THE SECRET OF INTIMACY: PERMISSION TO BE COMPLETE PERSONS

Getting married does not mean you will stop growing. This fact seems to escape many spouses. In taking the scary step of falling in love and creating a marriage, we all tend to lock in perspectives on each other. We assign and assume roles in the relationship that allow us to fit together comfortably. We eventually outgrow, or grow tired of, these roles. Then the marriage faces the stress of having to reorganize in reaction to our individual changes. Let me elaborate.
In joining together, we tend to see what we need to see in our partner and be what we need to be in order to create harmony in the partnership. In so doing, each of us is creating and participating in a relationship that excludes some important parts of our total self. For example, a strong woman may put aside her own need to be nurtured so that she can fulfill the role of caretaker in the marriage. At the same time, her compliant husband may put aside his own capacity for independent functioning to fit with this partner who has a need to take care of others. He assumes a dependent role in reaction to her assuming a caretaker role.
As life progresses, we all experience an increasing psychological need to express all aspects of our total sense of self. Anxiety-generating events such as illness tend to heighten this need. Particularly as we are faced with aging and its effect on our health, we feel compelled to incorporate into our marriage those aspects of self that we originally put on the shelf when we connected with this particular mate. This means that as we progress in marriage, we experience increasing need to change, both individually and in how we relate to each other. The meek become more outspoken. The angry become more gentle. The fearful become more brave. The seemingly fearless become more aware of insecurities. The compliant become more aware of their own needs.
These changes are first expressed in marriage because marriage is supposed to be the safest place to be psychologically vulnerable and free. Unfortunately, as we have seen throughout this book, any change on the part of one person in a relationship can cause anxiety throughout the relationship. In reaction to such stress, many spouses fail to nurture each other as they grapple with the marital changes that are forced by such individual growth. Nurturing understanding and encouraging such psychological change are hallmarks of an intimate marriage. Healthy partners do not resent each other's growth, even though growth on the part of one partner has real consequences for both. Unhealthy partners, on the other hand, act as though they are being double-crossed if their partners change in any way. They act as though they had established an ironclad contract to remain the people they were when they married, and they fight any change in this contract.
Unhealthy attempts to prevent a spouse's growth can take many forms. In response to his wife's complaints and concerns about his regular weekend golf tournaments, one man moaned, "I feel double-crossed that she's changed so drastically. She knew I golfed when we got married, and it seemed acceptable to her then. So why not now?" For other couples the intimacy-eroding response may be to tease, make light of, or refuse to participate in some new and important aspect of a mate's life. Leo and Betty provide an example of this mistake.
Betty was an athletic fifty-seven-year-old who had recently returned to part-time pursuit of her college degree. She had also become much more health conscious since the recent death of her father from a stroke. Accordingly, she joined an aerobic dance class, began cooking healthier meals, and significantly tapered her use of alcohol. Her husband, Leo, however, was a beer-drinking television addict who hated exercise. He constantly complained to Betty about "wasting time acting like some kind of yuppie with all this school and healthiness business." He refused Betty's repeated invitations to join her in exercising or in attending special lectures on topics being covered in her classes.
These two originally came to me for help with their failing sexual relationship. That Betty and Leo were experiencing intimacy difficulties was certainly no surprise. They simply had failed to grow together because of Leo's refusal to participate graciously in Betty's becoming a more complete person. When such emotional stinginess occurs in a relationship, imbalance always follows, and intimacy is compromised.
To grow as a couple, you must keep up with each other's growth. You must make it your business to remain interested in who your partner is becoming and to learn to relate to this new version of your mate. Doing so can lead to continued excitement and intimacy in your marriage.
As important as it is to nurture such growth in each other, it is also important to remember that change always starts from within yourself. No matter how encouraging and nurturing your spouse is about your right to be a complete person, you must give yourself permission to be a complete person if you are to grow. Yes, you chose and agreed to fulfill a certain role during a certain chapter of your marriage or of your individual life, but you are not locked into that role for the remainder of your existence—unless you fail to give yourself permission to change. Intimate couples are made of healthy individuals who grant themselves and each other permission to continue growing throughout all the years of their life.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMEN’S HEALTH

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