Marital Status and Gender Similarity in Marital Therapy

This analogue study was designed to examine the effects of therapists' marital status and therapist and participant sex on participants' perceptions of therapist and expectations for therapy. Each partner of 20 couples presenting for marital therapy at four outpatient counseling centers independently completed one of four protocols. The protocols differed only on the therapist's marital status and sex. Results revealed that neither therapist marital status nor therapist sex had an effect on participants' perceptions of therapists or therapy expectations. Female participants, however, perceived therapists as more trustworthy, attractive, and expert and had higher expectations for therapy than did male participants.     

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.     

Measuring Virtues in Marital Education Programs and Marital Therapy

Traditional marriage evaluations typically focus on marital satisfaction and communication. However, other indicators of marital quality can be used to assess interactions within relationships. The current paper presents an evaluation of the Marital Virtues Profile (MVP), a brief and easy to understand assessment designed to measure virtues in marital relationships. Exploratory factor analysis was used to examine the hypothesized structure of the MVP and confirmatory factor analysis was used to explore its specific measurement properties. Results indicate that the 15 item MVP is an efficient and reliable measure of both specific marital virtues and an overall marital virtue. Limitations of the current study and applications of the MVP to marital education programs and therapeutic settings are discussed.     

Social-Exchange Theory: Cognitive Restructuring in Marital Therapy

Problems arise in marital relationships when any of the following conditions are not met: first, that the couple have correspondence of their beliefs, or rules, as to what behaviors constitute “value messages” or “devalue messages”; second, that they depend primarily upon nonpainful channels for sending and receiving value messages; and third, that each partner's required quota of value messages from the other be of a reasonable quantity, not inflated by unrealistic fear of abandonment or devaluation. Problems in any of these areas may present in a variety of seemingly disparate fashions. Each of these problems is amenable to cognitive restructuring strategies. Different demands are placed on the therapeutic alliance and the marital alliance by the elucidation of each of these three types of problems; proper timing of interventions is therefore necessary.     

Construing Couples: The Challenges of Marital Therapy

Many therapists report that working with couples is very difficult and stressful. In this article 1 offer a few evolving thoughts on working with couples, based on Kelly's Sociality corollary and the field of hermeneutic inquiry. The primary task of marital therapy is to work together with couples in coauthoring (or coconstructing) a story that (a) is specific to the concerns of each spouse, (b) is meaningful to the two of them as a couple, and (c) provides new options for effective action in the situation confronting them. This coauthoring process, if it is to be successful with couples, must address a number of related issues, including codefining the problem, connecting with the relevant system, codeveloping specific and workable goals, maintaining flexibility, and coconstructing alternatives.     

Marital Therapy and Marital Power: Constructing Narratives of Sharing Relational and Positional Power

Scholars continue to emphasize in their conceptualizations of marital power the capacity to exert influence in the marital relationship based on the control of valued resources and status (positional power). Much less attention has been given to the capacity to exert authority in the marital relationship through the context of an intimate relationship and the opportunities for influence it provides (relational power). Strategies are suggested for co-authoring narratives with couples in the process of therapy that create opportunities for them to share these bases of power within their families in ways that free them from the negative constraints associated with cultural discourses about gender and power.     

Marital Therapy: Emerging Trends in Research and Practice

The marital therapy literature through August, 1972, was content-analyzed to examine trends in the research and clinical practice of marital therapists. Analyses of a 415-item Marital Therapy Bibliography revealed that: (a) The literature experienced the beginning of its major growth spurt after 1960, with about half of the marital therapy publications appearing since 1967; (b) Journals contributing the most to the development of marital therapy form a heterogeneous mixture of professional disciplines, with multidisciplinary journals demonstrating the greatest impact; (c) The nature of much of marital therapy research and practice is rapidly changing, with a growing interest in empirical and methodological issues. Implications of these emerging trends in research and practice are discussed in terms of the future of marital therapy.     

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.     

Gender Dilemmas and Myth in the Construction of Marital Bargains: Issues for Marital Therapy

Marital therapists are regularly confronted with issues of equality and fairness when working with couples. This article examines the social-contextual factors that influence couples' negotations about these issues. A common solution for couples, "the myth of equality," is identified, together with the processes that maintain it. The role of the therapist in relation to gender equality is addressed.     

Later stages in Experiential Marital Therapy

This is the second of two papers dealing with symbolic-experiential treatment of marital issues. The first—Early Stages in Experiential Marital Therapy — discussed three early stages. This paper discusses regressive work with couples, including engagement with the family of origin.     

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.     

Enhancing Brief Marital Therapy with Psychoeducational Interventions

Concurrent with the trend toward briefer psychotherapies is an increasing interest in utilizing psychoeducational interventions in the course of marital therapy. This article overviews three different perspectives on incorporating psychoeducaion (PE) into marital therapy and emphasizes the values of a comprehensive biopsychosocial assessment. A case study illustrates the use of PE to enhance marital therapy.