Ask Dr. E

Answers to your questions about how to find a good therapist, the importanceof beauty, sex in marriage and more.

Dear Dr. E.,

I am an extremely unattractive 19-year-old--ugly, in fact--but I am also an understanding, friendly, helpful, caring person. I've had terrible trouble making friends. Do looks really count? I hate being alone.

Eric L.

via e-mail

Dear Eric,

A student of mine who also considers herself unattractive recently wrote a research paper on this very topic. The results were disturbing: In our culture, physical appearance has an overwhelming impact on career, romance, happiness, and just about every aspect of life. Attractive people get breaks; the rest of us suffer unjustifiably. You have two choices, one external, the other internal--and you can explore both at once, if you like. The external solution is to alter your appearance--with different clothing, exercise, even surgery. The internal solution is to learn to love and accept yourself as you are. A skilled counselor can help.

Dear Dr. E.,

I'm 31 and very attractive. My husband of two years is 34. During our two years of dating, we abstained from intercourse for religious reasons. But now that we are married, he has shown almost no sexual interest in me at ale Does this mean he's gay or has a hormone problem?

Megan

Atlanta, Georgia

Dear Megan,

As my first psychology professor once said, "When sex in a marriage is good, it's 5% of the relationship, but when it's bad, it's 95% of the relationship." Marriages can survive perfectly well without sex, but only when both partners agree, and the situation you're describing is unbalanced and undoubtedly causing great tension. Although I know this will be difficult, it's important that you talk openly with your husband about your concerns. While he may indeed be gay or have a hormone problem, you'll never know for sure unless you communicate. And the solution may be as simple as rearranging your schedules...or wearing a different perfume!

Dear Dr. E.,

How can I find a good, affordable therapist? How will I know whether he or she is trustworthy and competent?

Sherry

Capistrano Beach, California

Dear Sherry,

There are local and national professional organizations that can help. Try calling the American Psychological Association (202336-5500), the American Psychiatric Association (202-682-6000), the California Psychological Association (916-325-9786) and your state boards, which license psychologists, psychiatrists, marriage and family counselors, social workers and other mental health professionals. On-line referral services, now being developed, will make it even easier for you to find a therapist who can address your particular concerns.

Dear Dr. E.,

What does your office reveal about your personality? What if you have a messy desk, an extremely neat one, or one with family mementos or novelty items?

Dan G.

Jackson, Mississippi

Dear Dan,

It's a mistake to separate "personality" from "person," a mistake, by the way, that even some psychologists make. "Personality" is just shorthand for what a person does. If we find a pattern in someone's behavior, we might label that pattern a "personality," but it does not exist as an entity independent of the person. A messy office might indicate that a person is generally messy but saying that he or she has a "messy personality" doesn't add any new information to the picture. Remember, too, that different situations bring out different behaviors: You might be messy at work and neat at home. Getting to know someone is hard work. Don't look for shortcuts.

Dear Dr.. E.,

I consider myself warm and friendly, but I act cool and aloof with other people. Am I antisocial? What should I do?

S.

Calgary, Alberta, Canada

Dear S.,

Social skills are just that--skills. They're behaviors that can be learned. Find a counselor or therapist who specializes in social skills to help you develop the abilities you seek. Group therapy can be especially effective in this case. Contact the Canadian Psychological Association (888-472-0657 or www.cpa.ca) for more information.

Adapted by Ph.D.

Tags: atlanta georgia, e mail, external solution, how to find a good therapist, intercourse, internal solution, overwhelming impact, psychology professor, religious reasons, research paper, sexual interest, skilled counselor, tension, two choices

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