Vulnerable Emotional Expression In Emotion Focused Couples Therapy: Relating Interactional Processes To Outcome

This study examined whether interactions characterized by high expression of emotional vulnerability in one partner followed by a highly supportive response style by the other partner predicted greater improvement on domains of forgiveness, unfinished business, trust, and relationship satisfaction in a sample of 32 couples presenting for Emotion Focused Couples Therapy with unresolved emotional injuries. For each outcome measure, two separate hierarchical regression models were tested (injured partner vulnerability and offending partner supportiveness; offending partner vulnerability and injured partner supportiveness). Both models significantly predicted improvement on the majority of outcome measures. Practice suggestions for working with emotionally injured couples are provided in light of the findings.     

An integrative intervention for promoting recovery from extramarital affairs

The discovery or disclosure of an extramarital affair can have a devastating impact on partners, both individually and on the relationships. Research suggests that affairs occur relatively frequently in relationships and are a common presenting problem in couple therapy. However, despite their prevalence, there is little empirical treatment research in this area, and most therapists describe this problem as one of the more difficult to treat. In this study, we used a replicated case-study design to explore the efficacy of an integrative treatment designed to help couples recover from an affair. Six couples entered and completed treatment. The majority of these couples were less emotionally or maritally distressed at the end of treatment, and the injured partners reported greater forgiveness regarding the affair. Details of the intervention, suggested adaptations of the treatment, and areas for future research are discussed.     

The construction of a model of the process of couples' forgiveness in emotion-focused therapy for couples

This study explored how forgiveness unfolds in the context of emotion-focused couples therapy (EFT-C) in eight cases of women betrayed by their partners. Forgiveness was defined as a process involving the reduction in negative feelings and the giving out of undeserved compassion. This was measured by changes in the pre- and posttreatment scores on the Enright Forgiveness Inventory, the Unfinished Business Resolution Scale, and a single item directly asking respondents to indicate their degree of forgiveness. A task analysis was performed to rigorously track the steps leading to forgiveness using videotapes of therapy sessions for eight couples. The performance of the four couples who forgave were compared with each other and then contrasted with the performance of another four couples who did not reach forgiveness at the end of therapy. Based on these observations, a model of the process of forgiveness in EFT-C and a process rating system were developed.     

Emotional processes following disclosure of an extramarital affair

In-depth interviews with individuals who had experienced marital infidelity revealed a three-stage process following disclosure of an affair. The process starts with an "emotional roller coaster" and moves through a "moratorium" before efforts at trust building are recognized. Implications for the literature on forgiveness and the process of change in couples therapy are discussed as well as implications for future research and for practice.     

Financial Management Practices of Couples with Great Marriages

The purpose of this qualitative study was to learn about financial management practices of 64 self-selected couples from throughout the United States who believe they have great marriages. Three themes emerged from the data. First, for most couples one of the partners handled the day-to-day finances and that required trust and communication. Second, these couples had little or no debt or had a goal of paying off debt. Third, couples lived within their means and were frugal. Other findings described these couples’ practices of having joint or separate accounts, how they dealt with financial challenges, and their view of other couples having financial challenges.     

Essential elements of Internet infidelity treatment

As the worldwide usage of the Internet tops 1.6 billion people, problems related to its use such as online Infidelity are becoming widespread issues for couples and, consequently, for their therapists. The purpose of this qualitative study was to understand how practicing therapists treat Internet infidelity through exploring the basic themes used in Internet infidelity treatment. We conducted in-depth interviews of 15 therapists with experience in treating Internet infidelity. Our findings indicate that therapists go through a variety of steps in treatment, including: (a) develop physical boundaries, (b) develop psychological boundaries, (c) manage accountability, trust, and feelings, (d) increase client awareness around etiology of the Internet relationship, (e) assessment of the couple's context and readiness for change, (f) assess the presence of unique circumstances, and (g) work toward forgiveness. Implications and future research are discussed.     

Improving the well-being of couples facing cancer: a review of couples-based psychosocial interventions

The purpose of this review article is to assess the available scientific evidence on the effects of couples-based psychosocial interventions for couples when one spouse faces cancer. For the present study, we conducted an extensive search of three electronic databases using a comprehensive search strategy. The literature search identified 14 studies evaluating couples intervention where one partner is facing cancer. Among them, eight studies concluded there was overall improvement for patients and eight studies reported overall improvement for partners, whereas an additional five studies showed partial improvement for patients and three demonstrated partial improvements for partners. Taken in the aggregate, these studies illustrated partial effectiveness--most had some positive results--but with clear limitations in terms of how many aspects of psychosocial well-being changed, lack of equal effectiveness for both patients and their partners, or limited maintenance of improvements over time, a common concern with brief psychosocial interventions. Although couples-based interventions may facilitate emotional support and dyadic coping, how these psychosocial interventions should be delivered, at what point in the illness and treatment they should be delivered, and how long they should continue remain as future challenges.     

Commitment,Forgiveness, and Relationship Self‐Regulation: An Actor Partner Interdependence Model of Relationship Virtues and Relationship Effort in Couple Relationships

Dyadic data from 679 committed couples were used to examine associations between commitment, forgiveness, and perceptions of partner's relationship self‐regulation (RSR) behaviors—that is effort and strategies that partners exert to maintain the relationship. We found that for both partners, higher self‐reports of commitment and forgiveness were associated with higher perceptions of their partner's RSR. For females, higher commitment and forgiveness were associated with higher male perceptions of her RSR, and higher male forgiveness was associated with higher female perceptions of his RSR. These findings demonstrate the importance of marital virtues and relationship work and give credence to the marital competence model of “other‐centeredness” by Carroll et al. (2006, Journal of Family Issues, 27(7), 1001). Clinical implications are discussed.     

Trait Mindfulness and Relationship Satisfaction: The Role of Forgiveness Among Couples

This study sought to understand the link between trait mindfulness, forgiveness, and relationship satisfaction. Previous research established a significant positive relationship between mindfulness and relationship satisfaction, but forgiveness had not been studied in relation to these variables. Two hundred and nineteen couples in committed romantic relationships were included in the sample and completed self‐report measures on trait mindfulness, forgiveness, and relationship satisfaction. Upon conducting an actor–partner interdependence model mediation (APIMeM; Zeitschrift für Sozialpsychologie, 2006, 37, 27–40) analysis for dyadic data, results indicated significant positive associations for both inter and intrapersonal effects for both men and women. Findings indicated forgiveness is linked to both individual and partner mindfulness and relationship satisfaction, such that a person's ability to be mindful can impact the ability to forgive and therefore increase relationship satisfaction.     

Effects of Religiosity,Forgiveness, and Spousal Empathy on Marital Adjustment

This study focused on married couples in a region of the United States that previous research has identified as having high rates of both religiosity and divorce. As a result, this study was designed to examine the effects of religiosity, forgiveness, and spousal empathy on marital adjustment. To investigate these constructs, married couples in this region were recruited (n?=?829) to participate in a cross-sectional, self-report telephone survey. Results indicate that religious service attendance and spousal empathy have direct positive effects on marital adjustment in European American married men; while religious service attendance, forgiveness, and spousal empathy have direct positive effects on marital adjustment in European American married women. Among African-American participants, only spousal empathy had a direct effect on marital adjustment for both men and women. Finally, spousal empathy moderated the association between previous marriage and current marital adjustment among European American married women.     

An Educational Forgiveness Intervention for Young Adult Children of Divorce

This study tested the effectiveness of a forgiveness intervention for young adult children of divorce. Adults between the ages of 20 and 40 were recruited from counties in a state along the West Coast and from a state in the Midwest. Participants were randomly assigned to either a forgiveness intervention or an alternative treatment control group. Measures of psychological well-being and the quality of social relationships were administered at pretest, posttest, and 8-week follow-up. Results were mixed; between-group analysis revealed little difference between the two interventions, whereas within-group difference indicated the forgiveness group made significant and positive changes on measures of forgiveness, parent–child relationships, and anxiety. Implications for research and practice with young adults are discussed.     

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.     

Therapeutic alliance and treatment progress in couple psychotherapy

This study examined the ability of the therapeutic alliance to predict treatment progress on individual- and relationship-level variables from the early to middle phase of couple treatment. Although alliance did not predict progress in individual functioning, it accounted for 5-22% of the variance in improvement in marital distress. Women's mid-treatment alliance uniquely predicted improvement in marital distress, over and above early treatment alliance. When men's alliances with the therapist were stronger than their partners' at session 8, couples showed more improvement in marital distress. Treatment response was also positively associated with women's ratings of their partners' alliance. Results confirm that the therapeutic alliance in conjoint treatment is composed of distinct client subsystems that are useful predictors of treatment progress.     

Conversations for Connection: An Outcome Assessment of the Hold‐Me‐Tight Relationship‐Education Program,and Recommendations for Improving Future Research Methodology in Relationship Education

The Hold Me Tight (HMT) program is a new approach to relationship education based on Emotionally‐Focused Therapy (Johnson, 2004), an evidence‐based approach to couple therapy. In this exploratory longitudinal research, we examined individual growth in relationship satisfaction and trust for partners in 95 couples in 16 HMT groups across four occasions of measurement: Baseline, Pre‐Program, Post‐Program and at either 3‐ or 6‐month Follow‐Up. We found that relationship satisfaction and trust increased during program participation, and declined during follow‐up. We believe our findings provide support for the short‐term effectiveness of the HMT program, and suggest a longer period of program delivery may result in improved retention of gains. Finally, we present recommendations for improving the design of future longitudinal research in relationship education.     

Mindfulness‐Based Relationship Education For Couples Expecting Their First Child—Part 1: A Randomized Mixed‐Methods Program Evaluation

This article is Part 1 of a two‐part series, in which we report on our evaluation of a mindfulness‐based relationship enhancement program for couples who are expecting their first child. In this mixed‐methods randomized clinical trial, we assigned 33 couples to the 4‐week Mindful Transition to Parenthood Program treatment group (n = 16 couples) or to a waitlist control condition (n = 17 couples). Men in the treatment group significantly improved in relationship satisfaction, mindfulness, and negative affect; women had no significant treatment effects. Small to large effect sizes were present for treatment group men and women in multiple areas. Mixed‐methods analyses demonstrated that this intervention may be especially helpful for men because of differences in social support needs, effects of program enrollment, and relational processes in the prenatal period. Video Abstract     

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.     

Unmarried couples

Results of a study with 75 unmarried couples are presented. The couples were both homo- and heterosexual, both with and without children, of ages varying between 25 and 65, having had relationships lasting between 3 and 33 years, and coming from various levels of society. The inquiry was directed toward the goals and forms of organization of the relationships, as well as the obstacles of a social and juridical nature which these couples experience. Two different models for couples are described. One has the traditional form of marriage as its basis and the other is directed more toward the development of the individual personalities of the partners and their economic independence. The social and juridical differences between those relationships and a traditional marriage were examined with regard to five basic functions (affection, housing, housekeeping, care of children, and financial care) as well as two economic basic intentions (sharing together versus remaining independent together). We also describe how the drawing up of legal contracts between partners is hindered by emotional and legal factors. Appropriate changes in Dutch government policies are examined. Author's Note: The work described here was undertaken in close collaboration with the Sociological Institute, Department of Primary Groups, Utrecht University (A. M. van der Heiden, M.A.), and with the Faculty of Law, Department of Notary Law, Leiden University (W.C.J. Robert, L.L.M.). The translation is by Mr. Anthony S. Cowl.     

Short‐Term‐Effectiveness of a Relationship Education Program for Distressed Military Couples,in the Context of Foreign Assignments for the German Armed Forces. Preliminary Findings From a Randomized Controlled Study

This study examines the short‐term effectiveness of a relationship education program designed for military couples. Distressed couples were randomly placed in either a wait‐list control group or an intervention group. We conducted training sessions before a 3‐month foreign assignment, and refresher courses approximately 6‐week post‐assignment. We analyzed the dyadic data of 32 couples, using hierarchical linear modeling in a two‐level model. Reduction in unresolved conflicts was found in the intervention group, with large pre–post effects for both partners. Relationship satisfaction scores were improved, with moderate‐to‐large effects only for soldiers, rather than their partners. Post‐follow‐up effect sizes suggested further improvement in the intervention group. Future research should examine the long‐term effectiveness of this treatment.     

Forgiveness in Romantic Relationships: The Roles of Attachment,Empathy, and Attributions

Therapists can benefit from a more nuanced understanding of underlying processes associated with romantic partners forgiving one another. Greater understanding of the processes linked with forgiveness has the potential to improve therapists' facilitation of forgiveness between partners. Departing from the status quo, the purpose of this investigation was to explore benign attributions and empathy as mechanisms linking attachment with forgiveness. After conducting a longitudinal structural equation model with a sample of young adults in romantic relationships (N = 171), the results showed that benign attributions mediated the association between anxious attachment and forgiveness, and empathy mediated the association between avoidant attachment and forgiveness. Clinically, targeting working models of attachment that underlie benign attributions and empathy may facilitate forgiveness.     

Forgiveness,Attachment, and Divorce

The aim of this work is to explore the place of forgiveness in the dynamics of divorce and the relation among forgiveness, demographics (gender, age and income, length of marriage, time passed since divorce, and the capacity to rebuild one's life), initiative and attitudes toward divorce, and attachment style and loneliness in a sample of divorced persons. A total of 40 divorced persons (18 men and 22 women) participated in this study. No differences in participants´ attachment style, forgiveness (yes–no), or forgiveness level related to gender were found. Forgiveness was related to age, years married, years divorced, income level, secure attachment, and romantic loneliness. Level of forgiveness was related to having remarried or lived with someone after the divorce, secure attachment, romantic loneliness, and unfavorable attitudes toward divorce. We found a negative association between initiative in the divorce and forgiveness and forgiveness level, and none with dependence—emotional or instrumental. Linear regression analysis showed that, in our sample, 37.4% of the variance of forgiveness was explained by security of attachment and age. Level of forgiveness was explained in 28.3% of its variance by initiative (negatively), secure attachment, and romantic loneliness.