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.     

Short- and long-term effectiveness of two communication training modalities with distressed couples

Abstract

Communication training is a widely practiced therapeutic approach for the treatment of marital discord. Although there is some empirical support for the theoretical assumptions underlying constructive communication patterns, it has not yet been ascertained whether changing these behaviors is sufficient in bringing about stable changes in distressed marriages. The present study was designed to investigate the efficacy of this treatment approach in a conjoint and conjoint group modality. Following therapy, conjoint couples (n = 16) when compared with a waiting list control group (n = 17) showed improvement on five of the seven outcome variables. Couples in the conjoint group modality (n = 13) improved on only two of the seven variables. Follow-up assessments one year after treatment showed that initial gains had been substantially reduced. On the basis of these results it is now open to question whether conjoint group treatments are an appropriate treatment modality for even moderately distressed couples.     

A Typology of Anger Profiles in Couples

ABSTRACT

Few researchers have attempted to identify couples' anger management profiles. Cluster analysis was conducted using five indices of anger derived from Inventory of Anger Experience in Couples (Laughrea, Belanger, & Wright, 1996). Sample consisted of 220 couples from normal and clinical populations. Four types were identified: (a) Relaxed Couples, (b) Slightly Angry Couples, (c) Explosive Angry Couples, and (d) Dangerously Enraged Couples. Results also indicated that the higher the disturbance of anger dynamics between partners, the more psychologically and maritally distressed they were, and the lower the quality of their coping strategies. Understanding anger and its clinical implication are discussed.     

Profiles of dyadic adjustment for advanced prostate cancer to inform couple-based intervention

Objective: The purpose of the study is to describe from a relational perspective, partners’ psychological adjustment, coping and support needs for advanced prostate cancer.

Design: A mixed methods design was adopted, employing triangulation of qualitative and quantitative data, to produce dyadic profiles of adjustment for six couples recruited from the urology clinics of local hospitals in Tasmania, Australia.

Methods: Dyads completed a video-taped communication task, semi-structured interview and standardised self-report questionnaires.

Results: Themes identified were associated with the dyadic challenges of the disease experience (e.g. relationship intimacy, disease progression and carer burden). Couples with poor psychological adjustment profiles had both clinical and global locus of distress, treatment side-effects, carer burden and poor general health. Resilient couples demonstrated relationship closeness and adaptive cognitive and behavioural coping strategies. The themes informed the adaption of an effective program for couples coping with women’s cancers (CanCOPE, to create a program for couples facing advanced prostate cancer (ProCOPE-Adv).

Conclusion: Mixed method results inform the development of psychological therapy components for couples coping with advanced prostate cancer. The concomitance of co-morbid health problems may have implications for access and engagement for older adult populations in face-to-face intervention.     

Repeating the Errors of Our Parents? Family‐of‐Origin Spouse Violence and Observed Conflict Management in Engaged Couples*

Based on a developmental social learning analysis, it was hypothesized that observing parental violence predisposes partners to difficulties in managing couple conflict. Seventy-one engaged couples were assessed on their observation of parental violence in their family of origin. All couples were videotaped discussing two areas of current relationship conflict, and their cognitions during the interactions were assessed using a video-mediated recall procedure. Couples in which the male partner reported observing parental violence (male-exposed couples) showed more negative affect and communication during conflict discussions than couples in which neither partner reported observing parental violence (unexposed couples). Couples in which only the female partner reported observing parental violence (female-exposed couples) did not differ from unexposed couples in their affect or behavior. Female-exposed couples reported more negative cognitions than unexposed couples, but male-exposed couples did not differ from unexposed couples in their reported cognitions.     

A Review of “Welcome Back,Pluto: Understanding,Preventing and Overcoming Parental Alienation (DVD)”

Abstract

In a questionnaire study of 56 couples in which one or both spouses was a teacher with a long summer vacation, couples high on school year measures of potential for problems (values differences, physical violence when angry, disrespect) had higher levels of general tension during the summer the more they were in contact. Couples low in potential for problems had lower levels of general tension during the summer the more they were in contact. Apparently one can predict with some accuracy how a relationship system will operate when there is opportunity for great togetherness. The findings are of relevance in counseling couples claiming to desire greater togetherness and in counseling couples experiencing greater togetherness due to vocation, retirement, reduction in employment, or illness.     

Existential Humanistic Therapy with Couples and its Effect on Meaning of Life and Love Attitudes

Abstract

The study aims to explain Existential Humanistic Therapy with Iranian Couples and its Effect on Meaning of Life and Love Attitudes. The population consists of all married couples who have referred to counseling centers, whom 20 couples have been sampled randomly. The sample received psychotherapy training in thirteen sessions. After collecting questionnaires, the results were analyzed by MANOVA multi-variance analysis. The results demonstrate the effectiveness of existential psychotherapy on the participants’ attitude toward meaning in life. The results show that the couples who received existential therapies search more efficiently for meaning in life and try to improve their love attitudes.     

Power in relationships of women with depression

To identify marital power difficulties specifically associated with depression, twenty couples in which the female partner was depressed were compared on a range of interpersonal power variables with twenty healthy control couples and also with twenty couples in which the female partner had a disorder other than depression (specifically panic disorder with agoraphobia (PDA)). Couples in the depressed group had two features that distinguished them from couples in both the PDA and control groups and which were independent of relationship dissatisfaction. In the depressed group, both partners reported more physical assault in the year prior to the study and depressed women were more dissatisfied with their control of surplus spending money. Couples in the depressed group had a series of features that distinguished them from couples in both the PDA and control groups but which were due in part to relationship dissatisfaction. Depressed women were less committed to their relationships. Both partners in depressed couples reported more demand–withdraw transactions and less mutual constructive communication within their relationships. Depressed women reported more dissatisfaction with decision-making and greater dissatisfaction in childcare task distribution.     

Therapeutic Experiences of Lesbian Couples

Abstract

This study explores the therapeutic experience of lesbian couples who had received couples psychotherapy earlier in their relationship. It examines their feelings regarding their own levels of acceptance, disclosure of sexual orientation, and connectedness with the professional providing services using qualitative methodology. The perspectives of both members of the lesbian couple were taken into account and explored. Lesbian couples who had accepted their sexual orientation appeared to have higher levels of satisfaction in their therapeutic experience and reported having an improved sense of self. Couples who had a therapist that portrayed a positive acceptance of homosexuality, low levels of heterosexism, and knowledge of issues relevant to the lesbian community reported an experience that was conducive to growth and development thus leading to an enriched relationship.     

Development of the Couples Resource Map Scales

Abstract

This article describes the initial phases of development of the Couples Resource Map Scales (CRMS). These scales are designed to assess the degree of support couples receive from various personal, relationship, and contextual resources. The first phase involved the initial item development and an expert review of an extended list of potential items. The second phase involved a survey of university seniors (n = 397) involved in monogamous, intimate relationships to test the psychometric properties of the instrument. The third phase involved an analysis of variance in CRMS scores based on participants' self-reported level of satisfaction with their relationship. The results provide preliminary support for the reliability and validity of the CRMS.     

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.     

Distraction During Deployment: Marital Relationship Associations With Spillover for Deployed Army Soldiers

Military spouses often have concerns regarding the impact of their communication on soldiers during deployment. However, literature is mixed regarding how communication between soldiers and spouses may impact soldiers’ self-reported work functioning during deployment, suggesting the need to evaluate moderating factors. In the current study, 3 relationship factors (marital satisfaction, conflictual communication, and proportion of conversation focused on problems) were tested as moderators of communication frequency and negative marriage-to-work spillover for soldiers. Whereas the 3 relationship factors were independently related to negative spillover, none significantly moderated the relationship between communication frequency and spillover. The overall pattern of results suggests that (a) lower marital satisfaction, a focus on problems during communication, and conflictual communication are each strongly linked to spillover for deployed soldiers; and (b) military couples may be self-restricting deployment communication frequency when experiencing less marital satisfaction and higher rates of negative communication. Implications for communication during deployment are discussed.     

Keeping a Sound Marriage: How Couples with Children with Autism Spectrum Disorders Maintain Their Marriages

This study focused on strengths and variables that contribute to marital successes for couples with children with autism spectrum disorders (in this article, referred to as “autism”). Particularly, the purpose of this study was to examine what husbands and wives with children with autism in contrast to couples with children who are typically developing identify as helpful to maintaining their marriages. Concept mapping methodology was used for this research study. Couples with children with autism and couples with children who are typically developing participated in telephone interviews and then grouped and rated the statements generated from their interviews. Groupings were translated into pictorial maps showing relationships and patterns. Couples with children with autism shared common perceptions about factors that help to keep their marriages strong: communication and shared foundational ideas about marriage. Communication was a cluster for all groups of husbands and wives. Only mothers of children with autism identified time for self-care as a distinct cluster.     

The Effects of a Couples‐Based Health Behavior Intervention During Pregnancy on Latino Couples’ Dyadic Satisfaction Postpartum

Many couples tend to report steadily decreasing relationship quality following the birth of a child. However, little is known about the postpartum period for Latino couples, a rapidly growing ethnic group who are notably underserved by mental and physical health caregivers in the United States. Thus, this study investigated whether a brief couples’ intervention focused on helping couples support each other while increasing healthy behaviors might improve dyadic functioning postpartum. This study presents secondary analyses of data regarding couple functioning from a larger randomized controlled trial with 348 Latino couples to promote smoking cessation. Portions of the intervention taught the couple communication and problem‐solving skills to increase healthy behavior. Couples participated in four face‐to‐face assessments across 1 year starting at the end of the first trimester. Latent growth curve analyses revealed that the treatment group reported an increase in relationship satisfaction and constructive communication after the intervention, which diminished by 1‐year follow‐up, returning couples to their baseline levels of satisfaction. Results suggest that incorporating a brief couple intervention as part of a larger health intervention for Latinos may prevent postpartum decreases in relationship satisfaction.     

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.     

Congruence of the Marital Relationship During Transition to Parenthood: A Study with Couples Who Conceived Spontaneously or Through Assisted Reproductive Technologies

In this study we examined the congruence between partners’ perceptions of their marital relationship during the transition to parenthood and the effect of depression during pregnancy on couples’ congruence during the early postpartum period. Thirty-one couples who conceived spontaneously, along with thirty-five who conceived through assisted reproductive technologies (ART), provided data on their marital relationship and depression at their 24th pregnancy week and four months after the partum. All couples reported a decrease in marital congruence. Couples who conceived through ART reported lower marital congruence. For these subjects, women’s depression was associated with lower congruence. Interventions that focus on strengthening the marital relationship across the transition to parenthood should assess and promote couples’ congruence.     

Enhancing the Marital Relationship

SUMMARY

Satir viewed individuals, couples and families as iso-morphic yel interrelated systems. The ability to focus on one component while impacting other systems remains a legacy of her work. Seeking to enhance an individual's autonomy and self worth, as well as enriching the marital relationship, Satir designed the Couples Parts Party. By attempting to surface the valued, alienated, extruded and unknown aspects of each partner, and assisting them in reclaiming and utilizing their diverse parts, this therapeutic intervention provides a potent catalyst for change. The Parts Parly offers practitioners a diversified approach for enhancing the marital relationship.     

A Cross-Cultural Perspective on Couple Differences

SUMMARY

This paper challenges the idea that differences between partners in couple relationships are inherently problematic. A “cross-cultural” perspective on differences in couples that considers partners' reactions to difference as the problem is presented. Couples therapy from a cross-cultural perspective begins with a detailed' assessment of perceived differences, reactions to differences, the context in which the differences have developed, and the purposes they serve. Therapeutic tasks involve managing maladaptive reactions to differences, learning to accept differences, and co-designing a common couple culture.