Couple resilience and life wellbeing in firefighters

The validity of the Couple Resilience Inventory was tested using 102 married or cohabiting firefighters. This instrument measures types of relationship behavior that often occur during stressful life events and that are expected to be associated with an ability to cope with employment in a stressful occupation. It includes scales measuring two nearly orthogonal dimensions, with one dimension pertaining to positive behavior and the other to negative. Firefighters completed an online questionnaire that included the Couple Resilience Inventory and measures of relationship satisfaction, exposure to traumatic events, and life wellbeing. In line with hypotheses, scales measuring positive and negative couple resilience were nearly orthogonal to each other, and distinct from a measure of relationship satisfaction, but both scales correlated positively with exposure to traumatic events, and both correlated in opposite directions with relationship satisfaction and life wellbeing. Results were consistent with the theoretical model and they supported instrument validity.     

Wittgenstein's therapies: From rules to hinges

Recently Wittgenstein's claim to be primarily engaged in a kind of therapy for the problems that trouble people in the grip of a certain picture of how things must be has been strongly emphasized. The form the therapy takes is to display various kinds of grammatical errors in the pathological practice. In Wittgenstein's late work, On Certainty, the role of the concept of rule as the ground of a practice is extended to include a different kind of grounding in “hinges”. I argue that there is a therapeutic role for the work of bringing to light the “hinges” that hold fast when the door of philosophy turns. I contrast examples of Wittgensteinian therapy where the cure is achieved by a display of grammatical rules, to cases in which the cure depends on emphasizing the role of a hinge or hinges in pathological confusions of thought in psychology.     

Reconsidering the Term <Emphasis Type="Italic">Marriage</Emphasis> in Marriage and Family Therapy

This article presents a consideration of whether the term marriage in the title of the marriage and family therapy (MFT) profession continues to reflect the work that MFT professionals do. The authors describe relevant historical and professional identity issues, a rationale for revising the title of the profession (including demographic trends related to marriage and relationships, patterns of clinical practice, and the political context surrounding marriage), and a rationale for maintaining the current title of the profession (including administrative costs, value and ideological differences within the MFT profession, and the importance of a cohesive professional identity). The article concludes with recommended future directions for the profession’s decision makers, researchers, and practitioners.     

Treatment for Deliberate Self-Harm: Integrating Emotion-Focused Therapy

This article proposes that Emotion-Focused Therapy (EFT) can be effectively utilized as a treatment modality for deliberate self-harm or integrated with existing treatment approaches. A brief literature review examines evidence suggesting that attachment and emotion regulation are important etiological variables associated with deliberate self-harm. EFT addresses these variables by emphasizing the importance of the therapeutic relationship and assisting clients in the regulation and transformation of negative, maladaptive emotions. The article describes the basic tenets of EFT, comparing and contrasting this approach with therapeutic models most commonly used in the treatment of deliberate self-harm. Finally, it is recommended that future outcome research utilize randomized clinical trials to evaluate the effectiveness of EFT and compare it with other treatment modalities.     

The Concept of Psychological Health in Rational Emotive Behavior Therapy

The argument has been made that if Rational Emotive Behavior Therapy (REBT) is to survive and prosper in the 21st century, its underlying personality theory requires further development and clarification. In this spirit, the concept of psychological health in REBT theory is examined in the present article. The concept of psychological health in personality theories is discussed briefly, as are the core aspects of the REBT view of emotional disturbance. Given that necessary context, a definition of the essence of psychological health in REBT theory is proposed and discussed. The clinical implications of the proposed definition are then explored.     

Vulvar pain: a phenomenological study of couples in search of effective diagnosis and treatment

Vulvar vestibulitis syndrome (VVS), a vulvar pain disorder, continues to puzzle medical and mental health professionals due to its unknown etiology and lack of effective treatment. This study used transcendental phenomenology methodology to explore the experiences of couples in which the woman has a diagnosis of VVS. Sixteen in-depth semi-structured interviews were conducted with 13 heterosexual couples and 3 women. Four essences emerged: (1) In search of ... the medical journey required extensive searching for knowledgeable and respectful practitioners to provide treatment. (2) The process of developing a personal understanding of this disorder led many couples to question their role in causing and maintaining VVS. (3) Developing strategies for coping with painful intercourse led to three strategies: becoming non-sexual, using alternatives to vaginal sex, and altering or enduring painful intercourse. (4) Feelings of isolation were experienced as adapting to this chronic pain syndrome was often a lonely process. Clinical suggestions included: treating the couple, not just the woman with VVS; encouraging couples to broaden definitions about the importance and primacy of vaginal intercourse and suggest alternative sexual activities less likely to cause vulvar pain; developing shared meaning as a couple, and assisting couples in locating physicians and resources. Suggestions are relevant for couples with VVS and those with chronic health problems affecting sexual relationships.     

PREP inside and out: marriage education for inmates

Although research has demonstrated that marriage education has positive effects on relationship quality, little is known about how such services impact relationships where one partner is incarcerated. The current study implemented an adapted version of the Prevention and Relationship Enhancement Program (PREP Inside and Out) for inmates in Oklahoma correctional facilities. Inmates, with or without their partners, participated in the 12-hour program. The impact of the program was investigated on a range of relationship variables including satisfaction with relationship, dedication, confidence, communication skills, friendship, and negative interactions as reported by the inmate partner. Participants reported substantial gains in all variables and in overall satisfaction with their relationship after completing the program, regardless of their gender and racial/ethnic background. Implications for future marriage education programs and research in prisons are discussed.     

Sentences with Strong Psychological Impact in Psychotherapy: Research in Progress

After a brief exposition of Elementary Pragmatic Model about changes in dyadic interactions, the validity and clinical usefulness of the model was evaluated with a newly created test, called SISCI-Sentences. This test is composed of 90 Sentences with strong psychological impact. Administration of this test to non-clinical and clinical participants produced statistically significant differences between the choices of participants in the two groups. Implications of these results for the use of these Sentences in the course of psychotherapy are discussed.

Commitment First,Communication Later: Dealing with Barriers to Effective Couples Therapy

Teaching communication techniques to couples is a common way for therapists to begin treatment. In many cases, couples then use these newly acquired skills to express negative or even hostile information to each other, sometimes doing more harm than good to the relationship. Based upon years of clinical experience with hundreds of couples in treatment, this article presents the idea that having the couple see themselves as an entity first, not as two individuals, may be necessary before clear communication can be maximally therapeutic. The article outlines the Couple Power model of treatment, suggesting that four basic tasks—commitment, cooperation, communication and community—need to be accomplished in that order, postponing the teaching of communication skills until later in therapy. Theory behind the tasks and suggestions for effective techniques to achieve the “Four C’s” of Couple Power are presented and discussed.