Sunday, November 25, 2012

The problem was obvious...


**Note: This situation didn't happen to me, but I saw a video of this interaction for a class. I took the opportunity to write about it as if I were in the counselor's shoes.**

The problem was obvious: he was beating his wife. It said it right in his chart. But we weren’t going to get anywhere if we started with that. He didn’t even want to be here in this office with me. His wife had coerced him into getting this counseling session and there he sat, shut up. He wouldn’t even look at me. And here I was, the very non-aggressive male counselor, trying to help in some way. We were stuck—or so it seemed.

Like in Al-Anon groups, the first step is admitting there is a problem. But he wasn’t the talkative type. “I have my problems,” he said simply. “Like to deal with them on my own.” Problems? That was an understatement.

I took the gander. “What kind of problems?” I stayed neutral, nonverbally open and receptive.

“Just… problems.”

Right. Okay. Patience was going to be the name of the game. I wasn’t going to probe too deeply, but let him indicate how much he was ready for, like squishing a ball of dough and letting it bounce back into shape. No stretching yet, just test the rebound. Let him hear what he’s saying, and show him I was listening, not a hint of accusation in my voice.

“You want to deal with them on your own, you say. So why might your wife want you here?”

“Well… My wife wants to go back to school. She nags me about it.” Okay. That wasn’t the primary issue here, but it was a concrete description. Definitely something to work with.

“She nags you. She wants to go back to school.” I repeated. I’m listening. Keep going.

“Yeah. But she works in a job already and she takes care of the kids too.”

I repeated his words again. “She’s got the kids and she works.” Keep going.

“Yeah, she works. Seems like she’s got enough going on.”

We continued in this fashion for awhile. Tedious but effective. Eventually, the issue of nagging is expanded. She nags him when he’s eating, when he’s falling asleep, when he gets home from work. He’s stressed already and it makes it worse, hearing she wants to go back to school. He dislikes change. Plus, he doesn’t want to lose her or for her to outshine him by becoming a lot smarter than he is by taking classes. But, as revealing that was, it wasn’t getting to the violence part yet.

“Nagging seems to be one part of a larger issue. Did something happen recently that brought you here today?”


It might seem like a lot of work and redundancy just to get him to admit one thing—he does beat her—let alone the one thing that I the counselor already know. But with a lot of patient listening, we got there. To gain any ground, I knew I’d have to build rapport with the guy. I would listen to his story and I wasn’t going to accuse him. He could hear himself describe how irritation at home had turned into a much bigger problem. I listened to the underlying factors and not just the violent symptoms.

No matter how dramatic or harmful the symptoms, even starting with direct, albeit well-meaning, questions would have put him on the defensive and halted any hope of progress. We wouldn’t have made it to positive, mutual steps to change if I had just started point blank with “How can we help you stop hitting your wife?” I heard his fear, his stress, and even how he cared about his wife. See how reasonable his side of the story begins: there’s enough going on already, he’s afraid he’ll lose her, she nags him even when he’s trying to fall asleep after a long day. Put yourself in his shoes. If you were stressed, afraid, guilty, and sleep-deprived, as well as having an anger management problem, you might be more prone to lash out at your wife, too! I’m not justifying his actions, but I saw what had brought him to that point. I believed that he wanted to change, and he began to see that too.

I learned a lot that day. Made me wonder what’s on the inside of people that I miss with all my direct questioning. Made me glad progress could be made with such a resistant client. It reminded me how a point-blank statement like “he’s beating her” can have so many pre-formed judgments that immediately pop up in my head. Those judgments make me less empathetic and less willing to listen, because I want the change for that person now. However, if the client isn’t ready, then that’s where I’ll stay too. The key is tapping into his intrinsic desire to change. And thankfully, we got there… eventually. It’s just that the way there wasn’t so obvious.