The Application of Facilitated Imagery to Marital Counseling

SUMMARY

The purpose of this study was to assess whether facilitated imagery is a successful technique for improving both marital satisfaction and individual psychological functioning. Twenty marital couples were randomly assigned to two experimental groups: Both received three sessions of structured marital enrichment and one also received three facilitated imagery sessions. Posttests were given at one month and four months following treatment. Subjects exposed to facilitated imagery showed significantly greater improvement on some scales of marital satisfaction and individual psychological functioning, and these improvements persisted at the four-month posttest. In posttest interviews, subjects reported the primary benefit was insight into themselves and their spouses.

A series of 2x(3) repeated measure analyses of variance were used to detect changes for husbands and wives. Subjects exposed to facilitated imagery reported significantly greater improvement than enrichment-only subjects on some scales of marital satisfaction and individual psychological functioning. In addition, improvements persisted at the four-month posttest for the enrichment-plus-imagery subjects, but declined for the enrichment-only subjects. In interviews, the majority of imagery subjects reported that the process had been helpful to them both personally and relationally. Subjectively they reported gaining insight into themselves or their spouse as the primary benefit obtained from the imagery work.     

Identity and Cultural Narrative in a Lesbian Relationship

SUMMARY

The dynamics of a specific lesbian couple are explored in terms of identifications, identity, and cultural narratives. Problems within couples can arise from challenges to the organization of identifications and to identity within and between the individuals as a couple moves from one cultural narrative to another. Female masculinity is especially vulnerable to these transitions, as it lacks legitimization from the culture at large.     

Psychological Functioning of Partners of Australian Combat Veterans: Contribution of Veterans' PTSD Symptoms and Partners' Caregiving Distress

Previous research has found posttraumatic stress disorder (PTSD) symptoms in combat veterans to be associated with impaired psychological functioning in their partners. However, little is known about possible mediators of this association. The present study investigated the mediational properties of six dimensions of the revised Partners of Veterans' Distress Scale (MacDonell, Marsh, Hine, & Bhullar, 2010). Participants were 181 female partners of Australian combat veterans, age ranging from 43 and 83 years (M = 60.47, SD = 4.96), who completed measures assessing their caregiving distress levels, dyadic adjustment, mental health, and satisfaction with life. The combat veterans also completed a scale measuring their PTSD symptoms. Our results indicated that higher scores of veterans' PTSD were associated with lower levels of dyadic adjustment, mental health, and satisfaction with life in their partners. Partners reported that distress related to exhaustion and intimacy problems significantly mediated the relationship between veterans' PTSD symptoms and their partners' satisfaction with life, whereas partners' distress associated with intimacy problems was the sole significant mediator for their dyadic adjustment, and exhaustion was the only significant mediator for partners' mental health. Implications for programmes designed to address the significant needs of the partners of combat veterans 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.     

Alcohol use affects sleep duration among military couples

Alcohol misuse and sleep disorders are highly comorbid, prevalent among service members and their romantic partners, and affected by relationship interdependence. As most military health research focuses on either service members or their spouses, the current study examined dyadic effects of alcohol use on sleep cycle duration in dating and married military couples (N = 149 dyads), using data from the National Longitudinal Study of Adolescent Health. Person-level results from a series of multilevel path models showed partial support for our focal hypothesis implicating high alcohol use in shortened average sleep duration for the service members and their romantic partners. Specifically, partners of service members who drank more regularly had shorter average sleep durations, as did female service members who drank more alcohol per drinking occasion. At the couple-level, a partner effect indicated that service members’ lower depressive symptoms were associated with their partner’s shorter average sleep durations. In addition, when service members reported relatively high alcohol-related problems, their partner tended to have a shorter average sleep duration. In contrast, when service members’ partners reported relatively high alcohol-related problems, they had a longer average sleep duration. This suggests the consequences of problematic alcohol use for service members’ partners depended on each dyad member’s drinking patterns. Taken together, these findings underscore the importance of viewing military couples as a dyadic unit in research studies and clinical interventions.     

The impact of Zen meditation on security and satisfaction in monogamous relationships

The objective of this study was to evaluate the impact of Zen meditation on security and satisfaction in monogamous relationships. Levels of security and satisfaction as described by interpersonal theorist Harry Stack Sullivan, as well as meditation experience, were analysed via survey data. Data were collected via the Internet from 405 men and women who were 18 years of age or older and had been in a monogamous relationship for one year or more. Results indicated that compared to meditators, nonmeditators appeared slightly more secure and satisfied in their relationships. This may reflect the fact that different forms of meditation share philosophical beliefs that encourage mindfulness, acceptance, and moderation.     

Associations Between Anxiety and Marital Adjustment

Cognitive-behavioral theories of marital functioning and contextual models of close relationships highlight the importance of proximal affect states such as anxiety in couple functioning. Despite these assertions, research examining the role of state anxiety is lacking in the literature on intimate relationships. In this study, the authors examined state anxiety and marital adjustment in a sample of 45 couples. Hierarchical regression analyses indicated that husbands' Time 1 anxiety can predict their own and their wives' subsequent reports of marital adjustment. Wives' Time 1 anxiety did not predict their own or their husbands' subsequent reports of marital adjustment. In this study, the authors focused on the role of husband anxiety in marital adjustment and on implications for further study of the contextual model of close relationships.     

The Effect Of Religiousness On Marital Satisfaction: Testing The Mediator Role Of Marital Problem Solving Between Religiousness And Marital Satisfaction Relationship

This study was focused on revealing the effects of religiousness on marital satisfaction, and also to test the mediator role of perceived marital problem solving between religiousness and marital satisfaction relationship in a Turkish sample. Subjects were 92 married couples, or a total of 184 participants. Hierarchical regression analyses indicated that after controlling for the variance accounted for by the control variables, namely duration of marriage, marital style, educational level, hopelessness, and submissive acts; religiousness had a major effect on marital satisfaction, but a mediator role of problem solving was not observed.     

Heterosexist discrimination and relational sacrifice of same-sex couples

Drawing on the family stress process model and using data from 141 same-sex couples (N = 282 partners), we examined associations between heterosexist discrimination and relational sacrifices (i.e., willingness and behaviors). We also examined the moderating roles of both partners' internalized homophobia and state-level liberalism on same-sex marriage legalization. Actor-partner interdependence moderation models were conducted. Most of our findings supported hypotheses from the family stress process model. One individual's experiences of greater heterosexist discrimination were related to the partner's higher levels of sacrifice willingness and the individual's own higher frequency of sacrifice behaviors. Such associations emerged (a) among couples living in more liberal states that legalized same-sex marriage earlier, and (b) when the individual's partner reported lower levels of internalized homophobia. Yet the moderating role of an individual's internalized homophobia was the opposite of our hypothesis. When individuals reported high (versus low) internalized homophobia, individuals' experiences of more discriminative events were related to partners' higher levels of sacrifice willingness. Collectively, our study findings highlight that—when investigating how same-sex couples forge and maintain romantic bonds—researchers should consider their experiences in the social cultural context of heteronormativity, which includes the focus on discrimination, stigma, and affirmative laws and policies.     

Couples coping with cancer: Research issues and recent findings

The diagnosis of cancer in one partner can impose numerous changes for both the individual diagnosed with cancer and his or her healthy spouse. In this article, the literature on spouse social support in the context of cancer is reviewed. The importance of understanding support given and received within a close relationship using an interactional, contextual perspective is emphasized. Examining support-related interactions and understanding the personal characteristics that determine the type and amount of support that providers give and the kind of support individuals prefer, and investigating why significant others respond in supportive or critical ways is important. In addition, the study of support interactions must be placed in the both in the context of a marriage and in the context of a catastrophic life event such as cancer. A longitudinal study of patients with gastrointestinal cancer and their healthy partners was undertaken to examine these issues, and the design of this study is described. General problems conducting research with couples undergoing a severe life stressor as well as specific problems our research group has encountered while setting up a research program in the cancer setting are reviewed.