Couples' Disease: The Experience of Living with a Partner with Chronic Depression

This study is concerned with the impact of chronic depression on partners. Thirteen male and female participants who lived with a partner with chronic depression were interviewed. Data were analyzed using thematic analysis. Findings highlighted a need for caregivers to be more centrally involved in their partner's care, given that they face stigma, shifts in role identity, and uncertainty, which all potentially threaten the level of support they can give their partner. In this sense, depression might be described as a “couples disease,” suggesting that couples therapy and group support for partners should be more widely available to help reduce the burden on partners and potentially prevent relationship breakdown.     

Participant Perceptions of Relationship Education Programs Adapted for Same-Sex Couples

Mixed methods data were collected from 57 couples who participated in the Strengthening Same Sex Relationships (SSSR) Programs, relationship education programs adapted for same-sex couples. Quantitative and qualitative data yielded key themes, including high program satisfaction, appreciation that the program was designed specifically for same-sex couples, and requests for more detailed content addressing same-sex couples' unique needs. Participants expressed preferences for specialized programs for male or female same-sex couples. Women strongly preferred female sexual minority program leaders; men valued leader competency over match in gender or sexual orientation. Results can inform efforts to provide culturally sensitive relationship education to same-sex couples.     

The quantity and quality of marital interaction related to marital satisfaction: A behavioral analysis

An assessment instrument is presented for the evaluation of the quantity and quality of dyadic interaction, as well as for the daily recording of behaviors presented and omitted which influence marital satisfaction. Comparison of data from ten happy couples and from ten couples entering therapy indicated two distinct dysfunctional patterns among distressed couples, with significantly different patterns of time-together and positive/negative ratios differentiating the happy versus therapy groups. Independent behavioral recording for 14 consecutive days significantly increased husband-wife agreement on a traditional adjustment questionnaire without significantly increasing or decreasing the level of satisfaction being assessed. There was no difference between groups as to interspousal agreement on amount of time together. However, the happy couples agreed on daily quality ratings of the 72 15-minute segments significantly more often than did the distressed couples. Couples at the extremes of the happy-distressed continuum reported rewarding and punishing, respectively, in response to the partners presence, regardless of behaviors emitted. Midrange happy couples defined "pleasant" as positive behaviors presented; midrange distressed couples defined "pleasant" as negative behaviors omitted. Theoretical and clinical implications of behavioral analysis of sequential patterns are discussed.     

What are the relationship experiences of in which one member identifies as transgender? A systematic review and meta-ethnography

Transgender individuals and their partners may face unique challenges that other couples do not. These unique challenges merit investigation, understanding and consideration by systemic practitioners in order to provide a culturally attuned service for transgender clients. A systematic review of the literature into the experiences of couples in which one member is transgender identified 22 qualitative papers. A translation and synthesis of constructs from these papers utilising a meta-ethnographic approach generated a number of third order constructs organised into nine overarching themes. These themes included experiences of stigma and discrimination, issues of power, privilege, visibility and identity, and experiences of dissonance and dysphoria that required adjustments and negotiations on the personal and relationship levels. Implications for practice and avenues for future research are discussed.     

A systematic review of relationship maintenance: Reflecting back and looking to the future

Relationship maintenance processes include a wide range of activities and cognitions that romantic partners engage in to sustain or enhance their relationships. In this article, we review literature from the past two decades (2002–2021). We focus on key definitional and conceptual issues in the study of relational maintenance. Guided by a lens of intersectionality, we then perform a theoretically-driven review of the empirical articles published over the last 20 years paying careful attention to the nature of the samples, methods, and privileged research questions. We conclude by offering a reflection on the current state of this literature and provide suggestions for future research.     

Are moderate levels of stress particularly dangerous for relationship satisfaction? A conceptual replication of Tesser and Beach (1998)

The well-documented negative impact of daily stressors on relational well-being, juxtaposed with emerging evidence indicating that major stressors can have a positive impact on relational well-being, suggests that the association between stress and relational well-being may not be monotonic. Tesser and Beach originally raised this possibility in a 1998 study in which they found that the association between stress and individual well-being was linear, whereas the association with relational well-being was non-linear. The current study sought to conceptually replicate this study within the context of the COVID-19 pandemic by examining associations between stress and individual versus relational well-being, using a sample of 654 individuals who were in a committed relationship in the early weeks of the pandemic. Results were somewhat consistent with those of the original study: the association between stress and depression was linear, but the association between stress and relationship satisfaction was non-linear. However, the form of the association between stress and relationship satisfaction was different than observed in the original study. These results point toward the need to better understand how the severity of a stressor impacts relational outcomes, including the characteristics of stress that lead to stress spillover and the circumstances under which relational outcomes are resilient to high levels of stress.     

Promoting resilience to depression among couples during pregnancy: The protective functions of intimate relationship satisfaction and self-compassion

Pregnancy, while often marked by joy, may pose considerable risk for depression among parents. Against a backdrop of adverse life events, expectant parents may be even more vulnerable to developing symptoms of depression during the prenatal period. Thus, it is critical to identify sources of resilience that might facilitate a successful transition to parenthood among couples who have a history of adversity. Prior work suggests that interpersonal and intrapersonal factors associated with resilience, such as intimate relationship satisfaction and self-compassion (i.e., self-kindness, common humanity, and mindfulness), have the potential to attenuate prenatal depression among couples with a history of stressful life experiences. We tested this possibility in a sample of 159 couples navigating pregnancy. As predicted, a greater number of prior stressful life experiences was associated with increased depression symptom severity for both mothers and fathers. However, moderation analyses revealed the positive link between cumulative stressful life experiences and depression symptom severity was attenuated among mothers who reported greater self-compassion in the form of feelings of common humanity, and fathers who reported higher levels of intimate relationship satisfaction and self-compassion in the form of mindfulness. Findings suggest enhancing intimate relationship satisfaction and self-compassion among expectant couples may be valuable in attenuating prenatal depression among those with a greater history of adversity.     

Couples Therapy for Drug Abusing Women in an Inpatient Setting: A Pilot Study

This article describes a pilot study to examine the usefulness of adding a couples therapy component to inpatient drug and alcohol treatment for women. The treatment model was modified from a 12-week integrative systems model that has been empirically supported in outpatient treatment settings. A team of student-therapists received intensive training and supervision in the modified version. This article discusses the ability of chemical dependency counselors to implement this model, includes pre and post treatment comparisons, and qualitative findings regarding the efficacy of the project. The treatment model promises to be usable, safe, and practical in inpatient settings, and merits a more thoroughgoing clinical trial.     

The risk of low risk: First time motherhood,prematurity and dyadic well-being

Premature birth has a well-documented impact on infants, mothers and their dyadic interactions. First time motherhood in the context of low risk premature birth—relatively unexplored in the literature—is a specific experience that sits at the nexus of premature infancy, motherhood and the processes that underpin dyadic connection. This qualitative study analyzed semistructured interviews with first time mothers of low risk premature babies. Findings were generated in response to research questions concerning mothers’ meaning-making, bonding and identity. Findings demonstrated that maternal meaning-making emerged from a dyadic framework. When mothers or their infants were considered outside of a dyadic context, surplus suffering inadvertently occurred. Findings have important implications for infant mental health practice in medical settings, for postnatal support in the aftermath of premature birth, and for understanding the meaning of risk.     

Partner–objectification in romantic relationships: A dyadic approach

The present study investigated the relationship between the objectification of one's romantic partner (partner–objectification) and relationship quality using 221 heterosexual couples. Controlling for relevant covariates, actor–partner interdependence models revealed no partner effects but multiple actor effects. First, men who objectified their partners more had lower levels of relationship commitment and relationship satisfaction, and perceived higher quality alternatives to the relationship. Second, women who objectified their partners more had lower levels of relationship satisfaction themselves. Third, relationship duration marginally moderated the association between partner–objectification and relationship commitment, with partner–objectification negatively linked to one's own relationship commitment in relationships of shorter durations, but not when relationship durations were longer. Implications for an investment model and romantic relationship objectification are discussed.