Relative Cost Effectiveness of In-Person and Internet Interventions for Relationship Distress

While the efficacy of couple therapy has been repeatedly demonstrated, most distressed couples do not seek treatment. To improve reach and overcome barriers to therapy, Integrative Behavioral Couple Therapy (IBCT) was translated into a web-based program, OurRelationship (OR). While both IBCT and OR have been shown to improve relationship and individual functioning, the goal of the present study was to compare the relative cost effectiveness of these two treatment modalities. In IBCT, 74% of couples experienced reliable improvement, compared to 55% of couples in OR. Within-group Cohen's d effect sizes during treatment for relationship satisfaction were d = 0.87 for IBCT and d = 0.96 for OR. Relative cost effectiveness analyses revealed that even at the highest expense estimates for OR and the lowest expense estimates for IBCT, OR was more cost effective in creating reliable improvement once at least 229 couples were served and was more cost effective in creating large-size effects once at least 153 couples were served. Cost-effectiveness increases for both IBCT and OR as more couples are served; however, this cost savings occurs at a much more rapid rate for OR. These findings demonstrate that despite higher initial development costs, Internet programs are a cost-effective option for dissemination either as a stand-alone service or as an initial intervention in a stepped care model with more intensive in-person services.     

Preventing Teen Relationship Abuse and Sexual Assault through Bystander Training: Intervention Outcomes for School Personnel

The purpose of the current study was to examine the impact of exposure to Bringing in the Bystander—High School Curriculum (BITB-HSC) on school personnel, which included a seven session classroom curriculum for ninth through twelfth graders (student curriculum), a bystander training workshop for school personnel (school personnel workshop), and reading materials (handout). We examined how exposure to these various BITB-HSC intervention components was associated with school personnel's knowledge and bystander efficacy, intentions, and barriers specific to student relationship abuse (RA) and sexual assault (SA). Participants were 488 school personnel from 12 high schools in upper New England who completed the 4-month follow-up survey that assessed for intervention exposure (284 participants completed both the baseline and follow-up survey). Whereas 53% of participants were exposed to no intervention components, the other half of the sample were exposed to a combination of intervention components. Higher baseline knowledge and reactive bystander intentions were associated with subsequent exposure to both the student curriculum and the handout, and fewer barriers to bystander action predicted exposure to the school personnel workshop. Exposure to the school personnel workshop, student curriculum, and handout was associated with subsequent greater knowledge, exposure to the student curriculum predicted reactive bystander intentions, and exposure to the handout predicted higher reactive bystander intentions and bystander efficacy. Findings suggest that despite challenges with engagement, exposure to the BITB-HSC components may be a useful tool in improving school personnel's responses to RA and SA among high school students.     

EMDR and Emotionally Oriented Couples Therapy

When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples.     

The Effectiveness of Couple and Individual Relationship Education: Distress as a Moderator

Current literature yields mixed results about the effectiveness of relationship education (RE) with low‐income participants and those who experience a high level of individual or relational distress. Scholars have called for research that examines whether initial levels of distress act as a moderator of RE outcomes. To test whether initial levels of relationship and/or individual distress moderate the effectiveness of RE, this study used two samples, one of couples who received couple‐oriented relationship education with their partner (n = 192 couples) and one of individuals in a relationship who received individual‐oriented RE by themselves (n = 60 individuals). We delivered RE in a community‐based setting serving primarily low‐income participants. For those attending with a partner, there was a significant interaction between gender, initial distress, and time. Findings indicate that women who were relationally distressed before RE reported the largest pre‐postgains. Those who attended an individual‐oriented RE program reported significant decreases in individual distress from pre to post, but no significant relationship gains. Findings also suggest that initial levels of distress did not moderate the effectiveness of individual‐oriented RE.     

Daily variations in attachment anxiety and avoidance: A density distributions approach

Attachment theory proposes that experiences of acceptance and rejection will modify feelings of attachment security, but such processes have rarely been investigated. In this study, daily variations in attachment anxiety and avoidance were investigated across 7 days in a sample of college undergraduates currently in romantic relationships. We observed significant within-person variation in attachment avoidance and anxiety. Participants reported lower anxiety and avoidance on days on which they felt more accepted by their romantic partners. Further, perceptions of acceptance predicted the following day’s attachment security through lower negative mood. Greater variability in attachment avoidance and anxiety was associated with greater physical aggression in relationships.     

员工职业倦怠、应对方式、生活满意度与心理健康的相关研究

目的：探讨职业倦怠、应对方式、生活满意度对心理健康水平的影响。方法：运用问卷调查法测量了南京市移动公司共132名员工（剔除无效后获得有效问卷113份）的职业倦怠、应对方式、生活满意度和心理健康水平。所用工具分别是职业倦怠问卷（MBI中文修订）,简易应对方式量表,生活满意度指数（LSIA）,症状自评量表（SCL-90）。结果：（1）职业倦怠三个维度与症状自评量表总分存在显著相关（0.655;0.502;0.365）。（2）简易应对方式量表中,积极应对方式与症状自评量表存在负相关（-0.134）,消极应对方式与症状自评量表存在显著正相关（0.460）。（3）职业倦怠量表的情感枯竭,讥诮态度和简易应对方式量表的消极应对方式对心理健康有一定的预测效应。（4）生活满意度指数与症状自评量表没有达到显著相关,且该指数对心理健康没有明显的预测作用。     

The unique contributions of motivations to maintain a relationship and motivations toward relational activities to relationship well-being

People experience autonomy when they perceive their behaviour to be volitional rather than driven by external controls. Previous research has studied autonomy in relationships at a general level, focusing on people’s motivations to maintain their romantic relationships, as measured by the Couple Motivation Questionnaire (CMQ; Blais et al., J Personal Soc Psychol 59:1021–1031, 1990). To supplement the CMQ, we developed the Motivations for Relational Activities (MRA) scale, which assesses the extent to which people feel autonomous and controlled in a variety of specific relational activities. The purpose of this study is to examine the unique contributions of general motivations to maintain a relationship (CMQ) and motivations toward specific relational activities (MRA) in the prediction of relationship well-being. Results showed that the MRA and CMQ both independently and significantly contributed to the prediction of relationship well-being (i.e., commitment, intimacy, satisfaction, and vitality within the relationship) and were differentiated by their associations to dimensions of personality and attachment.

To whom do positive norm and negative norm of reciprocity apply? Effects of inequitable offer, relationship, and relational-self orientation

Various theories have been proposed to account for people’s reciprocity behavior in social exchange. The current research is designed to delineate the conditions under which and for whom the relational theoretical explanation is most applicable. We hypothesize that while people in general show positive (negative) reciprocity responses toward favorable (unfavorable) inequitable treatments from others, such a tendency varies depending on the relationship with the exchange counterpart, and their own relational-self orientation. While we used country (China vs. the US) as a proxy for participants’ relational-self orientation in Study 1, this orientation was directly assessed in Study 2. Results from both studies showed consistent support for our hypothesis. Implications of these findings to literatures in reciprocity and social exchange are discussed.     

Taking Relationship Seriously in Psychotherapy: Radical Relationality

Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A “serious” or an ontological relationality would change the nature of psychotherapy. We describe this change in a discussion of two approaches to relationship, weak and strong relationality. We argue that weak relationality, the general conception of relationship in mainstream psychology, does not ultimately take even the therapeutic relationship seriously. We then discuss and illustrate ten practical implications that a strong relationality would have for psychotherapy.

Divine Encounter

“Divine Encounter” is a poem depicting a place-based religious experience.