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.     

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.     

Body Psychotherapy with Couples

SUMMARY

Bodynamic Analysis combines depth cognitive psychotherapy and an emphasis on relationship with an understanding of the body based on an empirical study of the psychological function of each muscle. The resulting developmental understanding has been elaborated in the form of Seven Developmental Stages, each having specific themes and issues. These themes and issues are often found to be at the core of the conflictual dynamics presented by couples who are seeking therapy. Thus, while addressing the issues of one person, we can simultaneously be eliciting and working with the interpersonal dynamics of the couple.     

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.     

Assigning Homework to Couples and Families

Homework assignments, or “out-of-session assignments,” have gained popularity among couple and family therapists due to their potential to solidify the work achieved during the course of therapy and to help clients take responsibility for their own change. Homework assignments also serve as a testing ground in therapy to determine what works and what does not. This article provides an update on some of the empirical literature on homework assignments and its reported effectiveness in the domain of couples and family therapy. It also highlights the need for and the effectiveness of out-of-session assignments during the course of treatment.     

Marital Problems and Marital Satisfaction Among Brazilian Couples

As the practice of marriage and family therapy is spreading across the world, it is important for knowledge regarding marital processes and patterns to expand to countries outside of North America and Europe. This study examined common marital problems faced by Brazilian couples. The sample consisted of 80 married couples living in Porto Alegre, Brazil. Results showed that money, children, jealousy, and sex were common problems faced by Brazilian couples. There were few gender differences found. Sex and alcohol had a significant impact on marital satisfaction of wives, and sex had a significant impact on marital satisfaction of husbands.     

Family-Focused Relational Psychotherapy: An Integrative Approach and Its Application to Adult Children of Divorce

This paper presents an integrative model of treatment—family focused relational psychotherapy—and applies it to work with adult children of divorce (ACDs). Three areas of assessment are identified—(a) assessment of individual ego development, (b) assessment of family of origin functioning, and (c) assessment of the nature of the parents' divorce (e.g., level of conflict). Based on this assessment, the treatment model is presented, which integrates strategies from relational/psychodynamic therapy, family of origin work, and experiential techniques. Case examples are presented to demonstrate the appropriate integration of these techniques with clients at different levels in the assessment schema. In addition, a review of the literature on the long-term effects of divorce on children suggests several specific issues that may arise in treatment. These include low self-esteem, emotional distress, externalizing problems, and interpersonal problems such as fear of commitment, difficulty trusting, a high rate of divorce, and strained relationships with parents.     

An Integrative Clinical Approach to Cultural Competent Psychotherapy

To provide effective psychotherapy in cross-cultural situations, cultural issues need to be adequately addressed. We describe core concepts of cultural competence relevant for psychotherapists to consider. A contextualized approach to conducting cultural competent assessment and formulation is recommended, including the use of DSM-5 Outline for Cultural Formulation and Cultural Formulation Interview. We introduce a cultural competent framework to help therapists become more mindful of culturally relevant interactions in therapy. Finally, a three-tier system is proposed for the examination of psychotherapy models through a cultural lens. The concepts and framework described can be flexibly and pragmatically integrated into a therapist’s regular clinical work, increasing the therapy’s effectiveness across diverse populations.     

Experiences Delivering a Marital Intervention for Couples With Children With Autism Spectrum Disorder

Previous researchers have indicated that parents of children with autism spectrum disorder (ASD) are vulnerable to relationship stress, lower marital satisfaction, and potential relationship dissolution. We describe the experiences of three couples who participated in a 10-week, in-home couples therapy intervention using Emotionally Focused Therapy (EFT). Each couple and their progress through the intervention are described using therapist and supervisor reflections, and qualitative evaluation interviews with the participants after termination. Based on the experiences of the couples, we conclude that couples would benefit from an in-home couples therapy intervention aimed to strengthen their relationships.     

Loneliness and Marital Adjustment of Turkish Couples

The purpose of the present study was to investigate the relationship between loneliness and marital adjustment in Turkish couples. Some demographic correlates of loneliness and marital adjustment such as gender, age, duration of the marriage, type of marriage, and degree of acquaintance before marriage were also examined. The UCLA Loneliness Scale (D. Russell, L. A. Peplau, & C. E. Cutrona, 1980) and the Dyadic Adjustment Scale (G. B. Spanier, 1976) were administered to 58 heterosexual married couples. The results showed that loneliness was significantly and negatively correlated with marital adjustment. For the demographic correlates, significant results were as follows: Self-selected marriages resulted in lower loneliness scores and higher marital adjustment scores than the arranged type of marriage, and marital adjustment increased parallel to an increase in the degree of acquaintance before marriage. The findings and implications are discussed in the context of practice and research.