Addressing Culture,Gender, and Power with Asian American Couples: Application of Socio‐Emotional Relationship Therapy

Asian Americans juggle the intersections of multiple social identities and societal discourses as they respond to experiences of immigration, marginalization, and patriarchy, integrate collectivist and individualistic family values, and form families and intimate relationships. In this study we examine what we have learned as we apply Socio‐Emotional Relationship Therapy (SERT) with heterosexual couples of Asian heritage. SERT begins with sociocultural attunement and the assumption that relationships should mutually support each partner. Drawing on case examples, we illustrate how we practice sociocultural attunement as couples respond to the relational processes that comprise the Circle of Care (mutual influence, vulnerability, attunement, and shared relational responsibility). We emphasize three key socioemotional themes that intersect with gender: (1) intangible loss; (2) quiet fortitude/not burdening others; and (3) duty to the family.     

Moving from “I” to “We”: A Grounded Theory Analysis of Couple Therapy with Liver Patients and Their Partners

Prior research indicates that couples who cope with chronic illness from a relational “we” orientation experience more positive outcomes than couples that cope individually; however, little prior research identifies clinical processes that promote reciprocity or how societal gender processes are involved. This grounded theory analysis of 25 videotaped therapy sessions with six heterosexual couples coping with chronic liver disease (LD) used a feminist-informed relational lens to focus on the clinical processes involved in shifting from an individual to a relational orientation. Findings identified three contextual barriers to attaining a “we orientation”: (a) autonomy discourse, (b) illness-related power, and (c) gendered power. Analysis detailed therapist actions that decreased the impact of barriers to reciprocity and fostered relational coping. Clinical implications attend to complex intersections among gender, caregiving, and contextual barriers to reciprocity.     

For richer,for poorer: Financial behaviors,power (im)balance,and relational aggression among different-gender newlyweds in the U.S.

Guided by an intersectional feminism framework, we used three-wave, dyadic survey data from a nationally representative sample of 1625 U.S. different-gender newlywed couples to test three research questions. First, as balanced power is considered a key concept for relational well-being in feminism, we examined developmental trajectories in husbands' and wives' perception of power (im)balance. Second, considering money as a major influence on power and aggression, we examined how financial behaviors relate to power (im)balance and in turn relational aggression—a type of intimate partner violence that is controlling and manipulative in nature. Third, informed by the intersectionality between gender and socioeconomic status (SES), we examined gender differences and SES disparities in the associations among financial behaviors, developmental trajectories of perception of power (im)balance, and relational aggression. Our findings demonstrate that newlywed different-gender couples are experiencing power struggles, where two partners diminish each other's influence over time. We also found that healthy financial behaviors are associated with balanced power and, in turn, less relational aggression (especially for wives and in lower-SES households). Taken collectively, we continue calling for efforts to facilitate money management skills and promote balanced marital power.     

Addressing power in couples therapy: Integrating socio-emotional relationship therapy and emotionally focused therapy

Romantic relationships are more satisfying and fulfilling when power is balanced relatively equally between partners (Leonhardt et al., Journal of Family Psychology, 34, 2020, and 1). Yet, few couples therapy models explicitly outline how to confront relational power issues (Knudson-Martin & Huenergardt, 2015, Socio-emotional relationship therapy: Bridging emotion, societal context, and couple interaction, Springer). Emotionally Focused Therapy (EFT; Johnson, 2020, The practice of emotionally focused couple therapy, Routledge) is a well-established, evidence-based therapy modality that many therapists use with couple clients, yet despite its effectiveness, it does not provide direction for explicitly addressing and treating power differentials in couple relationships. In this paper, we explore the integration of EFT with Socio-emotional Relationship Therapy (SERT), a model overlay that acknowledges the impact of social discourse on enactments of power in intimate couple relationships. We first address the importance of understanding power in couple relationships, addressing power in couples therapy, and provide a brief overview of SERT and EFT. We then introduce an integration of the models intended to help therapists balance power, increase connection, and secure attachment bonds between romantic partners.     

The effect of relational stage and intimacy on touch: An extension of Guerrero and Andersen

The effects of relational stage, intimacy, and gender on touch were examined. Participants were 270 partners from 135 couples involved in a heterosexual romantic relationship. Results indicated that touch varies as a function of relational stage. An examination of relational stage and subjects' perceptions of how much they touched their partner and how much their partner touched them generally indicated an asymptotic relationship. Specifically, men's and women's perceptions of how much they touched their partners, and women's perceptions of how much their partners touched them, increased from the casually dating to the seriously dating stage and then leveled off for seriously dating, engaged, and married couples. Men's perceptions of how much their partners touched them increased from the casually dating to the seriously dating stage then decreased from the seriously dating to the married stage. Relational intimacy was also curvilinearly related to self and partner perceptions of touch. Because there were no significant interaction effects between stage and gender, or intimacy and gender, the curvilinear effects of relational stage and intimacy on touch are generalizable to both men and women.     

UNDERSTANDING WOMEN'S RISK FOR HIV INFECTION USING SOCIAL DOMINANCE THEORY AND THE FOUR BASES OF GENDERED POWER

Theoretical models to date have fallen short of accounting for the alarming worldwide rates of HIV infection in women through heterosexual contact. In this article, social dominance theory and the four bases of gendered power—force, resource control, social obligations, and consensual ideologies—are used to organize and explain international research findings on women's risk of contracting HIV from male sexual partners. Research suggests that the four bases of gendered power contribute to women having less power than men in heterosexual relationships, resulting in challenges to preventing HIV transmission from male partners. Social dominance theory also recognizes the intersections among various group-based hierarchies, such as race and class, thereby helping explain why women of color and low-income women are disproportionately affected by HIV. The intergroup focus of social dominance theory points to gender inequality as increasing men's risk of HIV infection as well, and the construct of social dominance orientation helps to explain individual differences in HIV risk behavior. We discuss the ways the current theoretical framework can prove useful in helping to guide future research addressing the connections between power and HIV risk, including exploring mediators and links to other theoretical models. We also discuss the implications the framework has for intervention efforts aimed at reducing HIV rates worldwide, such as supporting efforts at increasing women's representation in hierarchy-enhancing positions, incorporating empowerment issues into current interventions, promoting use of female condoms, and targeting heterosexual men for interventions.     

Women experience more serious relationship problems when male partners endorse hostile sexism

Men's hostile sexism promotes aggressive attitudes, motivations and behaviors toward women. Despite the costs these effects should have for women, prior research has failed to test how men's hostile sexism predicts the problems women experience in important domains. We address this oversight by utilizing dyadic data from 363 heterosexual couples to test how male partners’ hostile sexism predicts women's relationship experiences and evaluations. Male partners’ hostile sexism was associated with women experiencing more severe problems across a greater number of domains. Moreover, the areas experienced as most problematic were consistent with the power, dependence, and trust concerns underlying men's hostile sexism, including problems with power dynamics, jealousy, and serious problems involving gender-role conflict, abuse, infidelity and alcohol/drugs. The greater problems associated with male partners’ hostile sexism predicted more negative relationship evaluations for women. These results demonstrate the importance of examining how men's hostile sexism harms women in important life domains.     

Partners' internal stress and well-being: The role of dyadic coping and problem resolution

Couples' experiences of daily stress can be detrimental for partners' individual and relational well-being, specifically their identity as a couple, their relational satisfaction, and their life satisfaction. Grounded in the Systemic Transactional Model, this study aimed at analyzing factors that may safeguard partners and their relationship from detrimental effects of internal stress (i.e., stress that originates inside the relationship). We examined the buffering effect of partners' positive dyadic coping and internal problem resolution. Daily diary data were collected across 7 days from 82 heterosexual couples. Multilevel dyadic analyses showed that internal stress was negatively associated with partners' individual and relational well-being. Positive dyadic coping moderated the association between partners' internal stress and couple satisfaction for both partners, but not life satisfaction and couple identity. Moreover, for partners who reported a resolution to the internal problem, the negative associations of internal stress with life satisfaction, couple satisfaction, and couple identity were significantly lower than for those who did not resolve the internal problem. This study confirms the negative role of internal stress on well-being, shows the associations between internal stress and couple identity, and highlights the protective role of dyadic coping and internal problem resolution in couples' daily lives.     

Autonomic arousal and relational aggression in heterosexual dating couples

This study investigated the association between romantic relational aggression and autonomic nervous system (ANS) arousal in the context of heterosexual dating couples (N = 115 couples). Results indicated that romantic relational aggression was associated with low resting sympathetic arousal, high resting parasympathetic arousal, and exaggerated fight or flight responses to a conflict discussion (sympathetic activation and parasympathetic withdrawal). However, ANS activity was more strongly associated with romantic relational aggression in the context of low‐quality romantic relationships, and sympathetic activity was more strongly associated with aggression among females, whereas parasympathetic activity was more strongly associated with aggression among males. Results indicate that psychophysiological functioning may serve as a risk factor for the perpetration of relational aggression against romantic partners.     

PMS as a Gendered Illness Linked to the Construction and Relational Experience of Hetero-Femininity

The majority of research conducted to date on premenstrual distress has focused on heterosexual women. Drawing on research with lesbian and heterosexual self-defined PMS (premenstrual syndrome) sufferers and their partners, we argue that this negates the role played by hetero-patriarchal constructions of both femininity and premenstrual change in the lived experience of premenstrual distress. Negative constructions of PMS and over-responsibility within the home, commonly found in heterosexual relationships, exacerbate distress and result in women being pathologised premenstrually. Conversely, support and understanding offered by partners, more common in lesbian relationships, reduces guilt and self-pathologisation, allowing women to engage in coping strategies premenstrually, such as taking time out to be alone, or engage self-care. These patterns of relational negotiation of women’s premenstrual change can be contextualised within broader cultural representations of hetero-normativity, which provide the context for gendered roles and coping.     

Face It Head On

SUMMARY

This article focuses on key clinical ideas to help couples face directly the painful issues brought about by infidelity. The author discusses key relational processes related to infidelity along with desired outcomes. The emphasis is on helping couples change key relational dynamics that facilitate the healing process. Couples are encouraged to engage in the healing process head on, and not avoid or skirt around the issues. The article illustrates these desired changes by means of a case Study.     

Gendered Patterns of Interaction: A Foucauldian Discourse Analysis of Couple Therapy

In recent years, there has been a rapid increase in attention to gender and gender-based inequalities in family therapy. Despite this, there is a dearth of empirical work that examines how gendered inequalities intersecting with other axes of privilege/oppression are maintained within families, including in the therapeutic context. In this study, we used Foucauldian discourse analysis to examine how gendered power is produced and reproduced circularly or through recurrent patterns of interaction in couple therapy. We identified gendered discourses and assumptions informing partners’ constructions of their gendered selves and relationships. We highlight the complexity and intersectionality of gendered subjectivities and relations in contemporary Canadian couples involved in heterosexual relationships. Although women in this study contest their oppression and exhibit agency to negotiate who they are in general and in relation to men, they simultaneously continue to occupy subordinate positions in a gender order that is culturally and interactionally allocated to them. We discuss implications for family therapy practice.     

Coping with Age‐related Threats to Role Identity: Older Couples and the Management of Household Money

As more couples live together into old age, difficult decisions have to be made about money matters, including the financing of late‐life care. This paper analyses in‐depth qualitative data from six older heterosexual couples, part of a wider study concerning money management in later life. Research when these cohorts were younger found that the organisation of money management within households was specialised and highly gendered, leading to substantive imbalances of power and access to financial resources, while also being core to the formation and maintenance of gendered role identities and couple identities. We find in this study that if a partner's ability to fulfil a money management role identity is threatened by later‐life issues such as poor health and cognitive decline, the other partner may try to protect that aspect of the spouse's role identity, using various covert strategies. This might be done to shore up the spouse's self‐esteem in the face of such age‐related threats to role identity, to ‘keep up appearances’ to the outside world or to maintain their identity as a couple at a time of life when there may be multiple difficulties to deal with. These findings have implications for practice and policy in the realm of money and identity management in later life. Copyright © 2013 John Wiley & Sons, Ltd.     

Sexual media use and relational satisfaction in heterosexual couples

This study assessed how sexual media use by one or both members of a romantic dyad relates to relationship and sexual satisfaction. A total of 217 heterosexual couples completed an Internet survey that assessed sexual media use, relationship and sexual satisfaction, and demographic variables. Results revealed that a higher frequency of men's sexual media use related to negative satisfaction in men, while a higher frequency of women's sexual media use related to positive satisfaction in male partners. Reasons for sexual media use differed by gender: Men reported primarily using sexual media for masturbation, while women reported primarily using sexual media as part of lovemaking with their partners. Shared sexual media use was associated with higher relational satisfaction compared to solitary sexual media use.     

Attractions and constraints as determinants of relationship commitment: Longitudinal evidence from gay,lesbian, and heterosexual couples

The proposition that commitment to a relationship is uniquely determined by forces that draw one to the relationship (attractions) and forces that prevent one from leaving the relationship (constraints) was tested with five annual waves of longitudinal data from two samples: both partners from 155 married couples and both partners from 57 gay couples and 50 lesbian couples. Growth curve analyses that controlled for the interdependence of partners' scores indicated that, for both heterosexual and gay/lesbian couples, variability in one's own commitment was uniquely predicted by one's own attractions and one's own constraints, interactions involving one's own attractions and one's own constraints, and one's partner's attractions. It is concluded that attractions and constraints exert unique dynamic effects on maintaining a close relationship.     

Gender and the Construction of Intimacy among Committed Couples with Children

This study began with curiosity regarding how long‐term couples with children manage their relationships in view of changing societal demands and ideals. Couples interviewed for this study described the intersection of time and intimacy as a core issue. Thus, this analysis focused on how couples construct intimacy in shared time. The diverse sample included 17 heterosexual working and professional class couples in the United States who had been committed for at least 10 years and whose oldest child was aged 6–16. Analysis identified four types of shared time experiences: gender divided, elusive, growing, and emotionally connected. Four factors influenced these types: (a) negotiated gendered differences, (b) intentionality, (c) mutual attending, and (d) dyadic friendship. The most emotionally connected couples reported that time together reinforced satisfaction and pleasure from their relationships. Results help explain different ways couples successfully negotiate changing expectations for heterosexual relationships and why some couples struggle. Findings suggest that therapists help couples intentionally develop habits of friendship and mutual attending.     

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.     

Searching for Positive Aspects of Excessive Reassurance-Seeking

We investigated positive aspects of excessive reassurance-seeking in interpersonal relationships. Previous studies have emphasized that excessive reassurance-seeking leads to interpersonal rejection by significant others. However, Fowler & Gasiorek (2017) suggested that excessive reassurance-seekers tend to make efforts to maintain relationships with their romantic partners, and that these efforts affect their own satisfaction with the relationships. We investigated whether the findings of Fowler and Gasiorek in students could be replicated in general heterosexual couples (N = 437 couples). Data were analyzed using the modified actor–partner interdependence model. Results indicated that excessive reassurance-seeking had no actor or partner effects on the efforts to maintain the relationships, which predicted relational satisfaction. However, the actor and partner effects of excessive reassurance-seeking on relational satisfaction through the efforts to maintain the relationships differed according to the relational duration. These findings, despite certain inconsistencies with Fowler and Gasiorek, suggest that excessive reassurance-seeking might have positive effects on relationships.     

The role of sexual attitude similarity in romantic heterosexual relationships

This investigation explored the role of sexual attitude similarity in sexually involved romantic couples. Findings indicate that sexual attitudes of partners are positively correlated, and that partners exhibit significantly greater levels of similarity than randomly generated couples. Similarity in sexual attitudes did not vary as a function of length of relationship or length of sexual involvement. Gender differences were evident in the correlations between certain types of sexual attitudes and the four indicators of relationship quality: sexual satisfaction, relational satisfaction, commitment, and sexual communication satisfaction. In addition, sexual communication satisfaction mediated the effect of sexual attitude similarity on both males' and females' sexual satisfaction.