Mental Health Articles
|
|
 A question that I often hear brought up in therapy is when is it appropriate to cut off my family members? This has become a popular topic these days as generational differences, awareness of trauma, and politics divides family.
As systemic marriage and family therapists, we are trained to study family ancestral trees called genograms and look for patterns of connection, attachment, abuse, substance abuse, and cutoffs. Whenever cutoffs show up in a genogram, it tells us something important about the family dynamic and signs of dysfunction. Generally, we discourage folks from immediately considering cutoffs vs exploring alternate options. What are the alternatives to cutoffs Rather than black and white thinking, that things have to be "all this way" or "all that way" or we are a family unit or we have no connection, as family therapists we often encourage people to explore they gray areas. What about decreasing length of visits or frequency of contacts? Instead of going over every holiday, maybe only go to one, and don’t stay with them, limit your time there and stay at a hotel. Maybe instead of taking all their calls, you choose selectively when to respond or you just send them cards. There are many times as people explore their development and really individuate from their parents and begin to develop their own sense of identity and beliefs, that they suddenly see problems in their relationship with their family members that were not fully realized prior. Or perhaps the parent is struggling with adapting to the new role of having an independent, adult child where they have less control. At that point, as growing awareness blooms into anger and contempt, sometimes prompted by an outsiders’ view of your family such as partner, teacher, friend, or therapist that the drive to cut-off a family member or make big changes in boundaries with family comes about. When is a cutoff appropriate? Sometimes folks have decided that the only way they can have some peace is to cut off their family members. This is especially true when family members have displayed long patterns of egregious, toxic, abusive, manipulative, or selfish behavior and are unlikely or unwilling to change, nor take accountability for their actions.
These are all examples of family dynamics that are difficult, if not impossible to manage. Sometimes, for one’s own safety or sanity, there is no recourse but to put distance from the harmful family member. Note, a person is not put into these categories simply because you do not approve of them, or they are not who you want them to be or what you believe, they meet these criteria when they are actively inflicting harm on others through their behavior, the pattern is chronic, and there is a demonstrable unwillingness or inability to change. Consequences of cutoffs Sometimes I encounter clients who, at the advise of younger clinicians, have decided to cut-off their family members with formal letters, over more minor and typical family conflicts. Rather than attempting to work through the issue in family therapy, the family member unceremoniously receives a letter that that have been disowned or a list of their infractions and have been informed they are going no-contact. They problem with formally making these statements in a letter is 1) it gives the other person no opportunity to respond, clarify, ask questions, or make amends. And since many issues come down to problems with communication and understanding, this can only exacerbate the problem. 2) You cannot take back the harm inflicted by a formal pronunciation that you are cutting off a family member, thus creating or exacerbating a rejection wound. Although many people experience family cut-offs for a time, rarely are they permanent. Most people end up reunifying with their family members within a few years. This is true for even the abusive, toxic family members, or the religiously based cut-offs. Writing letters to harmful family members are very powerful tools in therapy for clarifying your hurt, exploring boundaries, and finding cathartic release. As a trauma counselor I have been witness to thousands of these letters over the years. However, a therapeutic exercise for the self is not the same thing as sending one of those letters to a family member and should be taken with great care and consideration. Sometimes folks who struggle with assertiveness or have fears/challenges with being communication/being heard by their family member may feel letter writing is the only option necessary, which may be true, but it’s also important to know that what is formally written may be hard to take back or make repairs from as well. There is also no guarantee they will read it. Cautions of cut offs If your attempt at a cut off is to get the person comply, to punish, to be more the way you want them to be, then you could be abusing the situation and using the cut-off as a tool for emotional manipulation. If, by contrast, you are using the cut-off as a tool for safety when all methods of communication, family therapy, consultation with faith leaders, and boundary setting have failed, this is totally appropriate. This is especially true when there are no signs of positive change or willingness to change or willingness to take responsibility for the harm that has been caused, and they are in-fact doubling down on their behavior and blaming you for it. Red flags. As a family therapist, I have witnessed the devastating impact of trauma and clients struggling to set limits with narcissistic parents who continue to ignore and cross boundaries. I have also seen the tragic result of when clients are unceremoniously cut-off by their family members and the pain, sadness, and confusion that results. Many times the person being cut-off genuinely does not recall the events they are being accused of and are shocked at the variation in perspectives. There is no easy path and the decisions you make today may impact generations to come. It's important to remember that small, consistent shifts in your behavior can change the larger family system functioning over time. A note for parents: Sometimes parents feel blamed a lot in the therapy process, and the fear of being blamed or judged can keep them away from participating in family therapy. This is a fair concern as parents do take a brunt of the impact when their is family dysfunction. It's important to remember that there are no perfect parents. And even the best parents are going to say or do something at some point that harms their child directly or indirectly. In family therapy we really stress the idea of a "good enough parent". In order for children to develop well, you just need a good enough parent. Most parents do many more good things than bad things. A bad choice does not automatically equate with a bad person/parent/child. Sometimes the positive contributions and the way the parent shows love is not readily recognized. For example, a child may say they did not feel love because dad did not hug them or say "I love you" or was overly strict or critical or said things that made them feel bad about themselves, but that same dad may have shown love through showing up all their sporting events, making sure to always have a job and steady income to support the family, by fixing things around the house to create a safe environment for them, by making sure they had a car to get to their job or college. How a person receives love may not be the same as how another expresses love. Parents do however have the responsibility, as the older person with more power and authority in the relational dynamics, of being the one to reach out to their children and initiate contact occasionally. It cannot be left just up to the child/adult child. The child also has a responsibility of returning the calls and checking back in occasionally as well if they both wish to maintain a relationship. Parents do have the burden of being the bigger person, because of child's need for unconditional love from the parent. If you are considering a cut-off, try these steps first
Author: Megan Garza, MA, LMFT is a licensed Marriage and Family Therapist and Supervisor at Healing Reflections Therapy
0 Comments
 A popular point of discussion on social media these days is narcissism. It seems like everyone's parent or ex has been deemed a narcissist.
While in some ways the discussion can be helpful in recognizing abusive behaviors that can impact one’s own mental health, the overuse of the term has taken away some of its power and can lead to misunderstandings. Although it is common these days to toss around phrases like “my ex was such a narcissist” to such an extend that it seems like everyone dated a narcissist. However, the actual presence of Narcissistic Personality Disorder only occurs in 1% of the population. A person can exhibit moments of narcissism ( arguably all of us), but not be a Narcissist. So what does a Narcissist in clinical terms look like? The classic signs of NPD include:
Someone who may be very full of themselves, vain, or overly self-confident. They may have little insight into themselves. The may have little empathy for others and see themselves as the victim in situations where they are the offending party. Often people initially find them very amiable and “charming” is the word that repeatedly comes up in domestic violence circles. They have a way of drawing people to them with their charisma and enigmatic personality, but often their words and gestures are hollow with little sincerity, thoughtfulness, or follow-through. Because they make such a great first impression they can easily trick judges, police, family, and others in authority into believing that they are just a great, well meaning person and their counterpart is suffering from mental illness (enter gaslighting). Narcissism and its role in Domestic Violence Just because your significant other said you were exaggerating or doesn’t recall your side of the events does not mean they are gaslighting you. Gaslighting is a strategic way certain abusers systematically try to make their partner think themselves crazy. It is designed to break them down. Most relationships have couples that widely misperceive or misinterpret events, where one may be experiencing cognitive distortions and have a hard time separating feelings from facts or another may be bad at reading or responding to emotions non-defensively...that does not make them gaslighters or Narcissists. Gaslighting came from the old classic 1944 film “Gaslight” where the main character attempted to convince his wife she was crazy by stealing things from the home and accusing her of stealing or misplacing things, then telling her she had a poor memory, and climbing into the ceiling and adjusting the gas in the ceiling lights and acting like it wasn't happening to convince her she was going insane. It came to be known as a specific form of domestic violence, though can be used by anyone in power/authority, or looking to gain something from someone else for malevolent means. It essentially is intentionally saying/doing things to make someone believe they are going crazy…usually in effort to gain control over them/their things/or to just be antisocial and abusive and enjoy others suffering. Narcissists may use their charm and charisma to get others to align with them against their victim. The victim feels crazy and their self esteem and self-concept are eroded. They may exploit the victim's vulnerabilities to their own advantage physically, financially, or emotionally. Narcissists have more than average encounters with HR, police, civil and criminal suits, protection orders in which they see themselves as the wronged party. They may cry, pout, sulk, yell, namecall, deflect, project, deny, become puffed up, enraged, and incredulous if their behaviors are pointed out. One noted hallmark is the tendency to accuse others of the very behavior they themselves are exhibiting while admonishing it in the other person (kinda makes you feel crazy, right?). If they do admit what they have done wrong, it will be your fault because you “made them do X”, or you “made them feel Y”. Ultimately, they will usually take the stance of “it’s your fault.” I.e. "It’s your fault I cheated because you were not having sex with me enough.” Charming Narcissists may start out with lovebombing and seeming like the perfect person. When getting lovebombed it might feel like you are the main character in your favorite romcom and you likely will feel very special, but usually after 1 year or so of after they get their partner “on the hook” with marriage, housing, loans, or a child their veneer begins to fade and the other side starts to emerge- sometimes classically known as the Dr. Jekyl/Mr. Hyde personality. The victim tends to spend a lot of time in ever shortening cycles of domestic violence idealizing the perfect periods and struggling to see the holistic pattern that tells much more about the overall personality structure of their partner and the waning hope for change. Partners, employees, and children or narcissists tend to develop a lot of insecurity about themselves, are highly attuned to slight reactions from others in a “walking on eggshells” approach to maintain survival and avoidance of further pain. Gaslighting vs Perceptual differences By contrast, Most relationships involve 2 people disagreeing about something because of their own past experiences, internal thought processes/distorted views of the world, and resulting different perceptions of the experience. In most cases, people are not intentionally trying to convince someone they are crazy-though this may be the inadvertent result. Take for example the Michael Brown shooting. They had 64 witnesses and their perceptions and reports of their experience differed wildly. Sure, some may have been motivated by secondary gain to report the way they did, but they were by far not outliers (https://www.motherjones.com/politics/2014/11/inconsistencies-what-happened-during-michael-brown-shooting/) There are famous experiments in cognitive psychology where people can be engaged in a game of basketball and a man in a gorilla suit can walk straight through the court and when asked later about it, most players and witnesses of the game will not see it, because they are focused on the ball (https://www.youtube.com/watch?v=vJG698U2Mvo). A person could easily say “wow, did u see that gorilla?!” And the other person might be like “what are you talking about? There was no gorilla.” An argument ensues and one or both may feel crazy and this is where pop psych gets it wrong-someone might say-“you are gaslighting me.” This is not true, unless the person was intentionally trying to make the other person think they are crazy. And the added piece with cognitive psychology research by Elizabeth Loftus teaches us that people are especially bad historians. Our memories are very fallible and maleable to suggestion, which is why eyewitness testimony is considered the weakest/most unreliable form of evidence, despite people having the most confidence in it (https://www.science.org/content/article/how-reliable-eyewitness-testimony-scientists-weigh#:~:text=As%20Loftus%20puts%20it%2C%20%22just,that%20their%20memory%20of%20an). So, when thinking of gaslighting, ask yourself about the overall behaviors and intentions of this person. Do they generally mean you goodwill even when they are not trying to lovebomb or get something from you in a manipulative fashion? Do they try to help/support/lift you up/encourage your dreams and best version of yourself? Or do you usually feel bad/smaller/more out of control in ways that is usually inconsistent with how you view yourself/others/the world. Narcissists in Therapy Joseph Burgo in the book “The Narcissist you Know” talks about different types of Narcissists, the ones that want to be held in high esteem, famous, or revered and will happily step on anyone who gets in the way of achieving their goal. Dictators, politicians, and some actors and models have been known to fit this mold. Others have a veneer of wanting others to see them as great, but they are much more shallow and easily wounded and resort to lashing out when that is not validated. They are likely to throw a fit, use injurious words to cut down anyone that might see through the veneer and cut the person out of their life entirely. Some may be philanthropers or nurses, teachers, or ministers, or police , or even therapists where they are in the position of being admired and praised, but the people that are closest to them like their partner, parent or child may have a very different experience of them than their public persona. Narcissists are not historically known to show up for therapy unless court mandated or coming in with their partner for couple/family therapy. It is sometimes said that narcissists in therapy only become better at manipulation and therefore a clinician that recognizes the perils should proceed with caution. In these settings they tend to first focus on winning over the therapist by being a “good client” or they finger point all issues as originating with their partner/boss/family member/ex/etc and take no accountability for the work they need to do on their end to make repairs. Essentially, they take the stance of wanting the therapist to validate their concerns as the injured party and try to co-opt the therapist to get the other person to take the responsibility for the problems in the relationship. They may seem agreeable to homework, but have little follow through if the expectation is for them to focus on change within themselves, yet be simultaneously demanding of change and work from their partner. They usually do not see their hypocrisy and are emboldened by their narcissistic injury to overlook their injurious behaviors. Theories of what causes Narcissistic Personality Disorder Theories on the roots causes of NPD vary. Sometimes it develops because they grew up in entitled settings where they were pushed to be “the best” and likewise developed little empathy for anything/anyone that did not meet those standards. Conversely, some were treated so poorly from developmental/attachment trauma that they develop a false sense of self/veneer to convince themselves they were ok to steal themselves up from the outside threats. This is the narcissism that is much more fragile, because if they allow their guard to come down and see their own flaws, their core sense of self may be at threat. They may be vulnerable to experiencing the extreme pain of their early trauma, so they fight hard to allow those vulnerable feelings from being experienced. Traits vs personality disorder Maybe you have read this and thought you for sure know someone who is a Narcissist, but to be clear, the pervasiveness and chronicity and truly heinous impact of this abuse is what makes it unique. You likely have someone who treated you poorly, made you question yourself, did not validate your feelings, took advantage of you, or behaved poorly during an argument and did not share the same perspective as you, but it does not necessarily mean they are a Narcissist. If you reflect, maybe there are times you could say the same for yourself too. This popsych mislabeling is a disservice to real sufferers of narcissists, and gaslighting. Your ex- boyfriend may be a selfish ass, but probably isn’t an actual narcissist. We need to be kinder to one another and more magnanimous sometimes in how we interpret others actions. Fore more readings on the subject, you can read here: www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662 https://emedicine.medscape.com/article/1519417-overview?form=fpf Gaslight(1944).www.youtube.com/watch?v=QJtJsFdpRm8 The Narcissist You know by Joseph Burgo By Megan Garza, MA, LMFT |
AuthorSMegan Garza, MA, LMFT is a certified Specialist in Treating Trauma at a Supervisory level and is Licensed as a Marriage and Family Therapist. She specializes in work with complex trauma, sexual abuse survivors, and relational therapy. Archives
July 2026
Categories
All
|
RSS Feed