Why do couples seek relationship help online? Description and comparison to in‐person interventions

Couples are increasingly utilizing newly developed online adaptations of couple therapy; however, different presenting problems could drive couples to seek either online or in‐person services. This study compared the presenting problems of 151 couples seeking an online couple intervention for relationship distress (OurRelationship) with responses from 147 couples seeking in‐person couple therapy. Presenting problems were generally consistent across gender and whether or not the respondent was the initial help‐seeker. Online and in‐person samples frequently endorsed difficulties with communication and emotional intimacy; however, they differentially endorsed trust, time together, and child/parenting difficulties. Therefore, while basing online interventions on existing couple therapies is generally supported, efforts should be made to tailor online services to meet the unique needs of this population.     

The Development and Implementation of a Multi‐Couple Therapy Model with Torture Survivors in the Democratic Republic of the Congo

In this article, we present development and feasibility of implementation of a multi‐couple group for use with torture‐surviving couples. The model was developed in the Democratic Republic of the Congo in a community that experienced widespread torture during the wars from 1998 to 2004. The Torture‐Surviving Couple Group model is a short‐term intervention designed to use few human resources to address relational difficulties resulting from exposure to traumatic stressors. The model was guided by critical and feminist epistemologies and employed an ecological lens to incorporate neurobiology and attachment processes along with narrative therapy techniques. An existing multi‐couple group model for addressing violence (Stith, Rosen, McCollum, & Thomsen, 2004 ), and a stage model for healing trauma (Herman, 1992 ) also informed the structural development of the Torture‐Surviving Couple Group model. Couple groups were conducted using a 10‐session program with 13 couples who met weekly. Session themes were incorporated into four phases emphasizing: (a) preparation; (b) safety and stabilization; (c) processing the relationship effects of trauma and grief; and (d) reintegration and rebuilding couple and family life. Couples reported and showed remarkable progress in their relationships after participating in the groups. Clinical and research implications and discussed along with the feasibility of developing and testing the model in a post‐conflict low income setting.     

Predicting Change in Marital Satisfaction Throughout Emotionally Focused Couple Therapy

Emotionally focused couple therapy (EFT) is an empirically validated approach to couple therapy that uses attachment theory to understand the needs and emotions of romantic partners. EFT is recognized as one of the most effective approaches to couple therapy, but to guide therapists in their use of EFT, a theoretically based model to predict change is needed. This study tested such a model by recruiting 32 couples, and 14 therapists who provided approximately 21 sessions of EFT. Couples completed self‐report measures of marital satisfaction, attachment security, relationship trust, and emotional control at pre‐ and posttherapy and after each therapy session. Results of hierarchical linear modeling suggested that individuals higher on self‐report attachment anxiety and higher levels of emotional control had greater change in marital satisfaction across EFT sessions. Assessing attachment security at the start of therapy will inform therapists of the emotion regulating strategies used by couples and may help couples achieve positive outcomes from EFT.     

Newlywed Couple Leisure: Couple Identity Formation Through Leisure Time

An interpretative phenomenological study of newlywed couple leisure was conducted to understand the role of leisure in the development of relationship dynamics and couple identity. Nine couples were interviewed twice, using open-ended questions that explored the role of leisure in their relationship development. Data were analyzed using interpretive phenomenological processes. Couples viewed leisure as a crucial part of their relationships, helping them develop their identities as couples through creating shared meaning and opportunities to improve communication and conflict management skills. Findings can be used to encourage couple exploration of positive leisure experiences during courtship and early marriage, including therapeutic interventions and relationship education programs that teach couples to incorporate joint leisure strategically into their relationships.     

Constructing Couples’ Stories: Narrative Practice Insights from a Dyadic Dementia Intervention

Memory loss and dementia can be devastating for both caregivers and care recipients. Narrative therapeutic approaches offer promise, as well as challenges, for social interventions with couples where one partner has dementia. The Couples Life Story Approach is a recently-developed method by which practitioners work with such couples to help them narrate the story of their life together. This narrative approach is augmented by mementoes (e.g., photos, cards) that are collected by the couple during the intervention. Significant memories are elicited from both partners and developed into a Life Story Book. Drawing on data from this clinical research intervention with 20 older couples, we ask: What are some of the challenges of conducting narrative-based therapeutic interventions with older couples with memory loss? Clinical themes were identified utilizing a multiple case study approach during weekly team meetings. Six of the most prominent themes are presented here. Specifically, how to: (1) construct a narrative from disparate stories, (2) tell a mutual story, (3) tell the story of a couple that has been in a shorter relationship, (4) incorporate others in the story, (5) include difficult life moments, and, (6) end the story. Within each theme, we utilize case examples to illuminate relevant issues and describe strategies that were developed to resolve these clinical challenges. Implications for practitioners and clinical researchers who are engaged in dyadic interventions are discussed.     

Relationship standards and marital satisfaction in Chinese and American couples

Samples of urban community couples in Shanghai, China, and suburban U.S. couples were administered measures of relationship adjustment and personal standards regarding characteristics of couple relationships. There were few gender differences in adherence to relationship standards but many differences between Chinese and U.S. couples. Fewer cultural differences existed in degree of couple consensus on relationship standards, but both adherence to standards and couple consensus on standards were associated with partners' levels of marital adjustment. Implications of the findings for clinical assessment and intervention with distressed couples, in particular for Western therapists working with Chinese couples whose standards may conflict with goals and methods of couple therapy, are discussed.     

Research on the treatment of couple distress

This article reviews the research on couple therapy over the last decade. The research shows that couple therapy positively impacts 70% of couples receiving treatment. The effectiveness rates of couple therapy are comparable to the effectiveness rates of individual therapies and vastly superior to control groups not receiving treatment. The relationship between couple distress and individual disorders such as depression and anxiety has become well established over the past decade. Research also indicates that couple therapy clearly has an important role in the treatment of many disorders. Findings over the decade have been especially promising for integrative behavioral couples therapy and emotion-focused therapy, which are two evidence-based treatments for couples. Research has also begun to identify moderators and mediators of change in couple therapy. Finally, a new and exciting line of research has focused on delineating the principles of change in couple therapy that transcends approach.     

Promoting reconciliation through psychoeducational and therapeutic interventions

This article presents a conceptualization of reconcliation as an interpersonal process that can mend relationships in which trust has been violated. We define reconciliation an describe a six-step program for promoting explicit reconciliation in couples. Psychoeducational groups of couples and couple therapy are often the contexts for promoting reconciliation. We discuss some theoretical support for each step, techniques used to promote progress through the step, and differential considerations in psychoeducation and therapy.     

The Effects of Briefly Interrupting Marital Conflict

This study examined couples’ (N = 94) behavior resulting from two proximal change interventions. One was a spousal “compliments intervention” to increase positivity, and the other was a “criticize intervention” to increase negativity. Participants were randomly assigned to one of the two intervention conditions or a control group. There was no main effect in affect from the pretest conflict discussion to the posttest conflict discussion between the interventions or control group. However, a manipulation check on how couples acted during either intervention produced a significant interaction effect. Pretest affect during conflict and marital satisfaction significantly predicted couples’ construal of the intervention. Professionals may need to monitor how couples use specific interventions and direct the processes how the intervention is construed by the couple.     

Changes in negative attributions during couple therapy for abusive behavior: relations to changes in satisfaction and behavior

This study examined effects of cognitive-behavioral couple therapy (n = 25 couples) and a variety of systems-oriented couple therapy models (n = 30 couples) in reducing negative attributions and degrees to which decreases in negative attributions were associated with improvements in other aspects of relationship functioning. Couples seeking treatment at a university clinic and experiencing psychological and/or mild-to-moderate physical abuse completed 10 weekly sessions. Attributions, relationship satisfaction, psychological abuse, communication, and negotiation were assessed before and after treatment. Women and men in both treatments exhibited decreased negative attributions, which moderated increases in satisfaction and decreases in negative communication, as well as increases in positive communication for men. The findings reinforce the importance of modifying negative attributions when intervening to reduce abuse.     

Reducing situational violence in low-income couples by fostering healthy relationships

This work evaluated a psycho-educational intervention designed to reduce intimate partner violence (IPV) in low-income situationally violent couples. The primary objective was to evaluate the mechanism through which violence was reduced. It was hypothesized that IPV would be reduced via use of therapeutic skills taught during the intervention (i.e., friendship, sex/romance/passion, shared meaning, and conflict management skills). One-hundred-fifteen couples were randomly assigned to a treatment or no-treatment control group. Couples self-reported attitudes reflecting healthy relationship skills and IPV at multiple time points (baseline, post-intervention, and long-term post-intervention). Results support the notion that violence was reduced via an increase in intervention-based skills. Findings suggest that IPV can be safely reduced in low-income situationally violent couples via conjoint treatment focused on building healthy relationship skills.     

Marital Conflict Resolution and Marital Affection in Chinese Marriage: Integrating Variable-Centered and Person-Centered Approaches

Abstract

To examine how couple interactions shape changes in marital affection during the early years of marriage, we used two-wave, dyadic data from 268 Chinese couples and integrated variable-centered (i.e., the actor-partner interdependence model; APIM) and person-centered analytic approaches (i.e., the latent profile analysis; LPA). Employing variable-centered analyses, we found that husbands’ stalemate and verbal aggression as well as wives’ collaboration and avoidance were particularly predictive of changes in marital affection. Using person-centered analyses, we found that (1) three groups of couples can be identified based on husbands’ and wives’ marital conflict resolution strategies (i.e., Collaborative Couples, Aggressive Wife-Defensive Husband Couples, and Defensive Couples); and (2) the changes of marital affection varied systematically across these groups. Variable-centered and person-centered approaches each generate unique insights above and beyond each other when considering marital phenomena. Integrating the two approaches can depict a more complete and nuanced picture of the association between marital conflict resolution and marital affection.     

Emotional and Physical Satisfaction in Noncohabiting,Cohabiting, and Marital Relationships: The Importance of Jealous Conflict

This article examines whether associations between marital status and emotional and physical satisfaction depend on jealous conflict associated with expectations about sexual exclusivity. Using data from a representative sample of 681 women and men drawn from the city of Chicago and its inner suburbs, this study estimated logistic regression models of jealous conflict and ordered logistic regression models of adults' reported emotional and physical satisfaction of their relationships. The results show that marriages are less exposed to jealous conflict than cohabiting and noncohabiting relationships. Regarding emotional and physical satisfaction, their associations with marital status were contingent upon whether individuals reported jealous conflict in their relationships. Specifically, in relationships without jealous conflict, married couples were more emotionally satisfied than noncohabiting couples. Married couples, but not cohabiting and noncohabiting couples, had significantly lower emotional and physical satisfaction when jealous conflict occurred. Cohabitors were not less emotionally or physically satisfied than married respondents. Overall, this research supports the argument that sexual exclusivity expectations are important for understanding the link between marital status and relationship quality.     

The feminist/emotionally focused therapy practice model: an integrated approach for couple therapy

Emotionally focused therapy (EFT) is a well-developed, empirically tested practice model for couple therapy that integrates systems, experiential, and attachment theories. Feminist family therapy theory has provided a critique of biased assumptions about gender at play in traditional family therapy practice and the historical absence of discussions of power in family therapy theory. This article presents an integrated feminist/EFT practice model for use in couple therapy, using a case from practice to illustrate key concepts. Broadly, the integrated model addresses gender roles and individual emotional experience using a systemic framework for understanding couple interaction. The model provides practitioners with a sophisticated, comprehensive, and relevant practice approach for working with the issues and challenges emerging for contemporary heterosexual couples.     

What Do We Do When We Discuss? A Micro‐genetic Analysis of Couples’ Conflict

This article focuses on dialogic discursive dynamics present in couples’ conversations about unresolved conflicts. The phenomenon of conflict is addressed as a semiotically mediated process of co‐construction of the self and the relationship. The purpose of this article is to report on patterns of meaning construction in couples’ conflict, with the identification of strategies that promote or hinder resolution. A qualitative exploratory approach was used to focus on the interactional process at the micro‐processing level. Eight married couples participated in the study. The procedure considered asking the couple to discuss unresolved conflict. Recorded data of couples’ dialogues were transcribed to text and assessed through semiotic analysis using a microgenetic protocol (Molina, Del Río, & Tapia, 2015). The results document the use of strategies for conflict regulation such as psychological distancing, opposition, and generalisation on the border between protecting the bond and regulating tension. The dynamics of non‐resolution manifested in polarisation and rigid patterns with increased tension. The ‘in‐motion’ nature of dialogue about conflict is pushed by the semiotic tension that induces variations in subjective positions manifested in speech and actions.     

The Brief Accessibility,Responsiveness, and Engagement Scale: A Tool for Measuring Attachment Behaviors in Clinical Couples

Measuring attachment behaviors is relevant to creating secure couple relationships. This article seeks to test and examine the reliability and validity of the Brief Accessibility, Responsiveness, and Engagement (BARE) Scale—a practical measure of couple attachment–in a clinical sample. Couples took the BARE and other assessments measuring relationship functioning (self and partner reports of relationship satisfaction, relationship stability, positive and negative communication, and attachment styles). Results suggest that the BARE appears to be a reliable and valid tool for assessing couple attachment and can accurately predict and classify whether the couples belong in the clinical or nonclinical group, as well as their level of relationship satisfaction. Results also indicate attachment behaviors are related to relationship outcomes.     

Self-disclosure and relationship quality

This article tests three competing theories that attempt to explain the reasons for and shape and direction of the relationship between self-disclosure and relationship quality among nonmarital cohabiting couples. The data strongly support the linear model which suggests that the greater the degree of self-disclosure, the greater the degree of relationship quality the couple will achieve. The article concludes that relationship depth emerges only after the couple are able to deal openly and creatively with conflict. One of the key prerequisites for achieving the ability to creatively handle conflict seems to be that the couple must have a high level of commitment to working on the relationship and possess the necessary communication and problem-solving skills that permit the couple to change and grow.     

Exploring the influence of the attachment organizations of novice therapists on their delivery of emotionally focused therapy for couples

Clinicians' own internal resources for understanding relationships--that is, their attachment organizations--have been found to influence the process and outcome of treatment. The current study addressed whether the attachment organizations of novice couple and family therapists were associated with couples' experiences of their therapists, therapeutic alliance, session impact, and emotionally focused couple therapy (EFT) fidelity (i.e., especially as related to targeting and working with attachment needs and overt and underlying emotions). Novice couple and family therapists delivered EFT, an attachment-based approach, to couples in a simulated session and an embedded multicase study design guided a cross-case analysis. Findings indicated that secure therapists, when compared to their insecure peers, were more competent at working with attachment needs, as well as the overt and underlying emotions of their clients. Secure therapists perceived themselves as being more skilled in emotion regulation, which may have contributed to their abilities to remain attuned to their clients' attachment needs and emotional expression, even in the face of emotional arousal in session. Couples of insecure therapists also reported greater alliance splits. Future research is needed to further explore the dyadic influences of both therapists' and clients' attachment organizations, as well as the training and supervision practices these findings implicate.