The Concept of Collusion: A Combined Systemic-Psychodynamic Approach to Marital Therapy

The author presents some new theoretical aspects and therapeutic implications of the concept of Couples in Collusion, (22), first published in 1975. According to this concept, the emotional attraction in the selection of a mate is based on a fascinating, mutual, and alarming theme, shared by both partners in order to be mastered together. The partners unavowedly start colluding to compensate for former frustrations and to repress fears of intimacy. After some time of living together and in defense of repressed feelings, they may enter into an escalation of the dysfunctional interactional pattern. Experience shows that severely neurotic personalities don't necessarily start colluding, provided that their partners don't gratify regressive needs or reinforce their defenses but help to cope with the frustrations of these unfulfilled regressive wishes. Therapies based on the concept of collusion aim at the improvement of intradyadic and extradyadic boundaries and the depolarization of extreme progressive-regressive behavior. These goals can be reached by both systemic and psychodynamic techniques. The concept of collusion may serve as a guide for this therapeutic process.     

A Self Psychologist in Couplesland: Multisubjective Approach to Transference and Countertransference-Like Phenomena in Marital Relationships

This essay introduces the reader to some basic self psychological concepts that have useful applications to couples therapy. Two points are highlighted. First, the therapist must be constantly aware of the narcissistic vulnerability of each of the participants. Second, the working through of transference and countertransference-like experiences within the marital dyad is just as central to an understanding of the curative process in couples treatment as it is within the patient/therapist dyad in individual treatment.     

Marital Satisfaction: A Validation Approach

It was hypothesized that the desire for equity in relationships and the desire for validation from significant others are common human concerns which affect marital relationship satisfaction. Sixty married couples completed a series of questionnaires which assessed equity in 23 areas of the marital relationship, global equity in the marital relationship, relationship satisfaction, perceptions of relationship stability, understanding from spouse, validation from spouse, assistance from spouse in intellectual and emotional growth, frequency of stimulating conversations between the marital pair, frequency of affectionate touching from spouse, and sexual satisfaction in the marital relationship. Subjects who felt validated by their spouses reported more relationship satisfaction, greater relationship stability, more assistance from their spouses in intellectual and emotional growth, and greater sexual satisfaction than did subjects who did not feel validated by their spouses. Overall, equitably treated subjects reported more relationship satisfaction, greater relationship stability, more assistance from spouse in emotional growth, greater sexual satisfaction, and a greater frequency of affectionate touching from their spouses than did inequitably treated subjects. However, these differences between equitably treated and inequitably treated subjects applied primarily to non-validated subjects.     

Marital Relationships: A Social Exchange Theory Perspective

The central thesis of this article is the treatment of the marital relationship within the context of social exchange theory. This article opens with a discussion of marital solidarity and marital power from a social exchange perspective. Next, the article addresses the differences between social exchange and economic exchange in order to provide insight in delineating marital relationships in a social exchange context. The conceptualization of couple therapy in terms of social exchange theory is next discussed. Finally, the article closes with a discussion of the deficiencies of social exchange theory as an attempt to delimit the scope of treating marital relationships as a social exchange system.     

Individual Marital Therapy: A Critical Reappraisal

The belief that individual marital therapy (IMT) is an ineffective form of treatment for marriage problems and markedly inferior to the conjoint approaches has become almost an article of faith in family therapy circles. This position was originally advanced in the influential reviews of the research literature conducted by Gurman and Kniskern, and their conclusions have been cited in numerous other articles. This paper re-reviews the research studies purportedly supporting this conclusion and finds almost all of them to be invalidated by gross flaws in design and implementation. It is argued that from the highly inadequate evidence available, no conclusions can be reached concerning either the absolute or relative effectiveness of IMT.     

Gender and Aggression in Marital Relationships: A Life-Span Perspective

This study examines the relationship between age, gender, and marital aggression by comparing conflict resolution strategies, physical aggression, and injury across 6,185 married young, middle and older aged men and women. We found a consistent age effect such that younger participants used more maladaptive conflict resolution strategies, engaged in more physical arguments, and sustained more injuries than older participants. In terms of gender differences, women compared to men used calm discussions less (the least reported by women who were young) and heated arguments more. Analyses on the relation among age, gender, and injuries showed that more young and middle-aged women than men reported that they had sustained injuries at the hands of their spouse and more young men than women reported inflicting injury on their spouse. The results are discussed in relation to research on gender differences in intimate violence and the association of age and intimate aggression in general.     

Evaluating Marital Therapy: A Hospital and Community Study

The study investigated the application of marital therapy using three contrasting clinical approaches: conjoint treatment, couples groups, and treating the partner alone. Thirty-six couples comprised the research sample, with eighteen couples being treated in each of two NHS treatment settings. The duration of the treatment was ten weekly sessions each lasting one hour, and couples were followed up six months after termination. Outcome evaluations included marital satisfaction, sexual adjustment, and an assessment of target problems. The analysis of the results showed no significant difference between groups at the post-treatment and follow-up assessments. There was, however, a significant difference in the rates of change between experimental groups. The implications of these results are discussed.     

Marital Satisfaction Prior to Couples Therapy

SUMMARY

The author predicted that couples would begin therapy with a high potential for separation or divorce and with one partner significantly more dissatisfied than the other. Using the Index of Marital Satisfaction (Hudson, 1982), 24 couples were studied using a practitioner-researcher model. Although the first hypothesis was not confirmed at the level of prediction, partners were found to be at a level of dissatisfaction close to the predicted levels. A highly significant statistical difference (p = .0001) was observed between the satisfaction levels of the partners in the couples. Based upon the research findings, some clinical wisdom was revised and other beliefs were confirmed.     

Couples in Therapy: Actor-Partner Analyses of the Relationships Between Adult Romantic Attachment and Marital Satisfaction

This study was the first to investigate the relationship between adult romantic attachment and marital satisfaction in a clinical sample of 172 distressed couples seeking therapy. Fifty-six therapy-seeking nondistressed couples were also assessed for comparison. Analyses of variance showed that attachment avoidance was a distinctive characteristic of distressed couples. Actor-partner analyses revealed that attachment avoidance (for men and women) and attachment anxiety (for women only) were predictive of marital dissatisfaction for distressed couples. Gender-stereotype discordant partner effects were also found. Results suggest that attachment orientations (especially avoidance) are relevant predictors of marital dissatisfaction in distressed couples seeking therapy, and that couple therapists can gain important information by assessing partners’ attachment orientations.     

Group Cognitive Behavior Therapy Program with Troubled Adolescents: A Learning Experience

ABSTRACT

Group CBT programs are widely used for assisting teenagers with anxiety, depression and other psychological problems. The majority of reported programs have targeted school or clinical populations, however, few have specifically targeted adolescents from highly troubled and disadvantaged backgrounds. This paper describes a group CBT program that was developed for teenagers who have not responded well to the formal structures of school and traditional models of classroom management. Problems such as low levels of motivation, poor attention span, learning difficulties, poor impulse control, substance abuse, and other mental health problems are common within this population. A number of challenges arose in running the program and several modifications were made in order to make it more relevant to participants. These changes resulted in more rapid engagement with the program, improved cooperation within the group, fewer interruptions, and improved rapport. The clinical outcomes associated with the program could not be measured due to difficulties with completing administering self-report questionnaires.     

Risks to Professionals Who Work With Troubled and Alienated Parent-Child Relationships

Working with children who have irrationally rejected a parent is an emerging area of practice with unique risks. The dynamics that drive false allegations about a parent also drive accusations against professionals who participate in a process to reunify the children with that parent. This article discusses protective measures to reduce risks of false accusations, character assassination, harassment, and violence. Recommendations are offered for organizations charged with investigating complaints. Agencies that do an inadequate job of handling such complaints may harm the public by driving innovators from the field and reducing the availability of programs that have helped many families.     

A Feminist Approach to Family Therapy

Although family therapy recognizes the importance of the social context as a determiner of behavior, family therapists have not examined the consequences of traditional socialization practices that primarily disadvantage women. The unquestioned reinforcement of stereotyped sex roles takes place in much of family therapy. A feminist therapy orientation that considers the consequences of stereotyped sex roles and the statuses prescribed by society for females and males should be part of family therapy practice. This paper describes the ways in which family therapists who are aware of their own biases and those of the family can change sexist patterns through applying feminist principles to such areas as the contract, shifting tasks in the family, communication, generational boundaries, relabeling deviance, modeling, and therapeutic alliances.     

A Systemic Approach to Couple Therapy

This article presents a model of couple therapy based on the reciprocal double bind. Two cases are presented to illustrate the model, and different modes of intervention are described. This paper stresses that therapy has more to do with the intersection of the maps of the world of members of a system than it has with a search for some individual or systemic truth.