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How to have a difficult conversation

8/25/2014

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Ending a relationship. Asking a friend to repay a loan. Critiquing a colleague's work. Asking in-laws to quit interfering. We've all had those moments when we needed to have a difficult conversation that makes our palms sweat with nervous anticipation. It seems like some people really have this skill down, whereas most of us struggle. We might even find a reason to avoid having the conversation at all, telling ourselves it's not really that important, when clearly it is. 

So what do you do? Having a plan helps to build confidence going into a crucial conversation. Try this format:

1. Get clear on what you truly want, then focus on that goal. If we just know we're upset but don't really know what we want, we flounder. It might be an objective to get money back that you loaned to a friend. Or it might be to turn down a request from a coworker without damaging the relationship. 

2. Get right to the point. Lengthy prefaces and explanations about the backstory just make the other person nervous and delays the inevitable. It's best to be clear and get right to the point.

3. Start with yourself. It's tempting to blame others for our position in stressful situations or failed communications. Starting with yourself is much easier to hear and a softer start-up to a difficult conversation.

4. Try a DEAR MAN. Thinking through the following acronym can really help improve clear, concise communication:
     
     Describe the situation. Stick to the facts. No judgements or interpretations. Ex: "My lease is up and I'm scheduled 
     to move in two weeks."
     Express your feelings and opinions. Ex: "I'm panicked because I don't have help and I don't think I can do it 
     myself."
     Assert your wishes. Ask for what you want or say no clearly. Be specific.  Ex: "Would you be willing to help me 
     move a week from Saturday at noon? I imagine it'll take about four hours."
     Reinforce the positive in the situation. Ex: "I would really appreciate it, and also, I'll buy lunch."

     (stay) Mindful and keep your focus on your goal. Don't be distracted to another topic. Ex: "So, can you help me 
     move?"
     Appear confident with tone of voice, body language, and maintaining eye contact. Don't look at the floor or speak 
     softly.
     Negotiate. Be willing to give in order to get. Ex: "What if we barter? I'll help you clean your gutters." 

Resources:
Crucial Conversations: Tools for Talking When Stakes Are High by Kerry Patterson
Dialectical Behavior Therapy, Interpersonal Effectiveness module
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Shame on You: Is Shame Holding You Back?

8/13/2014

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Did you know that shame is learned? We are not born knowing how to feel shame, we are taught. Shame is 
a painful feeling of humiliation or distress caused by the consciousness of "wrong" or "foolish" behavior. It is the result of a judgement by ourselves - or by someone we admire - that we are not good enough in some way. We have all experienced shame at different times throughout our lives. For example, when my husband and I entered couples counseling because we were having difficulty in our relationship, I felt shame for not having relationship mastery as a therapist. I judged myself as not good enough.

Like all emotions, shame serves us and it has many functions. Sometimes shame works well for us. First, shame can function as a motivation to achieve. Many people work hard to avoid a shameful situation. Avoidance of failure (which would be shameful) is extremely motivating. Also, shame can communicate to and influence others. Facial expressions and body language are a hard-wired part of emotions. For example, if you are walked in on while using the toilet, you might try to cover up and hide yourself.  This communicates that you do not want a private act to be exposed, and influences the person to leave quickly and close the door. 

On the flip side, shame can also get in our way. Every emotion has an action urge, and shame's action urge is to hide, avoid, and shrink up. It's a sort of pushing ourselves away. If we're busy hiding and avoiding, we're certainly not taking any risks that may be necessary to grow and be our best selves. Also, shame is a result of a discrepancy of who we think we "should" be and who we really are. Our beliefs about who we "should" be may or may not be helpful, in fact, they might be self-defeating beliefs. They may be undermining our self-esteem. For example, a man believes that showing sadness is a sign of weakness, so when he cries at the loss of his dog he then also feels shame on top of the grief. With this in mind, it probably isn't a surprise that shame is highly correlated with depression and anxiety.

So what can we do about shame that isn't serving us?

The antidote is acceptance. Acceptance is the action of consenting to receive or undertake something offered; a willingness to tolerate a difficult or unpleasant situation. Acceptance is saying that We Are Enough.  Acceptance is challenging self-defeating beliefs. Acceptance is knowing that this situation and our reactions make sense, it's what is, at least for this moment in time. Acceptance is acknowledging that "failure" is just a stepping stone toward our goals. Acceptance is understanding that no person is perfect all of the time and having compassion for those parts of us that are not. Acceptance is an attitude of openness, a willing stance. Taking an opposite action to shame's action urge of hiding: being willing to be open and show our true selves without judgement. 

Try this exercise of a willing posture for acceptance:
1) Sit with your arms and legs uncrossed
2) Relax your body
3) Put your arms out, elbows slightly bent, with palms facing up
4) Tilt your chin slightly up and elongate your neck
4) Sit in this position for a minute or two and notice your thoughts and feelings. It is nearly impossible to feel shame.

Resources:
Brene' Brown's Listening to Shame TED Talk
Marsha Linehan's Dialectical Behavior Therapy, Emotion Regulation Module
 
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    Author

    Sarah Zuber, LCSW is a behavioral and mental health therapist serving the Portland, Oregon community.

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