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Psychotherapy can help you to overcome depression and anxiety and form and keep better quality relationships.

For more information about how I can help you, call 917.684.6515 or email at annecutler.psychoanalyst@gmail.com

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Join a weekly dream group designed to help you interpret your dreams.  You'll be amazed at how rich and deep they are!
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annecutler.psychoanalyst@gmail.com

Monday, March 23, 2009

Corporations as Dysfunctional Families

Stress in the workplace is not just due to staff cuts, tight deadlines, and limited resources. There is also a subtler, pervasive factor contributing to employees’ stress. That is the underlying dynamic of the corporation and the individuals that make it up. I think of corporations as big dysfunctional families. The CEO is the admired and feared parent. Coworkers are siblings, complete with rivalry.

Stress in the workplace is not just due to staff cuts, tight deadlines, and limited resources. There is also a subtler, pervasive factor contributing to employees’ stress. That is the underlying dynamic of the corporation and the individuals that make it up. I think of corporations as big dysfunctional families. The CEO is the admired and feared parent. Coworkers are siblings, complete with rivalry.

In his book, The Psychodynamics of Work and Organizations (1993, Guilford Press), William Czander states: “Because the organization is a hierarchical system, it closely resembles the family structure, and the competitive nature of work requires that one continuously move up or ahead and achieve the top position. Psychodynamically, all employees want to be the favored child of the idealized leader, and all want to take the leader’s place. Jealousy of the leader’s power, perks, and position often precipitates an array of affects, most of which are prohibited and not expressed.”

Because these feelings cannot be expressed, they often come out in other ways. For example, one member of a team undermines another’s efforts, even though both team members would be best served by working together cooperatively to achieve their goals. Gossip and rumors are other common ways that employees compete and undermine each other. As in families, the CEO/parent often doesn’t see everything that’s going on amongst the employees. Favoritism exists, and can lead to further jealousy and bitterness.

Conversely, almost all human beings seek connection with others and fear loneliness and abandonment. But sometimes these underlying fears and desires lead to behaviors which actually push others away. Sometimes we actually invite the thing we fear most.

Sometimes corporations need psychotherapy as much as individuals do.

If you have work stories you’d like to share, I’ll respond with my thoughts on some of the underlying dynamics.

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Monday, March 9, 2009

Separating Feelings from Actions

How often do you hear people say “you shouldn’t feel like that…” Maybe you even say it to yourself. What these kinds of statements imply is that you can and should control your feelings on a regular basis. However, it is enormously difficult to carry out. And it may not even be wise to deny or repress your feelings. They don’t go away, they just get pushed down only to come up in some other way, such as somatic symptoms, depression, anxiety, or sleeplessness.

How often do you hear people say “you shouldn’t feel like that…” Maybe you even say it to yourself. What these kinds of statements imply is that you can and should control your feelings on a regular basis. However, it is enormously difficult to carry out. And it may not even be wise to deny or repress your feelings. They don’t go away, they just get pushed down only to come up in some other way, such as somatic symptoms, depression, anxiety, or sleeplessness.

A common misconception underlying the belief that feelings are to be controlled is the idea that feelings and actions are somehow inseparable. In fact, the more you think of them as completely separate, the freer you are to feel your feelings as they arise. Then you can decide how or if you want to act on them. It’s a liberating concept because you no longer have to expend a lot of psychic energy keeping your feelings beneath the surface. And, by choosing separately how to act on those feelings, you can reduce relationship conflicts as well.

Anger is a good example. Imagine feeling really angry at your spouse because he or she has forgotten something that’s important to you. That is a natural feeling. However, if you step back before creating a fight, you may realize that your spouse has been particularly stressed at work lately and worried about losing his or her job given the economic climate. In those circumstances, it can be easier to forget even important family events. With that in mind you can choose to have a more constructive conversation with your spouse, letting him know that you’re disappointed he forgot the event, but you also understand the extra stress he’s under at the moment. That will raise the issue without putting him on the defensive.

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Sunday, February 22, 2009

Managing Relationship Conflicts


One of the main concerns I hear from patients is how to handle stress and conflicts in relationships. Why is it that sometimes it’s hardest to get along with the people with whom you’re most interested in having harmony? We all have ways of dealing with stress in relationships, and to complicate matters further, these styles can sometimes conflict in ways that exacerbate the problem.

One of the main concerns I hear from patients is how to handle stress and conflicts in relationships. Why is it that sometimes it’s hardest to get along with the people with whom you’re most interested in having harmony? We all have ways of dealing with stress in relationships, and to complicate matters further, these styles can sometimes conflict in ways that exacerbate the problem.

Some common conflict styles include:
o Avoidance. This can involve not bringing up problems at all until resentment has grown too strong, and then exploding in a way that doesn’t invite communication.
o Need to be right. Without realizing it, conflicts get reduced to the idea that someone is right and someone is wrong. Then all the energy goes into proving that you’re right and the other person is wrong, which leaves no grounds for effective communication or compromise.
o Overgeneralizing. If you’re often starting sentences with “you always…” or “you never…”, you’re probably incorrect and putting the other person on the defensive, often a communication killer. This often includes bringing up past conflicts, which can confuse the current issue under discussion.
o Not listening. How many times have you been in a conversation where you find yourself not listening to what the other person is saying because you’re busy planning what you’re going to say next? This can effectively derail communication, turning it instead into a kind of sequential monologue, with both people talking and nobody listening.

It’s important to understand your own style of communication and dealing with conflict as well as that of the person you’re in relationship with. One of the key elements to dealing effectively with conflict is to practice the art of non-defensiveness. This involves listening with an open mind to what the other person is saying and understanding the other person’s point of view.

As a psychotherapist I work with individuals and couples to help improve conflict resolution skills. Contact me at 917-684-6515 or by email at annecutler.psychoanalyst@gmail.com.

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Monday, February 9, 2009

What your dreams are telling you


Most psychotherapists love to work with dreams. As Freud said, “dreams are the royal road to the unconscious.” Even if you’re not convinced about Freud, the fact remains that while we’re sleeping we have much greater access to our brains. We can explore our unconscious conflicts, recall distant memories, and create wonderful metaphorical images to explain our inner conflicts. The tricky part is to figure out what your sleeping brain was telling you once you’re awake.

Most psychotherapists love to work with dreams. As Freud said, “dreams are the royal road to the unconscious.” Even if you’re not convinced about Freud, the fact remains that while we’re sleeping we have much greater access to our brains. We can explore our unconscious conflicts, recall distant memories, and create wonderful metaphorical images to explain our inner conflicts. The tricky part is to figure out what your sleeping brain was telling you once you’re awake.

That’s where dream interpretation techniques come in. In general, dreams are triggered by recent events – significant happenings, thoughts, conversations – that occurred in the day or days before the dream. Then the unconscious links your thoughts and feelings about these events to other thoughts and feelings from your past. Dreams let us know what are anxieties are, what our major inner conflicts and relationship conflicts are about, and so much more.

Anyone can access the meaning of their dreams. A psychotherapist can help because of her training in dream interpretation as well her experience with lots of dreams. I trained for years with a psychoanalyst named Montague Ullman who devoted the last 30 years of his career to developing a group method of dream interpretation. The process involves a group of dreamers meeting once a week or so. In each meeting, one member volunteers a dream and the group then works together to help the dreamer understand his dream. There are a number of steps the group works through to bring out the full meaning of the dream. It is highly effective and almost magical to those involved. It deepens self-knowledge and fosters a true sense of community.

I’ll give more specifics about the method in a future post.

If you’d like to join a dream group in New York City, email me at annecutler.psychoanalyst@gmail.com or call 917.684.6515.

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Thursday, January 29, 2009

Hope


I was in Washington DC among the crowd of nearly 2 million people present to witness the swearing in of our new president, Barack Obama. It was a bitterly cold day, and yet people came to the Mall that day before the sun came up to wait on long lines for the privilege of being part of this moment in history. There was a feeling of excitement and happiness and optimism in the cold air.

I was in Washington DC among the crowd of nearly 2 million people present to witness the swearing in of our new president, Barack Obama. It was a bitterly cold day, and yet people came to the Mall that day before the sun came up to wait on long lines for the privilege of being part of this moment in history. There was a feeling of excitement and happiness and optimism in the cold air.

As I listened to Obama’s inaugural address, I started thinking about his campaign message of hope in the face of all the difficulties we’re facing in this country right now. Financial instability, war, lack of health insurance, lack of trust in government brought about by the George W. years… all conspire to make us feel down. And yet, all 2 million of us were sitting there in the freezing cold feeling hopeful.

Hopelessness is one of the components of depression. When someone is feeling depressed, she often can’t think of anything to feel hopeful about. This can contribute to the pervasive feeling of paralysis in depression. But finding even one thing to feel hopeful about can start to turn the tide of depression. Therapy can provide that sense of hope, that change is possible, and that someone can help you.

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Thursday, January 22, 2009

Why New Year's Resolutions Fail

I had lunch with a friend soon after the new year, and she told me with chagrin that by January 3rd she’d already broken the new year’s resolution she set for herself. Although she may have broken her resolution unusually quickly, she’s not alone. The majority of people who make resolutions don’t keep them.

I had lunch with a friend soon after the new year, and she told me with chagrin that by January 3rd she’d already broken the new year’s resolution she set for herself. Although she may have broken her resolution unusually quickly, she’s not alone. The majority of people who make resolutions don’t keep them.

Research has shown that after one month 36% of resolutions have already been broken, and after 6 months, 54% have been broken. This cycle of resolving to change and then not being able to can lead to lower self-esteem and feelings of depression. You started the new year out full of resolve and feeling optimistic. Then within weeks or months you’ve reverted to the behaviors you were trying to change. Now you add the self-recrimination of having failed at what you promised yourself to do. Optimism can be replaced by pessimism and a sense of frustration.

Change is difficult. And certain kinds of change are more difficult than others. Among the most common new year’s resolutions people make are: lose weight, exercise to get in shape, quit smoking, stop drinking, get out of debt, spend more time with family and friends. Each of these resolutions involves significant change in entrenched habits and ways of life. And each issue involves a complex set of underlying issues to be resolved if change is to be maintained.

As a psychotherapist, I have worked with many patients over the years who enter therapy wanting desperately to change some aspect or aspects of their lives. People want to be happier, they want to feel less stressed. They want to get out of a bad relationship. They want to find and build a good relationship. But change, even good change, involves some discomfort. The part of the self that wants to avoid that discomfort fights against change.

So what’s to be done? In psychotherapy, people get support for understanding why they do what they do, and then in creating change in the desired direction. Getting support is a key ingredient to succeeding in keeping your resolutions. Secondly, there’s an underlying assumption that the magic of entering a new year will in and of itself power the change. But really, January 2nd is only 2 days after December 31st. The main thing that the change of years does is to strengthen intent. But without a specific plan for change, intent won’t be enough.

So, go ahead, make a resolution. But don’t forget to make a plan and get support!

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Monday, January 12, 2009

Coping with Financial Uncertainty

Financial uncertainty has become a major cause of stress in the US and around the world. Every day, the news blasts more reports of doom and gloom. If you haven’t personally lost your job or savings, you probably know somebody who has. So no one is immune from the stress and anxiety of financial insecurity in these times.
How do you keep from being overcome by these fears?
Here are some ways you can manage the stress...

Financial uncertainty has become a major cause of stress in the US and around the world. Every day, the news blasts more reports of doom and gloom. If you haven’t personally lost your job or savings, you probably know somebody who has. So no one is immune from the stress and anxiety of financial insecurity in these times.

How do you keep from being overcome by these fears?

Here are some ways you can manage the stress so that you can continue to enjoy life and make good decisions for moving forward:
¸ Think long term. When you’re feeling particularly anxious, all your thoughts and emotions tend to focus in the current moment in a negative way. Remind yourself to think over the long term. Life is full of ups and downs, and so is the economy. In fact, there are predictable economic cycles, so you can be relatively certain that what’s down now will eventually go back up.
¸ Breathe. It’s that simple. Anxiety affects your body so that you feel physical symptoms such as shortness of breath, headaches, stomachaches, etc. These physical symptoms in turn can increase your sense of stress. But if you do things to relax your body – deep breathing, exercise, meditation – your state of mind will improve too.
¸ Take action. If you’re worried about losing your job, investigate ways you can make yourself more valuable at work. If you need to find a job, spend time researching your field to find out the best direction to take. Make a schedule for yourself so that you’re doing something positive in this direction every day. Inaction simply adds to the overall anxiety.
¸ Don’t isolate. Tap into whatever network of friends, family, and colleagues you have. In the current economy, you are not alone in feeling the stress. Talking with others who are going through the same thing is enormously helpful in reducing feelings of isolation and improving your mood. And, it can lead to concrete shared ideas of how to find a job or invest your savings.
¸ Take time to do the things you enjoy. When you’re overwhelmed by a stressful situation, it’s easy to forget to have some fun. But diversion from anxiety can restore perspective and lessen the stress overall, giving you energy to focus on useful solutions. Sometimes laughter is the best medicine!


Please add comments with your ideas for reducing stress in tough financial times.

I can help.  Contact me at:  917.684.6515 or by email at annecutler.psychoanalyst@gmail.com.

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