“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

A great deal of clinical research has sought to describe and suggest remedies for the client dropout phenomenon. However, few studies have addressed the equally pervasive, yet often ignored, non-engagement problem. An exploratory study was conducted to understand why many clients fail to engage in family therapy services after they have completed the initial intake. The results of the study suggest that therapist gender and experience level, clinic policies regarding videotaping sessions, family concerns, and changes in the presenting problem prior to the first session, had an impact on potential clients’ decision to engage in therapy. Implications and future research are discussed.Meng-ning Wang, MA, a doctoral student, and Jonathan Sandberg, PhD, a faculty member in the Marriage and Family Therapy Program at Syracuse University at Syracuse University are co-first authors. Amy Zavada, MA, Tziporah Rosenberg, MA, Aaron Jeffrey, MA, and Justin McPheters, MA, are doctoral students, and Mona Mittal, PhD, and Anne Gosling, PhD, are faculty in the same program.     

Adult Survivors of Child Abuse: An Application of John Gottman’s Sound Marital House Theory

The purpose of this study was to examine the relationship between child abuse and dysfunctional adult relationship patterns. John Gottman’s Sound Marital House Theory describes different dysfunctional adult relationship patterns including Negative Sentiment Override (NSO), Flooding, and the Distance and Isolation Cascade. In the present study, data analysis indicated that child abuse predicts the experiencing of NSO, NSO predicts the experiencing of flooding, and flooding predicts the experiencing of the distance and isolation cascade. Analysis showed that a subscale of child abuse, negative home environment predicts NSO, flooding, and the distance and isolation cascade.     

Profiling Marital Satisfaction among Graduate Students: an Analysis of the Perceptions of Masters and Doctoral-Students

This study investigated marital satisfaction among graduate students. Using the Marital Satisfaction Inventory-R (MSI-R), 65 graduate students were surveyed. The results revealed multiple common areas of marital concern based on degree program of the student. These findings offer implications for psycho-educational and responsive interventions for clinicians working with this population.     

Dyadic coping and marital adjustment during pregnancy: A cross‐sectional study of Italian couples expecting their first child

Although the transition to parenthood is currently defined as a normative event, it can be potentially stressful for the couple relationship as it may contribute to psychological distress and reduced marital satisfaction. Using the systemic‐transactional conceptualisation of stress and coping as a theoretical framework, we claimed that the ability of the parents‐to‐be to adjust to their new roles and identity is influenced by dyadic coping strategies. This study examined the effects of dyadic coping on marital adjustment in a sample of 78 primiparous couples. Women and partners completed the Dyadic Adjustment Scale and the Dyadic Coping Questionnaire during late pregnancy. Data were analysed using the Actor‐Partner Interdependence Model. Results revealed that both women and partners' scores on positive dyadic coping behaviours contributed to higher marital adjustment, suggesting that risks for marital dissatisfaction may exist for couples not able to implement adaptive dyadic coping strategies, or for those unsatisfied with the implemented coping behaviours.     

'Oh Rose, thou art sick!' Anti-individuation forces in the film American Beauty

The film American Beauty is used as a vehicle to explore difficulties in the individuation process, to look at a particular aspect of couple relationships in which mourning is avoided, and to make a general comment about the relationship between film and psychological experience. The thesis of the paper is that the individuation process is both an intra-psychic experience and an inter-psychic one which relies on relationships with external figures to enable development. The adult couple relationship is taken as one of the key areas of emotional life for the individuation process and as an area that can best show up false starts, successes, or even retreats in psychological development. Using the poetry of William Blake and the work of Michael Fordham, I show a process of anti-individuation going on in the relationship between the characters of Lester and Carolyn Burnham in the film.     

Explication of interspousal criticality bias

Although bias towards perceiving spousal criticism is related to dysphoria and marital discord (Smith & Peterson, 2008), the bias construct has received insufficient elaboration. We explicated the criticality bias construct by exploring its correlates and incremental validity relative to perceived criticism, marital attributions, and negative affect. 118 couples completed self-report measures and undertook a videotaped discussion task. Signal detection analyses of both spouses' and outside observers' ratings of discussions produced bias indices. Criticality bias evidenced a pattern of convergent and discriminant validity mirroring perceived criticism's (Renshaw, 2008). Bias also provided incremental validity beyond perceived criticism, marital attributions, and negative affect to the prediction of behavior. Bias may be a dysfunctional way to view marital events and a stress generation process.     

Cultural differences in family, marital, and gender-role values among immigrants and majority members in the Netherlands

This study examined the size of differences in self-reported family, marital, and gender-role values in five cultural groups in the Netherlands (6338 Dutch mainstreamers and 422 Turkish, 369 Moroccan, 429 Surinamese, and 394 Antillean first- and second-generation immigrants). It was found that the three value scales were neither completely independent, nor could they be merged into a single value scale. The factor structures of all scales were identical for the five cultural groups, implying that the concepts can be compared. Age, sex, and notably education accounted for a substantial part of the cultural differences in all values. Cultural differences were larger for marital and family values than for gender-role values. Family and marital values yielded the same rank order of mean scores in the five cultural groups: Turks and Moroccans scored the lowest (having the most traditional values), followed by Surinamers, Antilleans, and Dutch mainstreamers. This rank order corresponds with the ethnic hierarchy of cultural groups that is based on the evaluation of ethnic groups by mainstreamers according to their liking of and likeness to ethnic groups. Generational differences were not found for family and gender-role values but first-generation immigrants in all groups had more traditional marital values than had second-generation immigrants. It was concluded that the theoretical framework based on a combination of three Hofstede dimensions (individualism-collectivism, power-distance, and femininity-masculinity), a model of the hierarchy of the ethnic groups in the Dutch society, and acculturation theory provided an adequate way to address family, marital, and gender-role value differences in the five cultural groups.     

Marital interventions for depression: Empirical foundation and future prospects

There is a robust association between marital adjustment and depressive symptoms, and many scholars identify marital discord as a cause of depression. Outcome research shows that marital interventions are effective for increasing marital adjustment and that they may have considerable potential both in the treatment of episodes of depression and in the prevention of depressive symptomatology. To encourage further development of marital interventions for depression, a model is offered that incorporates individual difference and development perspectives.     

Parents’ differential susceptibility to the effects of marital quality on sensitivity across the first year

The current investigation examined the differential susceptibility of parents to the effects of marital quality on changes in parenting. We predicted that parents who were high on the personality constructs Negative Affect and Constraint would be more susceptible to the effects of marital quality on their level of sensitivity. Sensitivity was assessed at 3.5 and 13 months for both mothers and fathers during a triadic interaction. Consistent with the differential susceptibility theory, results suggested that when mothers were high on Negative Affect and when fathers were high on Constraint, their marital quality was associated with changes in sensitivity. This investigation suggests that personality factors may create “vulnerabilities” in parents that make them differentially susceptible to the effects of the family environment on parenting.     

Marital Interactions,Family Intervention,and Disagreements: A Daily Diary Study in a Low‐income Sample

Little research has examined associations between low‐income married couples’ daily interactions and severity of disagreements. Similarly, few researchers have considered how family‐strengthening interventions for low‐income couples may affect the quality of daily interactions and associations between interactions and conflict experiences. This study aims to fill these gaps in the literature by leveraging daily diary data from a random assignment study of a family‐strengthening intervention with low‐income husbands and wives 30 months postenrollment. Married couples randomly assigned to the intervention participated in 10 weeks of relationship education services. Control group couples received no services. Thirty months postrandom assignment, participants reported on the severity of daily marital disagreements over a 15‐day period, as well as their positive and negative emotions during inter‐spousal interactions. Multi‐level models demonstrated associations between reports of emotions in interactions and severity of disagreements. In addition, wives assigned to the family strengthening program reported fewer negative emotions during interactions at follow‐up than wives in the control condition. Finally, negative associations between positive emotions in interactions and severity of disagreements were stronger for wives assigned to the intervention, while positive associations between negative emotions in interactions and severity of disagreements were weaker for wives assigned to the intervention. Implications for future research and intervention development are discussed.