Marital Psychosis

Marital Psychosis

The ‘Changing the Other Person’ Fantasy
and The Mind Reading Delusion

Valentine’s Day, pink hearts, red flowers, chocolate covered truffles (not the wild fungus type), and pledges of everlasting love and devotion. And then you wake up.

Psychosis: A mental condition whereby the patient completely loses touch with reality and lives in a world of false beliefs, seeing or hearing things that aren’t there, and denying the reality in front of them. That pretty well describes most people’s unrealistic expectations of marriage right after love conquers all. Unfortunately, it doesn’t work too well.

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Don’t Ask, Don’t Tell – The Hidden Life of Family Secrets

Don’t Ask, Don’t Tell – The Hidden Life of Family Secrets

What is life like growing up in a family where one of the most firmly adhered to rules is “Don’t Ask, Don’t Tell”? What do you do with significant information when you are inhibited from sharing it, the road block being either in yourself, in your family relationships, or in larger societal constraints? How is a secret different from healthy privacy, a safe and secure “Room of One’s Own”? When is a secret not a secret?

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The Relational Trauma of Affairs

The Relational Trauma of Affairs

Every End is a New Beginning Do affairs destroy marriages or do troubled marriages lead to affairs? Does an affair create an insurmountable problem or can a marriage be saved after an affair? When thinking systemically, the answer is almost always yes, not either/or but both/and, which leads to a…

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What it is & What it isn’t and What Perhaps it Could Be

What it is & What it isn’t and What Perhaps it Could Be

 The Issue of the Feasibility of Family Interventions “Would you tell me, please, which way I ought to go from here?”
 “That depends a good deal on where you want to get to,” said the Cat. “I don’t much care where–” said Alice. “Then it doesn’t matter which way you…

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The Vulnerability Cycle

The Vulnerability Cycle

 You can’t sew a stitch with one hand While you’re taking it apart WP — Matisyahu In 2004 Scheinkman & Fishbane (Family Process, Vol. 43, No. 3, 2004) published a seminal paper describing their ”vulnerability model” for understanding and working collaboratively with high conflict couples stuck in seemingly endless repetitive…

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Divorced Parents – Intact Families

Divorced Parents – Intact Families

In response to two recent blog posts, The Emotional Divorce and We’re Still Family, several have questioned the validity and feasibility of an approach based on the premise that a family with children is always a family regardless of the status of the parents ongoing intimate partner relationship. There have…

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Alcoholism and the Family “A Systemic Approach”

Alcoholism and the Family “A Systemic Approach”

The total cost to American society of excessive alcohol consumption including lost productivity, healthcare costs, “drunk driving accidents” and the criminal justice system was nearly $224 billion in 2006. Alcohol-related deaths number almost 80,000 people per year and 2.3 million years of potential life are lost annually. Nearly one third…

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The Magic of Family Therapy

The Magic of Family Therapy

A recent article in The New York Times asked the somewhat rhetorical question, “Does Couples Therapy Work?” thus setting up a simplistic critique. One could just as well ask, “Does neurosurgery work?” or “Does cardiology work?” or any other equally unfocused inquiry.  The real question to ask is, “What kind…

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Bowen Family Systems Coaching


Bowen Family Systems Coaching with Ronald B Cohen, MD is the treatment of choice for complicated relationship problems and intergenerational conflicts. Include the whole family in resolving and improving what is going on right NOW! When the entire family works to make the difficult journey together, the results are almost magical.
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Why Ronald B Cohen, MD?


If you are experiencing family relationship problems and distress, don’t treat all therapists alike. Look for a Family Therapist who has had specific training, is comfortable with emotional intensity and will offer clear direction to help resolve identified problems. Ronald B. Cohen, MD works with the whole family in a manner that can save you time and be more cost effective than equal doses of individual therapy.
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For Mental Health Professionals


I offer both individual coaching and a consultation group to help facilitate the acquisition and further development of knowledge and expertise in Bowen Family Systems Theory and Coaching for the enhancement of clinical efficacy, productivity and satisfaction. If this is something you want to do professionally, and especially if you have not had significant training and experience in working with family dynamics and relationships, then experiential learning by doing is the best way to go.
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