Gay and Lesbian Couples in Italy: Comparisons with Heterosexual Couples

Assessing couple relationships across diverse languages and cultures has important implications for both clinical intervention and prevention. This is especially true for nontraditional relationships potentially subject to various expressions of negative societal evaluation or bias. Few empirically validated measures of relationship functioning have been developed for cross‐cultural applications, and none have been examined for their psychometric sufficiency for evaluating same‐sex couples across different languages and cultures. The current study examined the psychometric properties of an Italian translation of the Marital Satisfaction Inventory – Revised (MSI‐R), a 150‐item 13‐scale measure of couple relationship functioning, for its use in assessing the intimate relationships of gay and lesbian couples in Italy. Results for these couples were compared to data from heterosexual married and unmarried cohabiting couples from the same geographical region, as well as to previously published data for gay, lesbian, and unmarried heterosexual couples from the United States. Findings suggest that, despite unique societal pressures confronting Italian same‐sex couples, these relationships appear resilient and fare well both overall and in specific domains of functioning compared to heterosexual couples both in Italy and the United States.     

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.     

Time and Rhythm in Couples

In this article, a theory is offered on the role of time in couple functioning and distress. The theory argues that no single set of temporal patterns is associated with couple distress or satisfaction. Rather, it advocates attention to the individual differences between couples in their understanding of the meaning of the temporal patterns in their relationship. The couple's narrative about the evolution and maintenance of these temporal patterns can be understood as revealing much about partners' experiences of the relationship in terms of the concepts of closeness and power. Interventions on the temporal dimension may be useful when the couple presents with an explicit problem in temporal patterns; when a particular temporal pattern prevents the couple from addressing other issues; and when the therapist wishes to reframe a problem in a manner that lowers conflict intensity. Along with the theory, a preliminary taxonomy of time problems in couples is presented as a guide to assessment. This is followed by clinical vignettes to illustrate how the theory can be used in couple therapy.     

Dependency and Counter-Dependency in Couples

SUMMARY

There is a tendency on the part of many men in couples to deny their dependency needs, and for the women in these couples to view themselves as excessively needy. These uneven subjective perceptions are examined, as are the ways contemporary gender socialization interferes with the attainment of the ideal of mutual dependency in couples. Some implications for couples therapy are explored.     

Decision-Making in Married and Unrelated Couples

The decision-making performance of 20 married and 20 synthetic couples, all college students, was compared using the Ferreira-Winter Questionnaire technique. Married couples showed (a) greater spontaneous agreement with each other prior to conjoint discussion, (b) less politeness, (c) more intrusive interruptions, and (d) a lesser exchange of explicit information between husband and wife. Although married couples arrived at more "democratic" or representative decisions in a faster time, this was due to their greater degree of prior shared values and interests. The effects of the history and context of the relationship between subjects upon their pattern of communication and possible contrasts between normal and abnormal couples are discussed.     

Sexuality and Intimacy in Couples Therapy

SUMMARY

In ages past, spiritual seekers left their close relationships for the seclusion of a monastery or a solitary journey, facing their dragons essentially alone. Today, however, many of us face the dragons within us as we undertake the tasks of differentiation and individuation. Thus, our relationships, if we allow them, can become the loci of our deepest self-exploration, leading to deepening intimacy with our partners.     

Against Couples

ABSTRACT The essay attacks the convention that a person should at any period in their life have not more than one sexual partner. The issues of the care of children and the desirability of a shared household are here bracketed out. The main argument proceeds by seeing conflicts between the requirement of exclusivity in sexual life, authenticity, and the principle that sexual communion should be an expression of love. A general social inertia, defined by the possessive introversion of couples, means that individuals will inevitably sometimes have to choose between sexual solitude and cultivating a more or less artificial relationship. The ideal of a single, central relationship is criticised on the grounds that (i) in some respects it is not desirable and (ii) it is in any case unrealistic to suppose that we can choose to create such an ideal relationship at will.     

Couples Therapy

The authors propose a more comprehensive definition of couples therapy since parenting and individual issues can impact so forcefully on spousal relationships. Couples therapy, is redefined as a therapy with both spouses concerning their individual, parenting, and marital functioning which is conducted in conjoint marital/family sessions and individual meetings with each spouse. A case example illustrates this approach which is called Comprehensive Family Therapy.     

Measuring Empathy in Couples: Validity and Reliability of the Interpersonal Reactivity Index for Couples

Aboriginally probably equivalent, following divergent acculturative patterns, the perceptual and cognitive techniques of the Chiricahua and Mescalero Apaches differed. Today, half of Apache children (the learners) adjust to ordinary expectations in grammar school: their Rorschach patterns resemble those of aged Chiricahuas; half (the nonlearners) fail to adjust: their responses are those of the less-acculturated Mescaleros:

It was hypothesized that the learners would have identified with the techniques of the more-acculturated Chiricahuas. Adults influential in the early lives of the children were tested. The hypothesis as stated was not verified. What was consistent in the responses of learner influentials was a more balanced approach to Rorschach stimuli than was shown by nonlearner influentials.     

Fostering Strength and Resiliency in Same-Sex Couples

Abstract

Same-sex couples are presented widiin tiieir cultural contexts to examine how those contexts might influence me strength and resilience of their relationships. We are particularly interested in the ability of the couple relationship to fulfill family functions that serve the social, psychological, and physical needs of each of the partners and society (Patterson, 2002a). Three family functions: family formation and membership, nurturance and socialization, and protection of vulnerable members, are particularly germane to same-sex couples. We examine several topic areas related to these three functions in order to assist clinicians in identifying factors that may prohibit same-sex couples from becoming and remaining strong and resilient.     

Compensatory Conscientiousness and Health in Older Couples

ABSTRACT— The present study tested the effect of conscientiousness and neuroticism on health and physical limitations in a representative sample of older couples ( N = 2,203) drawn from the Health and Retirement Study. As in past research, conscientiousness predicted better health and physical functioning, whereas neuroticism predicted worse health and physical functioning. Unique to this study was the finding that conscientiousness demonstrated a compensatory effect, such that husbands' conscientiousness predicted wives' health outcomes above and beyond wives' own personality. The same pattern held true for wives' conscientiousness as a predictor of husbands' health outcomes. Furthermore, conscientiousness and neuroticism acted synergistically, such that people who scored high for both traits were healthier than others. Finally, we found that the combination of high conscientiousness and high neuroticism was also compensatory, such that the wives of men with this combination of personality traits reported better health than other women.     

Downward Comparison in Infertile Couples

The tendency of infertile individuals to compare themselves favorably to others with regard to coping efficacy was examined among 61 women and 52 men, including 52 husband-wife pairs. Comparison targets were same-sex infertile others and the spouse. Eighty-three percent of men, but only 45% of women, believed that they were coping better than same-sex others (i.e.,downward comparison). Both men (51%) and women (47%) tended to see no difference between their own and their spouses' coping efficacy. However, comparing themselves to their spouses, men in general compared downward, whereas women compared upward. For both same-sex and spouse comparisons, husbands were significantly more likely to engage in downward comparison than their partners. Analyses testing the correlates of downward comparison revealed that (a) infertile participants who were more likely to engage in downward comparison felt less threatened by infertility, (b) no association emerged between comparison indices and self-esteem, and (c) downward same-sex comparison was more likely for men who had been attempting conception for a longer period.     

Cultural Considerations in Couples Therapy

This paper offers a framework for considering cultural influences in couples therapy. Emphasis is placed on the therapist's responsibility to engage in an ongoing self-assessment of personal biases, areas of inexperience, and privilege. With a focus on couples of ethnic minority cultures, suggestions are offered for establishing rapport, understanding values, and appreciating strengths.     

Treating Fused Couples

SUMMARY

Marital therapy with couples in which the partners are undifferentiated and highly fused entails attention to both individual and interpersonal dynamics. Individual structural problems such as insufficient sense of self, poor self-other differentiation, primitive defenses, and incomplete object constancy tend to co-occur with couples issues such as anxious attachment, possessiveness, jealousy, and patterns of reactivity and explosive fighting. A model for dealing with fusion in couples is presented that demonstrates how constructs and techniques of object relations theory serve to inform and to enhance the practice of Bowenian systems therapy.     

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.     

The Implicit Domain in Couples and Couple Therapy

At this point in the evolution of our field, developments in psychoanalysis and family systems, as well as findings from cognitive neuroscience and research in infant development are pointing to convergences in our understanding of the human experience. One central point of convergence has been the understanding of implicit modes of experience, particularly as this relates to affective communication. Through the lens of couples and couple therapy, this paper examines the ways in which the patterning of couple and family relationships takes place in the enactive domain through nonconscious, implicit communication processes. With the understanding that it is in the nature of implicit experience that it must be enacted to be accessed, this paper argues that some of that which is stored in the implicit domain remains embedded and enacted in one's most intimate relationships and therefore can only be accessed within the context of those relationships. This paper then explores some of the implications of implicit processes as this relates to the triad of the therapist and the couple in couple therapy.