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Archive for the ‘Dale Doty Ph.D.’ Category

February and March Speaking Engagements

Tuesday, February 7th, 2012

CFI staff have a number of upcoming events in February and March

Dr. Tim Doty will be speaking at Metro Christian Academy as a part of their Spiritual Life series for parents Staying Connected to Our Kids: An interactive workshop series to help parents stay engaged in their kids’ lives as they mature.  Open to any parent in the greater Tulsa area.  Panel workshops will take place twice on February 13th, 11:30am-1pm, and again 7pm-8:30pm at Metro Christian Academy.  See the Staying Connected to Our Kids (pdf flyer).

 

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On February 19th, Dr. Tim will be speaking alongside Pastor Brad Jenkins at The Gathering in Tulsa for the second installment of a series called “Love Machine.”  Dr. Doty will be sharing about how singles, couples, long-time married, newly married, divorced and combined families can employ healthy relationship principles.

7370 E. 71st St. Tulsa, OK 74133

10:30am

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Dr. Tim will also be speaking at Brookhaven Hospital on  March 7 from 11:30am-1pm. “Deepen Your Clinical Effectiveness: The Use of Psychological and Forensic Assessments in Your Practice.”

201 South Garnett Road

Tulsa, OK 74128-1800

Reservations: 918-438-4257

CEU Credits: 1.5 hours each, available to local professionals.

 

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Dr. Dale Doty will be hosting a Certification Training for the PREPARE/ENRICH tool on Friday, March 30, 2012

This workshop is being offered specifically for pastors, pastoral or lay counselors, chaplains, marriage educators, and deacons or elders. Professional counselors & counselors-in-training are also welcome to attend.  6.0 CEU hours approved for LMFT / LPC.

If you would like additional information about the PREPARE/ENRICH tool and the training we offer, please take a look at Dr. Doty’s article and video.

To sign up for the workshop, and for additional details, here is the link to the registration page.

 

Divorce in Oklahoma – Dr. Doty Interview with FOX23 News

Saturday, August 27th, 2011

Christian Family Institute’s Dr. Dale Doty was interviewed by FOX23 news this week regarding the high rates of divorce in Oklahoma. FOX23 reported that Oklahoma couples marry more often than their counterparts in other regions.

Our community has been aware of these concerns and started the Oklahoma Marriage Initiative (OMI)  in 1999 to address our state’s  high divorce rates.  It has become a model program for the nation.  At Christian Family Institute, we work with couples in all stages of relationships to improve their relationship and reduce the chances of a marriage ending in divorce.  We offer premarital counseling that enables couples to receive a discount on their marriage license in the state of Oklahoma when they complete our program.

For churches, leaders, counselors, and professionals in our state who seek to strengthen marriages, CFI offers trainings on the PREPARE/ENRICH tool (video).  At CFI, we believe in the importance of marriage as a viable, cultural, God-blessed institution.

If you or someone you know needs help preparing for marriage, strenghthening a marriage, or needs to heal after the end of a marriage, our counselors are trained and qualified to offer assistance.

Trust Is A Clinical Issue, Part 1

Monday, May 2nd, 2011

An issue often encountered in treating relationships is the problem of mistrust. Most often the problem arises in the context of some boundary violation that has occurred in a relationship. Behaviors that are most damaging are easily recognized such as infidelity, inappropriate use of the internet such as viewing pornography or emailing or texting some sexual or romantic content without a partners knowledge, or lies of almost any sort. Some preliminary research has indicated that a partner lying about finances was nearly as damaging to trust as sexual impropriety.

When partners have established shared expectations, any behavior that deviates from the expected damages trust. Sometimes expectations were not clear and mistrust results. Ineffective communication and conflict resolution also results in broken and damaged trust when partners are not able to negotiate mutually agreed expectations. Without trust, it is difficult to achieve and sustain any significant level of intimacy in a relationship.

Trust produces comfort and minimizes anxiety. Not knowing what to expect from a partner in any relationship keeps the level of anxiety so high that it is difficult to sustain a relationship.

To treat relationships in which trust is low, a therapist must first identify the source of damage to trust. Clients can often identify the behavior their partner has engaged in that has caused the injury to trust.

Common patterns that produce broken trust include:

Deliberate acts by a partner who knows full well that their behavior will be unacceptable to their partner. The behavior that is unacceptable to a partner may be completely acceptable in other relationships, but is known to be unacceptable to the current partner. The behavior, on the other hand, may involve violating accepted cultural norms and may be considered “immoral,” or “sinful.” In either case, a partner rationalizes to themselves that what they are doing is justified, or that they can keep their acts secret from their partner. An even more serious form of betrayal is the behavior that is known to be harmful to a partner, but where there is a disregard for how the partner will feel when the behavior is likely to be known. Such acts are not accompanied by any sorrow or remorse, or plan to change (repentance). Intentional behavior known to cause hurt has an “evil quality.”
Misunderstanding occurs when partners miscommunicate. True misunderstandings occur in the context of loving and caring relationships, but where partners have not employed good communications skills. Misunderstandings occur in nearly all long-term relationships. If misunderstanding does not occur often, and partners have realistic expectations, serious harm is not done to trust. When partners have rigid or unrealistic expectations, or have low capacity for forgiveness, then much greater harm can be done to the trust in the relationship to both partners.
Accidental relationship injuries occur when there is a momentary lapse in judgment. A partner may not recognize the significance of their choices to their partner. Only when a person receives feedback from their partner does it become clear that their decision was unacceptable. In getting to know another person, not every scenario can be predicted and discussed in advance in order to arrive at shared expectations. Unfortunately, we sometimes do not realize where the land mines are buried until you step on one.
Unrealistic expectations by one partner may cause damage to trust to both parties. A failure to accept legitimate differences, and an expectation that partners should always agree, or should always think alike creates significant distress, and can lead to hostile escalations during disagreements.
Ineffective communication and conflict resolution fails to lower distress, thus resulting in unresolved differences. High levels of such distress over time, even over insignificant issues, erodes trust.
The inability to forgive sustains high levels of relationship anxiety. The difficulty in forgiving may be a result of repeated relationship injury by the current partner, or trauma from past relationships. The difficulty in forgiving may also result from personality variables such as a narcissistic and grandiose sense of self value and perfectionism. In any case, trust cannot exist in long term relationships without the ability to forgive past hurts.

In Part Two, we will take a look at: A Systemic View of Rebuilding Trust which includes

  • Ending hurtful behavior responsible for damaging trust.
  • Forgiving past hurts.
  • Facilitating communication between relationship partners and learning new communication skills.
  • Negotiating mutually agreeable expectations.
  • Terminating a relationship.
  • Dealing with past trauma.

Dale R. Doty, Ph.D.

Continuing Education in Ethics

Monday, November 22nd, 2010

Licensed mental health professionals are required to receive between twelve and twenty hours of continuing education each year.  Three of the required hours must be in professional ethics and law.  Our profession is developing at a rapid pace.  New research and developments are occurring in defining the best practices in the field.   New rules are being formed all the time to help professionals keep up with the pace of that development.

One such area is the ethics and best practices in dealing with families caught in the web of divorce.  When divorces turn ugly, sometimes  couples invite numerous professionals into the fight.  One of the strategies employed by  divorcing couples is to make allegations about the fitness of their spouse as a parent, and seek sole custody, even threatening their partner with not being able to see their children.  When accusations include charges of physical or sexual abuse during the divorce process, many professionals become involved, including attorneys and often numerous mental health professionals.

The most damaging divorces may involve “dueling mental health professionals,” with each party hiring a professional to be on their “side,” to say good things about their client and bad things about the other spouse they may have never met.  Though clearer rules have been written in hopes of preventing mental health professionals from getting caught up in such fights, it still occurs.  When divorce fights escalate to this unfortunate point, often the professionals involved are participating in doing harm to their clients.  We are aware of tragic cases in which the parties have run up hundreds of thousands of dollars in legal expenses, and involved many of the custody evaluators, mediators, parenting coordinators, and mental health professionals in town.

Because of this fairly common occurrence, licensing boards have expanded the codes of ethics to define proper conduct for “forensic practice.”  Also the Association of Family and Conciliation Courts recently convened a Task Force to study and develop guidelines to govern the best practices of professionals who seek to serve families during divorce.  They have previously published the Standards of Practice for custody evaluators, parenting coordinators.  Their most recent document, which is still undergoing review, is titled, “Guidelines for Court-Involved Therapists.”  For some who have extensive experience in the court process with clients divorcing, some of the content in these guidelines seem like “common sense.”  Having sat on the licensing board and having reviewed complaints against numerous therapists for violating those principles, it has led me to believe that sense and training in this area is not common.

I will be discussing these matters in an upcoming CEU workshop, sponsored by the Oklahoma Association for Marriage and Family Therapy, for professionals titled “The ethical and legal complications of treating families of divorce.”  I hope we can raise the awareness of therapists to the dangers lurking in providing services in court related cases, and how to practice within the “best practice guidelines.”  The workshop will be held on December 10th at 9:00 a.m.    For more information, check out:  http://www.okamft.org/ohana/events/listEvents.cfm

Dale R. Doty, Ph.D.

PREPARE ENRICH Training video

Tuesday, August 10th, 2010

Announcement!  CFI has entered the video age.  We have recently posted a couple of videos.

Dr. Dale Doty discusses the benefits of PREPARE/ENRICH training for pastors, clergy, ministers, counselors, and marriage coaches who would like certification in a very useful tool.

Check back for more videos coming soon!

Introduction to CFI

Monday, May 10th, 2010

Dr. Dale Doty recently recorded a brief podcast explaining the history and distinctiveness of Christian Family Institute.  This audio recording is an introduction to what has made CFI a vibrant source of help and healing for couples, families, individuals, churches and communities in the Tulsa area for over 30 years.  Please listen and forward on.

The Story of Christian Family Institute (CFI)

Personality Disorders

Monday, April 12th, 2010

I was recently asked to do a series of interviews explaining what personalities are and how they manifest themselves in the context of the church.  Those interviews can be found at: http://www.tonycooke.org/store/audio_series.html

The classification of personality disorders is often misunderstood.  We have all come in contact with people who have such disorders, whether we have recognized them or not.  The people with these conditions can be some of the most difficult people we will ever encounter.  Some of these people seem strange, others can be very hurtful toward others, and even others are dangerous.   It helps to recognize these conditions.

Diagnosis is the science of describing and classifying re-occurring patterns and disorders which have common characteristics and have predictable futures.  The category of disorders called personality disorder have several characteristics in common.  All ten of these separate disorders include behaviors  that significantly interfere with a persons’ ability to function in relationship with others and in every area of their life.  These disorders tend to be lifelong and the symptoms may become evident by adolescence or early adulthood.

People with personality disorders are often at odds with others’ expectations.  They think, feel, and act  in very different ways than others around them.  People with these conditions often have difficulty at work, school, and in interpersonal relationships.  It is difficult for a person with these issues to adapt or change in order to meet other’s expectations.

You have probably heard terms like borderline, antisocial, narcissistic, dependent, and paranoid.  These terms are sometimes used to describe a group of behaviors, or they may describe a fixed set of “enduring” symptoms we call a “personality disorder.”  Though making such a diagnosis should be left to professionals, recognizing possible warning signs may help.

There are many theories about why people end up with a personality disorder.  Some children who experienced severe and re-occurring trauma or abuse develop personality disorders.  Other children who had normal childhoods become increasingly out of sync with society over time.  Some speculate that brain abnormalities, chemical imbalances, and genetic conditions may also play a role.

I will briefly describe a few of the most common personality disorders that may be encountered.  Remember these are brief descriptions and volumes are written about each of these disorders.  Only highly trained professionals can make a definitive diagnosis:

-        Borderline Personality Disorder  – characterized by intense relationships with a high level of volatility.  A person with this disorder can be quite charming, become highly dependent, and go into angry rages when their needs are not met.

-        Paranoid Personality Disorder – characterized by suspiciousness, fearfulness, mistrust, and an inability to forgive even simple disappointments.  A person with this condition often reads sinister motivations into the actions of others.

-        Antisocial Personality Disorder – characterized by repeated violations of the law or established rules of right and wrong.  People with this disorder are often dishonest, impulsive, aggressive, and insensitive.

-        Narcissistic Personality Disorder – characterized by an exaggerated sense of self importance, beauty, or accomplishment.  People with this disorder expect to be admired, constantly appreciated and treated as special.  They can also be envious of others, take advantage of others, and is often insensitive toward the feelings of others.

-        Histrionic Personality Disorder – characterized by a flare for the dramatic, constant attention seeking, dressing in attention seeking ways, acting out in sexually provocative ways, and often responds with insincerity and superficiality toward others.

-        Dependent Personality Disorder – characterized by a persistent expectation that others must take care of them and help them in unrealistic ways.  People with this condition are often indecisive, helpless, clingy, and fearful of abandonment.

-        Obsessive-Compulsive Personality Disorder – characterized by preoccupation with order, perfectionism, details, lists, and rigid expectations.  Persons with this condition may also hoard and collect to great excess.

When we build relationships with others, we generally tend to expect that others will operate by socially acceptable rules.  We often do not recognize  that we encountered people with  personality disorder until we have been repeatedly surprised and disappointed by the behavior of others who do not know or feel any responsibility to conform to socially acceptable norms.  Some people with personality disorders will claim that the fault is yours for not accepting them as they are.  We often stop and pause to reflect on what is happening in these relationships.  Usually it doesn’t dawn on us initially that we are dealing with people with mental illness.  Once we recognize what we are dealing with, we can adjust our expectations, and take appropriate action to set limits and confront inappropriate behavior, or refer others to appropriate mental health counseling.

Dale R. Doty, Ph.D.

Premarital Counseling With the PREPARE/ENRICH Customized Version

Sunday, February 21st, 2010

Prepare graphicChristian Family Institute has been training mental health professionals, pastors, and lay counselors to do premarital counseling for over 30 years.  We are strong believers that such premarital preparation can improve relationships and reduce divorce rates.  One tool CFI commonly employs to strengthen relationships and marriages before they begin is the PREPARE/ENRICH assessment inventory.

I look back at the old versions of this test and am amazed at the changes that it has undergone over these many years.  I first met Dr. David Fournier, an early developer of the inventory in 1977 when he was pilot testing PREPARE in Kansas City.  Little did I know how significant our relationship would later be, and what an important role PREPARE would serve in our work.

This last year, PREPARE underwent another major revision.  It is now going to be known as PREPARE/ENRICH Customized version, instead of PREPARE 2000.  Several major changes in the instrument are immediately apparent.  One change is that all the instruments are combined.  Another change is that this version can only be taken by computer.  When a counselor agrees with a couple to utilize this version, a private login account is established allowing the parties to take the inventory online.  The initial items inquire into the status of the couple’s relationship, such as whether they are engaged, living together, or married.  Other items inquire about age and other factors.  The answers to these questions determine which banks of questions are relevant and will be administered to the couple.  Each couple takes a “custom” version of the assessment.

The outcome results are immediately obvious.  Separate reports are generated for counselors (“facilitators”) and couples.  Reports include a massive amount or information about the couple and their relationship, no matter what stage of relationship the couple may be in.  This enables couples to make important informed decisions, including commitments to grow and change.

Another important aspect of the PREPARE/ENRICH inventories is the increased emphasis on interactive feedback and therapeutic exercises.  For those trained in this approach, tools for helping couples grow are immediately available to meet the couple’s needs.

CFI will be providing workshops to train new users of the PREPARE/ENRICH Customized Version, and to update those already trained in PREPARE 2000.  Watch CFI’s website for dates and times.  Also, check out the Life Innovations website for more information.

by Dale R. Doty, M.S.W., Ph.D.

To sign up for Dr. Dale Doty’s PREPARE/ENRICH training workshop on April 2, please click here.

Cell Phones and Teenagers

Monday, January 18th, 2010

Increasingly cell phones are mentioned as part of the complaints that bring families to therapy. Cell phones are abused by adults as well as children.  The focus of this article will concentrate on the complaints involving children and teens.

The high profile complaints involve parents who have discovered that their children have misused cell phones to transmit sexually oriented material including pictures.  According to several surveys, as many as one in five teens indicate they have sent sexually explicit messages.  Girls are almost twice as likely as boys to send “sexting” messages.

More often the complaints parents bring to therapy are that cell phone use, both voice and text messaging, consume the priorities of their teens.  The grades of these teens are often dropping, and parents describe having difficulty getting the attention of their children to important tasks and responsibilities.  As cell phone use increases, teens have less interest in extracurricular and family activities.

These problems too are twice as likely to be reported by the parents of girls.  According to cell phone records, 10,000 text messages or more per month are not uncommon.  Recent news articles have reported on parents who received $10,000. phone bills for their children’s cellular activities.

We have seen many examples of teenage girls who are in a family therapy session with their parents as we discuss this problem who insist they “must” answer their cell phone when it rings during the session.  They explain the call from a friend may be “an emergency.”   They explain that the kinds of emergencies they are referring to are friends who break up, had an argument with friends, caught a boyfriend cheating (by talking to another girl), got grounded by parents,  someone is rumored to be having sex with someone else, or friends who are cutting themselves, etc.  This drama can continue throughout the night and into the early morning hours.  Girls in their social network expect immediate response to each others’ latest news.  Studies report that rates of depression and other problems are higher with those whose cellular and internet use is high.

These problems often develop when parents provide cell phones to teens without clear rules and guidelines.  In this situation, teens decide with their peers what is appropriate.  Once these patterns are set, there may be considerable resistance to change.  We have seen cases in which a teen whose cell phone was taken away by parents then attempted suicide.  They later explained that they felt their whole world collapsed when they could no longer connect immediately with friends.

Cell phones use and computer networking can become addictive. An addiction occurs when any behavior becomes obsessive.  The addictive behavior interferes with other responsibilities such as school, work, family responsibilities, and previous interests.  As the behavior begins to cause problems, hurt and disappoint people, get negative feedback from employers or teachers, there is resistance to change and defense of the increasingly problematic behavior.  The addictive behavior becomes increasingly out of control.

Cell phone abuse without limits or supervision can be highly self-destructive.  When cell phones are used to transmit sexual pictures of underage girls including themselves, this is a felony criminal offense.

The best solution is anticipation and prevention.  Teens need guidance and supervision.  Before the problems begin or when early warning signs emerge, rules need to be established for appropriate cell phone use.  Teens must understand that cell phone use is a privilege and is provided conditionally.  These rules should cover appropriate hours of cell phone use, as well as limits to the appropriate number of cell phone minutes and any text message limits.  The best way to eliminate the temptation of answering incoming calls is to have a specific time in which the phone is turned off.  Cell phone providers will provide documentation of use.  Some cellular providers provide “parental control” features including the limitation of incoming a or outgoing calls during certain hours, except emergency calls.

Teens can also be taught cell phone etiquette regarding when it is inappropriate to answer calls, such as during family meals or during meetings, or in restaurants, etc.  It must be understood that not all calls should be answered.  Nearly all phones have voicemail.  Messages can be checked later when not disruptive to activities.  An important distinction needs to be made regarding what constitutes an “emergency.”  When a true emergency exists with friends, they should call 911, not friends.

Schools differ regarding their rules, but teens often violate such rules and get away with such violations if they keep their phone hidden.  Parents should support school rules regarding possessing or using cell phones during school hours.

Teens also must be taught about the seriousness of transmitting sexually oriented content, or accessing sexually oriented or pornographic sites.  Many cell phones have internet access.  A whole world of trouble and danger exists in these sites.

We want to trust our children and believe the best about them.  The research information we have suggests that many teens are not honest with their parents about their cell phone and computer use.  Often teens will deny viewing or sending sexually oriented content.  In tragic cases, parents have not learned the truth until after the discovery is too late.  Teens need supervision in the use of such a powerful tool which can be used so destructively.  Parents have the right and responsibility to check on their children’s activities.

Dale R. Doty, Ph.D.

Holiday Family Conflicts and Disappointments

Monday, December 14th, 2009

Image borrowed from http://www.sheknows.com/articles/807095.htm

Christmas and the surrounding holidays provide an opportunity for celebrations and get-togethers with family members.   For some, the Christmas season is truly a celebration.  For others, the holidays are a time of disappointment, hurt, and conflict related to family problems and conflicts that are managed at a distance the rest of the year.  Some people deliberately avoid family members with whom they have issues during the year until Christmas time when traditions include getting together with family.  Just because we may be Christians does not make us exempt from family problems.

For those who have abusive family members, or family members who abuse drugs and alcohol, or have psychiatric problems, the thought of getting together can be painful.  Many feel obligated to get together rather than make a scene or make a statement by their conspicuous absence.

Common issues that emerge at this time of year may include:

  • Family members who drink too much, or may be under the influence of drugs which modify moods, and sometimes make those using them combative, or socially inappropriate in other ways
  • Some family members have psychiatric problems which interfere with their ability to behave properly in relationships and in social settings
  • Family members who have long standing conflicts and where deep wounds still exist from the past
  • Parts of the family which have been fractured by marital problems or divorce
  • Some parts of the family who live very different and incompatible lifestyles, or who may hold to extremely different beliefs and values that are offensive

Any of these situations can lead to tension, anxiety, and a sense of dread in getting together for the holidays.  These conflicts also lead to feelings of depression, sadness, guilt, resentments, anger, and a tendency to relive the old hurts.

To handle the anticipated unpleasant get-togethers with some of these troublesome people, consider several strategies:

  • It is often best to meet at someone else’s house so you can leave when you want to.  It is more difficult to get someone to leave your house when you no longer feel comfortable.
  • Choose not to be alone with the ones you have the most trouble with.  Stay with those in the group you feel most safe around.  Possibly discuss with the ones who have the most understanding of the problem your need to have a “buddy,” or someone to run interference for you.
  • Keep visits with the troublesome people short.  If conflict emerges, excuse yourself and go lock yourself in the bathroom for a few minutes.  If conflict subsides, stay a little longer.  If the level of conflict or emotional distress rises to an uncomfortable level, express that you don’t feel well (which will likely be true) and excuse yourself and leave the gathering.
  • Drive yourself to the event or get-together, or have someone drive you that will agree to leave the event when you are ready to leave.

In these ways, you can participate in a limited way without having to either make yourself too uncomfortable or eliminate yourself completely from the family gathering.  Also, family therapy for extended or family-of-origin issues can empower you and help you know your options for keeping your peace during the holidays.

Dale Doty, Ph.D.

- Dale R. Doty, M.S.W., Ph.D., LCSW, LMFT