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.     

Marcel's Testimony in Existential Psychotherapy with Couples and Families

In recent years a number of family therapists and teachers of family therapy have questioned the direction of the family therapy movement into relationship-distant and procedurally based treatment orientations. The purpose of this article is to outline Gabriel Marcel's concept of testimony and to show how this concept can be utilized to facilitate an increased emphasis upon the treatment relationship during marital and family psychotherapy.     

Psychosocial Impact of Predictive Testing for Illness on Children and Families: Challenges for a New Millennium

Predictive testing for adult- and child-onset diseases is becoming widely available. The identification of individuals prone to develop certain illnesses is often medically advantageous in that it may afford opportunities to engage in risk reduction behaviors to detect or delay disease onset. However, sometimes the knowledge gained from these tests can be ambiguous, generate distress, and potentially affect several generations of family members. Overall, these factors create a challenging set of circumstances for persons considering genetic and other forms of predictive testing, particularly parents and children. In this article, we (1) address conceptual issues involved in determining the impact of predictive testing on child and family well-being, (2) review empirical data on this topic, and (3) provide a case example to illustrate these findings. Recommendations are made for additional psychological research on child- and family-focused outcomes associated with participation in testing, highlighting their clinical implications.     

Re-Collection in Existential Psychotherapy with Couples and Families Dealing with Death

Re-collection is a treatment dynamic in existential family therapy in which the client family is helped to remember and honor meanings that family members have previously actualized and deposited in the past. This shrinks the family meaning vacuum and those symptoms and problems that grow and flourish in a family meaning vacuum. In this article, an existential orientation to re-collection with families who are dealing with the death of a loved one is presented, described, and illustrated with case material.     

Data Collection via Online Platforms: Challenges and Recommendations for Future Research

Online platforms such as Amazon's Mechanical Turk (MTurk) are increasingly used by researchers to collect survey and experimental data. Yet, such platforms often represent a tumultuous terrain for both researchers and reviewers. Researchers have to navigate the complexities of obtaining representative samples from online participant cohorts, ensuring data quality, ethically incentivizing participant engagement, and maintaining transparency. Reviewers, on the other hand, have to navigate the complexities of evaluating the efficacy of such data collection and execution efforts in answering important research questions. In order to provide clarity to these issues, this article provides researchers and reviewers with a series of recommendations for effectively executing and evaluating data collection via online platforms, respectively.     

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.     

Benefits and Challenges of Dual-Earning: Perspectives of Successful Couples

The purpose of this study was to discover the benefits and challenges derived from the dual-earner lifestyle for couples who successfully balance family and work. The data for the study are part of a larger data set drawn primarily from in-depth interviews with 47 couples. While the intent of the overall project was to discover the adaptive strategies that these couples utilized at home and work to successfully balance family and work, this paper focuses specifically on the couples’ perceived benefits and challenges of dual earning. Many therapists harbor negative and stereotypical assumptions of the quality of dual-earner family life and appear to believe there are inevitable and significant challenges that are intrinsic to the dual-earner family arrangement (Haddock & Bowling, 2001), but the findings of this study are helpful in providing a more balanced, informed view of the possibilities of this family arrangement.     

The Uses of Emotion Maps in Research and Clinical Practice with Families and Couples: Methodological Innovation and Critical Inquiry

We explore how “emotion maps” can be productively used in clinical assessment and clinical practice with families and couples. This graphic participatory method was developed in sociological studies to examine everyday family relationships. Emotion maps enable us to effectively “see” the dynamic experience and emotional repertoires of family life. Through the use of a case example, in this article we illustrate how emotion maps can add to the systemic clinicians’ repertoire of visual methods. For clinicians working with families, couples, and young people, the importance of gaining insight into how lives are lived, at home, cannot be understated. Producing emotion maps can encourage critical personal reflection and expedite change in family practice. Hot spots in the household become visualized, facilitating dialogue on prevailing issues and how these events may be perceived differently by different family members. As emotion maps are not reliant on literacy or language skills they can be equally completed by parents and children alike, enabling children's perspective to be heard. Emotion maps can be used as assessment tools, to demonstrate the process of change within families. Furthermore, emotion maps can be extended to use through technology and hence are well suited particularly to working with young people. We end the article with a wider discussion of the place of emotions and emotion maps within systemic psychotherapy.     

Challenges and Opportunities for Intervening with Couples in the Aftermath of the Global War on Terrorism

The unique culture of the military family in the early part of the twenty-first century will be examined, including the high operational tempo, frequent geographic moves, high rates of service among women, and the unique constellation of deployed troops from Active Duty, National Guard and Reserve components. Challenges faced by these couples are described, followed by key issues for clinicians to assess. Several developing couple-based interventions will be described, followed by a vignette which will highlight the issues and opportunities for these couples. In addition to reviewing common difficulties among military families, the authors will highlight strengths inherent to the military culture that clinicians can utilize in helping families develop resiliency.     

Utilizing Movies in Family Therapy: Applications for Individuals,Couples, and Families

Movies, like books, can be useful and inexpensive interventions in therapy. The advantages of using movies in therapy are discussed, as well as guidelines for integrating movies as intervention. In addition, the authors conducted a survey of clinicians in order to collect their suggestions for utilizing particular movies with particular presenting problems. Results of the survey are included in the appendix.     

An Object-Relations Approach to Psychotherapy with Marital Couples,Families, and Children

AN APPROACH to object relations is presented here that conceptualizes the dynamics of interpersonal relationships. Although it is beyond the scope of this paper to provide a thorough review of the object-relations school of thought, the concepts introduced here have direct clinical implications for understanding and influencing the dynamics of the patient-therapist dyad, of the marital pair, and of the family unit. Included are the following concepts: (a) Couples in conflict are viewed as more similar than dissimilar despite apparent differences; (b) The therapist's countertransference reactions are seen as not irrational but a valid reflection of the patient's struggle; (c) The adult or child who is the identified patient is often a carrier or container of the split-off, unacceptable impulses of the other(s); (d) The individual is perceived as part of a unit in which even the more obvious pathological traits have an inherent healthy reparative function.     

The Challenges of COVID-19 for Divorcing and Post-divorce Families

COVID-19 and the accompanying procedures of shelter-in-place have had a powerful effect on all families but have additional special meanings in the context of families contemplating divorce, divorcing, or carrying out postdivorce arrangements. This paper explores those special meanings for these families. It also offers suggestions for couple and family therapists involved in helping these families during the time of COVID-19.     

Evaluating Environmental Change Strategies: Challenges and Solutions

In this introductory article we define environmental change strategies (ECS), summarize the primary challenges associated with evaluating ECS, and provide an overview of the methods researchers have employed to begin to address these challenges. This special issue provides a range of examples, from researchers and practitioners in the field, of different approaches for addressing these challenges. These articles present new methods to understand and test how ECS are implemented and propose methods to evaluate their implementation. The content of the articles covers multiple public health issues, including substance abuse prevention, tobacco control, HIV prevention, and obesity prevention. This special issue is intended to build the evidence base for effective ECS, generate compelling discussion, critical analyses, and spur future research that will help improve the implementation and evaluation of ECS.     

Couples coping with cancer: Research issues and recent findings

The diagnosis of cancer in one partner can impose numerous changes for both the individual diagnosed with cancer and his or her healthy spouse. In this article, the literature on spouse social support in the context of cancer is reviewed. The importance of understanding support given and received within a close relationship using an interactional, contextual perspective is emphasized. Examining support-related interactions and understanding the personal characteristics that determine the type and amount of support that providers give and the kind of support individuals prefer, and investigating why significant others respond in supportive or critical ways is important. In addition, the study of support interactions must be placed in the both in the context of a marriage and in the context of a catastrophic life event such as cancer. A longitudinal study of patients with gastrointestinal cancer and their healthy partners was undertaken to examine these issues, and the design of this study is described. General problems conducting research with couples undergoing a severe life stressor as well as specific problems our research group has encountered while setting up a research program in the cancer setting are reviewed.     

Couples with Intimate Partner Violence Seeking Relationship Help: Associations and Implications for Self‐Help and Online Interventions

In‐person conjoint treatments for relationship distress are effective at increasing relationship satisfaction, and newly developed online programs are showing promising results. However, couples reporting even low levels intimate partner violence (IPV) are traditionally excluded from these interventions. To improve the availability of couple‐based treatment for couples with IPV, the present study sought to determine whether associations with IPV found in community samples generalized to couples seeking help for their relationship and whether web‐based interventions for relationship distressed worked equally well for couples with IPV. In the first aim, in a sample of 2,797 individuals who were seeking online help for their relationship, the levels and correlates of both low‐intensity and clinically significant IPV largely matched what is found in community samples. In the second aim, in a sample of 300 couples who were randomly assigned to a web‐based intervention or a waitlist control group, low‐impact IPV did not moderate the effects of the intervention for relationship distress. Therefore, web‐based interventions may be an effective (and easily accessible) intervention for relationship distress for couples with low‐intensity IPV.