ABSTRACT

With the initiation of biweekly versus weekly therapy in Session 11, this chapter instructs the R4R therapist to shift from discussion of strategies for connection employed between group sessions to discussion of overall peaks (high points) and valleys (low points). R4R therapists emphasize that low points (often involving points of tension/disconnections) are part of recovery and life and present opportunities for continued learning and connection. This chapter provides direction on how to help members continue to identify and process points of tension and disconnections, practice emotional and relational skills to repair disconnections, and engage in “good (constructive) conflict” in order to use differences to strengthen versus weaken relationships. A handout is provided on how to wage good conflict and transform disconnections to stronger connections. There is continued emphasis on helping members practice being “different-in-relationship” (e.g., different feelings, values, meanings, and needs). A clinical vignette shows how, with the help of the group, the R4R therapist assists a young adult to “wage good conflict” with her parents and transform a disconnection with them into stronger connections with one another. The vignette illustrates how this work led to more effective problem solving, empowering the patient to take the next step in practicing nutritional self-care. The chapter concludes with an outline of Session 11 main goals, handouts, and materials.