noise outside annoys us. At those times we just notice what has happened with interest, and the impact it has on us, and gently bring ourselves back to the breath.

The real, and only, purpose of practising mindfulness (whether we do it in sitting meditation, or slow walking, yoga, painting or whatever works for us) is so that we can bring that way of being into the rest of our lives. Again, this is no easy matter, and berating ourselves every time we realise that we are not being mindful is really not the idea!

Thich Nhat Hanh, who wrote The Miracle of Mindfulness, suggests that everyday tasks like washing up and eating a tangerine are good ones to practice bringing mindfulness into our daily life. And that makes a lot of sense because, like breathing, they are relatively simple activities which makes them conducive to that kind of accepting awareness of the present.

All activities can be mindful

However, I think it is important to realise that all activities can be done mindfully, and that is really what mindfulness is aiming for (without imagining that that is really achievable all of the time, which is why every now and again it is useful to stop and breathe).

So what of those activities which seem the furthest removed from mindfulness? Isn't television always distraction and escapism? How could day-dreaming ever be present when it is all about the future or the past? And surely it isn't possible to be mindful as we dip between email, facebook and twitter, skipping randomly from one thing to another without enough time to take any of them in?

I disagree because in terms of experience I feel that there is a difference between times when I'm watching TV as a distraction and times when I'm engaged with it. Or times when I'm aimlessly wandering around the internet versus times when I'm connecting with this person and that idea in a way that is present and open to each one. There are times when I can be fully present to a day-dream.

I suspect that we do all need some time in our daily routine when we are still, or focused on a very simple task, in order to observe our usual habits and to cultivate a more mindful way of being. But I also think we can bring that into the rest of the kinds of lives we have today, noticing when we have strayed away from it and kindly reminding ourselves to come back.

I wake up in the morning and sit for a while, noticing how I am drawn to thinking about that meeting yesterday and gently bringing myself back to the breath. Making coffee I enjoy the smell as I open the tin, the feel of the warm mug in my hand, the soapy water as I wash up afterwards. Walking to work I think over what I have to do in the day and notice a knot of stress building. I gently bring myself back to the tube, sharing a smile with a fellow commuter as we do-si-do out of each others way. At work I take time to check in with a colleague, wryly noticing my desire to ask whether they thought I was foolish in the meeting yesterday. I think about which task I'm most in the mood for and enjoy devoting a couple of hours to that before moving on to less interesting things. In a break I enjoy the free-floating sense of dipping around facebook and twitter, and focus in on a couple of posts that interest me, enjoying the brief connection with someone on another continent who is thinking about such similar things to me today. Walking home from the station I enjoy a daydream about an imaginary party with all my favourite fictional characters. I can feel the evening air on my face and see the people walking past me at the same time as I'm sharing cocktails with Elizabeth Bennet and Hank Moody. Back home I make myself a meal, noticing the colours, smells and textures of the vegetables as I chop them. I close the curtains and watch an episode of my favourite show, enjoying the sleepy cosiness of the end of the day.

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Suggestions for Fear and Sadness

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Edited by Meg-John Barker, Wednesday, 17 Aug 2011, 16:52

 

Suggestions for Fear and Sadness

Understanding Counselling & Psychotherapy

My main job at the Open University since I started working here in late 2008 was to produce and present a module called Counselling: Exploring Fear and Sadness. As part of that process my colleagues Darren Langdridge, Andreas Vossler and I edited a textbook which brought together experts on all different types of counselling to say how their approaches would work with fear and sadness.

When we wrote the book I thought that it would be great to do another book covering the same areas, for people who are not interested in studying counselling themselves but who just want to know about what different kinds of counselling suggest. As Mick Cooper and John McLeod have recently pointed out: different things work for different people at different times, whereas most books on the market cover just one approach in detail. Maybe I'll write that book one day, but meanwhile here are what I personally think are the top suggestions from each chapter of the book we did write. If you find them useful of course you can always do the whole module (D240) through the OU.

1 - Introduction

Remember that everyone gets frightened or sad, and everyone also has times in their life when this becomes overwhelming. There is not really an 'us' (the professionals) and a 'them' (the clients or patients) because all people will find themselves both in the position of struggling and of helping others who are struggling.

2 – Diagnosis

We used the words 'fear and sadness' rather than 'anxiety and depression' for the module because there are pluses and minuses to the more diagnostic categories. It can be useful to think about what is gained, and what might be lost, from taking on such labels. For example, they can make it easier to find others who are in a similar situation, to access support, and to feel legitimate in what you're experiencing. But they can also mean being stigmatised by others or feeling as if you are stuck this way for good. Diagnosis can also be more or less useful for different people at different times, and doesn't have to be the way you see yourself forever.

3 – Drug treatments and the biopsychosocial approach

People often link diagnosis and medication. It can feel like either you have an illness, you take drugs and therefore it is not your fault that you are struggling, or you don't have an illness, you don't take drugs and therefore it is your fault and you should 'pull your socks up'. That's a really unhelpful (but sadly common) way of looking at it. We become overwhelmed by fear and sadness for all kinds of complex reasons involving our bodies, our background, things going on in our lives, and the world we live in. Drugs can certainly help some people at some times, but taking them doesn't mean you can't do anything for yourself as well. And deciding that you don't want to take drugs doesn't mean you are struggling any less or don't need support.

Interestingly the one thing that everybody we interviewed for this module agreed on (including celebrities like Trisha Godard and Stephen Fry) was that some form of physical activity had helped them immensely. It can be really hard to do when you're feeling bad, but well worth keeping in mind just how beneficial it can be.

4 – Psychoanalysis

I'm not a great fan of psychoanalysis myself, but the chapter that Ian Parker wrote on this topic for the book was a real eye-opener about the starting points of the 'talking cure' of counselling. I loved Freud's metaphor that we are like those 'magic slate' toys which kids have.

Magic Slate

When things happen to us it is like writing on the front layer of plastic. Then that gets wiped clean, but there are still traces of the writing on the wax behind that will have an impact on whatever we try to draw next (the lines will get a bit broken and distorted). Freud believed in the value of exploring what there is back there on the wax layer which is affecting us now. And I think that is valuable as we often find ourselves responding to current events in ways that are hugely influenced by what has happened in the past. Making sense of that can help it to feel more manageable and understandable.

5 – Humanistic counselling

A key concept here is empathy. Can we cultivate empathy for ourselves and for other people? Carl Rogers proposed a challenge where each time you speak – in an argument or discussion – you first have to restate the ideas and feelings of the previous speaker accurately and to their satisfaction, before you get to have your say. This might seem a long way from fear and sadness, but many authors are now seeing compassion as centrally important in these areas. If we can learn to be more understanding and kind in our interactions with others we end up feeling less alienated from them, and it also helps us to recognise that it makes sense when we struggle as well, and that we also deserve kindness. When people are feeling really distressed one of the best things they can do is just to make sure that they do one kind thing for themselves every day. It helps to remind them that they are as worthy of kindness as everyone else.

6 – Existential counselling

Existential counselling challenges our common idea that there are good emotions (joy, pride, happiness, etc.) and bad emotions (fear, sadness, anger, etc.) Rather it sees all emotions as important parts of human existence. When we have to make choices we often experience deep anxiety but that is part of embracing our freedom and really living. Similarly there are inevitably points when it all feels too much and we give up and retreat from the world. Existential therapist Emmy Van Deurzen suggests that emotions are on a kind of compass, from happiness (North) through anger (East), down to sadness (South), and back up through hope (West) to happiness again. We move endlessly around that circle – like it or not – so it is worth understanding all those states, and what we get from them as well as what is difficult about them, rather than trying hard to avoid some of them which means we might well get stuck in one place.

7 – Cognitive-behavioural therapy (CBT)

When we find something frightening or depressing we tend to avoid it, but often that leads to it becoming more scary or saddening rather than less so, and we can then become quite paralysed. Our world narrows as more and more things seem difficult. A very basic CBT idea would be to gradually approach the things that scare us rather than avoiding them (starting small and working our way up). Another useful CBT technique is to pay attention to the little negative thoughts we have throughout the day – like an ongoing commentary – maybe noting them down as we are aware of them and challenging each of them. Is it really realistic? What alternative explanations are there? Is it useful? How might I think about this differently?

8 – Mindfulness

Make a little time every day just to sit somewhere peaceful and breathe. The idea is to be comfortable without distractions and just focus on the sensation of the breath going in and out of your body. You will find that you keep getting carried off on thought processes and distracted by sensations and that is absolutely fine. Just notice that it has happened and bring your attention gently back to the breath. Notice how the thoughts and feelings bubble up and then pass away again eventually if you don't get too stuck to them. The idea in mindfulness is that if we practice doing this regularly we will start to be able to bring the same accepting awareness to whatever is going on in the rest of our lives.

9 – Systemic counselling

The fear and sadness we experience feels like it is inside us and that there is something that we need to do individually to change it. Systemic counselling proposes that actually much fear and sadness is really in between people, in families, relationships, and groups of work colleagues. Think about your own dynamics with people you are close to: do you tend to bounce off each other sometimes in ways that leave one or more of you feeling bad? A nice exercise from systemic counselling is to take some different shaped stones or modelling clay and make a model of your family or group, representing each person as an object, and where they are in relation to each other, by the way you position them. Then you can move it around to show how you would rather it was. This can help you to be aware of how the dynamics in relationships can get stuck and also how they might shift.

10 – Sociocultural issues

Similar to systemic counselling, sociocultural approaches remind us that a great deal of our fear and sadness are about the culture surrounding us and how we are viewed within it. Being marginalised is strongly linked to experiences of distress, and we all occupy multiple sociocultural positions (in relation to race, gender, sexuality, age, class, (dis)ability and so on). It can be useful to reflect on which position you are in on all of these dimensions and what the assumptions are 'out there' about people like you. Do your experiences of fear and sadness relate to those assumptions at all? Are there ways of sharing these with other people who are in a similar position?

11- Context and setting

This chapter was all about counselling over the phone and online. One idea from it was to write about a time when you were feeling particularly sad or frightened – noting down what was going on and how you felt about it – without thinking about it too much. This was really an exercise to think about how people express their emotions online or over email, but actually researchers like Pennebaker have found strong evidence that writing regularly about our feelings is hugely beneficial. Private blogs and personal journals can be a helpful way of doing this.

12 – The therapeutic relationship

This chapter explored how different types of counselling involve different relationships between the client and the counsellor. Many people who decide to go for counselling don't realise how many different types of counselling there are, and how they will all involve very different kinds of relationship and quite different focuses. I wrote a bit about the different counselling approaches here. It is definitely worth thinking about what would work for you and asking counsellors about their qualifications and approaches before committing to it. You should always make sure that they are accredited with one of the major bodies (e.g. BACP, UKCP, BPS). If in doubt, ask.

13 – Outcome research

As well as finding out about what approach might suit you, it is also worth checking out the research that has been done into the kind of counselling you're thinking of going to. Mick Cooper's book on this topic is very accessible if you are interested, and even online searches can give you some idea of whether the kind of counselling you're considering has been found to be helpful for the kinds of issues you have. However...

14 – Process research

...perhaps the main research finding about counselling is that all of the main approaches (covered in this book) are generally about equally effective (with some exceptions like CBT being particularly good for simple phobias). According to the research, a good relationship between client and counsellor is one of the main things which predicts how useful counselling will be. So it is worth shopping around for someone you have a good rapport with. If you are accessing free counselling it is still okay to ask for a different counsellor if you don't feel a good relationship with the one you have.

15 - Conclusions

There is always a risk with going to a counsellor that this will reinforce the idea that many of us already have that there is something wrong with us that needs fixing. Our commercial culture is very good at giving us a sense of anxiety about the things that we lack, and selling us products to relieve this anxiety. In this culture it is all too easy to think that we are not good enough. Therefore it is important to remember that going to get some support or talk through what's happening doesn't mean there is anything inherently wrong with you, and also remembering that counselling is just one of many ways of thinking things through, looking after ourselves, and getting support.

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Monogamies/Non-monogamies

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Edited by Meg-John Barker, Friday, 29 Apr 2011, 08:37

Monogamies/Non-monogamies

This morning I have been writing a response piece for Sexual and Relationship Therapy about monogamy, so I thought I'd blog about it too. The original article and my response will hopefully appear in the August edition of that journal.

Basically the author of the original paper is arguing that sex and relationship therapists should be actively addressing monogamy with their clients because lots of sexual and relationship problems are rooted in monogamy. Thinking about it she has a good point. Obviously relationship conflicts and break-ups about infidelity are about monogamy. But from my own experience working with clients, I think that many other relationship conflicts and tensions are related to this broad issue as well. People often find themselves in different places in their relationships, over how free versus how together they want to be: how much they want to share and how much they want to be private and independent. Often one person is feeling more constrained and striving for more independence whilst another is feeling more insecure and striving for more of a sense of safety. And this frequently plays out around relationships with other people (is it okay to want more friends outside the relationship? Or to be a bit flirty with a colleague?)

Also, common sexual difficulties are often related to monogamy. A lot of people who have painful or unsatisfying sex continue to do so because they are scared of losing their partner to somebody else (and this tends to make it worse). A lot of people feel that they must continue to have 'great sex' throughout their relationship in order to affirm it, which creates the kind of pressure which can make it difficult to relax and tune in to what they really enjoy. The idea of being a 'sex addict' is sometimes linked to struggling with being monogamous.

The author of the paper pointed out that we generally get the message that monogamy is easy and 'natural', and that our partners will provide everything for us (emotionally and sexually). That idea can leave people feeling like a failure when it doesn't work out like that in their relationship. Actually very few people seem to manage monogamy across a life-time. As many as 50-60% of married people have affairs, and a recent study found that one third of young people in monogamous relationships didn't agree on whether they had discussed what monogamy meant to them and over half of them disagreed on whether the rules of monogamy had been kept or not.

So maybe it would be more useful (in therapy and in general) for people to have open conversations about how they want to manage their relationships: how monogamous they want to be.

I came up with the idea of two continua of monogamy for the book I'm writing on relationships. The emotional continuum goes from having all your emotional needs met by one person, to having multiple loving relationships. The sexual continuum goes from complete sexual fidelity to having multiple sex partners. I think it's useful for people to think about where they are on those continua and whether partners are in similar, or different places.

For example, on the emotional continuum we might consider relationships where it isn't acceptable to have any other close friendships, or to stay in touch with ex-partners, or where it is acceptable to stay up all night talking with someone you've just met, or to have several people in your life who are equally important to your partner. On the sexual continuum we might consider relationships where any form of sexual thought about someone other than the partner is considered wrong, ones where it is okay to look at pornography online but not to interact with someone sexually, ones where certain sexual activities with other people are considered okay, or ones that are completely open to sex with others. Obviously there is overlap between the two continua too.

At the end of my response I concluded that the following things would be useful for therapists, but also more generally:

  • Challenging the assumption that we all have the same rules about monogamy and being open to others being in a different place to ourselves
  • Recognising that relationships of all kinds are difficult and most people struggle around those tensions of freedom and togetherness
  • Communicating about where we are at currently on those continua, recognising that this might change over time and in different relationships, and that we might end up agreeing, compromising, or respectfully agree to disagree
  • Being aware of the variety of different relationship styles that are available , including different styles of monogamy, the new monogamy, open relationships, swinging, and polyamory

There's a lot more about open non-monogamy in the paper Darren Langdridge and I wrote on this topic last year.

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