The Efficacy of Behavioral Couples Therapy and Emotionally Focused Therapy for Couple Distress

Twenty treatment outcome studies, 13 of which evaluated behavioral couples therapy (BCT) and seven of which evaluated emotionally focused therapy (EFT) were reviewed, leading to the following conclusions. BCT leads to short and long-term gains for moderate to severe couple distress. In the long term BCT probably leads to no better outcomes than its constituent components—behavioral exchange training and communication and problem solving skills training. Addition of a cognitive therapy component to BCT or the use of a variety of treatment formats does not improve the efficacy of BCT. Integrative couples therapy and insight-oriented marital therapy may be more effective than BCT, but studies supporting this conclusion require replication. EFT leads to short and long-term gains for mild to moderate couple distress. Addition of a cognitive therapy component to EFT does not enhance its efficacy. EFT may be more effective than problem solving therapy and less effective than integrated systemic therapy, but the two studies supporting this conclusion require replication.Michael Byrne, PhD, is a Clinical Psychologist, Midland Health Board, Ireland; Alan Carr, PhD, is Director of the Clinical Psychology Training Programme, Department of Psychology, Arts Building, University College Dublin, Belfield, Dublin 4, Ireland (alan.carr@ucd.ie). Marie Clark, PhD, is Lecturer, Department of Psychology, University of Surrey, United Kingdom.     

Impact of exposure to idealised male images on adolescent boys' body image

Research examining the impact on adolescent boys of exposure to muscular, athletic, idealised male images has been limited. This research had two aims (i) to investigate the mean effect on state body satisfaction and mood of exposure to idealised male images in adolescent boys, and, (ii) to identify individual attributes that predicted change in state body satisfaction, depression and anxiety following image exposure. One hundred and six boys (mean age=15.6 years) completed a self-report questionnaire on body image attitudes and psychological status. One week later, participants were divided into two groups, one that viewed idealised male images (experimental condition) while the other viewed non-figure advertising images (control condition). Three body satisfaction Visual Analogue Scale (VAS), and a depression and anxiety VAS were completed immediately prior to and following image exposure. In the experimental compared to control condition, there were no significant changes on Want Toned Body, Want to Change Body Shape, Depression and Anxiety VAS following image exposure. However, there was a significant improvement in Like Body Shape VAS. In the experimental group, high internalisation of the muscular, athletic ideal predicted more negative response to viewing images on the body image and Depression VAS. Prior body dissatisfaction significantly predicted negative response to Body Shape Liking and Anxiety VAS. While on average, adolescent boys in this research were not negatively affected by exposure to idealised male images, reaction to exposure is dependent on individual attributes.     

Growing up hidden: notes on understanding male homosexuality

Beginning with Freud and briefly reviewing some contemporary approaches to the treatment of gay men, this paper explores theoretical attempts to understand and explain homosexuality. The author finds covert and not-so-covert remnants of pathologizing in most theoretical approaches that contribute to the phenomenon of being hidden even in psychoanalysis. Further, the author emphasizes the nonmonolithic structure of homosexuality and the consequent need to look at each case individually. The author advocates a nonjudgmental, sustained empathic approach to the understanding and treatment of gay men. Clinical examples illustrate the individual meanings of homoerotic longings.     

Stressor and Resilience Factors for Lesbians, Gay Men, and Bisexuals Confronting Antigay Politics

When lesbian, gay, and bisexual (LGB) people encounter antigay campaigns and elections, they face explicit and implicit homophobic attacks. In order to understand the points of stress and the bases for resilience in the face of these attacks, we developed a 130-item quantitative survey on the basis of results of an earlier qualitative study. Three hundred, sixteen Colorado LGB people endorsed items representing sources of stress and sources of resilience associated with the campaign for and passage of an antigay referendum. Factor analyses of the results suggested 5 sources of stressors and 5 sources of resilience for LGB persons and their communities.     

Compensating strategies in collaborative remembering in very old couples

This study investigates collaborative memory performance in very old married couples working in two types of participant constellations, and with two types of memory tasks, i.e. working as couples, or as individuals in episodic or semantic memory tasks. Sixty-two old married couples were a priori classified as high or low on two dimensions suggested to be important for successful collaboration, i.e. responsibility (how division of responsibility was organized) and agreement (how they mutually agreed on each other's view). The episodic memory task was immediate recall of short stories. The semantic memory tasks were to answer questions about names, places, and concepts. The results suggested that: (1) groups outperformed a single individual, but (2) groups in general suffered from collaboration relative to the predicted potential in episodic tasks only, thus replicating earlier results. Nevertheless, (3) the couples scoring high on division of responsibility achieved the same productivity as nominal pairs (i.e. the predicted potential); (4) the couples scoring high on the agreement dimension showed that they were not as affected by collaboration, but then performed less well in "absolute" performance. Finally, the results were discussed in terms of optimal compensation strategies, especially for elderly couples.     

Underlying Mechanisms Explaining the Link between Differentiation and Romantic Relationship Outcomes

Abstract

Differentiation of self has been associated with positive relationship outcomes, but little has been done to analyze the underlying mechanisms that promote these outcomes for highly differentiated people. Longitudinal data were collected from a sample of university students (N?=?162) and clinically relevant direct and indirect effects between I-position and emotional reactivity, anxious attachment, relationship efficacy, and relationship satisfaction and conflict hostility were analyzed using path analysis. In general, anxious attachment and relationship efficacy mediated the association between differentiation of self and conflict hostility. Clients may benefit from therapists assessing differentiation and attachment, facilitating conversations that contribute to increasing differentiation and attachment, and using both of these constructs as mechanisms to enhance relationships in young adults.     

Dyadic coping in Latino couples: validity of the Spanish version of the Dyadic Coping Inventory

Abstract

This study seeks to validate the Spanish version of the Dyadic Coping Inventory (DCI) in a Latino population with data from 113 heterosexual couples. Results for both partners confirm the factorial structure for the Spanish version (Subscales: Stress Communication, Emotion- and Problem-Focused Supportive, Delegated, and Negative Dyadic Coping, Emotion- and Problem-Focused Common Dyadic Coping, and Evaluation of Dyadic Coping; Aggregated Scales: Dyadic Coping by Oneself and by Partner) and support the discriminant validity of its subscales and the concurrent, and criterion validity of the subscales and aggregated scales. These results do not only indicate that the Spanish version of the DCI can be used reliably as a measure of coping in Spanish-speaking Latino couples, but they also suggest that this group relies on dyadic coping frequently and that this type of coping is associated with positive relationship functioning and individual coping. Limitations and implications are discussed.     

Towards a queer dharmology of sex

Lay practitioners of Buddhism, especially lesbian/gay/bisexual/transgender/queer persons, are given little guidance by the traditional Dharmology (Buddhist theology) of sex. The most extensive discussions are the detailed prohibitions in the monastic rule, which focus on the mechanics of sex rather than on love and relationships. What advice there is on sex for lay persons is either vague or over‐determined by its cultural context. Christianity, despite being homophobic and mistrustful of sex, has developed a positive attitude towards sex within heterosexual marriage. An investigation of this suggests a Dharmology of sex as relationship, based on central Buddhist doctrines such as interdependent arising. This Dharmology can be strengthened by queering it with reference to Harry Hay's notion that gay subject–subject consciousness is more compatible with Buddhist non‐duality than the hetero subject–object consciousness. It can be claimed, therefore, that Buddha Nature, and Buddhism itself, is queer.     

Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual orientation.     

Split Self Affairs and Their Treatment

SUMMARY

The Split Self Affair is a long-term serious relationship. The split being played out in the affair reflects an internal split between doing things “right” and the emotional self. Treatment for those involved centers on understanding the origins of the internal split and on reclaiming the neglected emotional self. Long term individual therapy is the treatment of choice, augmented by other modalities.