Chapter 7: Helping Couples Deal with Intimacy and Sexuality

Author: Dr. Mike Abrams

The Case of Hillary and Mark

Everyone Loves a Perfect Beginning… Until Year Four Arrives

Love affairs always begin magically. Hillary and Mark had a romantic wedding, which was entirely fitting for two people who were deeply in love. On paper, they looked like the picture-perfect couple. Hillary was a senior administrator for a pharmaceutical company, while Mark was a structural engineer balancing a full-time job with a part-time consulting practice.

During the first two years of their marriage, sex was frequent and intensely pleasurable, culminating in the birth of their daughter, Sara. As a family, they grew increasingly affluent and close.

Then reality struck hard.

By the fourth year of the marriage, the fairy tale turned into a battlefield. Hillary suddenly began loudly complaining about Mark’s assertiveness, his masculinity, and even his ability to discipline their daughter Sara.

“I Haven’t Changed at All!” – A Classic Couples Crisis

Mark was shocked, hurt, and deeply frustrated, firmly believing he hadn’t changed a bit and remained the same man Hillary fell in love with.

However, the real drama unfolded behind closed doors in the bedroom: Hillary completely withdrew from Mark sexually.

  • Initially, she denied this was happening, pointing to a single sexual encounter they had shared a month earlier.
  • When pressed further, she opened Pandora’s box, unloading a stream of complaints about Mark’s annoying behavior at home—especially his inconsistent parenting of Sara.

While articulate and intelligent, Mark was also quite shy and passive. Rather than openly expressing his hurt and anger over her constant complaining and sexual withdrawal, he kept it bottled up, turning sullen and passive-aggressive.

Behind Closed Doors in Counseling

When they finally stepped into a therapist’s office, Hillary knew exactly what she wanted to do: list every single flaw and failing of Mark’s while completely dodging the topic of sex, which happened to be crucial to Mark.

In an individual session, Hillary dropped the mask and admitted the raw truth: Mark simply didn’t arouse her anymore. Naturally, she blamed it entirely on his behavior.

Meanwhile, Mark used his individual sessions to sing the same tune, insisting he saw no changes in the relationship that could justify her complaints or sexual withdrawal. His quiet, entitled core belief was: “Hillary should act lovingly and be attracted to me because she is my wife.”

The Collision of Unrealistic Expectations and Shattered Illusions

The therapist had to step in and shatter this game of ping-pong by confronting them with their mutual delusions:

  1. Mark’s Unattractive Weakness: Mark admitted he could no longer open up to Hillary about his anxieties and life stressors. The therapist gave him a harsh dose of reality, explaining that the nature of their relationship had changed. While Mark’s past needs for emotional support used to evoke maternal feelings in Hillary, they had now become deeply sexually alienating and unattractive to her.
  2. Hillary’s Mind-Reading Demand: Hillary’s irrational demand was that Mark should magically know her behavior was a turnoff and change on his own without her ever having to ask.

When the therapist forced them to accept that they had both changed and that growth requires mutual acceptance, the real work began. Mark hated the idea of maintaining a façade of machismo just to keep Hillary attracted, while Hillary still felt she was compromising by staying. Nevertheless, once they tackled their irrational beliefs head-on, the relationship endured and passion returned.

[The text continues with sections on infidelity, evolutionary psychology, and relationship dynamics…]

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