“Finely attuned to the myriad ways in which individuals voice their complaints in marital, cross-cultural, and corporate settings, Lachkar offers us a treasure trove of insight and interventions, as she delineates communicative patterns across the globe within a dyadic context. She also introduces original concepts like the ‘V-spot’ (the point of our greatest vulnerability). Noting changes in the nation’s demography, she offers a cultural ear for discerning cultural rational- ization from neurotic conflicts. Her writing is firmly anchored in theory and yet eminently accessible to readers at all levels of experience.” — Salman Akhtar, MD , Thomas Jefferson University, and Supervising and Training Analyst, Psychoanalytic Center of Philadelphia “Joan Lachkar’s genius for learning from her patients is matched only by her tal- ent for organizing her insights and sharing them with her readers. In C ommon Complaints in Couple Therapy , she explores the common but frequently over- looked symptomatic styles of the complainer, through which she threads such key modalities of narcissism, borderline conditions, and obsessive-compulsive neurosis, all deftly framed within current theories and therapeutic interventions.” — Dan Dervin, PhD , author of Creativity and Culture , and of the forthcoming The Evolution of Inwardness “Joan Lachkar once again has written an excellent guide for psychologists engaged in conjoint therapies. While she speaks directly to the modern Ameri- can psychologist, she goes beyond the usual middle-class situations to examine cross-cultural relationships, artists with their special needs, and even the new sensibility toward gays, lesbians, and transsexuals. To other readers, including lay persons outside of the United States, the author offers an unabashed insight into the problems of one key culture, and especially opens the conversation to international conflict-resolution, the control of terrorism, and other psycho- historical themes.” — Norman Simms, PhD , founding editor of M entalities/ Mentalites , an interdisciplinary journal of the history of mentalities and psychohistory “Lachkar captures the art of listening, distinguishing legitimate complaints, and how to respond. Moving from the domestic to the global, she has succinctly demonstrated the crucial importance of listening to the other as well as walking in their shoes. In this book she reintroduces the challenges that cross-cultural couples bring into today’s ever changing world. This book is of utmost vital importance for all those who are involved in and committed to resolving family to global conflict.” — Nancy Kobrin, PhD , psychoanalyst Common Complaints in Couple Therapy Marriage and couple therapists see clients with broken relationships and bonds all the time; those who were once madly in love can grow indifferent, peo- ple change, and couples go into sessions feeling depressed, traumatized, and sometimes abused by their partners. Joan Lachkar examines the vicissitudes of love relations by taking into account aspects of aggression, cruelty, sadism, envy, and other primitive defenses lurking in the shadows of love and intimacy. Each chapter revolves around a specific situational conflict, with guidelines and treatment suggestions offered to the therapist. Numerous vignettes and detailed descriptions of theoretical technique, methodology, and diagnostic dis- tinctions are included throughout the book to help readers see theory in action. The theoretical concepts drawn on include psychoanalysis, object relations, self-psychology, attachment theory, dialectical behavioral therapy, mindfulness, and others, with a heavy emphasis on listening and non-verbal and verbal com- munication throughout. Joan Lachkar, PhD, is a licensed marriage and family therapist in private prac- tice in Sherman Oaks, California. She teaches and practices psychotherapy using a psychodynamic approach. She is the author of numerous publications on marital conflict, is an affiliate member and instructor at the New Center for Psychoanalysis, is a master presenter at numerous conferences, and is on the editorial board of the J ournal of Emotional Abuse. This page intentionally left blank Common Complaints in Couple Therapy New Approaches to Treating Marital Conf lict Joan Lachkar First published 2014 by Routledge 711 Th ird Avenue, New York, NY 10017 and by Routledge 27 Church Road, Hove, East Sussex BN3 2FA Routledge is an imprint of the Taylor & Francis Group, an informa business © 2014 Taylor & Francis Th e rights of Joan Lachkar to be identifi ed as the author of this work have been asserted by her in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Lachkar, Joan. Common complaints in couple therapy : new approaches to treating marital confl ict / Joan Lachkar. — 1 Edition. pages cm Includes bibliographical references and index. 1. Couples therapy. 2. Marital psychotherapy. I. Title. RC488.5.L3473 2014 616.89ʹ1562—dc23 2013050994 ISBN: 978-0-415-83605-0 (hbk) ISBN: 978-0-415-83606-7 (pbk) ISBN: 978-0-203-42815-3 (ebk) Typeset in Berkeley by Apex CoVantage, LLC (cid:2) Contents A bout the Author ix A cknowledgments xi Introduction xiii Chapter 1 Complaints and the Art of Listening 1 Chapter 2 The Psychodynamics of Complaints: Theoretical Contributions 17 Chapter 3 It Takes One to Tango 39 Chapter 4 Promises, Promises 59 Chapter 5 The Robotic Relationship 77 Chapter 6 The Self-Saboteurs 91 Chapter 7 A Life of Lies 105 Chapter 8 When East Meets West 113 Chapter 9 Taking Complaints to the Professional Level 137 Chapter 10 Treatment Suggestions and Techniques 147 Closing Thoughts 161 Glossary 165 Bibliography 175 Index 181 vii This page intentionally left blank (cid:2) About the Author Joan Lachkar, PhD, a licensed marriage and fam- ily therapist in private practice in Sherman Oaks, California, is an affiliate member of the New Center for Psychoanalysis and the author of The Narcissistic/ Borderline Couple: Psychoanalytic Perspective on Mar- ital Treatment , The Many Faces of Abuse: Treating the Emotional Abuse of High-Functioning Women , The V-Spot , How to Talk to a Narcissist , How to Talk to a Borderline , and The Disappearing Male. In addition to being a communication specialist, Dr. Lachkar is considered one of the foremost experts on mari- tal and political conflict. She has taught courses both locally and internationally at universities, psychoanalytic institutes, and major conferences throughout the world. Dr. Lachkar has integrated her work on emotional abuse, terrorism, and counterterrorism with the political arena and presented a paper on “The Psychopathology of Terrorism,” written from a psychodynamic perspective, at the Rand Corporation. ix
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