Cognitive marital therapy

This article reviews recent applications of cognitive therapy to the treatment of marital distress. Three categories of cognitive phenomena that can decrease marital satisfaction and elicit dysfunctional interactions between spouses are described. First, automatic thoughts that comprise an individual's stream-of-consciousness thinking about marital events can be biased by systematic cognitive distortions. Inaccurate attributions about the causes of marital problems are a major form of such automatic thoughts. Second, individuals' behaviors toward their partners are influenced by their expectancies about the probabilities of the partner's subsequent responses, and these expectancies also are susceptible to systematic distortion. Third, an individual's unrealistic or irrational beliefs about the nature of intimate relationships can produce distress and dysfunctional behavioral responses toward the partner. Methods for assessing and modifying these dysfunctional cognitions, particularly in conjoint treatment, are described. Similarities and differences between cognitive therapy and rational-emotive therapy in the treatment of marital problems are noted.     

Early object-relations conflicts in marital interaction

In this paper I have tried to show how certain early object-relations conflicts in marital interaction had their principal source in the rapprochement phase of the separation-individuation process. The clinical material suggested that only a tenuous separation from the early mother had been achieved, and now the spouse (be it husband or wife) had become the new maternal representation; the early mother-child interaction was being recapitulated once again between husband and wife. It was the conflicts and vicissitudes of the rapprochement crisis which were instrumental in shaping the patient's infantile neurosis and not just the oedipal struggle of the infantile neurosis prototype. The clinical material furthers confirmation of marriage as a viable developmental phase. Considering such marital interaction from the point of view of our analytic technique, it provided a unique occurrence where the infantile neurosis, the adult neurosis (i.e., the pathological marital union) and the transference neurosis came together. Two issues were thrown into clearer focus by this confluence: first, the repetition compulsion principle was distinctly demonstrated; and second, support for recovery of experience from preverbal and semiverbal stages of early object relations was forthcoming.     

A rational-emotive theory of marital dysfunction and marital therapy

This article first discusses some rational-emotive perspectives on marital and couples therapy, including what constitutes a good relationship, some important differences between rational-emotive and other couples therapy approaches, and an RET classification of relationship problems. Second, this article also sketches out ways in which social exchange principles can be integrated into rational-emotive couples therapy.This is a revised version of a paper that originally appeared in A. Ellis and M. Bernard's (Eds.) 1985 text,Applications of Rational Emotive Therapy, Plenum Publishing Co., New York.     

Cultural tensions in strategic marital therapy

Whether the elements of a good marital relationship are universal is the question addressed in this case study of therapy with a couple who were culturally different from the therapist. The conflicts between the therapeutic strategies, which were based on a strategic therapy model, and the customs of the couple from a foreign culture, made it difficult to evaluate whether the therapist was on target with interventions. On one hand, therapists need to guard against being misled into believing that customs are cultural imperatives which never can be changed. On the other hand, they need to be aware of the impact and possible ramifications of challenging long-held, culturally-based beliefs and behaviors. The following case study details the dilemmas faced by a therapist working with an Asian-Indian couple who presented themselves as being bound by their cultural background and heritage.Grateful acknowledgement is made by the author to Etienne Phipps, PhD, whose comments give direction and substance to all my work.     

Recent developments in family behavioral marital therapy

This paper reviews recent developments in the area of behavioral marital therapy (BMT). New information is summarized regarding the long-term efficacy of BMT and the identification of predictors of positive response to treatment and to relapse. Finally, new applications of BMT techniques are reviewed (e.g., spouse-involved therapies as the sole treatment for presenting problems in which marital distress is not the primary focus such as anxiety and affective disorders).     

Adlerian marital therapy with the passive-aggressive partner

Abstract

This paper describes the passive-aggressive personality and provides an Adlerian formulation of the PAP in couples functioning. It points out the similarities of this formulation to DSM-III-R, cognitive therapy, and transactional analysis. A specific treatment plan incorporating several types of intervention for helping such couples lead more effective marital lives is presented.     

The marital and family therapy examination program

This report is intended to inform the reader—as fully as is compatible with examination security—about the Examination in Marital and Family Therapy used by most of the states licensing marital and family therapists in the United States. The rationale for the examination is given, its development and validation are described, and the knowledge base that it samples is provided. The examination is presented as a necessary and logical component in the development of marital and family therapy and as an essential part of the implicit contract that exists between professionals and the community.Although a great many people labored on the Examination in Marital and Family Therapy, and continue to do so, the National Exam largely was founded and developed under the leadership of Carl F. Johnson of Atlanta, Georgia.     

Research applications of Shapiro's personal questionnaire in marital therapy

Clinical research raises many problems and is often neglected in clinical settings. In this paper, the contribution of Shapiro's personal questionnaire in marital therapy research is described in the context of these contrasting research designs.     

Psychoanalysis, marital therapy, and object-relations theory

This paper attempts to indicate why psychoanalysts should be interested in marital therapy. It discusses the clinical advantages and disadvantages of marital therapy as compared to psychoanalysis, describes the contributions of the classical psychoanalytic viewpoint to marital therapy, and finally, attempts to complement the classical psychoanalytic viewpoint with an object-relations viewpoint which can illuminate marital dynamics and provide interpretive content during the course of marital therapy.     

Recent and emerging trends in marital and family therapy regulation

The number of states in the United States that formally credential marital and family therapists has tripled to 31 during the last decade. This paper reviews and compares the basic licensure and certification requirements in these states, and explores a number of broad issues currently confronting the field of marital and family therapy regulation. Several recommendations for improving the quality of MFT regulation are also provided.president of the Association of Marital and Family Therapy Regulatory Boards.     

Commitment: A variable in women's response to marital therapy

Abstract

The relationship between commitment to one's marriage at the onset of therapy and changes during marital therapy was examined. In a sample of 42 couples seeking marital therapy, wives' commitment level accounted for a significant amount of unique variance in marital satisfaction before therapy and gains in marital satisfaction resulting from therapy. In keeping with earlier findings, results for men were less striking, and often nonsignificant. The importance of considering the variable of commitment in marital research is discussed.     

Love: an important dimension in marital research and therapy

How do men and women describe and assess their relationship? What themes are decisive for its quality and stability? To answer such questions, we investigated a random sample of 204 married couples (reference sample), and 31 married couples undergoing psychotherapy (clinical sample) using a newly developed questionnaire. The participating couples were asked to evaluate a total of 19 themes with respect to their importance for the couple's connectedness. Although only rarely directly addressed in couple therapy and in‐vestigated in couple research, the theme “Love” proved to be the decisive factor for quality and stability. The results of the present study, therefore, indicate that “Love” should be investigated more thoroughly in couple research and included more actively in diagnostic and therapeutic procedures.