Saturday, January 14, 2012

Chapter #2 Stephanie Schnieder. MD

       In this chapter Dr. Schneider lays out the initial steps for the partner.  She provides important guidelines for beginning to deal with the problem in a way that sets the groundwork for long term healing and possible reconciliation. At the time of “discovery” the partner is likely to be in crisis.  Having such clear guidelines and the reasons for taking these steps must be extremely helpful for person desperately seeking direction.  “What do I do now?!!”
            From a therapist’s point of view this conjoint counseling would be a delicate balance between listening to each person’s pain and fear and maintaining a focus on the steps forward.  The partner may be all over the place emotionally with hurt and rage from betrayal at one moment to self blame the next moment.  The addict may be trying to defend, blaming the victim, trying to negotiate continuing the addiction behavior and /or trying to rationalize it or brimming over with emotional guilt and shame.  An inexperienced therapist unready to cope with such turmoil and unready to be directive could find the session spiraling out of control, helpful to no one.  These guidelines can be very helpful for the therapist to use to keep the process on track.

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