Interracial Relationships in Hawaii

SUMMARY

Given the increase in rates of intermarriages, it is vital that we understand the issues and benefits of interracial relationships and the ways in which therapists might assist interracial couples. Our focus in this article is on interracial relationships in Hawaii. Because of its history of promoting interracial ties and its plural character, Hawaii is, in many ways, a unique setting for interracial relationships. At the same time, there are relational issues, benefits, and needs faced by both mainstream U.S. interracial couples and interracial couples in Hawaii. There are a variety of therapeutic interventions that could be used to help interracial couples. This chapter examines the factors in Hawaii's past and present that contribute to its particular history of interracial relationships, the common challenges that face interracial couples, personal and relational benefits of interracial relationships, and the therapeutic interventions from which interracial couples may benefit.     

Core Energetic Couples Therapy

SUMMARY

Core energetics is a method of psychotherapy that seeks the integration of all aspects of humanity: the emotional, physical, mental, and spiritual. Based on a deep understanding of the ways in which energy and consciousness work together, the therapy, developed by John C. Pierrakos, MD, invites couples to experience their inner truth and to identify their universal life goals and core feelings. Core energetics emphasizes wholeness and unification without loss of individuation for the couple. This article describes core energetics as it is used in couples work; the theory, therapeutic stance, methods of diagnosis, and energetic techniques are discussed, as well as the focus on sexuality and Spirituality.     

Therapeutic Experiences of Lesbian Couples

Abstract

This study explores the therapeutic experience of lesbian couples who had received couples psychotherapy earlier in their relationship. It examines their feelings regarding their own levels of acceptance, disclosure of sexual orientation, and connectedness with the professional providing services using qualitative methodology. The perspectives of both members of the lesbian couple were taken into account and explored. Lesbian couples who had accepted their sexual orientation appeared to have higher levels of satisfaction in their therapeutic experience and reported having an improved sense of self. Couples who had a therapist that portrayed a positive acceptance of homosexuality, low levels of heterosexism, and knowledge of issues relevant to the lesbian community reported an experience that was conducive to growth and development thus leading to an enriched relationship.     

Marriage and Family Therapists' Comfort Level Working With Gay and Lesbian Individuals,Couples, and Families

As professionals, therapists should be prepared to work with a diverse population. The purpose of this study was to explore predictors of American Association of Marriage and Family Therapy Clinical Members' comfort level in working with gay and lesbian individuals, couples, and families. Results indicated that therapists' scores on the Support for Lesbian and Gay Human Rights Scale predicted their comfort level in working with gay and lesbian individuals, couples, and families. The challenge for training programs is to assist therapists-in-training and supervisors with self-exploration and to increase opportunities for interactions with gays and lesbians.     

Working Experientially and Somatically with Couples

SUMMARY

Working experientially and somatically with couples is a powerful method of accessing, exploring, and transforming both intra-psychic issues and interactional patterns. In this article, a number of methods of working experientially will be described, along with their underlying rationale. Basic assumptions about the nature of couple's difficulties and the role of the therapist also will be explored along with an integrated approach to assessment that provides a solid basis for these dramatic interventions.     

Personality Traits and Relationship Satisfaction in Intimate Couples: Three Perspectives on Personality

Personality traits are important predictors of relationship satisfaction. However, the majority of previous study findings are based on self‐perceptions of personality. Thus, by means of the self‐, partner‐, and meta‐perceptions of personality, the present study focused on three different perspectives on the Big Five personality traits to examine dyadic associations with relationship satisfaction of intimate couples. The study was based on the first measurement occasion of the Swiss longitudinal study ‘Co‐Development in Personality: Longitudinal Approaches to Personality Development in Dyads across the Life Span’ and included data of 216 couples. The main analyses were based on Actor‐Partner Interdependence Model. Three general findings emerged. First, the three personality perspectives represented related, albeit distinct, constructs, and showed incremental validity with respect to relationship satisfaction. Second, neuroticism was negatively related to relationship satisfaction, whereas agreeableness and conscientiousness were positively related to relationship satisfaction across all perspectives. Third, substantial associations between e xtraversion and relationship satisfaction were exclusively evident in terms of the partner‐ and meta‐perception. The present results contribute to the literature by showing that each perspective is essential for the understanding of the role of personality for relationship satisfaction. Copyright © 2014 European Association of Personality Psychology     

An Ounce of Prevention: A Model for Working with Couples At-Risk for Battering

Literature on preventing spousal battering before it starts is virtually non-existent. This article describes a prevention of abuse program that targets couples at-risk for battering. At-risk couples and the process of engaging them in couples counseling are described. The prevention model is based on a Bowenian approach that focuses on partner differentiation and reducing emotionality and promoting rational thinking. It is assumed that increasing differentiation decreases the risk of spousal battering. The various techniques used to facilitate differentiation are presented as well as a case example illustrating a successful prevention of abuse experience.     

Personhood of the Therapist in Couples Therapy

SUMMARY

Integrity Therapy (Lander, 1986; Lander & Nahon, 1992a, 1995a; Mowrer, 1961b, 1964a) views the personhood of the therapist as the very essence of therapy. By meeting the deepest part of the therapist with the deepest self of individuals in therapy, a healing process unfolds which opens up the healing potential of both the individuals and the couple. This article offers couple therapists and other mental health professionals an Integrity Therapy perspective of the personhood of the therapist and its therapeutic potential for helping couples in distress to reclaim their personhood. Two aspects of the Integrity Therapy approach which play a critical role in enhancing therapists' use of their personhood in the therapeutic process are explored: (a) the use of therapist self-disclosure, and (b) therapists' awareness and therapeutic use of counter-transference issues.     

A Caring Framework for Enhancing Couples Therapy

As couples move away from role oriented patterns of relating they enter a transitional phase where marital expectations are less clearly defined. Frequently couples seeking therapy complain of a lack of caring in their relationships. They also express confusion about the appropriateness of their desire for more caring. In this article the authors present a caring framework based on their research with couples in "vital-total" marriages. They also suggest several ways this caring framework can be used in clinical work with couples.     

The Art of Working with Traumatized Couples

SUMMARY

In this article, the authors present a framework for treatment of the traumatized couple and also their belief in the importance of seeing such work as a process of art. Clinical illustrations are used to demonstrate their approach.     

The Use of Metaphors with African-American Couples

SUMMARY

There is a dearth of data in the literature on African-American couples. This omission probably reflects the assumption that interventions that are effective with one race are effective with others. This paper explores the use of metaphor as a tool for working with an underserved and neglected population. Since the African-American culture is extensive in its use of metaphor, this medium provides a fertile channel for therapeutic communication.     

Couples

The author summarizes some of the views of the founder of the Contextual Family Therapy approach, Ivan Boszormenyi-Nagy, M.D., that lead to an integration of Object Relations Theories with the more recent Family Systems Theories. She then examines the relevance of some of the concepts decribed in Contextual Therapy for an understanding of the functioning of healthy couples.     

Using Contextual Therapy to Treat Depression with Couples

Abstract

Though depression is one of the most common presenting problems treated by systemic therapists, there have been relatively few attempts to describe how specific systemic therapy models can be applied to treat couples dealing with depression. In this paper, we discuss how contextual therapy can be used to treat depression in couples therapy. We identify multidirected partiality as an intervention and as a characteristic. We introduce letter writing and internalized other interviewing as contextual interventions that help to facilitate partiality and understanding between clients. A clinical vignette illustrates our discussed concepts.     

A Report: Couples with Medical Conditions, Attachment Theoretical Perspectives and Evidence for Emotionally-Focused Couples Therapy

This brief report examines the contribution of Emotionally-focused Therapy for distressed couples, particularly in the context of medical illness. An attachment theoretical framework is provided to assist in understanding individual differences in the experience of both the ill and the care-giving partner.     

Communication Questions for Couples

ABSTRACT

In this article, I share a series of questions to help couples, either in therapy or as a homework assignment, reflect upon various aspects of their relationship. The questions also provide the less articulate, less emotionally available partner a structured platform to share and connect. This activity gives many couples a sense of hope since it provides opportunities to practice relating more intimately and to experience the closeness that often results.     

The Drama of Couples Therapy

In the author's view, the intensity of couples/family treatment arises from a suppressed acknowledgment of reciprocity, of interconnectedness among family members, beyond the often familiar dynamics of blaming and deprivation. Eliciting a recognition of profound interdependence raises anxiety, and stands in opposition to culturally prescribed concepts of autonomy and independence. To this end, a dramaturgical model of couples/family is proposed and discussed, involving the therapist's participation as director, witness or audience, and protagonist.     

Developing the Working Alliance in Marital Therapy; A Psychodynamic Perspective

A good working alliance in marital therapy is one in which the partners are actively collaborating with their therapist to work through conflicts. The therapist begins to develop the alliance by setting the frame of therapy and helping the couple understand the guidelines of treatment. The partners gradually identify with and emulate the therapist's working style and use of self as a reflective instrument. The working alliance can be weakened by empathic failures and strengthened by increased feelings of trust in the therapist and the process of treatment This paper looks at the development of the working alliance in marital therapy from a psychodynamic perspective. A clinical illustration is included.     

Poetry in Existential Psychotherapy with Couples and Families

The use of poetry during the process of existential psychotherapy with couples and families is described and illustrated. In this approach, poems can be utilized to help the couple and/or family notice meaning potentials in the future, actualize and make use of such meaning potentials in the here and now, and re-collect and honor meanings previously actualized and deposited in the past.     

Influence of Relationship Education on Relationship Satisfaction for Low‐Income Couples

The authors randomly assigned 54 ethnically diverse, low‐income married couples with children to receive relationship education either immediately or in 6 months. Couples attended 12 hours of relationship education using the Prevention and Relationship Enhancement Program curriculum. The authors collected pre‐ and postassessment data and compared differences in relationship satisfaction between treatment and wait‐list control couples. Results indicated significant differences in relationship satisfaction between the 2 groups. Findings support relationship education as an efficacious intervention for low‐income couples.