Week Five-Interpersonal Effectiveness
Before we start with the material presented, I want to offer a few disclaimers.
I did not make it through interpersonal relationship in group. However, we had other interpersonal groups which we just
labeled differently, i.e. conversations, resolving conflicts. I also focused heavily on using the handouts with my individual
therapist while in treatment.
Secondly, do not expect the skills to always work. They do work. However, they will no always work. Do not think
that the skills are useless because they didn’t work in a particular situation. There may be a variety of reasons: the
other person is not being skillful (either due to a disorder, willfulness or other), the person doesn’t expect you to
be skillful, the situation does not allow you to be skillful.
Next, just because you didn’t get what you wanted doesn’t mean that you were not skillful. It may just be that
you can’t get what you want.
Finally, this is a long and hard skill group. We will also be a lot of homework that is outlined in Linehan’s WB.
It would be most advantageous to get a copy of this. It looks like it’s about $30.00 on www.amazon.com right now. It’s $35 on the publisher’s site www.guilford.com. I think I paid about $35.00 when I bought it at Borders, who seems to have it regularly in their bigger stores.
O.k. With those warnings. Let’s give it a shot.
Introduction
On Interpersonal Effectiveness Handout 1, Linehan, p. 1, 4 situations are pointed out
Attending to relationships
In attending to relationships we are tying to head off problems before they start, resolve conflicts and not let hurts
and problems build,.
Balancing Priorities v. Demands
Ask others for help. Offer to do things. If overwhelmed, reduce or put off low priority demands
Balancing the wants-to-shoulds
Look at what you do because you enjoy doing it and "want to do it" and how much you do because it has to be done and you
"should do it. Try to keep these in balance. Get your opinions taken seriously. Get others to do things. Say NO to
unwanted requests.
Building Mastery and Self Respect.
Interact in a way that makes you feel competent and effective, not helpless and overly dependent. Stand up for yourself,
your beliefs and opinions. Follow your wise mind.
Linehan, WB, p. 115
Please don’t worry if you understand little or none of the above. This is just a general overview of where will be
going in this area. We will be going through each of these in depth. For now, just review and think about how developing these
skills may help you. But don’t worry about the meanings too much right now.
ATTENDING TO RELATIONSHIPS
Relationships are like puppies. You can’t expect them to grow into something you want around unless you pay attention
to it and give it food and water, but also love and training. If not, the puppy will grow to a mean aggressive starving out-of-control
dog. These are my words, don’t blame Linehan. The point is, Linehan,WB p. 71, "you need to attend to relationship to
keep them from blowing up or otherwise ending. Relationships that are not attended to can create enormous stress." This leads
to more emotional stress. Eventually, the more we let the relationship go unattended the harder it will be to repair and it
may not be repairable.
If you don’t feed your puppy, he will die.
I think I am the Queen of the dead relationships.
As I am sure you have read in many other places, it is not easy to stay with a borderline. However, we cannot push people
away that we want to stay. Part of that "manipulation" problem that the DSM-IV talks about. When we see problems, we can’t
ignore them or say go away. Because, guess what, if we tell people to leave, they are eventually going to leave. I can honestly
say that I only have two "real" relationships in my life, with my childhood best friend (god bless her) and my BF.
My once best friend in college tole me, "it’s really hard being your friend you know."
This is true. I can’t speak for you, but if you match the description for a borderline in the DSM-IV you have probably
heard a statement like this.
I think that we need to attend to relationships more than most people. Remember back to your coremindfulness though, don’t
judge yourself.
The most important thing I can think of is when you are trying to attend to a relationship, use your WISE MIND as well
as the skills we will be learning in the next few weeks.
I don’t want to start the next section, because we are running out of time, so let’s get to the homework.
1. Think of your relationships in the past. How many have you lost because you didn’t attend to them? How many did
you lose because you let conflicts arise? This is a tough question. Please be mindful and only think about the question when
you are calm. Try relaxation before you work and take it slow. If you start feeling stressed about the question. Stop and
do some self soothe (basically something nice to yourself) before you try to answer the question.
2. Continue to practice relaxation and mindfulness.
3. Complete your diary card.
Be skillful this week.
END WEEK FIVE