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The Case of Beth and Howard

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The Freedom of the Self

Part of the book series: Critical Issues in Psychiatry ((CIPS))

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Abstract

To paraphrase Tolstoy, happy relationships are all alike; every unhappy relationship is unhappy in its own way.1 This is surely an oversimplification, but it gets at an important truth: Successful relationships have a large common ground, while failed ones are uniquely different, often coming undone because of a single flaw. All good love relationships are characterized by consistent mutual respect and affection; sharing of intimate feelings, interests, and fundamental values; and a strong commitment on both sides to preserve the bond. A deficiency or lack of reciprocity in any one of these attributes can doom an otherwise promising marriage. As we saw in Larry’s case, recounted in Chapter 1, his second marriage was wrecked by disparate values, his first by an avoidant response to emotional closeness.

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Notes

  1. The original quote from the opening of Tolstoy’s Anna Karenina is “Happy families are all alike; every unhappy family is unhappy in its own way.”.

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  2. Maxwell Jones, The Therapeutic Community, New York: Basic Books, 1953; Alfred Stanton and Morris Schwartz, The Mental Hospital, New York: Basic Books, 1954; John Cumming and Elaine Cumming, Ego and Milieu, New York: Atherton, 1962.

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  3. See G. M. Abroms, “Defining Milieu Therapy,” Arch Gen Psychiat 21:553–560, 1969; and G. M. Abroms and N. S. Greenfeld, The New Hospital Psychiatry, New York: Academic Press, 1971.

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  4. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., Washington, DC: APA, 1980.

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© 1993 Springer Science+Business Media New York

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Abroms, E.M. (1993). The Case of Beth and Howard. In: The Freedom of the Self. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2896-8_4

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  • DOI: https://doi.org/10.1007/978-1-4615-2896-8_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6255-5

  • Online ISBN: 978-1-4615-2896-8

  • eBook Packages: Springer Book Archive

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