The Role of Theory and Research in the Practice of Cognitive-Behavioral Couple Therapy: If You Build It,They Will Come

Cognitive-behavioral couple therapy (CBCT), while empirically validated and highly efficacious, does not always have positive results for couples. One factor that may limit the efficacy of this intervention is the way in which therapists are trained to provide this type of therapy. More specifically, there is a need for therapists to gain a solid foundation in CBCT theory in order to maximize treatment results. This paper presents an argument for why an understanding of theory is necessary for therapists in treating couples. Then, this paper presents our training model and how we integrate theory into our training of both graduate student therapists and more experienced clinicians. We take the stance that “if you build it, they will come.”     

Marital Infidelity

SUMMARY

This paper describes die usual course of discovered marital infidelity and its predictable posttraumatic reaction. It contrasts this phenomenon with situations in which the initial reaction to discovery is suppressed, leading to a delayed traumatic reaction. It concludes with suggestions for the treatment of a delayed traumatic reaction, and suggestions designed to sensitize therapists to the possibility of a suppressed reaction to marital infidelity as a possible underlying issue in individual or couples therapy.     

Infidelity

SUMMARY

In this article, we provide an overview of infidelity theory, research, and treatment. We discuss the effect of infidelity on couples and delineate three types of infidelityemotional, physical, and infidelity including aspects of both. Further, we expand traditional thinking about infidelity by reviewing the role of the Internet in infidelity, and explore infidelity within the context of comarital relationships. Finally, we discuss the overarching theories and common models used in infidelity treatment.     

Assessing the Relationship Between Differentiation and Infidelity

SUMMARY

Differentiation and infidelity have been theoretically related. However, few studies have tested whether the concepts in differentiation are statistically related to infidelity. One hundred nineteen participants in the present study completed two inventories assessing their level of differentiation and engaging in infidelity. Two-step structural equation modeling is used to determine the degree to which differentiation relates to infidelity. Results indicated that, though differentiation may be part of a plausible model of infidelity behavior, there are potentially other models that may be relevant in engaging in infidelity. The findings and implications are discussed.     

Women Living with Men who Use Viagra

ABSTRACT

Since the launch of Viagra, there have been few studies on the perspective of the female partner. Through a multiple case study approach drawing from phenomenology and the constant comparative method of analysis, this qualitative exploratory study examines the stories of four women living with a spouse who is currently taking Viagra. Findings highlight the need for a more holistic approach to treating erectile dysfunction that supports both partners within the couple relationship. It is also suggested that greater attention should be given to the relationship and to the sexual needs of women.     

A Systems Approach to Sex Therapy with Gay Male Couples

SUMMARY

Sex therapy with gay male couples is difficult for many family and relationship therapists. Family therapists lack knowledge of the nature of sex therapy, gay male culture and sexuality, the dynamics of gay male couples, and the sexual issues gay male couples are likely to bring to sex therapy. Countertransference also makes sex therapy with gay male couples difficult for some family and relationship therapists. This paper addresses those issues and then explains a systems approach to sex therapy with gay male couples.     

Introduction

Abstract

This article provides a beginning exploration of the pro cess involved in becoming an emotionally focused therapist. The under lying assumptions of emotionally focused therapy (EFT) are identified and examined in relation to how the theory affects therapeutic practice with couples and families. A number of themes are outlined including fit between the therapist and EFT, the challenges of working within this model and transference issues. The authors utilize examples from their supervisory experience in training therapisLs to illustrate common strug gles, pitfalls and the necessary clinical set required in becoming an emo tionally focused therapist.