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Baby has arrived! The parents are elated with the new addition to the family. The baby takes in all the love showered onto him/her. When an infant is born he or she does not have a sense of self. He is not aware of where he ends and others begin; there is a bubble around him/her and mother. According to Margret Mahler, the task for the newborn infant is to develop his sense of self as an individual and separate person. 
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 At first, the infant is self-absorbed and perceives him/herself and mother as one. Then, the infant begins to be alert and curios about the world. Once the baby begins to crawl, he/she can actively experiment with being separate from the mother. Finally, the child recognizes that his mobile ability separates him from the mother. Yet, the baby still wants his mother near him as he ventures out. The mother’s reaction, to the child’s tentative experimentation with exploring the world, will determine the development of an individual self in the child. If the mother responds by being impatient with the child’s uncertainty, or with anger toward the child’s need for separateness, the child will fail to develop a strong sense of self. A child whose mother is unreliable, intrusive, and emotionally unavailable will develop fears of engulfment or abandonment. These fears will seriously interfere with the ability to be intimate in later years.  

The relationship between mother and child is the “prototype” for later intimate relationships. Since the attachment between the mother and child is the first intimate experience, good enough parenting establishes the ability for later intimate romantic relationships. Intimacy is dependent on the person’s ability to self-disclose and share personal information with the intimate other. Intimate relationships call on the person’s willingness to be vulnerable and trust that their partner will not abandon them. Most importantly, the person must trust his or her sense of self, that he or she will not completely collapse and lose their sense of self.  

Eric Erikson postulated that a healthy development trajectory includes the achievement of intimacy. If one does not resolve the developmental crisis of intimacy versus isolation, by forming close romantic relationships, their development to later stages are hindered. However, Erikson explains that in order to be intimate, a person first needs to have a self. As he quotes, “To be able to share a WE, we must have sense of I” (Erikson, 1984).

The core of the psychic fear of intimacy is the fear of merging and engulfment by the other. Weak ego boundaries and the inability to maintain a sense of self is a threat to the self-identity and being intimate with a partner is a danger. As mentioned above, in order to be intimate one needs to have the capacity to be vulnerable, thereby loosening his or her boundaries. For a person with a poor sense of self, loosening his or her boundaries means a total loss of self. The paradox of intimacy is the ability to simultaneously remain separate yet connected. Intimacy requires a level of merging. But, for someone who cannot maintain his or her separate self, intimacy becomes impossible. The person fears that if they open themselves up to the other person, they will merge and be engulfed by their partner. Therefore, avoiding intimacy is a defense against the loss of self.

Another area to consider is when one feels that their partner is merging into them. The partner’s genuine and caring attempt to be intimate is seen as an infringement on his or her autonomy. As one partner moves toward deeper intimacy, the other partner resists. (sexual acting out (i.e. infidelity) can potentially be an attempt to resist the deeper intimacy). It is important to note that everyone struggles with the dilemma of engulfment and the desire for an intimate relationship. The capacity to be intimate is dependent on the extent of the dilemma. The ability to trust that one can maintain their own identity without fusing into their partner’s identity; opens the space for intimacy to flourish. 

​Traditionally, across culture and across time, men have served as protectors and providers for their family and tribe. Over the years, men cultivated skills and characteristics that would ensure that their family is safe and secure. A family whose father was strong, invulnerable, fearless, self-sufficient, and a leader was most likely to survive. Specifically, being invulnerable required physical strength and emotional stoicism.  An essential component of successfully defending one’s family and doing physical labor is to have control over emotions (a man who went to battle and started to cry was in trouble). Hence, men learned to suppress emotionality and society used shame to ensure that men stay within this structure. Ever since, emotional stoicism has been passed down as a masculine virtue. We no longer hunt for food or fight to protect our young (most of time), however, we still propagate the ideal that a “real man” does not show emotion. Through socialization, boys have learned that showing “soft” emotions (e.g. hurt, sadness, fear, pain) are not acceptable. Social and familial interactions teach boys that they will be ridiculed for crying in public or admitting to physical or emotional suffering.

The Problem:
The ideal of emotional stoicism has immense consequences. Much effort is expended on masking emotions which can lead to feelings of irritability and impatience. Men often report feeling confused and unable to identify what they are feeling. Unfortunately, men who cannot identify their emotions express their feelings through anger, and in extreme circumstances through rageful outbursts. Doctors also note that men’s emotional problems will manifest in physical ailments causing mental health problems (e.g. depression) to be overlooked. Sadly, when men finally do share their feelings, they experience anxiety and discomfort which leads to shame of not being “man enough”.  
The inability to be emotionally expressive interferes with relationships. When we block off one emotion, many other emotions are inhibited. As a result, some men have problems expressing not only negative emotions (e.g. sadness), but also caring and loving emotions.

Contrary to the lay-public belief that men are unable to express emotions, men could express emotionality, however they choose to inhibit their emotions. On the upside, some men do express their emotions particularly to close friends who they trust. Also, men will share when they feel sad, distressed, or anxious with a loved one but they qualify their distress by re-assuring the listener that they are managing and handling the situation.
 
What do?
First and foremost, learn to not give a F****. Capitalize on your strength of self-reliance by turning it on its head. Instead of using invulnerability to be emotionally stoic, use fearlessness to disregard how others feel or react to your emotional expression.

Second, begin to identify what you are feeling. If you need help with identifying how you feel use this emotion page. In fact, being oblivious to your internal emotions leaves you vulnerable because being unaware could lead to problematic decisions.
 
Third, take the risk and share what you are feeling with a friend, family member, or spouse. Men have been socialized to take-risks: take-risks that will benefit you and your family.

Fourth, start listening. Once again, this skill is inborn. Men have listened (for thousands of years) with their ear to the ground for the slightest sound of danger. 

Fifth, be a leader and take initiative. Show your family friends what being a “man” truly looks like. In our current times, protecting the family requires emotional attunement more than physical strength. A man who is in touch and attuned to his families needs can foresee problems, strategize accordingly, and protect his family.

“Do you go to the gym because you hate your body? Or do you go to the gym because you love your body?” Lisa, a registered dietitian and the founder of The Well Necessities, recently asked this question; I was intrigued. On the surface, as long as I am going to the gym, who cares why I go to the gym. But, emotionally and psychologically the answer to this question changes my experience and my relationship with fitness and healthy living. I can head to the gym with excitement, passion, and joy, or feel like I am being pushed or dragged toward the gym door.

This question applies to many areas of our life, particularly in romantic relationships. We need to ask ourselves; why do we do what we do? Is it to avoid a consequence? Or are we driven by self-love?  

We spend much of our life making decisions based on avoiding consequences. Can you stop and ask yourself “Why do I (fill in the blank)?”
 
Do you buy flowers because you love your wife/husband and the two of you as a couple?
Do you buy flowers because you know she/he will be upset?
 
Are you going to therapy to heal from your sexual transgressions because your relationship is important to you?
Are you going to therapy to heal from a sexual transgression because you can’t stand the guilt you’re living with?
 
Are you spending time with your kids because you cherish them?
Are you spending time with your kids because you do not want to be a bad father/mother?
 
The behavioral outcomes (i.e. you bought flowers) are the same, yet the emotional experience is vastly different. If we make decisions and do things because we are avoiding consequences, we never truly connect to the emotional benefits of our actions. Making a choice out of willingness - rather than avoidance - allows us to be immersed in the experience. Most importantly, the choice will feel natural and effortless. 

Sexuality and gender are complex and complicated. For those who hate ambiguity, this might not be the greatest era. 

According to researcher Sandra Bem, gender is on a spectrum. Meaning, we can have both masculine and feminine traits. But, because we like to think in boxes, we are not comfortable with spectrums and we insist that people check the box. We are forced to pick a camp, thereby, limiting our emotional and behavioral openness.

Martin Bergmann in his book “Anatomy of Loving” explains that is hard to know true gender identity because society influences us. Gender stereotypes are enforced before we are even born. Some might argue that gender expectations are not particularly problematic; “why does it matter if we expect boys to be lawyers and girls to be nurses?” Besides for limiting our intellectual opportunities, the main issue with gender stereotypes are the repercussions. Men and women experience immense shame when they do not live up to their gender expectations.

Sigmund Freud believed that we are born bisexual and we suppress our attraction to the same-sex. Therefore, he wrote that we all have the potential to be gay.  Sexuality is fluid but we have been socialized to be heterosexual. This is not to say that all of us are attracted to the same-sex and we are denying it. Merely, some of us have emotional and sexual openness to both genders.

What about fantasies? Is this an indication that I am gay? No! Our sexual fantasies have specific psychological benefits (a longer conversation for a different time), in short; men experience gay fantasies as a relief. They feel that gay fantasies are less performance based and a test of their manhood. Yet, on the other hand, some men experience immense shame about their fantasies and see it as a threat to their masculinity. Similarly, women have gay fantasies or watch lesbian porn as well, and in the same way that men find these fantasies freeing, so do women. 
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Perhaps bisexuality does not apply to you, but love sure does apply to you. When we fall in love with the opposite gender we are falling in love with gendered parts of ourselves that we rejected. From early on, we received explicit and implicit messages about what’s acceptable and lovable in a boy or a girl. We learned to shut down and cut off those parts (behaviors) that did not fit our gender. When we fall in love we feel whole again, because we have found the person who has the missing pieces.

​You promised your lover to be there in sickness and health. But, did you promise that you will always know what is on his or her mind? Where did this myth of “if you love me, you would know” come from? How has it happened that we began to equate “knowing everything about you” with love?

To feel loved, we need to feel known. But to be known, we need to talk, we need to show up, and we need to communicate. I don’t know where we went so wrong that we decided that “true lovers” could skip the step of communication. And to be known means that my partner can read my mind and understand my subtle hints. Again and again, I hear the phrase, “if you loved me, you would know what I need” or “If you loved me, you would know why I am upset.”

 Why is “dropping a hint” is problematic? Not everyone understands hints. We are not all great mind-readers. In fact, studies show that we over estimate our skills of mind-reading but, we are terrible at mind-reading (Ames & Kammrath, 2004).
 
Here is how a hint dropping situation ends:
You tell your partner “I’ll be home late tonight” (You are thinking that if you tell them you will be late they will get the hint that you are still upset about how they yelled at you last night).

Your partner hears, “He/she will be home late tonight” and they go about making plans for the evening.

You get upset and you start making interpretations such as, “he/she is so self-centered. He/she does not even realize that I am upset.”

As you are stewing in your office and staying out late, your partner is pouring him or herself some red wine and enjoying their favorite Netflix show.

As promised, you come home late, only to find your partner on the couch smiling peacefully at the TV screen. You get even angrier. You make more interpretations, confirming your earlier hypothesis; He/she is self-absorbed, stupid, unaware, selfish, doesn’t care about you… You storm off to bed.

Sounds familiar?

By dropping a hint and failing to communicate directly, you exacerbated a situation that could have been tamed by merely sharing your feelings. Sharing your feelings will get you closer to having your needs met. Most importantly, authentic communication is a direct pathway toward intimacy and marital satisfaction. 

Expecting your partner to mind-read and sending hints only digs you deeper into your cocoon of misery. It does not benefit your relationship. Period. Hints just intensify your anger at your partner because you are enraged by how oblivious he or she is. You get angrier, and your partner gets more confused.  Avoiding direct communication causes you both to be uneasy and feel insecure. It is never clear if someone is upset and both of you end up in a lonely corner where you are constantly wondering if someone is upset because someone failed to “get the hint”.

In summary, if you find yourself dropping hints, take the hint and recognize that you and your partner are not comfortable with communication. In order to avoid the dropping-hints-trap, state your needs clearly and specifically. Remember that your partner does not live inside your brain.

I recently read the book by Emily Nagoski “Come as you are” and the overall voice of her book is her intense desire to announce to the world “you need to know this!” I caught that fever when I read the chapter on sexual non-concordance. Here I am carrying the inspiration forward and shouting (in my head) you need to know this!

What is sexual non-concordance?
Sexual concordance is when the genital response and the subjective sexual response; “I am interested in sexy time” are in alignment. Meaning, that there are evident physiological responses; a man has an erection and a woman has vaginal swelling and lubrication, plus the person reports feeling aroused. Sexual non-concordance is when we consciously do not report sexual arousal, but physiologically, our body is responding. Visa versa, we can subjectively report interest in sexual activity but physiologically the genitals are not aroused (Nagoski, 2015). For example, a woman might feel aroused and excited to have sex with her partner, but when she attempts to have sex she experiences vaginal dryness. Similarly, a man might be excited and emotionally aroused but then unable to attain an erection.

How does this sexual non-concordance happen?
There are two ways that we process information; bottom up processing and top down processing. Bottom up processing is referring to our bodies response to outside stimuli that is not in our conscious control. Top down processing is referring to our cognitive appraisal, cognitive control, and attention toward stimuli presented to us. Top down processing is dependent on personal goals, biases, perception, appraisal, and what we believe is appropriate. Top down is an active process and a conscious response to information. As for bottom up, it is an automatic response without our conscious control.
Bottom up sexual arousal is the physiological response to sexually explicit stimuli (something you find sexy), such that there is genital arousal, however, this does not mean that you will be interested in sexy time. Even more, you might not even be conscious of your arousal. Researchers showed a variety of porn scenes to men and women and asked them to rate the porn based on how aroused they felt. The participants reported feeling aroused for only one type of porn but when they measured their physiological sexual arousal (heart rate, vaginal blood flow) they were equally aroused for all the porn scenes. Top down sexual arousal, is the conscious awareness AND interest in sexual arousal. Such that, the person will report the sexual arousal and possibly pursue sexual activity. For example, being touched gently by your partner while you are rushing and trying to leave the house might feel irritating. If you are being touched gently by your partner while relaxing in bed, you will experience the touch as sexually arousing. This means that being aware of sexual information or receiving sexual stimulation is not enough. The top down processing is responsible for the motivation and interest in sexual activity.
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Because two systems are at play when sexual arousal and sexual interest occur, there is a potential for miscommunications between the systems. Not only is there miscommunication between systems, sometimes, the top down process suppress and stops the bottom up processing. Once the person is sexually stimulated, he or she must make the conscious decision to enjoy the sexual arousal in pursuit of sexual activity. However, since top down processing is subject to biases, attitudes, and social rules, it can easily interfere with genital arousal and stop sexual arousal despite the desire to be sexually active. As mentioned before, top down processing is our cognitive control over presented information. Even if there is a biological genital response to sexually explicit information, the possibility of sexual arousal is dependent on the mood and the environment. We cognitively need to evaluate the sexual stimulus and the environment as arousing. Hence, there might be blood flow to the genitals and vaginal lubrication (bottom up), but if the conscious mind (top down) is not “in the mood”, or in the right emotional state, sexual activity will not happen.
 

​You scanned the headings of this blog post and  I am sure you are surprised. Relationships as a habit, being independent, endless harmony, and knowing everything about your partner: These are generally qualities that are deemed positive for a relationship or a long lasting love life. However, as we classically know “too much of a good thing is not always a good thing.”

Making your relationship into a habit
The killer: The beginning of relationships are exciting and invigorating. However, there is one nagging thought “will this last?” While the relationship continues to develop and we realize that we really like this person and we really like who we are while we are with him or her, we begin to desire more. Naturally, we want the relationship to continue, maybe hoping it will last a lifetime. Hence, we begin to make efforts toward chasing away the nagging thought of “will this last?” We desire this person so much, that we want to chase away the unpredictability of the relationship. To manage our anxiety, we move toward securing the relationship (and that means something different for every person) by creating routines and predictability. While security, predictability, and routine, is always positive progress for a relationship, there is an inherent risk in making your relationship predictable and almost monotonous. Your relationship becomes a habit, and no one feels sexy when they are someone’s habit. Habits are not particularly invigorating or exciting, habits are just there. You practiced long enough and now it is a part of your life, you do not need to think about it.  Secure relationships would definitely be on the list of good habits. Conversely, constant seeking of excitement and “non-habit” relationships are what fuel sexual affairs. So now, all this seems too confusing. Hence, we need to find that magic spot between stability and keeping a relationship passionate.

The remedy: Trying to do something different is always good for a relationship. Instead of trying to find something new to do, kick it up a notch and try to stop doing what you always do and see what happens. Let the moment take you. For example, you always kiss your partner good night, it is ingrained in your routine and you are not even aware that you are doing it. What happens if one night you don’t kiss her? How does she react? What happens between the two of you? Do you do something else? How do you feel? How does she feel? No matter how this ends, you will learn something new about your relationship and your partner. Be aware: It is risky! But perhaps your relationship has been yearning for some risk.

Being Independent
The killer: “Independence is a problem? Didn’t you write an article on the importance of independence?” Yes! and I also wrote an article on dependency leading to satisfaction and commitment. But, complete independence and eliminating dependency in a relationship is the recipe for the death of love. Being dependent on someone makes the relationship “high-stakes”. The more we desire, the more we fear the loss. When we have a high-stakes risk, we invest in it. It is the high-stakes in relationships that fuels romantic passion. Desiring our partners love, is a declaration of dependency. You cannot have desire without dependence. You are dependent on your partner’s reaction and your partner’s response toward you; “will he/she love you or not?”. Hence, dependency makes us feel vulnerable and many of us are entrenched in trying to escape vulnerability. In fact, one of the character traits of narcissistic personality disorder is the inability to be dependent on a romantic partner. Narcissists are unable to admit that they need their lover in their life. For narcissistic men and women, dependency is too threatening and they are likely to escape the relationship (physically or emotionally) the moment they feel a sense of dependency.

The remedy: Be dependent. Ok, not completely dependent. You need to strike the balance between being independent but not fearing to admit some dependency on your lover. If the word “need” is too much for you, then go with the word “desire”, then take the plunge to express to your partner that you desire his or her love, comfort, recognition, respect… If there is something that your partner does best, let them know. For example, your partner makes a wicked coffee, thank him and let him know that his barista skills beat yours.

Endless Harmony
The Killer: I know I am pushing it now. But, endless harmony is the killer. The essence of relationships, as cliché as this sounds, are “its ups and downs.” Relationships will always have disagreements. If you are waiting for the day when you and your partner will never, ever fight again, you might want to reevaluate. If couples are in a relationship, past their honeymoon phase, and never fight or disagree, then their relationship is dead. Endless harmony means that one of you are not being honest. Partners will often avoid telling one another what they think or feel in order to avoid a fight. They create a façade of harmony when internally they are sitting on a lifetime of emotions they have never disclosed. Or, one partner is completely checked out of the relationship. He or she could not careless about their partner or their relationship.  

The remedy: Check in with one another. If expressing yourself in the moment is not your style or sometimes you don’t even know what you are feeling till after the fact, create a time of the day or week that is dedicated to sharing with your partner. For example, your partner mumbles under her breath that this is the third time this week she’s cleaned up after you and you are such a slob. You go about your day but find yourself irritable and yelling at your kids. You insightfully recognize that you were quiet hurt by your partner’s comment but you are unsure how to bring it up to her since the incident has passed. If you have a set time of day where you check in, you would be able to express your hurt feelings to your partner without trying to find the “right moment.”
 
“I know everything about you”
The Killer: Knowing everything there is to know about our partner makes us feel secure. We want to know what our partner is up to and we want to believe that our partner does not have hidden parts to him or self. However, there is a risk in believing that we know everything about him or her. The declaration of “I know everything there is to know about you” undermines and undervalues the complexity of the human psyche. We will never know each other completely -- that is what makes human relationships interesting, and yes, sometimes quite difficult. We are always changing, new environments stimulate different responses and triggering events evoke parts of our personality we might not have known about. When you stop being curious and discovering new aspects of your partner, your relationship stops growing.

The remedy: Be curious. Remain open and curious to learn about your partner. Ask you partner questions with curiosity and leave judgment outside the room. Asking questions with curiosity gives the other person the opportunity to respond honestly rather than defensively. Curious questions cultivate respect in a relationship allowing space for individualism and honoring differences. By remaining curious, you are guaranteed to learn something new about your partner.

​With the summer months approaching and social events taking place, many will struggle with social anxiety to some degree. Social anxiety may present itself on a spectrum. There are various marks, depending on the individual. In general, social anxiety refers to as one’s experience of anxiety in social situations. To a certain degree, anxiety serves us well. One example of this is when we are make big decisions or are in important situations. In those cases, anxiety helps alert our mind to the risks, which consequently brings us to think more thoroughly through our choices and/or behaviors. But for those who struggle with some form of social anxiety, every day events such as starting a conversation or attending an event can be very stressful. There are helpful techniques one can practice and incorporate when starting and continuing a successful, pleasant conversation with another individual.
 
Pointers for starting a conversation

• When starting a conversation, you want to be aware of making eye contact and speaking loud enough for others to hear you.

 

• When starting a conversation, start by speaking about something general, and not too personal, such as the weather. Another conversation starter is giving someone a compliment, or simply introducing yourself by saying “we haven’t met, I’m…”

 
Pointers for continuing a conversation:

• Carrying conversation takes more than one-person participation; therefore, it’s best to keep a balance between contributing to the conversation and listening. Try not to speak too much.

 

• Another point to be aware of is maintaining a genuine sense of self, and to some degree a certain sense of vulnerability. People appreciate vulnerability (though not too much since it can put people off when they don’t know you well enough). Others may relate to what you are saying or presenting, and this gives them a chance to normalize that feeling for themselves.

 

• When you are first getting to know someone, you want to show some curiosity about who they are, while being careful not to get too personal (as it can put people off since you just met). Try to keep your questions open ended since such questions require more than a yes or no answer. Examples of open-ended questions would be questions that begin with what, why or where. Some topics to bring up that are not too personal would be their hobbies or their line of work.

 
These are all good tools and techniques to use when one struggles with social anxiety. However, it’s important to keep in mind that during such times one may need further assistance to accomplish or overcome this struggle. Therapeutic interventions have been proven to assist individuals with social anxiety. In a therapeutic relationship, a therapist and client can work together to role-play and overcome fears that may come up for them. 

Every time I suggest to a client the idea of scheduling sex, without fail I get the same reaction. Either turning up their nose or a flat out no accompanied by “that so unromantic” or “it kills the vibe, if I need to schedule sex I would rather not do it.”  
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Since you refuse to schedule sex, this is what it looks like: You want to flirt but you withhold because you're afraid that it will lead to sex and you just do not have time. Days go by as you and your partner make halfhearted attempts at initiating sex but you are both so distracted that nothing ever happens. You are tempted to sext your partner but abstain because you know you’ll both be drained at the end of the day, so why bother ignite the passion. You neglect to do anything to spark sexual tension because you've completely forgotten that sex is even a thing.
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Imagine this, you know that your sex-date is scheduled for Monday or Wednesday or whatever your favorite day of the week is. You allow yourself to flirt, because you know there is no way sex is happening. So flirt all you want because you are going right back to that task that is waiting for you. You sext or send naughty messages as your sex-date draws closer. You allow sexual tension to build up because you know you are going down (or up) with a bang. All the passion that you invest has a goal and when on your sex-date you are present, no distractions. You are excited to remain intimately engaged because you most definitely remember that sex is a still a thing.
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And if you break the schedule... have sex outside the allowed day… oh well, I doubt you'll complain.
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​I used to wonder what makes one individual more resilient than another when faced with a painful situation or struggle. Linehan M. speaks on the concept of radical acceptance and its usefulness in painful situations. When one is faced with a painful or challenging situation, there are several ways in which he or she can perform: they can solve the problem, change how they feel about it, accept it, or stay miserable. However, Linehan talks about total and complete acceptance – radical acceptance – as a way to manage life’s challenges. When one accepts his or her situation, it doesn’t necessarily mean the person is glad about it. In actuality, radical acceptance may bring about sadness; but this is accompanied by an added feeling of centeredness. On the other hand, when we don’t radically accept our situation, the sadness may not be present. Instead, a deep sense of unbearable pain may take its place. 

There are times when reality is painful and, as a result, we try to push away the associated emotions and or fight against it through unhealthy coping mechanisms. Although this form of coping tends to bring about a temporary relief, in the long run, it intensifies the unwanted feelings. This happens when we bury the underlining emotions or situations and instead resort to obtaining temporary relief through unhealthy coping mechanisms. When one incorporates radical acceptance into their daily life, they are committing to accepting their reality as it is, and understanding what they can and cannot control. Furthermore, part of radical acceptance is being nonjudgmental and looking at just the facts of the situation, in addition to letting go and not fighting against the reality of the situation. While Many of us find it difficult to be present when dealing with uncomfortable and painful moments or emotions, that is all part of radical acceptance through which we can achieve a meaningful life.

​Taking a step towards self-betterment, and achieving a sense of centeredness happens when one completely and totally accept their reality, even if they think the reality is unbearable. Through psychotherapy, therapists and clients work together to bring about a radical acceptance of the past and present, in order to accomplish a more centered sense of self in any given situation.




Reference
Linehan, M. Cognitive-Behavioral Therapy of Borderline Personality Disorder. New York: The Guilford Press, 1993. ​