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September 19, 2014 / 24 Elul, 5774
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Posts Tagged ‘therapy’

Aliyah and Keeping Young with Yisrael

Tuesday, November 26th, 2013

As an education writer for the nonprofit organization, Kars4Kids, and as someone who made Aliyah from Pittsburgh 34 years ago, I decided to write about the challenges of Aliyah from western countries with school age children. See the previous piece in this series, Fully Absorbed, Coming Through to the Other Side.

As a teen, Randi Lipkin spent three consecutive summers working at HASC, a camp for Jewish children with special needs. Randi’s husband Michael spent his nineteenth summer as a counselor there, and the couple both worked at HASC one summer after they were married, never knowing that someday, they would have a special needs child of their own.

The Lipkin family made Aliyah in August of 2004, with four children from Edison, New Jersey. After they made Aliyah, Randi discovered she was pregnant with Yisrael, who has Down syndrome.

Michael serves as senior editor of financial articles at a local company, Seeking Alpha. Randi is an occupational therapist who works at a “Gan Safa,” a Beit Shemesh nursery school for children with developmental language delays. The Lipkins live in Beit Shemesh.

Proud father Michael Lipkin holds newborn Yisrael Simcha (photo credit: courtesy Michael Lipkin)

Proud father Michael Lipkin holds newborn Yisrael Simcha (photo credit: courtesy Michael Lipkin)

V: Tell me a bit about your children and their adjustment to your Aliyah.

Michael: We had 4 children when made Aliyah. They were 19, 17, 14, and 3 when we moved. Our oldest, one year post-seminary, was our big Zionist and would have moved here even if we hadn’t. Her adjustment was very smooth. She married a year and half later and is now living in our neighborhood with her husband and 3 children.

Our next oldest was borderline interested in moving. As she was entering her senior year in a Flatbush Beit Yaakov the year we made Aliyah, we decided it was best for her to finish high school there while boarding with Randi’s sister who lived nearby. She subsequently came here for seminary, married soon after, and is living in Bet Shemesh with her husband and 3 children.

Our older son had the toughest adjustment. Even though he wanted to move he had a difficult time adjusting to dorm life at Maarava high school. However, he is now our most integrated child having married an Israeli girl and is currently serving his country.

Our youngest at the time adapted very well because of her young age and smarts.

V: How old were you and Randi when Randi became pregnant with Yisrael?

Michael: I was 47 and Randi was 45. We had just had our first grandson and our second daughter was married during Randi’s pregnancy.

V: How did you and Randi feel about the pregnancy? How was the level of obstetric care here compared to the care Randi received in the States during previous pregnancies?

Michael: I was ecstatic, very excited, but nervous for her. Getting pregnant at that age was nervous-making, and of course, we worried about Down syndrome.

Randi: The overall care here was fine, but I found it very weird that you develop a relationship with a doctor and then he has absolutely nothing to do with your delivery. The experience was totally different than in the states. In certain ways the doctors seemed very laidback and in other ways hyper-nervous.

I had gestational diabetes as I’d had before in my previous pregnancies. The doctor transferred my entire case to an obstetrician that handles gestational diabetes and I at one point said to the doctor, “Can we listen to the heartbeat?”

They were too focused on the diabetes. There was far less connection to me as an expectant mother compared to what I had experienced in the States. Of course, I’d had tremendous relationships with my doctors in the States, because I’d known them for 25 years. It’s just not what you have here.

Since I was having an elective, planned C-section, we paid for a private doctor instead of showing up at the hospital and just getting whoever was on duty that day and we felt very comfortable with that decision.

V: I know you gave Yisrael the middle name “Simcha” because you wanted him to always know he brought simcha, joy, into your lives. Was that immediate? Or did it take some adjusting to the idea?

Can a Therapist Destroy a Marriage?

Thursday, January 17th, 2013

According to an article on the OU website by Rabbi Shlomo Slatkin, the answer to the question asked in the title of this post is yes. The specific culprit according to Rabbi Slatkin is individual therapy. A therapist will counsel only one spouse in a marriage. That – he says ends up becoming an advocacy for that spouse instead of a balanced approach to finding solutions to a troubled marriage.

While I think that is an oversimplification (as I think would Rabbi Slatkin) there is merit to his argument. But if one is to read the comments to his article one would think that this internationally renowned relationship therapist was guilty of professional heresy.

Most of those commenting on this article are themselves professionals. But I think they mostly missed his point. He did not say that individual therapy is never effective or beneficial. What he said is that it can and often does leads to erroneous conclusions about the client’s spouse… and that the marriage could be saved if both husband and wife were counseled together. And as a result divorce is encouraged when in fact that marriage might be saved.

Of course it isn’t individual therapy alone that is the problem. A lot depends on the cultural biases of the therapist. For example, if a couple begins their marriage committed to a specific religious way of life and later one of them decides to alter their commitment in ways that contradicts what they agreed upon, a therapist with a cultural bias against the pressures of religion may support that spouse’s desire to break the bonds of that religion in favor of self actualization. This also breaks the commitment made at the beginning of the marriage. If this is done without any input from the other spouse – it rises to the level of professional malpractice.

Not that there aren’t often other problems pressuring a troubled marriage. But a therapist that focuses too much on the personal autonomy of a client may inadvertently be destroying a salvageable marriage. That is much more likely to happen when there is no input from the other side.

This does not mean that every therapist that practices individual therapy in troubled marriages will make bad decisions. Nor does it mean that in some cases freedom from some of those strictures isn’t warranted. But without full input from both sides – a fair and unbiased evaluation of a marriage is impossible. It is therefore easy to understand why Rabbi Slatkin feels so strongly about it.

It is also true that there are incompetent therapists who give bad counsel a couple when treated together. So the bottom line for me is competence. But I also share Rabbi Slatkin’s concern.

Tangentially there is something else I find troubling. Often when a Rav is consulted about getting therapy he will recommend that only a religious therapist be consulted. Being religious is nice but it should not be the primary concern. Again, competence should be. As long as a therapist has respect for the ways of others and is not judgmental about the strictures of their religion – the therapist’s religion or level of observance should not be a concern. I know some pretty bad frum therapists and some top notch secular therapists. The suggestion that a therapist be first and foremost a religious Jew is bad advice.

Getting back to Rabbi Slatkin – his goal is keeping marriages together. And for good reason. Divorce can be devastating on children in so many ways. Including but not limited to their Yiddishkeit. It can also permanently affect the way their children see marriage… as a negative state of being. It can also cause them to go OTD. It can affect their progress in school and their social skills.

Rabbi Slatkin is therefore very upset that divorce is so often the solution recommended by individual therapists who urge their clients to free themselves from the bonds of marriage.

The fact is that a good marriage does take a lot of work. It takes a lot of compromise and sacrifice. There is a lot less me-ism and a lot more we-ism. When two worlds collide in a marriage it can cause a giant explosion. And there are always two worlds. No two people are exactly alike. They each bring their own baggage to a marriage. And often when two people get married they do not always look for the most important qualities in each other that will make the marriage work. Like temperament and the ability to compromise. Or compatibility of ideals.

Printed from: http://www.jewishpress.com/blogs/haemtza/can-a-therapist-destroy-a-marriage/2013/01/17/

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