Level 2- Day Three

Assessment, Intervention, and Co-Morbidities

OUTLINE

INTERVENTIONS TO STRENGTHEN FRIENDSHIP AND ROMANCE

INTERVENTION: STRESS REDUCING CONVERSATION

FILM: “Stress Reducing Conversation”
Group role play exercise: Stress Reducing Conversation

INTERVENTIONS TO CREATE SHARED MEANING

INTERVENTION: CREATE SHARED MEANING AND BUILD RITUALS OF CONNECTION

FILM: “Rituals of Connection”

RELAPSE PREVENTION

CO-MORBIDITIES

DEALING WITH AFFAIRS

DEALING WITH ADDICTION

PTSD

DEALING WITH DOMESTIC VIOLENCE

“Pit bulls”
“Cobras”
“CTAV Collage Video”

Distributed under license by The Gettman Institute, Inc.

Level 2- Day Two

Assessment, Intervention, and Co-Morbidities

OUTLINE

INTERVENTIONS TO MANAGE CONFLICT

INTERVENTION: FLOODING

FILM: “Flooding & Soothing”
Group Role Play: Flooding

INTERVENTION: GOTTMAN-RAPOPORT EXERCISE

FILM: “Gottman-Rapoport Intervention”
Group Role Play Practice: Gottman-Rapoport

INTERVENTION: THE DAN WILE INTERVENTION

FILM: “Dan Wile Intervention”
Group Role Play: Dan Wile

INTERVENTION: INTERNAL WORKING MODEL

FILM: “Internal Working Model”

INTERVENTION: COMPROMISE

FILM: “Compromise”
Group role play practice: Compromise

INTERVENTION: DREAMS WITHIN CONFLICT

FILM: “Dreams Within Conflict”
Group role play practice: Dreams Within Conflict

INTERVENTION: AFTERMATH OF A FIGHT OR REGRETTABLE INCIDENT

FILM: ”Aftermath of a Fight”
Group role play: Aftermath of a Fight

INTERVENTIONS TO STRENGTHEN FRIENDSHIP AND ROMANCE

Overview
Turning Towards Exercises

INTERVENTION: WORKING ON FONDNESS AND ADMIRATION “I APPRECIATE … ” ADJECTIVE CHECKLIST

FILM: “Working on Fondness &Admiration”

Distributed under license by The Gottman Institute, Inc.

Level 2- Day One

Assessment, Intervention, and Co-Morbidities

OUTLINE

INTRODUCTION

Overview of Workshop

BASICS OF OBSERVATION

Emotions in the Human Face
Tension in the Voice
The Words Themselves

BIDS AND TURNING

Overview
“Spain Without Interest,””Bread With Interest”
“Greg and Jennie- Northwest Afternoon”

SESSION #1: ASSESSMENT

FRIENDSHIP PROFILE: ORAL HISTORY INTERVIEW

The spirit of the interview
Content and Qyestions in the interview
Coding notes
Oral History Benchmarks
FILM: “Oral History Interview Samples”

EVALUATING CONFLICT AND REPAIR

Setting up a Conflict Discussion
Evaluating Conflict
Gridlocked Conflict
Videotaping and Physiological Flooding

SESSION #1: PUTTING IT ALL TOGETHER

FILM: “Initial Session”
Couple’s Narrative
Oral History Interview
Conflict Discussion
Group role play practice: Oral History Interview

SESSION #2: INDIVIDUAL INTERVEEWS

FILM: “Assessment Individual Session – Michael & Trudi”
Assessment Questionnaires and Scoring
Scoring Summary Sheet

SESSION #3: GIVING FEEDBACK AND TREATMENT PLANNING

FEEDBACK SESSION

Overview
Feedback Session benchmarks
Clinician’s Checklist for Relationship Assessment
Sound Relationship House Theory
Gortman Method Clinical Hours Documentation Form
Gortman Treatment Plan Form
FILM: “Masters and Disasters”
Group Role Play Practice: Feedback Session

GOTTMAN METHOD INTERVENTIONS

INTERVENTION OVERVIEW

Intervention benchmarks
Three qualities every therapist needs

INTERVENTIONS TO MANAGE CONFLICT

INTERVENTION: GENTLE START-UP

CASE INTRODUCTION: STEVE AND CRYSTA

FILM: “Family Dinner”
FILM: “Four Horsemen Examples”

INTERVENTION: LABEL THE FOUR HORSEMEN AND REPLACE THEM WITH THEIR ANTIDOTES

FILM: “Four Horsemen examples”

Distributed under license by The Gettman Institute, Inc.

Level 1—Day 4

Bridging the Couple Chasm

5:30–5:45 pm Film: Addressing Flooding

5:45–7:00 pm Building Friendship and Shared Meaning

Building Love Maps and film
Turning Towards: The Stress Reducing Conversation and film
Build Rituals of Connection and film
Creating Shared Meaning and film

7:00–7:15 pm BREAK

7:15–7:40 pm Process of Therapy

7:40–7:50 pm Summary

7:50–8:00 pm What’s Next: Additional Training

8:00–8:45 pm Question and Answer Session

Level 1—Day 3

Bridging the Couple Chasm

5:30 – 6:15 pm Introduction to Intervention—The Philosophy of the Therapy

Assumptions of the Therapy
Overview of the Therapy
Goals of the Therapy

6:15-6:40 pm Conflict Management

Rapoport Intervention and Film

6:40-7:00 pm BREAK

7:00-8:45 pm Conflict Management, continued

Ending the Four Horsemen and Dealing with Flooding film
Dreams-Within-Conflict and film
Building the Basic Skills (Softened Startup, Accepting Influence, Repair, and De-escalation, Physiological Soothing, Compromise)
Aftermath of a Fight and Film
Eliminating the Four Horsemen

Level 1—Day 2

Bridging the Couple Chasm

5:30-7:15 pm The Assessment Sessions:

Session 1—Office Disclosure and Office Policy Reviewed, How Therapy Works, Assessing the Couple Together:
- Couples Narrative
- Oral History Interview: Relationship History and Philosophy
- Videotape: A 10-minute Conflict Interaction and Physiology (pulse oximeter)
- Discuss the Shared Meaning System
- Ending Session 1—Preparing Couple for Individual Sessions—No secrets
- Assessment: Written Questions part 1
  - Locke Wallace: Relationship Satisfaction
  - Weiss-Cerretto: Breakup Potential
- The Sound Relationship House Questionnaires
Session 2—Individual Sessions
Session 3—The Therapeutic Contract: Discussing and Deciding about Goals. Summary of Strengths and Areas that Need Improvement

7:15-7:30 pm BREAK

7:35-8:15 pm Film: Assessment

8:15-8:45 pm Question & Answer

Level 1—Day 1

Bridging the Couple Chasm

5:30 – 7:00 pm The Research: What Makes Relationships Succeed or Fail?

What is different about Gottman Method Couples Therapy?
What is dysfunctional about relationships when they are ailing?
The “Masters” and “Disasters” of relationships: Exploding some common myths
Negative and positive sentiment overrides
Friendship, Intimacy, Positive Affect Systems
The Shared Meaning System
From a checklist to The Sound Relationship House Theory

7:00-7:15 pm BREAK

7:15-8:30 pm How to assess a relationship:

Using The Sound Relationship House Theory to assess a relationship’s strengths and areas that need improvement.

8:30-8:45 pm The Assessment Sessions Overview

Rituals of Connection Card Deck

EXERCISE

Instructions

Use the Build Rituals of Connection” card deck. Split it in half, and each of you look through your half of the cards. From them, choose several rituals of connection that you would like you and your partner to work on. Share your choices with one another, then of those rituals you selected, pick one to work on now. Use the following questions to discuss the details of how you would like to do this ritual together, including getting very specific about the details of your ritual.

Questions for Exploration

What is meaningful about this for you?
When will this be done?
How often will it be done?
How long should it last each time?
Who will initiate it?
Who will do what in this ritual?
What will happen next?
How will it end?
How can we integrate this into our lives so we can count on it?

Build Recovery Maps: Your Recovery/Wellness Card Deck

EXERCISE

Instructions

The goal for the following exercise is to help you and your partner learn to talk about recovery and to clarify and understand each other’s positions, thoughts, and feelings.

Use the Speaker Listener Guidelines found on the Menu page to help with sharing and listening.

Listener

Sit facing each other, with the Listener holding the Your Recovery – Your Wellness card deck. Thumb through the deck until you find several cards that contain something you want to ask your partner to deepen your understanding of your partner’s recovery- wellness experience. You can modify ideas from the card deck or ask something relevant to you that may not be in the deck. Be respectful of your partner’s option to pass on the question or to limit or modify the question. Think of this as an interview not a two-way conversation. The focus is on understanding your partner’s perspective NOT sharing yours. Avoid questions or answers that may lead to anything that relates to the relationship or relationship recovery.

Remember these are the Speaker’s experiences, feelings, and needs. Respond simply with an accepting presence and an indication that you hear and understand. You do not have to fix, change, or take responsibility for what you hear.

Speaker

Only answer questions you are comfortable and willing to talk about. You may pass on or modify any question, or stating, “I’ll pass on that one,” or “That is all I want to say about this for now.” Help your partner understand what you think is important for your partner to know about your thoughts and feelings about recovery-wellness.

After 15 minutes (or an agreed upon amount of time) trade Speaker and Listener roles.

Build Recovery Maps: My Recovery/Wellness Card Deck

EXERCISE

Instructions

The goal of this exercise is to share something about your own recovery or wellness that you think is important for your partner to understand.

Use the Speaker Listener Guidelines found in the Menu page to help with sharing and listening.

Speaker

Sit facing each other, with the Speaker holding the My Recovery – My Wellness card deck. Thumb through the deck until you find several cards that contain something

you want to share to help your partner understand something about your recovery (or wellness) experience. You can modify ideas from the card deck or share something relevant to you that may not be in the deck. You can include what you feel is going well and/or share something about some of the struggles you may be having. This conversation is about you and your recovery, not about the relationship or relationship recovery.

Listener

The Listener’s job is to just listen and try to understand. You can ask questions to clarify and to help you understand. Do not express approval or disapproval, or problem-solve, or offer your opinion. This is about listening and taking in what your partner is saying.

Remember these are the Speaker’s experiences, feelings and needs. Respond simply with an accepting presence and an indication that you hear and understand. You do not have to fix, change, or take responsibility for what you hear.

After 15 minutes (or an agreed upon amount of time) trade Speaker and Listener roles.

Build Recovery Maps: Couple Recovery Card Deck

EXERCISE

Instructions The goal for this exercise is to help you and your partner talk about recovery so that it does not become the new “elephant in the living room.” This intervention provides a tool for you to identify and address the impact of recovery on the relationship.

Using the Couple Recovery card deck, split the deck in half and each of you look through your half of the cards. From there, choose several cards that you would be interested in talking about with your partner. Share with each other the cards you picked, then decide which one card you both agree to talk about. Each partner must agree with the suggested question. If either partner is uncomfortable or prefers another question, go through the cards until you can select one card both of you are willing to talk about.

Use the Speaker Listener Guidelines found on the Menu page to help with sharing and listening.

In this exercise couples learn to create a dialogue to discuss their couple recovery. Questions vary but have a theme related to, “How are we doing? What changes are taking place in our relationship since beginning recovery and what do we need to talk about related to these changes?”

This exercise tends to work best initially if partners stick with the Speaker – Listener structure. While it may be tempting at first to move into problem-solving, try to stay with sharing and listening. Suspend your own position and thoughts when in the listening role. The goal is to help each other to feel safe in expressing feelings and perspectives. Over time, these questions may create more of a dialogue and an exchange of thoughts and feelings leading to action or changes.

Decide how long you would like to spend addressing this issue.

When people talk, listen complete.

Most people never listen.

–Ernest Hemingway.

Speaker Listener Guidelines for Building Recovery Maps

EXERCISE

Instructions

Use the following guidelines that define the Speaker and Listener roles for the Build Recovery Map card deck exercises. It is important to try to stay in these roles until the Speaker feels understood, and then switch roles with the Listener becoming the Speaker.

Speaker

Share only what you are comfortable sharing. See if you can identify at least one or more feelings you have about what you are sharing. The key is to focus on yourself, not your partner, describe your thoughts, feelings, and needs.

In disclosure, there are different levels of sharing of details and specifics. It is appropriate to limit disclosure to what feels comfortable.

For example, if you share about something you are struggling with, try to identify what is happening for you and how you feel about it. For example, “I am nervous about tomorrow’s office party and how I might exit if I feel uncomfortable about the drinking part.” If you are not comfortable talking about the specific content, you could say “I am thinking through how to handle a situation differently.”

If you share something positive about what is happening in your recovery, you could identity what positive thing happened and how you felt about it. For example, “I had a good meeting tonight. Several people spoke about struggles with perfectionism, and I see how I too really raise the bar for myself and put pressure on myself to not accept my imperfections. It helped to focus on the idea of progress, not perfection.” Sharing less, for example, could sound something like this: “I had a good meeting this evening, several things people said really hit home.”

Finally, while there are different levels of sharing, there are also different reasons. You may simply want to update your partner on what is happening, or you may have a need or a request for your partner.

For example:

“I just want you to listen and understand and know what is going on with me.”
If you want something from your partner beyond just listening, you could say: “I would like help with (specific request)” or, “I would like to (name what you want to have happen).” For example, “Somebody shared stuff tonight that hit close to home. I would like a bit of time alone to just decompress. Thanks.”

The Listener should decide if the request is neutral, helpful, or harmful to his/her own recovery–well- ness.

Listener

Take this opportunity to deepen empathy and just listen to what your partner is saying.

Try not to interrupt or add your own thoughts and feelings. The goal is to empathize and validate your partner’s thoughts, feelings and needs. This is the gold standard in communication!

Empathy

You communicate to your partner that you understand what your partner is expressing and feeling, and that you care.

Empathy has several steps:

Listen to what partner is feeling, not just saying– focus on emotions
Put yourself in your partner’s shoes, imagining what this emotional experience is like for your partner. Suspend your own thoughts and feelings for the moment, the focus should be on your partner.
Communicate what you understand your partner is feeling (emotions) and why your partner feels that way (content).

Validation

You communicate that you understand and accept without judgment your partner’s feelings and that it makes sense to you given your partner’s perspective. The bottom line: Convey, “You have a right to have these feelings.”

Validation has several steps:

Accept and respect that this is your partner’s experience based on your partner’s perceptions, feelings, history, biology, and emotional makeup (psychology).
Actively communicate your understanding and acceptance that this is how the speaker feels and sees things.
Encourage additional communication. If the speaker starts to get upset with your response, then the odds are the speaker is not feeling validated.

Neither empathy nor validation has to do with placating, agreeing, liking, disliking, or determining if something is “true” (from your perspective). Every feeling is valid, based on the person’s perceptions, beliefs and history. Continued dialogue may change that perception or belief, but in healthy relationships partners need to be able to express their true thoughts and feelings at the time.

An example of an empathic and validating response would be to say something like this:

1. So you are feeling… (upset, happy, fearful, confused, excited, etc.)

2. About… (name the specific events, people, circumstances related to feeling),

3. Because… (express the reason, motivation, belief, you hear that explains the speaker’s feelings)

4. And I can understand why you feel this way; or “That makes sense.”

1, 2, 3 above reflects empathy. 4 supports validation

Level 1—Day 2

Introduction to Intervention

OUTLINE

The Philosophy of the Therapy

Assumptions of the therapy
Overview of the therapy
Goals of the therapy

CONFLICT MANAGEMENT

Rapoport Intervention and film
Ending the Four Horsemen and Dealing with Flooding film
Dreams-Within-Conflict and film
Building the Basic Skills (Softened Startup, Accepting Influence, Repair and De-escalation, Physiological Soothing, Compromise)
Aftermath of a Fight and film

QUESTION AND ANSWER SESSION

BUILDING FRIENDSHIP AND SHARED MEANING

Build Love Maps and film
Turn Towards: The Stress-Reducing Conversation and film
Build Rituals of Connection and film
Creating Shared Meaning and film

PROCESS OF THE THERAPY

SUMMARY

WHAT’S NEXT: ADDITIONAL TRAINING QUESTION AND ANSWER SESSION

Level 1—Day 1

Bridging the Couple Chasm

OUTLINE

THE RESEARCH:

What Makes Relationships Succeed or Fail?

What is different about Gottman Method Couples Therapy?
What is dysfunctional about relationships when they are ailing?
The “Masters” and the “Disasters” of relationships: Exploding some common myths.
Negative and positive sentiment overrides.
Friendship, Intimacy, Positive Affect Systems.
The Shared Meaning System
From a checklist to The Sound Relationship House Theory

HOW TO ASSESS A RELATIONSHIP:

Using The Sound Relationship House Theory to assess a relationship’s strengths and areas that need improvement.

THE ASSESSMENT SESSIONS:

Session 1—Office Disclosure and Office Policy Reviewed, How Therapy Works, Assessing the Couple Together:
- Couple’s narrative
- Oral History Interview: Relationship history and philosophy
- Videotape a 10-minute conflict interaction and physiology (pulse oximeter)
- Discuss the Shared Meaning System
- Ending Session 1: Preparing couple for individual sessions—No secrets
- Assessment: Written questionnaires
Session 2—Individual Sessions
Session 3—The Therapeutic Contract: Discussing and Deciding about Goals. Summary of Strengths and Areas that Need Improvement.

FILM:

Assessment

QUESTION AND ANSWER SESSION

CHECK AVAILABILITY

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TuckerWorks Couples Workshops

OUR MAILING LIST

ASL Mailing List

Feeling connected requires seeing all emotions as chances to build a bond. By staying mindful and responding positively to a partner’s bids for connection, you increase the likelihood of another bid to 75%. This creates a positive spiral that strengthens the relationship over time. Ignoring or rejecting these bids, however, triggers a negative spiral, dropping the chance of another bid to less than 25%. Many long-term couples feel stuck in this negative cycle. Gottman Relationship Therapy focuses on recognizing small bids for connection and increasing both their frequency and the times partners turn toward them. This approach stops the negative spiral of distance and builds a positive spiral of connection.

The Sound Relationship House theory explains that trust acts as one of the weight-bearing walls in a relationship. When this wall suffers damage, the entire relationship becomes vulnerable. Responding to our partner’s emotions plays a crucial role in building and rebuilding trust. In Gottman Relationship Therapy, we apply the principles of attunement, even when our partner voices complaints about us. Trust grows when we listen to these complaints without being defensive and allow our partner to influence us. We show this by taking responsibility for hurtful events and making meaningful amends, which helps soothe every wound. Trust also deepens through openness in the relationship. Each partner needs an attitude of “let me help you understand what’s happening in my life.” Trust is further strengthened when we make the relationship a priority. This means honoring promises to our partner, even small ones, above those to friends, family, or work commitments. Fierce loyalty to our partner ensures the foundation of trust remains solid, allowing couples to restore and strengthen their bond.

There are four levels to The Sound Relationship House:

Level 1–Friendship. Friendship includes three parts:

Love Maps: Love Maps form the foundation of the relationship house. This part of your brain stores key information about your partner, such as their heroes, villains, likes, dislikes, sources of stress, hobbies, beliefs, and fears. Think of it as a map that guides you to your partner’s heart. An accurate Love Map helps you understand how to bring them joy and navigate the sensitive areas of their emotions with care. Since relationships evolve, you need to update this map regularly as the landscape of your partner’s life changes.
The Fondness and Admiration System: This part of your brain recognizes your partner as someone deserving of respect and affection. It recalls happy memories from the past and notices what is going well in the relationship. It identifies your partner’s admirable qualities and allows you to express affection for them. It encourages you to perform kind and caring acts. When it functions fully, it also creates feelings of desire and passion for your partner, strengthening your bond.
Turning Towards Instead of Away: This concept, also known as the Emotional Bank Account, works through actions like showing courtesy, kindness, and honesty. You make deposits by keeping commitments and responding positively when your partner bids for attention. Additionally, it includes being willing to take responsibility and make repairs when the relationship experiences harm. These efforts strengthen the connection and build trust over time.

Level II—The Positive Perspective. A positive perspective develops when couples maintain a strong friendship. In other words, they keep their Love Maps accurate and up to date, they consistently express fondness and admiration, and turn toward each other’s bids for attention. When this happens, positive feelings naturally outweigh the negative ones. This process strengthens their relationship, fosters a deeper connection, and is the road to intimacy and great sex.

Level III–Regulation of Conflict. This measures how well the couple respectfully communicates and accepts influence from each other during disagreements. It requires a willingness to forgive and to accept the totality of our partners. It also requires each person to allow their partner time to calm down when emotions get in the way of listening. When this works effectively, repair attempts succeed, and both partners find it easier to reach a compromise.

Level IV—Make Life’s Dreams Come True/Create Shared Meaning. These two levels often overlap, as the couple works to honor each other’s dreams while also building a shared sense of meaning. This connection strengthens their bond.

The Walls of the House: The walls of the house consist of the trust and commitment that the couple builds over time. When every part fits together, the relationship becomes strong and secure.

Emotions are seen as a way of getting closer. Increased intimacy is built by turning toward bids for emotional connection. Emotional moments are times to open up and build trust. There has to be trust and safety in the relationship for there to be a great sex life, a fun dating life, and to just enjoy time together. In Gottman Relationship Therapy we analyze what has happened to cause trust to erode and we provide a blueprint to rebuild trust. We identify the behaviors that are causing fear of further emotional hurt and provide principles to help heal. When our partners feel safe from emotional harm and feel connected to us emotionally the result is less disturbing conflict and an environment where rebuilding a sexual relationship is possible. We develop new rituals about initiating sex, how to say no, and how to take no. We identify all elements that put the sexual breaks on and find ways to safely take them off. We clarify the elements that enhance sexual desire and make plans to do more of them. Rebuild sex, romance, and passion in your relationship.

In the Sound Relationship House theory of relationships trust is one of the weight bearing walls. When this wall is damaged the entire relationship is at risk. How we respond to the emotions of our partner is an important component of building and rebuilding trust with your partner. In Gottman Relationship Therapy we practice the principles of attunement even when our partners are complaining about us. Trust is built as we hear complaints non-defensively and take influence from our partners. We demonstrate taking influence by atoning for unfortunate events in meaningful ways. Every wound is soothed. Trust is also built through attitudes of openness in a relationship. Each partner needs to have an attitude of “let me help you know what is happening in my life.” Trust is built by making the marriage a priority. We honor promises to our partners, even small ones, above those to friends, family, or our boss. We are fiercely loyal to our partners. Restore and strengthen the trust in your relationship.

Emotional safety is built through the process of attuning to the bids for our emotional connection. When our partners reach out to us and we reach back with humble understanding, acceptance, and validation they experience us as harmless. We are a safe harbor in the middle of a storm. Habits of ignoring or dismissing our partner’s feelings results in each being on guard, distant, and not safe. Safety is also communicated when our physical behavior says we are harmless. Intimidation, even when it is not intentional will always destroy feelings of safety. In heterosexual relationships, the men are often physically larger with deeper and louder voices than their female partners. Men often need to be doubly aware of what they are communicating physically. In Gottman Relationship Therapy we use video and physiological monitoring to help increase awareness of ways to increase safety when talking about troubles. Make your relationship a safe harbor.

Emotions are seen as a way of getting closer. Increased intimacy is built by turning toward bids for emotional connection. Emotional moments are times to open up and build trust. There has to be trust and safety in the relationship for there to be a great sex life, a fun dating life, and to just enjoy time together. In Gottman Relationship Therapy we analyze what has happened to cause trust to erode and we provide a blueprint to rebuild trust. We identify the behaviors that are causing fear of further emotional hurt and provide principles to help heal. When our partners feel safe from emotional harm and feel connected to us emotionally the result is less disturbing conflict and an environment where rebuilding a sexual relationship is possible. We develop new rituals about initiating sex, how to say no, and how to take no. We identify all elements that put the sexual breaks on and find ways to safely take them off. We clarify the elements that enhance sexual desire and make plans to do more of them. Rebuild sex, romance, and passion in your relationship.

Therapy for Partner Aggression and Abuse Card Deck

Card Deck Instructions