Tag Archives: Overcoming Adversity

Infertility

In the book of Genesis, we find God’s first commandment to humankind: “Be fruitful and multiply. . .” (Genesis 1:28) It appears that God infused this commandment to procreate into the fiber of our beings. It seems to be written in our hearts, dreamed of in our minds, ached for in our bodies, and yearned for in our spirits. Thus, when a couple is unable to have children, it causes great pain emotionally, intellectually, physically, and spiritually. The feelings of emptiness and loss are overwhelming. The search for reasons and remedies becomes a relentless passion. Doctors, procedures, the time, the cost, the hope, and the hurt are constant companions on the lonely road walked by couples searching for the destination of parenthood.

Statistics tell us that couples do not walk this road alone. According to the United States Centers for Disease Control (2015), one out of every five couples in America suffers from infertility problems. This means in the United States, 7.3 million women and their partners, of childbearing years, are infertile. Infertility affects the male or female reproductive system with almost equal frequency. Infertility affects people from every racial, ethnic, religious and socioeconomic level.

Infertility is defined as the inability to conceive within one year of trying, or not being able to carry a child to live birth. Infertility may occur in a couple’s first attempts to bring a child into the world, or as secondary infertility when they have successfully given birth before, but are not able to do so again. Women who are able to get pregnant, but have miscarriages, are also said to be infertile.

Keep in mind that there are as many roads to resolving infertility as there are infertile couples to travel them. The array of options and medical interventions for a couple facing fertility challenges can be confusing and hazardous. Each route brings many ethical, moral, spiritual, emotional, and physical ramifications. It is important to plan carefully to avoid the potholes and ensure a safe trip.

Start By Becoming Informed

Learning basic infertility information can put you on the road to further discovery. Contact a Natural Family Planning specialist in your area who can help you identify the optimum time for conception. Familiarize yourself with infertility treatment options. Couples who learn about various diagnostic tests, procedures, and medications are better able to make informed decisions.

Get In Touch With Your Emotions

It is important to realize that infertility is more than just a physical condition. It also involves many emotional issues such as intense feelings of anger, anxiety, frustration, helplessness, loneliness, grief, envy, and even depression. All these emotions can be debilitating if you don’t face them and work to counteract them. You may want to seek support from a professional counselor. Through counseling you can clarify your priorities, improve self concept and your coping skills.

Stay Connected To Your Spouse

Coping with the uncertainties of infertility, the roller coaster of emotions, the multitude of medical decisions and moral concerns is challenging even for the strongest marriages. Infertility often causes lifestyle changes, reordering of priorities, financial problems, intimacy issues, physical discomfort, career disruption, problems with relatives, and isolation from friends. Since the stress of infertility can place a strain on your relationship, look for ways to nurture your marriage and make your spouse your top priority.

Maintain Your Social Life

Certain events in everyday life may become difficult. The birth of a friend’s baby or even seeing a pregnant stranger can bring on a flood of painful feelings. Holidays often seem to focus on children, and Mother’s Day or Father’s Day can be difficult. Social functions like baby showers or children’s birthday parties are hard to attend. Many people struggling with infertility problems find it hard to attend religious services, especially ones where there will be baptisms.

Many infertile couples try to navigate the twists and turns on the journey to parenthood without support. Seek out an infertility support group to avoid isolation. Since the number of people with infertility problems is high, you may be amazed at the support that is available.

Prepare a Response To Insensitive Comments

Those who struggle with infertility truly suffer greater physical, emotional, marital, and spiritual pain than most people can imagine. Many parents of adult married children do not realize the pain caused by their questions and prods to conceive grandchildren. Insensitive comments by family, friends and strangers can inflict deep wounds. Prepare a well-rehearsed response. You could take the direct approach and say, “We want children, but are having trouble. We are seeing a specialist and ask for your prayers. We prefer not to talk about it.”

Make Important Decisions and Create A Plan

Construct an overall plan so you know where you are and where you’re headed. Start with the fact that you want to be parents. Then ask what you are willing to do to make it happen. Make decisions that take into consideration your moral principles, family building objectives, money, age and need for control. Find a doctor who agrees with your plan and can help. Be assertive in stating what you want and do not want to do. You have the right to make your own decisions about treatment.

Begin by an honest acknowledgment of your feelings and the medical realities. You and your spouse are different people. You will have different styles, feelings, attitudes and desires. Sharing your perspectives will help you decide which paths to take. Sharing the turmoil of infertility will deepen your commitment to each other, whether you eventually give birth to a child, raise a foster child, adopt a child, or don’t raise a child and spend time serving the broader community.

Answer these questions to help you make your plan:

  • What are you both willing to sacrifice to become parents?
  • Do you know the teaching of your faith tradition on this issue?
  • Do you want to respect the dignity of marriage and human life?
  • How much physical and emotional trauma are you willing to endure?
  • What tests do you want to have?
  • How will you do the tests?
  • What treatments will you explore?
  • How many times will you repeat them?
  • How much money will you spend?
  • What doctor or clinic should you select?
  • Will you put your life on hold as you focus on infertility treatments?
  • When will you decide to quit trying?
  • Is your main goal to be a biological parent or is it to have a child join your family?
  • Are you going to focus on conception exclusively, or will you also pursue family- building through adoption?
  • Would you adopt a baby, an older child or a child with special needs?
  • Are you willing to be a family without children?

Respect For The Sacredness of Life and Marriage

Couples dealing with infertility are often led step by step down a path that may possibly create life. However, many assisted reproduction technologies also cause the destruction of human life. This fact is seldom explained to a couple before the various procedures begin.

Marital stress from the mood swings caused by some fertility drugs can tear apart a marriage that is already stressed from the anxieties of infertility. Tension between spouses and fear of blame, if infertility can be traced clearly to one partner, can be devastating for a couple. Medical practices that undermine the biological, psychological, and moral bonds of marriage, or have the potential to destroy life, need to be avoided.

Use Caution

Couples are sometimes lured to assisted reproduction technology without investigating other options. The experience of infertility has become politicized as scientists, medical professionals, and potential parents confront society’s mores and religious perspectives. The wisdom of past generations is untapped as couples are encouraged to make these major life decisions with little guidance.

Seek Spiritual Comfort and Wisdom

There are many questionable happenings on the road that scientists are paving for those suffering infertility. As reproductive technology blazes trails through uncharted land, we are at a moral crossroads. First, seek God’s intervention before you embark on this challenging path.

Pastoral support and care can offer comfort and helpful perspectives. Discuss options with your pastor, partake in blessing rituals, learn religious teachings, and evaluate your options in light of this information. Seek out faith-based support groups, mentoring and spiritual direction. The faith community cannot take away your tears, but can show you how to make them holy.

Resources:

Elizabeth Ministry International Retreat and Resource Center provides support and assistance in responding to the proliferation of mind- boggling options. (920) 766- 9380, emfounder@elizabethministry.com

Pope Paul VI Institute for the Study of Human Reproduction provides information on NaProTechnology, a new reproductive science, which does not compromise the sanctity of life or marriage.

More Resources:

About the author
Jeannie Hannemann, M.A. is the director of Elizabeth Ministry International.

Miscarriage

The Order of Celebrating Matrimony includes three direct questions posed to the couple. The third of these is “Are you prepared to accept children lovingly from God and to bring them up according to the law of Christ and his Church?” While couples answer “yes” to this question every day, it probably doesn’t occur to most that perhaps children may not be a part of the future. The marriage ceremony almost implies that children will be a part of the couple’s lives. Yet 15% of all recognized pregnancies end in miscarriage, and it is estimated that as many as 50% of all pregnancies result in miscarriage, since most miscarriages happen before a woman even knows that she is pregnant.

The Catholic Church rightly insists on the sanctity of life from the moment of conception, but we need to do a better job of ritualizing the loss of life when a miscarriage does occur. Couples often bear this grief in silence and confusion. The world seems to be telling them that a life was not lost, that a tragedy has not happened. And yet, parents know otherwise. Their hearts and minds cope with grief and sorrow that is no less real for going unaffirmed.

When a couple experiences the pain of miscarriage people may try to be helpful and supportive, but often their words are more of an obstacle than an aid to healing. Here is some wisdom that has helped others through this silent sorrow:

It is right to grieve. People may say things like, “It’s just as well; there was probably something wrong with the baby,” or “Well, at least you know you can get pregnant.” Such comments can lead us to think that there’s really no reason to feel sad. But remember: a life has been lost, along with the many dreams you had for this baby. Take the time to grieve and be gentle with yourself as you are grieving. Treat yourself like a best friend and give yourself permission to be good to yourself during this difficult time.

Surround yourself with people who understand, and avoid people who don’t. Even your best friend may not know how to support you. If necessary, avoid her or him for a while, and seek out others who have been through this sad experience and can validate your feelings. Give yourself permission to share with some people and not with others.

Name your baby. This simple yet profound action is a concrete way of affirming that this life was and is a unique person. It can even be helpful to put the child’s name on a Christmas ornament, a stone in your garden, or some other place where you will see it.

Pray even when words won’t come. God is indescribably near to the broken-hearted, although it may seem like God is very far away. Speak words from your heart, even if they are words of anger, rage, disappointment, frustration or hopelessness. God has heard it all (even from His beloved Son) and is big enough to handle your grief. You are carrying a special sorrow and are united to the sufferings of Christ in a unique way.

Men and women grieve miscarriage differently. Some women find the site “Hannah’s Prayer Ministries” particularly helpful as they grieve miscarriage. Some local Catholic hospitals have a support group for those experiencing pregnancy loss. Some spouses may want to be alone. While others may want to meet with a spiritual director or friend to share the burden. Some spouses discover that exercise can be healing, while other spouses find that just puttering around can be helpful. Find out what works for you and be gentle with yourself.

Ask your local parish to begin a yearly Mass for Hope and Healing. We began this in our parish seven years ago as a way to give voice to our grief and to pray for comfort and strength. Each year, this liturgy attracts people from the area, some who experienced pregnancy loss years, even decades, ago.

You are not alone: ask for help if you need it. We are all members of the Body of Christ and are never alone in our pain. God desires to bring healing in our lives and frequently uses others as instruments of healing. If your grief turns to depression or anxiety, seek professional help. Call your local parish for a referral to a therapist or Catholic Charities.

Maureen and Jim offer marriage workshops and retreats. They have experienced infertility and multiple miscarriages.

For more information and resources for dealing with miscarriage:

Elizabeth Ministry
  • Elizabeth Ministry: an international movement designed to offer hope and healing on issues related to childbearing, sexuality and relationships; offers guidance and support for parents who have experienced a miscarriage
embrace
  • Embrace: A ministry for families who have lost a baby from miscarriage, stillbirth, or infant death within the first few months after birth. Also for friends and extended family of these families, and for religious leaders and volunteers who want to help.

For Further Reading:

Article copyright © Jim and Maureen Otremba, 2012

Pornography

In 2015 the bishops of the United States approved “Create in Me a Clean Heart,” a formal pastoral statement addressing the issue of pornography and all those affected. Learn more about the statement or read it for yourself. Pamphlets in the series are also available here.

Henry seemed to have it all–a loving marriage, four young children, and a solid middle-management position with a local financial corporation. He and his family lived in a good suburban neighborhood and were active in their local parish, where Henry was involved in the music ministry. At 35, he was poised for a promotion to a more lucrative upper-management post.

He always worked long hours, both at the office and at home, but in recent months he had shown signs of wearing down. To his wife and children, he seemed distant, irritable and gloomy, and he was spending longer and longer hours at the computer. He often missed out on family outings, saying he needed to work. Even his co-workers noticed a change for the worse in his mood, efficiency and productivity. He simply wasn’t himself anymore.

Everything came crashing down late one evening when Henry’s 11-year-old daughter, Hannah, walked in on him as he watched an Internet video of men and women engaging in sexual acts. Horrified, Hannah ran and told her mother, and this now-disillusioned family suddenly had some very serious issues to face.

Tragically, Henry’s situation is not unique. While pornography has been around for centuries, the problem of addiction to pornography has increased dramatically in recent years largely due to its vast presence on the Internet.

Dr. Patrick Carnes, who in 1983 first advanced the idea that a person could become addicted to sex, calls the addiction to Internet pornography “the crack cocaine of sexual addiction.” Like crack, it doesn’t take long for an Internet porn user to become hooked, often a matter of just a few weeks. And like crack, habitual viewing of online porn creates an intense cycle of addiction that is extremely difficult to break without expert assistance.

These are some of the devastating effects of Internet pornography upon marriage, the family and the individual:

  • It destroys the trust and intimacy within the husband-wife relationship and often leads to the end of the marriage itself.
  • It creates obstacles to real communication and personal interaction with one’s spouse and with others.
  • It stimulates within the porn addict a distorted view of sexuality that can lead to the desire for riskier, perverse and even criminal sexual behaviors.
  • It draws focus away from one’s family life and relationship with God and sets a destructive example for one’s children.

Epidemic proportions

Porn addiction is an epidemic that has been grown in the Internet age. Some estimates put porn use among churchgoing men at 50 percent, a figure that differs little from use among the adult male population at large.

For Robert Peters, president of Morality in Media, the Internet is the primary factor in the increase in porn use.

“Particularly with the Internet, we usually talk about the three A’s: accessibility, affordability, and anonymity. Sometimes I add a fourth A, addiction,” says Peters. “Pornography is addictive in any medium, but when you’ve got this smorgasbord at your fingertips, and you’re clever enough to keep anyone from finding out about it, it’s an awful lot easier for people to get into pornography.”

Those factors also make it much easier for children and teenagers to access pornography, according to Dr. Richard Fitzgibbons, director of the Institute for Marital Healing near Philadelphia.

“Unfortunately, kids in elementary and high schools can develop a really bad problem with porn at a very early age,” Fitzgibbons says. “They go to school and talk about porn sites with their friends. If it were not for the Internet, these kids would not be into this fantasy world.”

Statistics bear this out: According to studies, 90 percent of children ages 8 through 16 have viewed pornography online, and children 12 through 17 are the largest single group of users of Internet porn.

How a porn addiction develops

An Internet porn habit may begin out of curiosity, by clicking on a racy advertisement or e-mail or happening upon a site by accident. A man may continue to explore online porn because he feels it fills a real or perceived need, explains Mark Houck, co-founder and president of The King’s Men, a Catholic apostolate based in the Philadelphia area.

“Perhaps he is stressed at work, or perhaps he is bored with his life and looking for some excitement,” says Houck. “Whatever the case is, it begins with his false perception that the women and images he will see on the Internet will satisfy his needs. The truth of the matter is that they will never satisfy his needs, and he will be left in a worse situation than he was before. . . . He is using pornography as a substitute for real human relationships, and he is suffering.”

Factors that may lead to the development of a porn-viewing habit include stress, marital conflict, profound self-centeredness, or the “pleasure principle,” a Freudian term for the drive to avoid pain and seek immediate gratification.

Sometimes there is a contributing cause in what Fitzgibbons calls “marital loneliness.”

“The couple has drifted apart in the home,” Fitzgibbons says. “They love each other, but they’re not present to each other, particularly in the evening. They’re in different rooms, even different floors of the house. That’s the worst mistake.”

Other emotional and character conflicts that can lead to addiction include poor body image, an excessive sense of responsibility, a lack of balance in life, mistrust of others, social isolation, lack of acceptance by peers, and repressed anger. Often these traits are rooted in negative formative experiences of childhood. Having had a parent who viewed or was addicted to pornography is another major factor that increases vulnerability to porn addiction.

Whatever the root causes, a man’s attraction to pornographic images can bring about a mental “high” that provides a brief escape from whatever stress or unhappiness he is experiencing in his daily life.

Gradually, the porn addiction escalates as he builds a tolerance to each level of his online experiences. He may seek out more explicit or perverse pornographic. He may be drawn to adult chat rooms where Internet users can meet online.

For some porn-addicted men, the obsession can get to the point that online images and encounters no longer satisfy their desires. They seek to act out their pornographic fantasies, for example, by having an affair, seeking casual sexual encounters, picking up prostitutes, patronizing “gentlemen’s clubs,” committing acts of voyeurism or even sexual abuse of another person.

Seeking help

Eventually, however, the anonymity ends when the secret gets out. As the addiction grows, his cognitive abilities are impaired and he takes more risks. His increasingly risky behavior and his efforts to conceal his problem raise questions among family and co-workers. His wife or child walks in on him in the act of viewing porn, or discovers his secret by chance when he leaves open a web page, a photo or incriminating e-mail onscreen, or fails to erase his browser history revealing the porn addresses he has visited.

The increase in Internet pornography addiction has brought with it an increase in the number of men and couples seeking help to overcome the problem, although it is not usually the man’s idea to seek help, says Fitzgibbons.

“Sometimes it’s the men, but more often the wives become aware that their husbands have this problem,” he says. Most wives consider their husbands’ porn use as a betrayal every bit as deep and damaging as if they had committed adultery.

“The negative impact on marriages is quite significant,” says Fitzgibbons. “I’ve had many women say that this is no different to them than having an affair. A number tell their spouses, ‘Unless you address this and work on this, this marriage will not survive, because I experience it as total betrayal.’ They’ll say, ‘When you are doing that, you’re not thinking of me. You’re involved in adultery of the heart.’ And there’s no response to that one.”

Arduous road to recovery

Most therapists today agree that obsessive viewing of Internet porn qualifies as a behavioral addiction. When a man views the images, the accompanying gratification tends to neurochemically “hard-wire” his brain and burn the images permanently in his memory in what some doctors call an erototoxin effect.

As Houck of The King’s Men explains in layman’s terms, “Overcoming a porn addiction is harder than overcoming a heroin addiction. When rehabbing from a drug addiction, there is a period of detoxification from the drug. With porn, you can detox, but the images never leave your body. Scary, isn’t it?”

Because porn addiction compulsion has so many of the same causes and effects as adultery, the treatment and counseling are pretty much the same, says Dr. Fitzgibbons.

“In adultery, the wife will say, ‘I want all the details.’ So you have to be totally uncovered, transparent, and honest about all the mistakes you’ve made, when, where and why,” he says. “And then there has to be a deep sense of sorrow, a repentance. So it is exactly the same as treating adultery in that there has to be a real commitment to identify the problems and address them.”

Rebuilding marital trust is a major undertaking in itself. The man must patiently discuss all that went on as deeply and as often as she requests. He must provide her with more attention and become more focused on their marital friendship. With time, if he can be chaste and accountable, his wife’s trust in him may grow again.

Part of the recovery process as well as a preventive measure is for husband and wife to practice good interpersonal communication and to spend quality time together – in other words, to build and maintain a strong marital friendship.

“Marital friendship is based on talking, communicating, being present to the other–not just watching television, but taking time to discuss matters or to do things together, even pray together,” Fitzgibbons says.

While treatment clinics and support groups can be helpful, Fitzgibbons emphasizes the need for a strong spiritual component if a man is to address and overcome his addiction effectively.

“Where there is a spiritual component to the recovery, we have seen great success,” he says. “The Lord doesn’t want this darkness to interfere with the great sacrament of marriage.”

Prayer, frequent reception of the sacraments, Bible study and support groups can be very helpful in the recovery process.

For Your Marriage Resources:

Research on effects of pornography:

  • The National Center on Sexual Exploitation runs a website called Porn Harms: Research, which includes an up-to-date list of major studies and scientific information about the effects of pornography.
  • The Family Research Council released a study in December 2009 on pornography’s effects on marriages, children, individuals and communities. See the Executive Summary and full report.

Catholic Church teaching about chastity and pornography:

For Further Reading (links to book reviews on For Your Marriage):

Infidelity

Healing a marriage when there has been infidelity takes teamwork. As a marriage therapist for the past thirty years, I’ve met with countless clients who thought that this would be the end of their marriage.

“Ben” and “Kathy” came in to see me after Kathy found out that Ben had been involved with another woman. It was even more difficult since Kathy knew the woman. She learned that they had been meeting when Kathy thought Ben was working. Through their willingness to fight for their marriage they were able to discover, despite this very low point, new possibilities and reason for hope. They were willing to deal with the damage of shattered trust. Then they entered into constructive remediation around issues that were not the cause of the infidelity, but that led to their marriage being vulnerable to the temptation of infidelity.

Both spouses must commit to getting the marriage back, or possibly getting to where it never was. This calls for courage. The infidelity may flag a boundary issue, difficulty with a new stage of family life (such as children or aging), or possibly indicate more chronic factors within the marriage or within one of the spouses. Marital infidelity is often both a problem as well as a symptom for whatever else may be missing or not working within the marriage. This makes it a difficult presenting problem since both need to be adequately addressed.

Many couples do work through this trauma and are able not only to reestablish their marriage as it once was, but bring it to a newer and healthier place. With sincere efforts from each partner, a commitment to look deeper into oneself and the relationship, plus the assistance of a trained professional, healing often is remarkable.

There are some infidelities, however, that are not of a sexual nature. While these may appear to be less severe than sexual infidelity, they can also cause harm to a marriage, especially if left unchecked.

For example, one partner may have a relationship that mimics an affair in that a third party or entity takes an inordinate amount of one’s time, energy and emotional investment to the detriment of the primary marital relationship. This “third party” may be the custom of sharing daily coffee, or a similar get-together, with a co-worker without the marriage partner’s knowledge.

Another “third party” can be seemingly innocent leisure pursuits or good works. There is a big difference between a hobby that allows a spouse to bring more to the marriage versus extracurricular activities that drain or pull the person away from the marriage. This can include such things as one’s golf game, over-involvement with the children, career, or a volunteer commitment in the civic, political, or church arena. Whenever one spouse is heavily engaged with some third party, then this third party can really be seen as a “mistress.”

Similarly, texting or messaging can be either sexual or non-sexual and has the potential to be a dangerous form of unfaithfulness within the marriage. This particular problem can also become an addiction and needs to be addressed, often through the use of an intervention.

For Further Reading:

About the author
Don Paglia, MS, CAGS is the Co-Director of the Family Life Office in the Diocese of Hartford.

Illness

Many kinds of illness- physical, mental and emotional- can impact a marriage. They range from the occasional cold, to an unexpected accident, to chronic or terminal illness.

Here we consider long term or chronic illnesses, and serious conditions such as cancer, loss of a limb, diabetes, and life- altering disabilities. All of these test the “in sickness and in health” part of the couple’s marriage vow. Illness, especially chronic illness, changes the relationship with spouse, family, friends, social network, and God. Illness can bring out the best – and sometimes the worst – in both spouses.

A long or severe illness is usually a crisis- a turning point that can lead to ruin or renewal. A chronic or life-threatening illness creates a demand for a “new normalcy.” Not only do familiar daily patterns change, but also your expectations of how you will live, love, and share a mutual life. There is no going back to the way things were – only a going forward. At times it can feel like a roller coaster ride from hope to despair and back to hope. That’s normal. In addition to dealing with the illness itself, other issues that couples need to address include finances, ability to work, lifestyle, intimacy, and emotional and practical support for everyday life.

Dealing with the illness

This starts with understanding your illness and accessing the best medical treatment possible. Many people turn to the internet for assistance. This can be both a blessing and a curse. Which websites offer reliable help? How can you distinguish valid medical information from advertisements? See the websites below for a start. It’s crucial to have a strong network of support. Initially, many people want to help by bringing food, running errands, visiting, calling, and praying. As time goes on, however, many do not know how to give sustained help. The person with the illness and the caregiver(s) may fear asking too much or too often.

Suggestions

  • Keep building your support networks as you age. Make sure you ask many people who can give at least a little time rather than depending on one or two people to do it all. Draw from church groups, neighbors, friends, relatives, community support, and support groups of persons with similar illnesses. Try to have at least five good support friends, or more, to insure that one will usually be available to lend a hand. Depending too much on the same group of people can burn out the entire group.
  • Develop a mutually respectful relationship with your doctor(s). The less stress you feel about your medical care and frustration of dealing with the system, the better your chances for recovery.
  • The primary caregiver needs care too. If you are the caregiver, treat yourself with as much kindness and care as you do your ill spouse.
  • Take advantage of support groups for people with your illness. Look into partnering with a “patient navigator” to help you move through the medical system. Hospitals often sponsor support groups or can link you with a mentor.

Financial stressors

Some couples are blessed with insurance that covers expensive treatments when illness strikes. It may not cover lost income, however. When a wage earner loses a job, everything changes. You may need to draw down your savings and cultivate a simpler lifestyle. The illness may affect the kind of job your spouse needs to get.

If a couple is younger (especially if you are still in the active parenting stage) the financial stressors can be even greater. Some couples use up their resources and need to declare bankruptcy or hope to qualify for Medicaid.

Suggestions

  • While you’re still well, consult with a person who understands the financial issues involved with chronic illness and disability. Make sure you have both a short term and long term plan.
  • If it’s too late for the “while you are well” suggestion, do it now and lean on the medical support services to guide you.

Work

The loss of a job has repercussions besides loss of income. Identity is closely tied to one’s work. Work helps us feel productive, important, and useful. We may need to grieve the loss of this identity. Loss of employment also takes away important social networks. The caregiver may have to take on additional employment or household responsibilities. These role reversals can be difficult for both partners. Few people like depend on another for daily care. The ill spouse may feel guilty about burdening the caregiving spouse. Self-esteem takes a hit. Meanwhile, as generous and loving as the caregiver is, this “job” is time-consuming and draining.

Lifestyle and Recreation

The caregiver might have to do things that he or she had previously not done. The illness can become the focus of your life and everything can revolve around it: researching it, getting to/from treatment, dealing with side effects, doctor visits and support groups. Even cooking can be a challenge if the ill person needs a special diet or needs to be coaxed to eat. Recreational pursuits that both of you previously enjoyed may become physically impossible. Travel may be more difficult. This doesn’t mean you don’t have fun; you just have to be creative about finding new interests that fit changing physical abilities. Recreation may become more passive such as watching TV, movies, or going out to eat. The caregiver may need solo recreation such as working in the garden or going out with friends.

Suggestions

  • Careful planning can help couples work out treatment schedules, but make peace with the reality that the future is not knowable or predictable.
  • Keep a sense of humor. Make sure that each day includes some type of play and spiritual activity.
  • Do not let the illness become the primary organizing principle of your life, even though recreation might not be what you’re used to. Persons who do the best in treatment are those who continue to play, take short vacations or day trips, and continue to socialize to the extent they are able.

Intimacy and sex

Physical limitations, emotional and physical fatigue, financial pressures, and lack of time can all affect intimacy and lovemaking. Snuggling may replace sexual intercourse. Sometimes, even touching or holding is difficult. Many chronically ill people report that although sexual intercourse is limited or non-existent, emotional and spiritual closeness increases because of the shared trauma. Look for new ways to express your love so that you can sustain a caring, growing relationship.

Mental Illness

A spouse with mental illness presents an even more complicated situation. The disease is harder to “see” and often caries a stigma. Relative and friends may not be compassionate. It can be hard for the caregiver if the spouse is unwilling to accept help and follow treatment. The mentally ill person may show little gratitude for the efforts of the caregiving spouse. In this situation, a support group with an effective counselor is a must.

RESOURCES:

Hanks, Jerry and de Cordova-Hanks, Bobbie. Tears of Joy. Infinity Publishing, 2006.

Stephen Ministries trains and organizes lay people to provide one-to-one Christian care to hurting people in a faith based setting.

The author acknowledges the Durham, NC Cancer Support Group for its help.

For Further Reading:

Resources for Caregivers:

  • Nourish for Caregivers – a faith-based program designed to meet the practical, emotional and spiritual needs of family caregivers.

About the author
Susan Vogt is an author and speaker on marriage, parenting, and spirituality. Her website is SusanVogt.net.

Personality Differences

The Situation

John is outgoing and can talk easily to almost anyone. Sarah is more reserved and prefers socializing in small groups. She finds herself hurt and uncomfortable when John makes the rounds at parties, leaving her to fend for herself. He can’t understand why she prefers the wallflower approach.

Darrell is practical and pays close attention to details. It is second nature for him to keep careful records of how he spends money. Record keeping is not that important to Kate. She feels restricted when she has to stop and make note of every transaction, as Darrell would prefer.

Tracy is quick to notice people’s feelings and tries to avoid arguments. Chris is firm-minded and enjoys a good argument. He likes to analyze, and persuade with the use of logic. It frustrates him when Tracy says that he is not listening to her when he’s only trying to prove his point.

Michael wishes Anna would pay more attention to punctuality and get to places on time. He prefers life on a schedule and would not think of being late himself. Anna wishes that Michael would be more flexible and not get so uptight about 5 or 10 minutes.

All these couples are dealing with personality differences in their marriage relationships. Though the scenarios seem trivial, these differences can affect essential relational components such as compatibility, emotional support, cooperativeness and intimacy. The very traits that originally attracted and drew these couples together can later seem like flaws that need eliminating within the marriage.

How can couples avoid getting caught up in the power struggles of trying to change the other when their own particular way seems best? Henry Higgins in the musical, My Fair Lady, exemplifies this relational dilemma when he wonders why Eliza Dolittle can’t simply “be like me?”

A Response

The task of attempting to sculpt our marriage partner into our own likeness fails before it begins. God made us unique with our own particular style of “being,” and much of our personality patterns come with the package. The saying, “I’m OK, you’re OK” can be applied to personality differences, for it reflects that no one style is better than the other, and that our differences are an expression of our God-given diversity.

We each have natural inclinations in varying degrees from extroversion to introversion, as well as preference patterns for perceiving information, making decisions, and structuring our life and time. When we try to change our spouse’s natural personality patterns, we negate his or her essential goodness and usually cause resentment, hurt and distrust.

Understanding and Generosity

There is great value in exploring a couple’s personality match to gain a clearer understanding of self, our spouse, and how our styles impact our relationship. Identifying similarities and differences helps couples understand the dynamics of their relationship more clearly, but generosity towards each another is still key to personality compatibility. If we choose to see our differences as GIFTS, we are drawn towards greater acceptance. When we concentrate on our spouse’s strengths and complimentary style, we can appreciate and affirm rather than criticize. Since no personality style is better than another, we can choose to give up our superior attitudes as well.

Balance Leads to Harmony

We also tend to overuse personality patterns with which we are most comfortable. When this occurs, our corresponding limitations become more glaring. For example, the extrovert becomes overbearing or the introvert may appear non-communicative. It’s true we don’t tend to change our basic preferences, but we can develop maturity within our basic style for the sake of our marriage. A generous effort to curb our overuse of a pattern preference increases our own personality balance and brings harmony to the relationship.

Accepting one another’s personality differences is an ongoing process within marriage and is part of the couple’s spiritual growth. As spouses recognize each others’ patterns to be as valid as their own, they allow themselves to be influenced by them as well. Then the saying, “I’m OK, You’re OK” becomes a reality.

Suggested Resource

Many of us have been exposed to personality inventories through college or jobs. A great resource book for couples is, Please Understand Me II, by David Keirsey. It contains a personality style assessment instrument and chapters on marriage and parenting.

View more Marriage Rx prescriptions here.

About the author
Judy Clark is Co-Director of Family and Adult Ministry at St. Mark the Evangelist Parish in Plano, Texas and a licensed professional counselor.

For Further Reading:

Household Duties

The Situation

It’s not just the ‘uns’ that irritated Heidi: the unmade bed, the un-emptied dishwasher, the un-folded laundry. It was the fact that Sam had been home all day and was asleep when she returned from her extra weekend shift at the hospital. She was tired and resentful and felt that he hadn’t done his share of keeping up the apartment, but always had time to watch his favorite sit-coms and sporting events.

Sam was angry because he thought he was doing very well and that Heidi didn’t appreciate his efforts. He was doing more picking up and cleaning than he had ever done as a bachelor. He never left dirty dishes in the sink or clothes on the floor. He took his turn at vacuuming and cooking meals and he thought Heidi was being a neat freak about the whole thing.

Hoping to buy a home soon, Sam and Heidi were both working overtime in order to pay down their school debts. As a result, they had very little free time together or money for recreation. They had agreed to share household tasks as well as cooking and shopping. But it wasn’t working out so well. Sam referred to his wife as “tidy Heidi” and she in turn called him “sloppy Sam.” Their conversations about a more equitable division of household chores ended in Sam’s increasing anger about Heidi’s not valuing his efforts and Heidi’s growing resentment that Sam didn’t take this seriously. They want to address this problem, but don’t know where to start.

A Response

In studies that measure marital satisfaction, the topic of sharing household duties is one of the primary sources of dissatisfaction for couples, especially in the early years of marriage and when both spouses work outside the home. Like other responsibilities that are shared in married life, homemaking is an important part of building a life-giving partnership, one that respects the dignity, the needs and the abilities of both spouses.

Sam and Heidi are wise to see the need for addressing this source of irritation in their relationship. When disagreements are swept under the rug they often grow in size and significance and become entangled with other issues, eventually becoming much larger problems than they started out to be. Some things Sam and Heidi can consider in finding an agreeable solution to this problem are the following:

  • How neat is neat? Sam and Heidi may have agreed on dividing up the labor, but not on what “neat” or “clean” means to each of them. Making a list of what needs to be done daily or weekly may help them to agree about what is absolutely necessary and what can be left undone till there is more time. In any partnership, there is always some giving in. Heidi may have to lower her standards about some things and Sam may have to raise his a bit.
  • It’s impossible to settle differences when there is name calling, labeling or blaming in the conversation. Research shows that healthy married couples avoid such behaviors as part of their promise to “love and honor” one another. Conflict resolution skills might help Heidi and Sam understand each other better, find an agreeable solution, and lessen the anger and resentment they feel toward each other.
  • Is there a problem under the problem? Sam and Heidi are overworked and have little time or money to enjoy themselves. The stress of too much time at work may be part of the cause for their resentment and anger over household tasks. Consulting a financial advisor about paying down their debt at a slightly slower pace may reduce the stress and make housekeeping less aggravating for both of them. If they buy a house one year later but have a happier, more satisfying marriage, they’ve made a good investment.
  • Sharing household responsibilities is a common source of irritation for couples. Talking with friends about how they have worked out their division of tasks may give Sam and Heidi some new ideas for addressing their own situation. They may discover that, like other couples, setting aside an evening or weekend time for working together on the apartment would be a more enjoyable way to get the tasks done.
  • There is no one perfect solution to the problem of household duties, or any other marriage conflict. Sam and Heidi can agree to try a variety of cleaning schedules, convenience products that lesson the burden of a task, or methods of doing things. After six months, they can re-evaluate and try something else. A marriage relationship is organic; spouses are always growing and changing as is the environment around them. Part of being faithful in marriage is being willing to try new ways of doing things when one way doesn’t work. As someone once said, marriage isn’t a hundred yard dash, it’s a marathon!

About the author
Mary Jo Pedersen is a teacher and trainer in the areas of marriage and family ministry and author of several books including “For Better, For Worse, For God: Exploring The Holy Mystery Of Marriage,” Loyola Press, 2008.

View more Marriage Rx prescriptions here.

Disillusionment

Many couples today are older, more mature, and have more life experience than couples who married a generation or two ago. Does that mean they enter marriage without the rose-colored glasses that blinds them to their spouse’s shadow side? Maybe not.

Human nature doesn’t change much from generation to generation. Most couples still enter marriage with high hopes and ideals. But if couples fully understood the ramifications of “I do,” would anyone be brave enough to commit? Perhaps it’s like becoming a parent. At the time of conception we may have been fully committed to bringing a new life into the world. As a child grows, however, parents often wonder what they were thinking.

Disillusionment can arise out of silly little things such as fixating on the personality quirks or annoying habits of your spouse. Does she chatter on about insignificant details while you are trying to read the sports page? Does he fuss that your cleaning efforts aren’t up to his standards?

The most common (and perhaps troubling) disillusionment, however, often is phrased as “I just don’t know if I love him (her) anymore.” It’s usually accompanied by a general feeling of loss of excitement and passion for your spouse. You wonder where the romantic feelings of earlier days went. Life might be OK. Nothing tragic or earth-shattering has happened, but it all just seems dull or boring. Is this all that marriage is supposed to be?

Fortunately, both the minor disillusionments and not “feeling” love can often be helped by attending a marriage enrichment program. Marriage enrichment is not meant for couples who have serious problems. It’s for ordinary couples who want to grow closer together or who move their relationship out of a rut.

Marriage enrichment programs will not tell you whose cleaning standards are the right ones. They will usually enhance your communication skills for resolving this yourself. They’ll give you special time away to rediscover and renew your love.

Major disillusionments usually require specialized programs and/or counseling.

For Further Reading:

Careers

At first it probably sounds simple. Get a job to pay the bills so we can live happily ever after. But jobs take a lot of time and sometimes that time is stolen from the time that the marriage relationship needs.

Factor in that there are jobs and then there are careers and things get even more complicated. Generally a job is considered something one does for pay, but it does not necessarily require specialized education. A career is a job that you get paid for. It requires dedication to the field of work, plus you are expected to progress in knowledge and commitment over time.

Careers are usually more satisfying than jobs. The rub for married couples is when career decisions of one spouse conflict or compete with the marriage, family responsibilities, or the career of the other spouse. It’s a matter of discernment and juggling. The balancing act is often not easy. Following are some things to consider when making career decisions.

How much money do we need?

Ignore the temptation to give the flip answer “as much as possible.” A need is different from a want. Sure, it might be nice to have a swimming pool, a fancy car, or an upscale address (choose your luxury), but what is really necessary are the basics: food, clothing, shelter, health care, safety, and care for any children you may have. It’s OK to splurge occasionally but be sure to weigh the cost against the impact these things will have on couple and family time.

Should both of us work outside the home?

This is a complicated question with many variables, such as:

1. How necessary is the double income to survival?

2. How invested are each of us in our jobs or careers?

  • Would it be possible for one of us to take a leave from our career for a time and re- enter without undue penalty later?
  • Could one of us work part- time?
  • Could each of us work half time?
  • Could one of us stay current in our field and feel fulfilled by doing volunteer work?

3. Do we have young children, teens, or aging parents who need attention and personalized supervision?

4. If we have young children, do we have reliable child care providers who share our values and discipline beliefs?

5. Do we both strongly want to work outside the home?

What if our careers create conflict between us?

Some careers may put a marriage at risk because they are all-consuming. The job becomes a mistress or an addiction. It not only takes time, but also energy, away from the marriage. Sometimes the workplace provides the temptation to pursue an extramarital affair. Following are some questions to ask yourself:

1. Does your career require time commitment significantly over 40 hours per week?

2. Does your career require a lot of out of town travel?

3. Is your career so foreign to your spouse that it’s hard to share the nature of your work, at least in a general way?

4. Does your spouse’s work setting put him/her in frequent, intense working relationships with the opposite sex? Are your marital commitment and boundaries clear? Does the workplace support your marriage or put it at risk?

What are some ways to keep work, marriage, and family in balance?

Generally, work and children take their time off the top of a relationship. Work provides necessary income and includes built- in accountability, i.e. a boss, wages, reviews. Children make demands, plus we are responsible for their well- being.

The challenge is to give work and children their due but to balance them with what’s needed to keep a marriage strong. The temptation is to let the marriage go on autopilot because you’re both adults, you know you love each other, and you can let it slide for awhile, when job or kids are demanding your time. The key phrase is “for awhile.” Indeed, most marriages can absorb temporary spurts of attention to an urgent work project or an ailing parent. But it’s easy for a temporary crisis to slide into an ongoing pattern. To avoid this it’s helpful to have some regular marital practices that can prevent the balance from getting out of hand. For example:

1. Commit to a weekly date. This might not always involve spending money or going out, but it should be sacred time to renew your relationship and do something fun together.

2. Agree on how many hours of extra work (at the office or brought home) you can tolerate as a couple. Where do you draw the line and say it’s time to look for a different job?

3. Share what you love and hate about your work with your spouse so you stay connected with each other.

4. If necessary, lower your housekeeping standards (or pay someone to do chores you could do yourselves) to maximize couple/family time.

5. Include your spouse in work travel and parties when possible.

6. Staggering work schedules to minimize child care can be good for your relationship with your child but hard on the marriage. Make sure that your only together time is not while one is sleeping.

7. If you need to gain couple time, say no to nice but non- essential tasks such as:

  • baking cookies for the PTA
  • chairing a charity fundraiser
  • going to events that you can’t do as a couple
  • going to events that you don’t really care about but are in the habit of attending
  • TV, videos, and computer gaming- they can be time wasters

Prioritize

There are so many important and wonderful things we want to do with our time. How do we decide what to do and what to give up or do later?

The bottom line is:

  1. Marriage first (This is the vocation to which you committed yourself.)
  2. Children second (Your children may take more raw time, but not at the expense of your marriage. A healthy marriage is good for your children.)
  3. Job third (Again, your job may take more hours, but don’t let it rule your life.)
  4. Service and Recreation (Good and healthy to do, but make sure the other bases are covered.)

For Further Reading:

Addictions

If you or your spouse in the past month has taken a drink first thing in the morning to help you recover from a hangover you may be dealing with an addiction problem. There are other possible symptoms, as well. For instance, as a person with an alcohol addiction you may have gotten home from a party in one piece, and even though your car went up on the lawn a bit, you were able to park it and get into the house. But if you don’t know how that scratch on the rear bumper got there, you are showing addiction symptoms.

You may tell yourself, “It must have been someone else who did that” but this is part of your denial. Maybe you say, “What’s the big deal, almost all of my friends are serious drinkers. They drink way more than I ever do.” Such rationalizations also indicate a problem. Most people with an alcohol problem will report that they know exactly how much they drink each night, although they usually low ball the number. They may say, “It’s not even the hard stuff, it’s only wine or a couple of beers.” If your wife or husband complains about it, you write it off as just so much nagging.

If any of this is familiar, or if you or someone close to you thinks you have a problem with alcohol or drugs, most likely you do. If you have a loved one who has this problem you need to get help. Substance abuse and addictions do not disappear; rather, they only get worse when left untreated. Substance abuse, which includes alcohol addiction, is a major problem in the United States, and it is a major source of marital breakups and family problems. It affects all the members of the family, not just the one abusing drugs or alcohol.

Individuals with alcohol or other substance addictions have a distorted sense of reality. They will justify hiding their addiction from family and friends. They might even explain that they drink or escape through drugs to deal with a spouse who makes life difficult, or because they have a stressful job, or their children are such problems.

When their addiction worsens – and it will – they will tell say that the police were unjustified when they got the DUI, or that this really was just a one-time fluke. Even when they begin to have blackouts- memory lapses due to the intoxication- they are able to deny this to you and to themselves.

In addition to the person with the addiction, there is often a spouse who suffers from co-dependency. One of definitions of co-dependency is a set of maladaptive, compulsive behaviors learned by family members in order to survive in a family which is experiencing great emotional pain and stress. As adults, co-dependent people have a greater tendency to get involved in relationships with people who are unreliable, emotionally unavailable, or needy. A co-dependent person tries to control everything within the relationship- but can’t.

“Recovery” for co-dependent spouses comes when they eventually address their own needs instead of tolerating mistreatment or trying to rescue their spouse. Whether the addictive behavior is relatively minor or more serious, often it is the co-dependent spouse who starts the recovery process by first addressing his or her own need for assertiveness plus improving listening and communication skills. Counseling can bring awareness of dysfunctional behaviors, and help the couple develop new, healthier coping skills.

The denial that accompanies an addiction is a family problem because it often includes the spouse as well. Spouses may cover up for their partner, make excuses, call in to an employer and say he/she is sick when it is really a hangover. They will overlook the fender bender accident. Most of all they tolerate the lack of physical and emotional availability from their spouse due to their “affair” with drugs or alcohol.

Alcoholics Anonymous, known as A.A., and the other 12-Step programs are a great resource. Meetings are held morning, noon and night. Individuals get the support of a sponsor- someone who has gone through the process of recovery and lives their life fully. These people are models of living a life of sobriety. For the spouse of someone with an addiction, as well as for their children, there are Al-anon and Narconon meetings. They support and encourage, and help the co-dependent spouse to stop the ways that he or she may have inadvertently been enabling the addicted person.

With the emergence of the internet, sexual addictions have become an even greater problem. Sexual addictions can range from masturbation to pornographic magazines and videos, to infidelity and paying for sex. It may even be as pathological as breaking into apartments and raping unsuspecting residents. This stage of sexual addiction requires major intervention and usually results in criminal charges as well. Whatever the magnitude of sexual addiction, the one thing all have in common is that the need for sex is more important than the addict’s feelings for his/her spouse.

Addictions are often ruinous to a marriage if they are allowed to continue. They are compulsive behaviors that are usually fueled by deeply seated anger or fear of intimacy. You might be married to a person who was shamed in early childhood. They might have had poor or no sexual education, experienced a parent that sexually acted out, or had serious childhood trauma. They may be a victim of incest or sexual abuse. Sexual acting out in these compulsive ways, as well as other addictions, often indicate emotional pain. They are also used as a substitute for true intimacy.

Treatment often takes the form of individual, marital, and group therapy. Key tasks for recovery include, first and foremost, breaking through the denial. Sometimes this requires that the co-dependent spouse first break his or her own denial and also learn about the addiction process and how one goes about establishing sobriety. Then it is a matter of getting the addict/alcoholic to start a treatment plan. For many, A.A. or N.A. can be an effective solution. For others it can be the starting point in combination with therapy.

Sometimes it is necessary to create an intervention. This is a well-prepared and pre-planned meeting with a professional counselor, family, friends, and perhaps colleagues from work who meet with the addicted person. The participants confront the person with the addiction and the consequences that the addicted behaviors are having on the family, friends and workplace. Usually there is a pre-arranged treatment plan that may include an initial hospital phase, either as an in-patient or outpatient. Hospitalization may be necessary for those who have serious drug or alcohol dependency problems and who need a detoxification first step. Professionals can provide more information. After this initial phase of treatment, it is a matter of establishing sobriety and creating a healthier environment to support continued sobriety. This phase is not easy, as there may be setbacks. This is where 12-Step programs are particularly valuable in reinforcing motivation.

Couple therapy is also an essential part of recovery. A spouse may not be able to recognize the need for his or her involvement, but recovery is much more successful when both spouses are involved. If the addicted person attends A.A., and the spouse possibly attends Al-anon meetings, plus they receive marriage counseling, the marital relationship is more likely to stabilize and the couple can work through the trauma they experienced from the addicted partner’s behaviors. There is also Retrouvaille, a program for married couples who are hurting. It is not specifically for addictions, but it does assist any couple that has experienced a major disillusionment.

With addictions comes the need for reconciliation and forgiveness for the damage caused in the marriage. With help, hard work, and the right kind of support, many couples are able to heal their marriage and create a new and healthier marital life- something they could not have imagined while in the midst of their crisis. With time, patience, and persistence trust can be restored and a new level of intimacy reached. By moving beyond the initial denial and earnestly working each recovery step, a couple can heal and reclaim a life a sobriety from addictive behaviors.

RESOURCES:

Alcoholics Anonymous (A.A.)

Al-anon is for spouses, children, parents, or close friends of alcoholics or teens dealing with alcohol problems.

Narconon is a non-profit drug rehabilitation program dedicated to eliminating drug abuse and drug addiction.

Help for Men and Women Struggling with Pornography Use or Addiction (list of support groups, help for parents, and more)

Celebrate Recovery: A Christ-Centered Recovery Program

The Calix Society: An association of recovering Catholic alcoholics, their family and friends, with an emphasis on spiritual activities

Retrouvaille (pronounced retro-vi with a long i) means “rediscovery.” It consists of a weekend experience combined with a series of 6-12 post-weekend sessions over three months. The main emphasis is on communication between husband and wife. There are neither group dynamics nor group discussion on the weekend.

The Third Option is a group program for marriages. It combines 14 unique skill-building workshops, sharing by mentor couples who have overcome marital problems, and support groups. Because it uses a “self-change” model, one spouse may come alone.

About the author
Donald J. Paglia, MS, CAGS, is the Co-Director of the Family Life Office in the Archdiocese of Hartford.