Relationships among measures of communication, marital satisfaction and exposure during couples treatment of agoraphobia

The goals of this study were to examine the relationships among measures of couples interactions (satisfaction and communication), and response to treatment within a group of agoraphobic clients and their partners. The treatment included the clients' partners in structured, graduated in vivo exposure practices. Twenty-two clients and their partners completed pre-, mid- and post-treatment assessments. Treatment responders rated themselves and their partners as more communicative regarding the client's fears, at pre- and mid-assessments in comparison to nonresponders; measures of communication related inversely to levels of anxiety reported during exposures, but marital satisfaction did not relate to any measure of exposure. In addition, level of anxiety during exposure differentiated responders from nonresponders; responders experienced a significant reduction in their levels of anxiety. Finally, ratings of frequency of communication at mid-assessment were highly predictive of treatment outcome at post-assessment. The implications from these findings for communication skills training for a subset of couples who enter couples treatment for agoraphobia are discussed.     

Symptom-system fit in couples: emotion regulation when one or both partners smoke

In a laboratory smoking experiment, 25 couples in which 1 or both partners continued to smoke despite 1 of them having heart or lung disease discussed a health-related disagreement before and during a period of smoking. Immediately afterward, the partners used independent joysticks to recall their continuous emotional experience during the interaction while watching themselves on video. Participants in dual-smoker couples reported increased positive emotion contingent upon lighting up, whereas those in single-smoker couples reported the opposite. The results highlight the role of smoking in close relationships, particularly in regulating emotional closeness when both partners smoke. Attention to this fit between symptom and system may be useful in helping couples achieve stable cessation.     

Gender issues in the treatment of welfare couples: A feminist approach to marital therapy of the poor

This article presents a treatment model for work at home with couples in poor families on welfare that incorporates a feminist view targeting sex-role attitudes and behaviors as a central goal. A case study is presented to illustrate these principles. The work is based on both in-depth interviews with 13 Israeli couples on welfare and clinical impressions gained from the treatment of 30 Israeli couples on welfare. Poor couples are analyzed in terms of gender issues and the relationship of these issues to mental health, couple functioning, and couple interaction within the helping profession.Irit Barnea, Hannan Rosenberg, and Moshe Sens contributed to research and treatment with the couples described in this paper.     

Positive and negative characteristics of marital interaction and their association with marital satisfaction in middle-aged and older couples

The study examined age differences in positive (e.g., warm) and negative (e.g., hostile) characteristics of marital interactions between middle-aged and older couples and whether these characteristics were differentially associated with marital satisfaction by age. Spouses' perception of partners' positive and negative behavior during marital interaction was assessed in general and following disagreement and collaborative tasks. Trained observers coded spouses' positive and negative behavior during interactions. Older individuals reported higher marital satisfaction and perceived their spouse's behavior as less negative in general and more positive across all contexts than middle-aged individuals. Spouses' perceptions of their partners' positive and negative behavior independently predicted marital satisfaction for both age groups across contexts. Perceptions of partners' negative behavior in general and of both positive and negative behavior in the disagreement task were more closely associated with marital satisfaction for older spouses than for middle-aged spouses. Results point to the importance of positive and negative characteristics in marital functioning across age cohorts and indicate that such characteristics may be context dependent. Findings suggest that, in some contexts, both positive and negative characteristics are more salient for older adults.     

Concurrent performances: inhibition of one response by reinforcement of another

In an analysis of interactions between concurrent performances, variable-interval reinforcement was scheduled, in various sequences, for both keys, for only one key, or for neither key of a two-key pigeon chamber. With changeover delays of 0.5 or 1.0 sec, and with each key's reinforcements discriminated on the basis of key-correlated feeder stimuli, reinforcement of pecks on one key reduced the pecking maintained by reinforcement on the other key. The decrease in pecking early after reinforcement was discontinued on one key was not substantially affected by whether pecks on the other key were reinforced, but after reinforcement was discontinued on both keys, reinstatement of reinforcement for one key sometimes produced transient increases in pecking on the other key. Correlating the availability of right-key reinforcements with a stimulus, which maintained right-key reinforcement while reducing right-key pecking to negligible levels, demonstrated that these interactions depended on concurrent reinforcement, not concurrent responding. Thus, reinforcement of a response, but not necessarily the occurrence of the response, inhibits other reinforced responses. Compared with accounts in terms of excitatory effects of extinction, often invoked in treatments of behavioral contrast, this inhibitory account has the advantage of dealing only with observed dimensions of behavior.     

Psychological,sociocultural, and marital adaptation of Turkish immigrant couples in Canada

The study examined the acculturation and adaptation of 200 married Turkish immigrants in Toronto, Canada, using self‐report questionnaires. As an extension of research from sojourners to immigrants, and from individuals to married couples, marital adaptation was introduced and three facets of adaptation were differentiated: psychological, sociocultural, and marital. The findings support the contention that adaptation is multifaceted. Consistent with stress and coping models, psychological adaptation of married couples was associated with the personality variable of hardiness, social support, acculturation attitudes, and discrimination. On the other hand, in line with social learning perspectives, sociocultural adaptation was mostly related to the variables instrumental in acquiring social skills in the new culture, namely, language proficiency and contact with members of the dominant group. Marital adaptation was mostly associated with marital stressors and marital support. The lack of research on gender differences in the differentiation of adaptation was addressed. This differentiation was clearer in men than in women; there were also different variables associated with the facets of men's and women's adaptation. The effects of socioeconomic status and gender have also been examined. The findings made it evident that Turkish immigrants did not acculturate uniformly. Two groups of Turkish immigrants, working class and professionals were clearly distinguished in their acculturation experiences and adaptation. Gender differences were most apparent in the low socioeconomic status group. Women in general were psychologically more vulnerable than men; the group that faced more risk factors were those women of low socioeconomic status. In terms of acculturation attitudes, Turkish immigrant couples strongly endorsed separation; however, those of high socioeconomic status preferred integration and assimilation to a greater, and separation to a lesser extent than those of low socioeconomic status.     

A multilevel approach to the assessment of communication positiveness in distressed marital couples

Abstract

Although the improvement of communication tends to be a foremost objective of behavioral marital counseling (Jacobson and Martin, 1976), guidelines by which to define or measure “good communication” are lacking. The development of such guidelines has been hampered by the lack of empirical evidence on: 1. which communication skills contribute to successful marital functioning; 2. who is the best judge of those skills; and 3. what is the most appropriate method for examining communication processes between marital partners.     

Screw misfit dislocations perpendicular to one or two free surfaces

ABSTRACT

When a screw dislocation pierces one or two free surface(s), noticeable elastic relaxation takes place nearby these surfaces. To refine the theoretical interpretation of an electron microscopy image this relaxation should be included in a precise imaging model. In the present work, the relaxation field is evaluated for a periodic set of misfit screw dislocations normal to the free surface of a semi-infinite or plate-like heterogeneous bicrystal. The proposed approach uses an appropriate combination of known biperiodic elastic fields. For a homogeneous medium and when the period increases, the results around a misfit screw dislocation converge to those of Eshelby and Stroh (1951) who considered an isolated translation screw dislocation.     

Marital satisfaction and topographical assessment of marital interaction: A longitudinal analysis of newlywed couples

Despite numerous tests of social learning hypotheses relating to marriage, important questions remain concerning how best to quantify behavior displayed in marital interaction. In the present study, 60 newlywed couples reported their marital satisfaction, engaged in a 15-minute problem-solving discussion, and reported their marital satisfaction again 6 and 12 months later. The interactions were microanalytically coded, the codes were assigned a numeric value, and each spouse's cumulative point totals were plotted as a function of time in the interaction. This was done separately for all 60 couples. Graphs were divided into groups based on the topography of the graphically represented interactions. These groups differed cross-sectionally and longitudinally in their level of marital satisfaction. Couples tended to have lower satisfaction scores when their initial interactions were characterized with behavioral parity between the spouses at the beginning of a discussion, changing to asymmetrical patterns of behavior later in the conversation. This method was found to be more predictive of marital satisfaction than were standard methods of assessing dyadic interaction (i.e., base rates of behavior and sequential analysis). Implications of these data for understanding how interactions relate to the course of newlywed marriage are discussed.     

Effect of marital satisfaction on self-regulation efforts in couples: Value of heart rate variability measurements

This study explored self-regulatory efforts during the viewing of couple interactions and their association with relationship satisfaction. High-frequency heart rate variability (HF-HRV) was measured for each participant during a video recall of a recent couple interaction to quantify the self-regulatory processes governed by parasympathetic activity. Among 30 couples, HF-HRV was measured continuously during three specific periods to explore its change over time using a video-recall procedure: (1) resting state; (2) viewing of couple interactions (expressing daily life situations and conflictual interactions); and (3) recovery. Results of multilevel models revealed a u-shaped pattern of HF-HRV responses for men and women across the three periods with a nadir at the midway through the process. This pattern of physiological change (vagal suppression) reflects a flexible response to a stressful situation. Nevertheless, the pattern of physiological responses varied according to the level of relationship satisfaction. Men who were more satisfied in their couple relationship presented greater vagal suppression than dissatisfied men. In contrast, no significant HF-HRV changes were found in women over the different periods of the video-recall procedure and no moderating effect of relationship satisfaction. We discuss the different patterns of physiological responses observed both for men and women in terms of interindividual variability according to the level of their relationship satisfaction. The present study highlights the important role of relationship satisfaction in regulatory processes.     

Perceived antecedents of marital satisfaction among Turkish,Turkish‐Dutch,and Dutch couples

We studied mainstream couples in The Netherlands and Turkey as well as Turkish‐Dutch immigrant couples to address cultural factors associated with marital satisfaction. A total of 13 Turkish (mainstream couples living in Turkey), 19 Turkish‐Dutch (Turkish immigrant couples living in The Netherlands), and 17 Dutch (mainstream couples living in The Netherlands) married dyads (total of 98 individuals) were independently interviewed about positive and negative characteristics of marriages, determinants of general marital satisfaction and dissatisfaction, spousal communication, marital conflict, and marital roles. Multivariate tests revealed ethnic group differences on all marriage‐related domains except the conflict resolution strategies. However, univariate analyses showed differences in few themes within domains; main differences were assessed between the Turkish/Turkish‐Dutch (who put more emphasis on children and economical aspects) and Dutch couples (who put more emphasis on behavior, and personality of the spouse, reciprocity, emotional sharing, and psychological roles). Turkish‐Dutch couples were more similar to Turkish than to Dutch couples. Results were discussed in light of the socioeconomic development and cultural value theories, which are believed to provide a useful framework for understanding the role of culture in marital satisfaction.     

The effects of cystic fibrosis on couples: marital satisfaction, emotions, and coping strategies

An earlier diagnosis and better overall multidisciplinary care enable people suffering from Cystic Fibrosis (CF) to have a life expectancy of 40. Consequently, new populations and questions about the development of the life of couples have arisen. This study by questionnaires takes a first look at marital adjustment, anxiety, depression, and emotion focused, social support focused, and problem focused coping strategies in 16 CF patients and their partners. As a whole, the couples' marital adjustment level was good; it was higher for men who were patients than men who were partners, and vice versa for women. Anxiety was high for at least one partner in 10 of the couples; depression, for at least one partner in seven of them. The participants seem to use coping strategies to a lesser extent than the general population. The results are discussed in terms of how the quality of life as a couple with one partner suffering from CF is affected by the proper mutual adjustment of the partners.     

The use of psychoeducational groups to improve marital functioning in high risk Israeli couples: a stage model

A modular and sequentially-based psychoeducational groupwork method, including the rationale for this type of work with couples in Israel, is presented. Modules of this form of groupwork are illustrated using two examples of groupwork with couples experiencing chronic post-traumatic stress disorder and groupwork with couples in low-income multiproblem neighborhoods. Issues that arise in the training of professionals to do this kind of psychoeducational groupwork in Israel are discussed.     

Couples treatment of agoraphobia: changes in marital satisfaction

Six agoraphobic women and their husbands participated in a group therapy program consisting of exposure and cognitive restructuring. The husbands acted as co-therapists. Ratings of marital satisfaction as well as severity of phobia were filled out independently by both clients and their husbands throughout the course of therapy and at follow-up. Two patterns of relationships among marital satisfaction and severity of phobia emerged. For four couples a parallel relationship was observed in that as phobia improved marital satisfaction increased. For two couples the inverse relationship was noted where improvements in phobia were correlated with decreases in marital satisfaction. The importance of the interpersonal context of agoraphobia and implications for treatment are suggested.     

Rational-emotive treatment for the sexual problems of couples

A rational-emotive approach to the treatment of sexual dysfunction is presented. It is asserted that the attitudes with which RET therapists approach sexual problems are as important in determining therapeutic outcome as are the techniques utilized in treating those problems. Regardless of whether one is treating disorders of desire, arousal, or orgasm, the rational-emotive sex therapist remains committed to the stoic position that is is not the unfortunate events in life but rather one's perceptions and evaluations of those events that cause distress. In this regard, the distinction between sexual dysfunction (unfortunate life events) and sexual disturbance (exaggeratedly negative perceptions and evaluations of those events) is emphasized. It is further asserted that only therapy regimens utilizing behavioral strategies within the context of what we have labeled elegant or preferential RET will adequately and comprehensively treat all sexual disorders.