the relationship between career and couple burnout: Implications for career and couple counseling

The importance of work and love for healthy functioning is well documented. This article addresses the relationship between them. The authors argue, based on a psychoanalytic‐existential perspective, that people's choice of work and love is related to similar unresolved childhood issues and that career burnout and couple burnout are related to failure in the existential quest aimed at solving these issues. The existence of a relationship between career burnout and couple burnout is demonstrated by several clinical examples and the results of an exploratory cross‐cultural study involving Israeli, Spanish, Portuguese, American, British, and Finnish students. Implications for career and couple counseling are drawn.     

Association between attachment insecurity and couple adjustment: Moderation by couple memory networks

This study investigated whether couple‐related memories and their organization in memory networks could act as cognitive resources to protect against the negative impact of insecure attachment on couple adjustment. In two studies (n1 = 153, n2 = 567), participants in a romantic relationship described a significant couple‐related memory and provided networked memories associated with their couple‐related memory, to assess its organization in the memory system, and rated each memory for its level of need satisfaction. Findings across the two studies revealed significant moderations of need satisfaction in couple‐related memory networks, such that a higher level of satisfaction need within couple‐related memory networks was associated with a reduced negative association of attachment anxiety and avoidance with couple adjustment. When examined separately, it was shown that need‐satisfying networked memories, but not main couple‐related memories, moderated the negative association of insecure attachment with couple adjustment.     

Sudden gains in treatment-as-usual couple therapy for military veterans

Previous studies of couple therapy have conceptualized change as a gradual process. However, there is growing evidence that, for many clients, the majority of gains in other treatment modalities are often achieved between just 2 sessions. Isolating the frequency, nature, and predictors of these sudden gains (SGs) in couple therapy can add to a growing understanding of how and why couple therapy works. In a sample of 67 couples receiving treatment-as-usual couple therapy in two Veterans Affairs hospitals, 25% of individuals experienced a SG in relationship satisfaction. The magnitude of these SGs were large (d = 1.62) and fully explained the total pre-post change for individuals who experienced them. Individuals with SGs showed significantly greater satisfaction gains during therapy; however SGs were not related to relationship satisfaction or relationship status at 18-month follow-up. SGs were predicted by the content of the previous session, putative change mechanisms of communication, intimacy, and behavior, as well as the partner's SGs during the same period. Results suggest that SGs are an important component of change during couple therapy for some individuals, challenging the assumption of continuous change in previous studies. In addition, predictors of SGs were generally consistent with theoretical and empirical examinations of mechanisms of change in couple therapy.     

Guidelines for classifying evidence-based treatments in couple and family therapy

Guidelines for Evidence-Based Treatments in Family Therapy are intended to help guide clinicians, researchers, and policy makers in identifying specific clinical interventions and treatment programs for couples and families that have scientifically based evidence to support their efficacy. In contrast to criteria, which simply identify treatments that "work" and have been employed in the evaluation of other psychotherapies, these guidelines propose a three-tiered levels-of-evidence-based model that moves from "evidence-informed," to "evidence-based," to "evidence-based and ready for dissemination and transportation within diverse community settings." Each level reflects an interaction between the specificity of the intervention, the strength and readth of the outcomes, and the quality of the studies that form the evidence. These guidelines uniquely promote a clinically based "matrix" approach in which the empirical support is evaluated according to various dimensions including strength of the outcomes, the applicability across cultural contexts, and demonstration of specific change mechanisms. The guidelines are offered not only as a basis for understanding the evidence for diverse clinical approaches in couple and family therapy within the systemic tradition of the field, but also as an alternative aspirational model for evaluating all psychotherapies.     

Couple therapy and the developmental phase of couple relations with students

The aim of this research project has been, in terms of couple evaluation and therapy, to study structural couplings between individual development and the epigenesis of couple relationships. The epigenesis of couple relations was studied according to the model developed by Wynne in which the epigenetic stages are attachment/ caregiving, communicating, joint problem-solving, mutuality, and intimacy. Attachment/caregiving is crucial for the success of couple therapy. The research on 57 couples makes possible a new paradigm for theoretically understanding interconnections between individual development and development of the couple relation; valuable information for planning integrated and need-specific treatment of the couple relation; and evaluation of the course and prognosis of couple relationship with student.This study was carried out at the Health Care Center for Students, in Turku, Finland, and was financially supported by the Pro Sanitate Studiosorum Institute, Helsinki, Finland. We have been in cooperation with and received invaluable constructive criticism from Lyman C. Wynne, MD, PhD, whose theoretical model we applied in this study. Ms. Birgitta Nolvi's secretarial work was greatly appreciated.     

Assortative mating and couple similarity: Patterns,mechanisms, and consequences

Assortative mating refers to the tendency of two partners' characteristics to be matched in a systematic manner, usually in the form of similarity. Mating with a similar partner has profound implications at the species, societal, and individual levels. This article provides a comprehensive review of research on couple similarity since 1980s. The review begins with the general patterns and trends observed in couple similarity on a range of domains including demographic variables, physical/physiological characteristics, abilities, mental well‐being, habitual behaviors, attitudes, values, and personality. Next the bulk of the review focuses on analyses of 4 mechanisms leading to similarity: initial active choice, mating market operation, social homogamy, and convergence. Specific future research avenues are outlined to improve understanding of these mechanisms. Finally, the review discusses genetic, social, and psychological consequences of couple similarity.     

Notes towards a psychoanalytic understanding of the couple relationship

In this paper an attempt is made to demonstrate how a particular orientation to contemporary psychoanalytic concepts may be useful to an understanding of the nature of the marital, or couple, relationship. The unconscious forces which may attract two people to each other, which may influence the patterns of their interaction and which may result in psychic stagnation or development are outlined. The second part of the paper addresses the nature of the therapeutic relationship with the patient couple. A hypothesis is offered regarding possible diagnostic criteria for choosing whether to work with a couple presenting for couple psychotherapy employing one psychotherapist or two psychotherapists working as a co-therapy pair. (The usual practice of myself and my colleagues at the Tavistock Institute of Marital Studies is to see our patient couples with a co-therapist partner).     

An interruption in unconscious communication in the analytic couple

The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt/standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a 'bastion' which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patient's contribution of dream material and the analyst's work with her countertransference.     

The self in the couple relationship: part 2

Part 1 of this paper examined some of the ways in which individual therapy, by assisting in the development of a more cohesive sense of self in the individual, inevitably has an impact on the individual's relationships, especially their relationship with a partner. This paper approaches the topic of the significance of ‘the self’ in the couple relationship from an alternative direction. It focuses on the significance of ‘the self’ for couples therapy, and argues that couples therapy may sometimes need to include therapeutic work with one partner to facilitate change in the relationship. In both parts of the paper, a conceptualization of the couple relationship as ‘a transitional space’ is central.     

Flexibility of Labor, Well-Being, and Stress

After a short introduction into the changing nature of our society and organizations, we outline two kinds of flexibility of labor: qualitative flexibility, that is the degree to which people who work in or for a certain organization can and do perform different tasks, and quantitative flexibility, that is, varying the quantity of personnel and their working hours. Then, the different ways in which we organize our work and organizations are dealt with in terms of quantitative and qualitative flexibility. Next, we survey these ways of organizing on the degree to which they moderate the positive individual outcomes, or individual goals, of work. It can be concluded that quantitatively flexible work, besides some minor positive consequences, may have serious negative consequences for one's well-being, health, and personal development, while qualitative flexibility may have many more advantages, though it may lead to a devastating task overload. Last, we explore some ways to alleviate these negative effects.     

A couple analysis of relationship perception among couples who face work demands

This study addresses how couples experiencing work travel demands talk about their relationship. Using a sample of 29 couples who experience work travel, this study examines what couples in separate interviews reported regarding their relationship, and uses mixed‐method strategies to develop a typology of couples. Three different relationship types were uncovered: aware couples who consider a variety of aspects of themselves, their partners, their relationships, and their contexts as they discuss their lives; individually focused couples who discuss their relationship only in terms of themselves and their partners; and isolated couples who discuss their relationships void of context. These findings support the notion that couples have a degree of similarity when it comes to social cognitions of their relationships.     

Therapeutic alliance and progress in couple therapy: multiple perspectives

Therapeutic alliance research in couple therapy using multiple perspectives and longitudinal data has been sparse. This study used structural equation modelling to explore relationships between changes in alliance and in progress from clients' and therapists' perspective in a fairly large sample of couples (N=195) during the initial stage of therapy at an on‐campus training clinic. Self‐rated alliance was measured after sessions 2 through 4 with the Working Alliance Inventory. There was very little change in alliance over the early sessions of therapy, and changes in alliance did not always account for changes in relationship satisfaction. Husbands' perceptions of satisfaction and alliance seem to play an important role in the dynamics of the therapeutic process. Findings suggest a reciprocal relationship between perceptions of alliance and progress in therapy when combining perceptions of therapists and couple clients. Clinical implications and future research are discussed.     

The not-so-silent couple in the individual

This paper aims to examine two often separate areas of analytical enquiry, the nature of the self, with its foundation in the concept of a primary self which may achieve a sense of coherence over time, and the nature of internal objects, a concept that forms the basis of theories concerning part selves and sub-personalities. It is argued that these concepts might be integrated to provide a unified model of the self, thereby integrating theoretically disparate aspects of mental structure and functioning. Through an examination of clinical material, the archetype of the coniunctio is evoked to offer an understanding of how, in the absence of a stable conjunction of (maternal) reverie and (paternal) thinking functions, a series of linked but oppositional internal couples may be created which lends to the self the experience of a combined and sustaining inner couple. The internal couple creates a source of psychological survival for the self, with the function of providing a reliable structure in which the processes of the self may unfold, but equally requiring strict adherence to a pernicious system of internal defences that allows for very little interaction with others outside the self. At the same time, these defences inevitably become blocks to further development, and the work of transformation is thwarted. For transformation to occur, it is necessary for the self to find another, often the analyst, who may be allowed to partake in the internal conjunction, thereby promoting a better grounding for the self.     

Groundhog day: The individual,the couple,the group and the space between

Abstract

The film Groundhog Day first came out in 1993. Five years later, it is still cited in a variety of contexts. The author proposes that this is because the film is a cultural artefact which both elucidates and frustrates the ideal of romantic love in the couple as the agent of internal change.

The author also proposes a re-viewing of the meaning of the concept of couple. The convergence of object relations theories with group analysis suggests that the mind works by repeating and externalizing internal group structures in social relationships. The couple, then, becomes an intermediary structure between the individual and the group where intimacy facilitates a re-working of group internal structures. It is the collapsing and the opening of the ‘space between’ which is the agent of change. This process creates strength, power and a feeling of wholeness. But it also implies the expression of anger, pain and disappointment. The author illustrates these points with an interpretation of the Groundhog Day film and with a clinical case study of a couple in therapy.     

The philosopher and the Fly Bottle

Wittgenstein said that what he does in philosophy is ‘to show the fly out of the fly bottle’ (Philosophical Investigations¶309). He is, himself, both the fly, his alter-ego, and the philosopher who turns the fly around. This is a transformation in his vision of and perspective on those matters which tempted him, through the questions it posed for him, into the bottle, there to be trapped – trapped into a form of scepticism, realism, or one of its many reductionist satellites, for instance. The transformation which releases him into the open takes philosophical work which unearths unspoken assumptions and subjects them to criticism. As for the movement into and out of the bottle, this is the philosophical journey in the course of which the philosopher comes to a new understanding of the matters he questioned in a way that led him into the bottle. To come to such a better understanding, therefore, the philosopher has to have the courage of his temptations and not be afraid to give up what he holds on to. What he learns in coming out of the bottle belongs to the work that frees him from the compelling pictures that held him captive within the space of opposed theories held together by common assumptions. It cannot be acquired or conveyed independently of such work. It is in this sense that philosophy is a struggle with difficulties which each philosopher has to face and work through himself. The difficulties are not in him, but they are his– they are difficulties for him. He has to work on them. That is why, while he can learn from others, he cannot borrow from them, build on or go on from what they have established. In the first section of the paper I put on some flesh on this. But what I provide is still a thumb-nail sketch. The question ‘what is philosophy?’ is itself a philosophical question, like any other, and can only be ‘answered’ like them. It is only that with which we are familiar – in our mastery of the language we speak or in our experience of life –that can raise philosophical questions for us. Thus contrast ‘what is knowledge?’, ‘what is thinking?’ with ‘what is cancer?’, ‘what is osmosis?’. The question ‘what is philosophy?’ similarly can only be asked by a philosopher, someone who has asked and struggled with its questions. Otherwise it is a request for information to which the full answer is: you have to study philosophy if you really want to find out. It follows that what I say about the way philosophical questions are to be answered applies equally to the question about the nature of philosophy. Hence I can do no other than provide a thumb-nail sketch for those who have themselves struggled with philosophical questions. As for what I provide in the following three sections, they are no more than illustrations of a way of working on those sample questions – questions on which hopefully the reader will have thought himself. I am able to offer such illustrations only because I have myself been caught up by these questions and have worked on them and discussed them more fully elsewhere (see Bibliography).     

Father responsivity: couple processes and the coconstruction of fatherhood

Forty in-depth interviews of heterosexual parents of children 5 five years of age and younger are analyzed using a qualitative grounded theory approach to understand how couples coproduce fatherhood within their day-to-day relationships and in social, cultural, and economic contexts. The analysis identifies the construct "responsivity" as a central process through which, to varying degrees, fathers are aware of the needs of their wives and children and able to take an active part in meeting them. Three groups of fathers are examined according to their level of responsivity: low, moderate, and high. Factors influencing degree of father responsivity include gender constructions, power and the wife's influence, attunement, work schedules, and emotional tradeoffs. Implications for practice are suggested.     

The vulnerability cycle: working with impasses in couple therapy

In this article, we propose the vulnerability cycle as a construct for understanding and working with couples' impasses. We expand the interactional concept of couples' reciprocal patterns to include behavioral and subjective dimensions, and articulate specific processes that trigger and maintain couples' entanglements. We consider the vulnerability cycle as a nexus of integration in which "vulnerabilities" and "survival positions" are key ideas that bring together interactional, sociocultural, intrapsychic, and intergenerational levels of meaning and process. The vulnerability cycle diagram is presented as a tool for organizing information. We suggest a therapeutic approach for deconstructing couples' impasses and facilitating new patterns through deliberate modes of questioning, a freeze-frame technique, stimulation of calmness and reflection, separating present from past, and elicitation of alternative meanings, behaviors, empathy, and choice. This approach encourages the therapist and couple to work collaboratively in promoting change and resilience.     

Reflections on the early stages of the Oedipus complex: The parental couple in relation to psychoanalytic work

The author refers to the parental couple as it appears in relation to the Oedipus complex at the various levels of development and psychical maturation. A 'pathological' Oedipus situation is differentiated from a 'normal' one. Accordingly the author distinguishes the primitive Oedipal fantasies about the parental couple represented in the myth by the parents of Thebes and the parents of Corinth (and the influence that these can have on the psychoanalytic work), from a couple who have reached truly creative functioning. Furthermore, it is pointed out how elements are activated in the therapist's mind: emotional qualities of a feminine maternal and masculine paternal kind that either collaborate in containing and promoting the psychoanalytic process and psychic development of the patient or else fail in this task.     

Congruity of observed social support behaviors and couple relationship quality

This study examined the role of congruity in couples' social support behaviors on relational outcomes. Participants (N = 123 couples, M_age = 26.91, SD = 8.46) completed surveys on relationship satisfaction and discord. Positive and negative behaviors were then observed during supportive interactions. Results revealed that the detrimental effect of negative behaviors on satisfaction was buffered by a partner's engagement in fewer negative behaviors or intensified by more negative behaviors. Further, the beneficial effect of positive behaviors on reducing discord was amplified by a partner's engagement in more positive behaviors or offset by fewer positive behaviors. Last, the detrimental effect of negative behaviors on discord was buffered by a partner's engagement in more positive behaviors. These findings highlight the complex nature of dyadic relationships and provide insights for developing interventions focused on improving romantic relationship quality.