Couples Relationship Education and Couples Therapy: Healthy Marriage or Strange Bedfellows?

This paper focuses on issues sparked by the Couples Relationship Education (CRE) field moving toward a more clinical model to meet the needs of an increasing number of distressed couples coming to CRE programs. We review the concerns raised and recommendations made by Bradford, Hawkins, and Acker (2015), most of which push CRE toward a more clinical model. We address these recommendations and make suggestions for best practices that preserve the prevention/education model underlying research‐based CRE. The three main issues are couple screening, leader training, and service delivery models. Our suggested best practices include: conducting minimal screening including the assessment of dangerous levels of couple violence, training leaders with key skills to handle issues raised by distressed couples as well as other couples who may place additional burdens on leaders, providing referrals and choices of programs available to participants at intake and throughout the CRE program, and adding (rather than integrating) clinical services to CRE services for couples who desire additional intervention. Finally, throughout the paper, we review other key issues in the CRE field and make recommendations made for future research and practice.     

Non-Violent Communication and Marital Relationship: Efficacy of ‘Emotion-Focused Couples’ Communication Program Among Filipino Couples

Non-Violent Communication (NVC), developed by Dr. Marshall B. Rosenberg, fosters intra- and interpersonal relationship through empathetic and compassionate communication. It has been used and proven effective in a variety of settings like schools, health care centers, jails, and in restorative and rehabilitative institutions. However, the use of NVC in the field of marital relationship is found to be relatively few. The present study aimed at investigating the efficacy of the intervention program, Emotion-Focused Couples’ Communication Program (EFCCP) in a Filipino setting. EFCCP which is an intervention program developed by the researchers based on the constructs of NVC has already been proven to be effective in a previous study involving couples in an Indian setting. This present study was undertaken to investigate the efficacy of the program’s shortened version in the Filipino setting and to test whether the program is culturally suited for Filipino married couples. Relational Communication Scale and Locke–Wallace Marital Adjustment Test were used to measure the level of communication and marital satisfaction among the couples. The EFCCP-Shortened Version was administered to a group of 12 couples for a period of 3 weeks, and the results revealed a significant difference in the level of couples’ communication and marital satisfaction among the participants. These results provided ample indications to the efficacy of the EFCCP-Shortened Version in enhancing communication and enriching marriage quality among couples across diverse settings.     

Improving Couples’ Relationship Functioning Leads to Improved Coparenting: A Randomized Controlled Trial With Rural African American Couples

Family-centered prevention programs for couples with children are being increasingly disseminated, with the hope that improving couples’ romantic relationships will lead to other benefits for families. To date, however, it is unclear whether these interventions do in fact yield these benefits. The current study addressed this gap by examining whether postintervention improvements in couples’ relationship functioning following family-centered prevention predicted longer-term change in coparenting, and whether postintervention improvements in coparenting predicted longer-term change in relationship functioning. We used four waves of data collected over 2 years from 346 rural African American couples with an early adolescent child who participated in a randomized controlled trial of the Protecting Strong African American Families (ProSAAF) program, an intervention designed to promote strong couple, coparenting, and parent–child relationships in two-parent African American families. Results indicated that ProSAAF had significant short-term positive effects on both romantic relationship functioning and coparenting and that these effects did not differ in magnitude. Over time, however, only romantic relationship functioning postintervention was positively associated with long-term changes in coparenting; coparenting postintervention was not associated with long-term changes in relationship functioning and this association was significantly weaker than the other pathway. These findings support a key premise underlying relationship enhancement programs for parents, indicating that improving couples’ romantic relationship functioning can have longer-term benefits for the coparenting relationship as well. Further research examining long-term parent, child, and family outcomes following family-centered prevention for couples and the mechanisms of change underlying these outcomes is needed.     

Couples’ Negative Interaction Behaviors and Borderline Personality Disorder

Borderline personality disorder (BPD) is a severe mental health problem predisposing to dysfunctional interaction behaviors and negative couple outcomes. This study aimed to assess, through direct observation, the quality of relationships of couples in which women were diagnosed with BPD. The sample consisted of 28 couples in which the woman had BPD, and 82 community couples. Couples’ interactions were coded using three scales—withdrawal/ avoidance, dominance, and criticism/attack/conflict—from the Global Couple Interaction Coding System. Couples in which the women had BPD evidenced significantly more negative behaviors, particularly dominance behaviors, than community couples. Moreover, in BPD couples, women adopted Criticism/Attack/Conflict behaviors more frequently than men.     

Stretching–Developing Therapeutic Creativity in Work with Couples

ABSTRACT

The biggest issue for therapists is how to maintain their vitality and creativity throughout their careers. I believe that therapeutic creativity lies in the interface of these skills: making up new stories in the moment, translating them into a client's actual experience, and helping the client use them to be different. Developing and maintaining these creative skills involves two issues of therapeutic style. Contrast means that you know the parts of your personality and can use them to demonstrate being different. Range means that you can take a specific part of your personality and play with it.     

What Do We Know About Gay and Lesbian Couples?

Abstract— Research on gay and lesbian couples is highlighted with regard to household labor, conflict, satisfaction, perceived social support, stability, and the variables that predict relationship quality. Relative to partners from married heterosexual couples, partners from gay and lesbian couples tend to assign household labor more fairly, resolve conflict more constructively, experience similar levels of satisfaction, and perceive less support from family members but more support from friends. The limited data available indicate that gay and lesbian couples may be less stable than married heterosexual couples. The factors that predict relationship quality tend to be the same for gay, lesbian, and heterosexual married couples. Overall, research paints a positive picture of gay and lesbian couples and indicates that they tend to be more similar to than different from heterosexual couples.     

Should We Have Children? A Decision-Making Group for Couples

The authors designed and conducted a group for couples deciding whether to have children or remain childfree. Four couples participated in various group exercises and activities. The group experience was positive for most members; in relation to this decision they gained an understanding of their own needs and attitudes, of their spouses' positions, and of the issues involved. Outcomes varied: One couple decided to wait to make the decision, two decided to have children later, and one decided to probably remain childfree.     

Couples’ Work Schedules and Child-Care Use in the Netherlands

Various aspects of parental work schedules affect the opportunities and constraints that parents encounter when arranging care for their children. This study examined the extent to which the combination of couples’ work schedules was associated with their use of different types of child care, focusing on parental, formal, and informal child care. We considered multiple dimensions of couples’ work schedules, namely, the timing of work, schedule flexibility, and home-based telework. Data from a recent Dutch survey were used, including information about 1599 dual-earner couples with children aged 0–6 years. The results indicated that paid work during nonstandard hours increased the amount of parental child care that was provided by one parent while the other parent was working, whereas work during evenings, nights, and weekends decreased the likelihood of using both formal and informal child care. Results further revealed gender differences for nonstandard hours and schedule flexibility. We found stronger effects of mothers’ work schedules, indicating that a gender-neutral approach to parental work is not justified. These results indicate that the timing of parental work is important to consider when examining not only parental child care but also formal and informal child-care use. We provide recommendations for future research, specifically regarding the possible consequences for parental well-being.     

An Investigation of Couples’ Help-Seeking: A Multiple Case Study

Research of the effectiveness of couples counseling has demonstrated clear benefits (e.g.; Lebow et al. (Journal of Marital and Family Therapy, 38(1):145–168, 2012)). However, relatively few couples initiate counseling and seek help. This exploratory study employed a qualitative multiple case study approach to heterosexual couples (N?=?7) that were currently in the process of seeking conjoint therapy to identify intra and interpersonal factors that influence relational help-seeking. Participants reported that female partners were the first to perceive a problem and suggest seeking professional help. In turn, male partners reported feeling a sense of failure and fear of judgment when considering couples counseling. Patterns of blame, withdrawal, and aggression contributed to increased distress, which eventually led these couples to counseling, some with mixed-agendas for services.     

Couples’ Attributions for Work Function Changes in Prodromal Huntington Disease

People who have tested positive for the expanded Huntington disease (HD) gene who are not yet diagnosed (pre-HD) and their companions report subtle changes in ability of people with pre-HD to do their jobs. However, it is not known whether they attribute these changes to HD. Semi-structured telephone interviews were analyzed from seven persons with pre-HD at different estimated points from diagnosis and six companions. Data were analyzed using qualitative analysis methods. Participants made attributions related to health, work, and temperament. Only one participant attributed a change to HD. The process of forming attributions was demonstrated through symptom monitoring and comparison of participants with pre-HD to others with and without HD. Participants also expressed uncertainty regarding how to make attributions. Attributions influence coping procedures, including whether to seek and accept medical treatment. In persons with prodromal HD the relationship between attributions and use of coping strategies for symptoms that interfere with job functioning is unknown.     

Infertility, “Experientially Oriented” Couples Therapy and Subsequent Pregnancy

SUMMARY

Four couples who had been diagnosed as clinically infertile were seen in experientially oriented couples therapy. Each couple conceived a baby shortly after a particularly powerful session. These ' sessions are described. The commonality across these sessions involved opening up the clients' inner experiencing and enabling these clients to actualize and integrate whatever was deeper within. The conventional biomedical and psychoanalytic approaches to infertility are described. The experiential model provides an alternative way to understand the timing of pregnancy or lack thereof. It also offers a holistic approach to working with infertile couples.     

“Working with Couples: Satir and the Tao,”

SUMMARY

One of Virginia Satir's greatest gifts to the world was the use of herself as an instrument of healing. By daring to use all of her-self-body, mind and spirit-the connections Virginia made with others were warm and real. Besides being authentically caring, Satir worked out of a pluralistic and comprehensive theoretical base to individualize each intervention. By co-creating strong, trusting relationships she inspirited others with her own life-force energy, and enabled them to become more fully human. Able to put her own ego needs aside, Virginia modeled how to join common sense with a sense of high purpose.     

Family Therapy with Couples and Individuals with Parkinson’s Disease

Family therapists are increasingly called upon to work with individuals and families with medical issues, but often do not have sufficient background on the issue to be most helpful. The purpose of this paper is to help family therapists understand Parkinson’s Disease (PD) and its impact on the individual and his or her family. PD is the second most prevalent neurodegenerative disorder in the United States, following Alzheimer’s disease (Hirtz et al., Neurology 68:326–337, 2007). According to the Parkinson’s Disease Foundation, approximately 60,000 individuals are diagnosed with PD every year, and approximately one million Americans are currently living with PD. In this paper, we provide an overview of PD based on research and the second author’s many years of providing services for individuals with PD, as well as offer specific recommendations for providing family therapy using narrative, solution-focused and emotionally focused therapy based on the first author’s work as a family therapist with individuals, groups, and couples dealing with PD.     

Behavioral Intentions: Which Ones Predict Fertility Behavior in Married Couples?1

The published literature on the relationship between behavioral intentions and fertility behavior exhibits four major problems: inconsistent and confusing use of theoretical constructs, limited use of different types of intentions, use of nonbehavioral outcomes, and failure to explore adequately the couple aspects of the intentions/behavior relationship. The study reported here addresses these problems by using a theoretical framework that characterizes the psychological/behavioral sequence leading to a planned conception, three different types of fertility intentions, a behavioral outcome variable, and data from 196 married couples with no children and 185 married couples with one child. Data analysis results in a simultaneous equation, constrained regression model which indicates that child-timing intentions are the most important predictors of proceptive behavior over a 3-1/2 year period and that childbearing intentions are next in importance; that behavioral intentions are the final common pathway through which fertility motivations, attitudes, beliefs, and desires affect behavior; that the use of proceptive behavior as an outcome variable improves the explanatory power of our models; and that the interaction of couple intentions do not demonstrate greater husband or wife influence over couple proceptive behavior but do demonstrate that disagreement has a delaying effect on the onset of that behavior.     

What are the Marital Problems of Happy Couples? A Multimethod,Two-Sample Investigation

How couples handle marital conflict may depend on what issues they are facing, as some issues may be more difficult to resolve than others. What is unclear, however, is what issues happy couples face and how these issues may be different for couples depending on their developmental stage. To explore this possibility, the current study used both self-reports and observations drawn from two separate samples of happily married couples—one early in middle adulthood (N = 57 couples; average marital duration = 9 years) and one in older adulthood (N = 64 couples; average marital duration = 42 years). Results indicated that all issues were relatively minor, but early middle-aged couples reported more significant problems than did older couples. As to determining the most salient topic for happy couples, it depended on the spouses’ gender, developmental stage, and how salience was assessed (i.e., highest rated issue vs. most discussed issue). Only moderate links were found between what happy couples said was their most serious concern and what they actually tried to resolve during observations of marital problem-solving, but there were differences in how spouses behaved based on the proportion of their time discussing certain topics. Findings suggest that more attention should be devoted to understanding what marital issues happy couples discuss and why, as doing so may reveal how couples maintain their marital happiness.     

How was your day? Couples’ affect when telling and hearing daily events

This study examined day‐to‐day mood changes associated with disclosure of positive and stressful events as affect regulation within couples. In daily diaries, 48 couples cohabiting in the United States reported whether they told their partner about the most positive and stressful event of their day. Participants reported greater positive affect on days when they told their partner about the most positive event of their day. This effect was less pronounced among avoidant women. Participants also reported greater positive affect on days when their partner shared their most positive event. Sharing about stressors was not associated with greater negative affect. These findings underscore the importance of investigating affect regulation processes such as daily event disclosures from a dyadic perspective.