Which topics are important to address in premarital counseling? A survey of clergy

Pastoral counselors who provide premarital counseling must address the topics that are most relevant to couples as they prepare for marriage. This article presents the results of a survey of clergy who provide premarital counseling, demonstrating the relative importance that clergy ascribe to premarital counseling topics, as well as the relationship between religious affiliation and ratings of topic importance.     

Preferences of Individuals in Committed Relationships About Premarital Counseling

Premarital educational and counseling programs provide one way of addressing many of the risk factors associated with couple distress and divorce. Unfortunately, few couples who are offered premarital programming engage in the programs offered. This study examined preferences for premarital programming in a sample of individuals in committed relationships who intended to marry the current partner. Results suggested that premarital counseling conducted by a therapist and of short duration, following engagement, was most preferred. The most preferred topics/contents were related to communication and conflict resolution.     

The Relative Influence of Client Characteristics on the Process and Outcomes of Premarital Counseling: A Survey of Providers

To explore the influence of client characteristics in premarital counseling, a five factor model is presented that includes the social context, family-of-origin influences, individual characteristics, couple interactional processes, and motivation for attending premarital counseling. The findings demonstrate that providers believe that many client characteristics influence the degree to which couples benefit from premarital counseling. Providers rated the influence of the client characteristic factors in the following order (from most to least influential): couple interactional processes, family-of-origin influences, individual characteristics, motivation for premarital counseling, and the social context. Recommendations for future theory development, practice, and research are discussed.The findings presented in this article were part of the authors doctoral dissertation at the University of Florida.     

Premarital Counseling

Abstract

A number of different approaches to premarital counseling have been developed to better prepare couples for marriage. A variety of these of approaches will be described here, including those used in churchsettings, where the majority of premarital counseling is performed. A brief summary of the premarital counseling research will also be presented, including what research suggests are important ingredients to designing effective premarital counseling approaches.     

Individual Personality and Emotional Readiness Characteristics Associated with Marriage Preparation Outcomes of Perceived Helpfulness and Change

Little is known about the characteristics of individual participants for whom particular marriage preparation interventions are most helpful and change producing. Data collected from 1,655 intervention participants via the online RELATionship Evaluation Questionnaire (RELATE) were used to analyze the association of eight individual personality characteristics with perceived helpfulness and positive change resulting from participation in four marriage preparation interventions (classes, community workshops, premarital counseling, self-directed) and whether this association would also be related to gender, age, and education of the participants. General linear modeling (GLM) analysis revealed different patterns of prediction for each type of intervention. Kindness was identified most often, predicting perceived change in individual, couple, and context areas among community workshop participants, perceived couple-level change, and helpfulness among self-directed participants, and perceived individual-level change among class participants. No factors significantly predicted perceived helpfulness and change among premarital counseling participants. Implications for premarital interventions are discussed.     

Predicting participation in premarital prevention programs: the health belief model and social norms

The development of effective programs to prevent marital dysfunction has been a recent focus for marital researchers, but the effective dissemination of these programs to engaged couples has received relatively little attention. The purpose of this study is to determine which factors predict couples' participation in premarital counseling. Predictive factors were derived from the health prevention literature, with a particular focus on the health belief model (HBM). Couples' beliefs and attitudes about premarital counseling were assessed at least six months before their wedding, and participation was assessed after their wedding. Results indicate that the strongest predictors of couples' participation were couples' perceptions of barriers to counseling and whether they had counseling recommended to them. These variables predicted participation even after controlling for important demographic variables. Recommendations for recruiting engaged couples for premarital counseling are made based on the findings.     

Philosophical Orientation of Counselors in Iowa Secondary Schools

Guidance and counseling in the schools lack focus and direction. Some attribute this confusion within guidance and counseling to a lack of a philosophical foundation. Little is known about the philosophical assumptions of counselors functioning in secondary schools. In this study, the counselors in the secondary schools of Iowa identified most frequently with the phenomenological orientation. The experience of the counselors was related to their philosophical orientation. Counselors with less experience subscribed to an existential orientation.     

African American Clergy Share Perspectives on Addressing Sexual Health and HIV Prevention in Premarital Counseling: A Pilot Study

This exploratory qualitative pilot study examined the extent to which seven African American clergy discussed and promoted sexual health dialogue with couples preparing for marriage. We explored the following topics: (a) clergy perspectives on disclosure; (b) clergy awareness about HIV/AIDS and (c) the extent to which clergy awareness about HIV is translated into their premarital counseling programs. Our results suggest that greater awareness and comfort level with discussions about sexuality mediate the inclusion of sexual health and promotion of HIV testing in premarital counseling.     

Occupational Movement: Employment Counselor Perceptions of Job Change

Missouri Employment Service counselors were surveyed to determine why they had changed jobs and why, in their opinion, other people change jobs. The counselors reported that they had changed occupations because of job interest and financial reasons, and that they had entered counseling because of a real interest in the field. Most of them who anticipated making a future change said it was because of dissatisfaction with working conditions, and they planned to continue counseling in another setting. The counselors' experiences led them to believe that other people change jobs primarily because of lack of satisfaction, but they noted that financial considerations are also important.     

Sex Education and Intellectual Disability: Practices and Insight from Pediatric Genetic Counselors

Intellectual disability (ID) with or without other anomalies is a common referral for genetic counseling. Sessions may include discussions of reproductive implications and other issues related to sex education. Patients with ID regularly meet barriers when trying to obtain sex education due to the misperceptions of others as being either asexual or that such education would promote inappropriate sexual behavior. In this pilot study, we surveyed genetic counselors to explore their experiences with being asked to provide sex education counseling and their comfort in doing so for patients with ID ages 9–17. Results were analyzed from 38 respondents. Caregivers and patients most frequently requested information on puberty, sex abuse prevention, and reproductive health. Genetic counselors were most comfortable when they could provide sex education counseling within the context of a particular condition or constellation of features. They were least comfortable when they lacked familiarity with the patient, caregiver, or the family’s culture. The most frequently cited barriers that prevented genetic counselors from providing sex education counseling were lack of time, lack of training, the patient’s ID being too profound, and a belief that genetic counselors should not be responsible for providing sex education counseling. While many respondents reported that providing sex education counseling is not considered within the scope of a genetic counselor’s practice, they also noted that patients’ families initiate discussions for which counselors should be prepared. Respondents indicated that resource guides specifically designed for use by genetic counselors would be beneficial to their practice. Genetic counselors have the opportunity to embrace the role of advocate and broach the issue of sexual health with caregivers and patients by directing them toward educational resources, if not providing sex education directly to effectively serve the needs of patients and caregivers.     

Genetic Counseling in Southern Iran: Consanguinity and Reason for Referral

Population based genetic counseling that promotes public health goals is an appropriate health care service. The genetic counseling center in Shiraz, southern Iran serves most of the clients in the region. During a 4-year period, 2,686 couples presented for genetic counseling. Data files revealed that 85% had consanguineous relationships (1.5% double first cousin, 74% first cousin, 8% second cousin, 1.5% beyond second cousin). Most prevalent reasons for referral were premarital counseling (80%), with 89% consanguinity, followed by preconception (12%), postnatal (7%), and prenatal counseling (1%). The most common abnormalities in probands or relatives were intellectual and developmental disabilities, hearing loss/impairment, and neuromuscular dystrophies. Family history of medical problem(s) and/or consanguinity was the main indication for referral in nearly every family. Premarital consanguinity poses unique challenges and opportunities. There is considerable opportunity for genetic counseling and education for couples in this population. The tradition of consanguinity, which is likely to persist in Iran, requires multidisciplinary agreement regarding the appropriate process of genetic counseling. Effective genetic counseling in Iran hinges on inclusion of data from genetic counseling services in national genomic and epidemiologic research programs.     

Premarital counseling: Approaches,objectives, content,and evaluation—a bibliography

A major problem for the premarital counselor is that the literature in the field is scattered throughout numerous journals and books representing several disciplines. Since counselors tend to subscribe to and read the literature from their own academic discipline, they may be unaware of what is being written elsewhere. This article contains a bibliography of what the authors consider to be the most relevant books and articles on premarital counseling published by the various disciplines. For the convenience of the reader, each listing is also coded as to its content.The authors express their appreciation to Charles R. Figley, Ph.D., Douglas H. Sprenkle, Ph.D., and Diane Spencer, M.S., for their assistance in the preparation of this paper. The valuable assistance of those contributors who notified the authors of their publications is gratefully acknowledged.     

The contribution of life cycle theory to pastoral premarital and marriage counseling

Pastoral Psychology - As theoretical background for premarital and marriage counseling, the human capacity for intimacy is viewed from Erikson's understanding of adolescence and early...     

A New Model for Premarital Counseling Within the Church

The divorce rate among Christians is higher than that of the average population. This statistic is cause for concern and change in church preparation for marriage. Although instruction for pastoral premarital counseling exists, most churches do not follow the minimum guidelines. Churches need a new proactive model for building good marriages rather than mending broken ones. This article presents one such model for marriage preparedness. A graduate of Southwestern Baptist Theological Seminary     

Premarital counseling: A needs assessment among engaged individuals

Although engaged individuals are the primary consumers of premarital counseling, no previous research has explored their perceptions regarding marriage preparation. This article reports what engaged individuals believe are the important areas to address when preparing couples for marriage. It also explores other attitudes and preferences that engaged individuals have toward marriage preparation.     

Reinterpreting the purpose of premarital counseling

Summary Premarital pastoral counseling is a broader activity than is often suspected, going beyond a set of interviews designed to prepare a couple for marriage. Its purpose is to extend the resources of the Gospel and the Church to a couple at a critical period in their lives. In the case of Bill and Gretchen, this meant reassessing their guilt over having had intercourse prior to marriage and setting it within the context of God's forgiveness. It meant helping Bill's mother to meet certain of her personal needs, and it meant helping Bill to understand his own interpersonal relationships more clearly. Later observation showed that, as a couple, Bill and Gretchen were able to sustain a meaningful relationship with each other and to meet the continuing stresses placed upon their marriage as they tried to help Bill's mother and father.The adoption of the purpose advocated here enables the pastor to avoid the contagion of emergency feelings, to set meaningful partial goals for his work with a couple in various stages of the premarital counseling relationship, and to set premarital counseling squarely within the context of his total pastoral ministry.     

How effective are our marriage ministries? A critical survey

Since the introduction of marriage and family counseling into some seminary curricula thirty years ago, the majority of clergy have developed premarital counseling as a part of their marriage ministries, and educational committees have established marriage and family courses in church school programs. Two questionnaires, used in three clergy conferences, provide data for a critical survey of representative clergy involved in ministry to marriage. Analysis of the data and interviews with a continuing education director and a marriage counseling trainer provide reasons why clergy may not be fully qualified and, therefore, may be only partially effective as marriage counselors. The kinds of educational experience necessary for ministers to become more effective in marriage ministry are examined. Finally, the minister's role in marriage in a secular society is interpreted as undergoing a shift for which many clergy are unprepared.     

Dual Relationships and Pastoral Counseling: Asset or Liability?

Dual relationships are proscribed in the standards of ethical conduct for most professional groups that provide counseling or psychotherapy. Dual relationships are thought to be unethical because they cloud the clinical judgment of the counselor and may present conflicts of interest that prevent the counseling relationship from being beneficial. Pastors frequently provide counseling for troubled persons or families, yet they often maintain other roles and relationships with these persons and families. This article addresses the issue of the inevitability of dual relationships in pastoral counseling. Courses of action for handling dual relationships in pastoral counseling are identified.     

Expressed attitudes of adolescents toward marriage and family life

In the U.S., modifications in family structure and in attitudes concerning marriage and family life have been numerous. Areas such as sexual behavior and alternative living arrangements have become highly varied and nontraditional compared to past generations. This study examined the attitudes of adolescents toward aspects of marriage and family life. The majority of adolescents expressed negative attitudes toward divorce and viewed marriage as a lifelong commitment. While only about a third of the adolescents expressed positive attitudes toward premarital sex, a majority indicated they would engage in sexual intercourse before marriage, or already have. Interestingly, about half of the adolescents held positive attitudes toward cohabitation. Lastly, the adolescents demonstrated a growing acceptance of premarital counseling and psychoeducational interventions regarding marriage and family life.     

Nondirectiveness and Its Lay Interpretations: The Effect of Counseling Style, Ethnicity and Culture on Attitudes Towards Genetic Counseling Among Jewish and Bedouin Respondents in Israel

To evaluate the effects of ethnicity, culture, and counseling style on the interpretation of nondirectiveness in genetic counseling, a questionnaire containing premarital and prenatal case vignettes in two versions (pessimistic/optimistic) was administered to 281 Jewish and 133 Bedouin respondents. The first study population was comprised of Jewish students enrolled in a university and a community college in the Negev (southern part of Israel). The second study population was comprised of Muslim-Bedouin college students from the same area. The majority of Jewish respondents interpreted the nondirective message as intended by counselors, while the majority of Bedouin respondents did not. Counseling style was found to have a statistically significant effect on the interpretation of the general role of counseling. Gender and susceptibility were not found to have a significant effect on interpretation. Group differences are analyzed through a cultural lens in which different interpretive norms can generate expectations for either nondirectiveness or directiveness.