Ann Arbor therapist offers counseling, helping clients achieve satisfying life.

Counseling for Individuals and Couples

Tag: relationship

The Rashomon effect- the psychology of relationships

The Rashomon effect is defined as the way in which different people may describe the same observed event in very different ways. This may happen while all observers of the event believe that they are being completely honest.

We are all familiar with this phenomenon to some degree, yet we are often uncomfortable when confronted with the extent  to which our personal perception is subjective, a lens through which we view reality.

This term originated in a movie by Kurosawa, a renowned Japanese director. In the movie four people meet in the forest; a young samurai, his beautiful wife, a bandit, and a passer-by. The young samorai is killed. The four people come to testify in the trial that follows, including the ghost of the samurai.  Strangely enough, three of them plead responsibility for the murder.  The event appears very differently in the story that is told by each of the four participants. Each of them is convinced that he or she is telling the truth, and the events are shown through the protagonists eyes.   In the movie there is no resolution.

Unfortunately, this happens all too often in relationships. When People describe  events that have led to a crises in a relationship, they often give completely different accounts of these events. Often the people involved are convinced that the other person is not telling the truth.

I often come across this phenomenon in my practice. When a couple is in a crisis and are recounting the events that led to the crisis, it is critical to first accept that, as a rule,  no one in the room is lying. The next step is to  listen to each other carefully and try to understand what lens each person is using to view reality. Understanding the distortions that these lenses impose upon our perception, can provide us  clues on how to repair a relationships that is ailing.
It is often humbling to discover how subjective our perception is.

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Premature Ejaculation – Sex Therapy

First it may be useful to define what premature ejaculation is. Although it may seem self explanatory, one problem may be that you or your partner’s expectation of sexual stamina, often nurtured by popular culture, are unrealistic.

Usually, premature ejaculation is diagnosed when a man frequently  ejaculates sooner during intercourse than he or his partner wishes, either  before penetration or shortly after.

If you do suffer from premature ejaculation there are behavioral approaches to the problem and medication. While medication, such as SSRI, may help – they  are effective only while being taken. Once you stop taking the medication the effect also passes. The other downside of taking these medications is that you will need to cope with their side effects. This is why it is better to start with the behavioral methods rather than start with medication. Those can be added later if needed.

Contrary to common beliefs the behavioral approach does not involve either mental numbing, such as distracting yourself from the sensations, or physical numbing with some form of  numbing cream. Somewhat surprisingly, the most successful approaches involve heightening your awareness to your physical sensations, while maintaining physical relaxation. Only by increased awareness and mindfulness, you can learn to regulate better your arousal level, and hence your ejaculation.

These two  self help books teach the basic sex therapy techniques for dealing with this problem.
How to Overcome Premature Ejaculation by Helen Kaplan

Coping With Premature Ejaculation: How to Overcome PE, Please Your Partner & Have Great Sex by Dr. McCarthy and Michael Metz.

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Low Sexual Desire – Women

One of the most common reason that women and couples seek sexual counseling is the women’s low sexual desire.

Surprisingly enough, many times the cause is the birth control pill. If you are on the pill, and you suffer  from low sexual desire, try to switch to a different birth control method, that does not involve hormones. You may want to consult your OB/GYN practitioner, or go to Planned Parenthood. Often the counselor at Planned Parenthood will dedicate more time to hear your concerns, and may suggest a wider selection of options to choose from. Be aware that it may take several months for your body to recover.

There are many other causes for  low sexual desire. But this one is relatively easy to eliminate.

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