Behavioral and Physiological Components of Communication Training: Does the Topic Affect Outcome?

This study experimentally examined the Speaker‐Listener technique when couples (N= 30) were instructed to either discuss an issue within or outside their marriage, on marital satisfaction, and communication behaviors. This study examined the J. M. Gottman, J. Coan, S. Carrere, and C. Swanson (1998) hypothesis that the Speaker‐Listener technique may lead to improved marital satisfaction when the couple is discussing a third party issue, but discussing an issue about each other may weaken the marital relationship. Behavioral and physiological data during marital interactions were sequentially analyzed. Results suggested that the Speaker‐Listener technique reduced negativity but did not increase positivity in marital interactions. There were significant differences in positive reciprocity across the 2 experimental groups, but no differences in negativity. Additionally, adherence to the Speaker‐Listener technique was poor, which has implications for both research and theory. Possible interpretations and areas for further investigation are suggested.     

Sexual Satisfaction and Relationship Satisfaction in Dating Couples

Abstract

This study assessed the merits of an amended Interpersonal Exchange Model of Sexual Satisfaction (IEMSS; Lawrance & Byers, 1992, 1995) that includes a measure of relationship communality, a construct not adequately captured by existing exchange models of sexual/relationship satisfaction. A total of 189 undergraduates (102 female) in sexually active dating relationships completed measures of sexual satisfaction, relationship satisfaction, favorability of sexual exchanges, and the extent to which their romantic relationships were characterized by mutually communal behaviors (i.e., relationship communality). Analyses revealed that relationship communality made a small but unique contribution to sexual satisfaction and a large contribution to relationship satisfaction, even after controlling for sexual satisfaction and favorability of sexual exchanges. Implications for understanding the dynamics of sexually active dating relationships are discussed.     

New Directions for Research Examining Sexual Trauma Histories of Gay Men

Summary

Research efforts have been unable to accurately examine the effect of childhood sexual trauma in the adult lives of gay men. Complications stemming from precise definitions of abuse, as well as the subjectivity inherent in the terms, make comprehensive research difficult. As abuse and traumatic events may sometimes be subtle and not involve overt violence, these more delicate events are often overlooked or unaccounted for. Further, because it is a complex endeavor to obtain accurate reporting from children, research efforts rely on the self-reports of adults remembering traumatic events. The symptomatology that results from trauma, including amnesia and dissociation, also affects the reliability of self-report. Additionally, gay men have been notably absent from sexual trauma research efforts for a variety of reasons. A research study which investigates childhood sexual trauma in the histories of adult gay men is discussed. Directions for future research efforts are suggested.     

A Scoping Review of Challenges in Adult Intimate Relationships After Childhood Sexual Abuse

Childhood sexual abuse is a severe problem worldwide. Childhood sexual abuse can be detrimental to children and their abilities to cope with and communicate in their subsequent adult intimate relationships. The aim of this review was to generate and summarize knowledge about how childhood sexual abuse manifests in adult intimate relationships so healthcare professionals can incorporate this knowledge into treatment and care. A scoping review methodology was selected because it supports examination of the extent, range, and nature of research activity. A content analysis of the studies included in this review led to three thematic categories of challenges in adult intimate relationships after childhood sexual abuse: (a) relationship satisfaction, (b) sexual satisfaction, and (c) communication and trust.     

Sexual Abuse Prevention: A Training Program for Developmental Disabilities Service Providers

Persons with developmental disabilities are at an increased risk for becoming victims of sexual abuse. Research has revealed that the largest group of identified perpetrators of sexual abuse is developmental disability service providers. The purpose of the present study was to develop, implement, and evaluate the effectiveness of a sexual abuse prevention training program. Participants were administered a survey assessing knowledge and attitudes before and after the training workshop. Small improvements in knowledge and attitudes about sexual abuse and the sexuality of persons with developmental disabilities were found; however, ge-neral attitudes about individuals with developmental disabilities did not change. Suggestions for future directions in this area are provided.     

Using Relationship Education Programs with Same-Sex Couples: A Preliminary Evaluation of Program Utility and Needed Modifications

Same-sex couples represent a group likely to benefit from relationship education, given the many unique challenges they face. However, it is unclear whether existing programs, predominantly designed for married heterosexual couples, are appropriate for use with same-sex couples. In this article we highlight the need for quality relationship education programs for same-sex couples and review the literature to identify unique needs of same-sex couples that may not be met by existing programs. We then describe a small survey of couple therapists and researchers conducted to provide preliminary information about whether same-sex couples are perceived to benefit from existing relationship education programs and whether modifications to program content are needed. Twenty respondents indicated that a core set of relationship education components were useful when working with same-sex couples, although the presentation of these components generally required modifications to remove heterosexist bias and to improve applicability to same-sex couples. In addition, several novel program foci were suggested (e.g., stigma management). Implications for the design and delivery of relationship education to same-sex couples are discussed.     

Cross‐Cultural Consistency of the Demand/Withdraw Interaction Pattern in Couples

In order to examine the cross‐cultural consistency of several patterns of couple communication, 363 participants from four different countries (Brazil, Italy, Taiwan, and the United States) completed self‐report measures about communication and satisfaction in their romantic relationships. Across countries, constructive communication was positively associated with relationship satisfaction, whereas demand/withdraw communication was negatively associated with relationship satisfaction. Woman demand/man withdraw communication was significantly more likely than man demand/woman withdraw communication. Also, some evidence suggested women wanted greater closeness versus independence in their relationships than did men. Differences between partners in desire for closeness versus independence were associated with greater demand/withdraw communication. The possible bases for the demand/withdraw pattern of communication and its gender linkage are discussed.     

Prevalence and Risk Factors for Dyspareunia and Unsatisfying Sexual Relationships in a Cohort of Primiparous and Secondiparous Women After 12 Months Postpartum

ABSTRACT

Dyspareunia is a common short-term pregnancy complication, rarely lasting longer than 1 year after delivery. Our study aims to determine postpartum dyspareunia prevalence and its impact on women's sexual health. In this retrospective study, we asked 602 women about dyspareunia and the quality of sexual intercourse through telephone interviews. The influence of dyspareunia on the quality of sexual intercourse and couple relationship is scored on a 4-point verbal scale according to its severity. Data were analyzed by R (version 2.8.0), considering significant p < .05. Nearly 100% of women (99.9%) resumed their sexual activity; 16.2% of them reported dyspareunia significantly compromising their sexual intercourse and couple relationships. In univariate analysis, severe perineal tears are associated with persistent dyspareunia (p < .05). By multivariate analysis, postpartum dyspareunia results independently influenced by operative delivery, previous dyspareunia, recurrent urogenital infections and urge incontinence (p < .05), as well as by the Kristeller maneuver and partoanalgesia (p = .084) in the case of women who had a vaginal delivery. Dyspareunia significantly compromises women's sexual health postpartum, mostly caused by perineal trauma by means of delivery management and recurrent urogenital infections.     

Explicit Verbal Sexual Consent Communication: Effects of Gender,Relationship Status,and Type of Sexual Behavior

Objectives: College students believe that they are supposed to be explicit and verbal in their sexual consent communication. We examined various contexts to determine when sexual consent is likely to be communicated explicitly and verbally. Method: We surveyed U.S. college students’ (n?=?707) sexual consent communication. Results: We identified contexts when explicit verbal consent cues are less likely—when the person is a woman, when the sexual relationship is casual, and when the sexual behavior is not vaginal-penile intercourse. Conclusions: If sexual consent is contextual, that means communicating consent should not ever be taken for granted.     

Training in Human Relations Skills as a Preferred Mode of Treatment for Married Couples*

While effective communication is recognized as important to marital adjustment, few therapeutic alternatives specifically attempt to teach improved communication skills in a systematic manner. In this study, five couples experiencing marital difficulties participated in a traditional therapy group with emphasis upon cathartic release and problem solving. A similar group of five couples participated in a training group consisting of a systematic didactic and experiential approach emphasizing the ability to discriminate and communicate helpfully. The results of outcome measures assessing gain in interpersonal skills and overall functioning indicate significant improvement in the training as compared to the traditional group.     

Sexual Behaviors of Hispanic Emerging Adults: Examining the Immigrant Paradox

The current study examined the immigrant paradox regarding risky sexual behaviors of Hispanic emerging adults from a social learning perspective, theorizing that the immigrant paradox could partially be explained by the sexual lyrical content contained in music. Participants included 173 Hispanic emerging adults from South America, Puerto Rico, Cuba, Central America, and Mexico. The current study examined sexual lyrical content along with gender, generational status, family structure, economic hardship, and religiosity. Participant gender was associated with age at first date, with male participants engaging in unsupervised dating activities earlier than female participants, and number of dating partners, with female participants reporting more dating partners than male participants. Results from hierarchical regression analyses indicated that sexual lyrical content in music could partially explain the immigrant paradox regarding risky sexual behaviors of Hispanic emerging adults.     

Effectiveness of Narrative Therapy on Communication Patterns for Women Experiencing Low Marital Satisfaction

The current study was designed as quasi-experimental with a pretest and post-test evaluating the efficacy of narrative therapy on communication patterns for women experiencing low marital satisfaction. Thirty women experiencing low marital satisfaction were chosen using convenience sampling and were randomly assigned to an intervention and waiting list group. The intervention group was treated individually by narrative therapy in eight 45-minute sessions. Results from repeated measurement ANOVA revealed significant differences between and within the groups and interaction between and within groups. Independent and paired t-test results showed significant improvement in the intervention group in their marital satisfaction, male-demand/female-withdraw, and total demand/withdraw with maintenance at eight weeks follow-up. Results included increased marital satisfaction, reduced male-demand/female-withdraw, and reduced total demand/withdraw. Thus, results show that narrative therapy is effective in increasing the marital satisfaction indicators of male-demand/female-withdraw, total demand/withdraw, and marital satisfaction.     

Effects of Love Styles on Marital Satisfaction in Heterosexual Couples: A Dyadic Approach

The main objective of this study was to test Actor-Partner Interdependence Models (APIM) describing the relationship between wives' and husbands' love styles and marital satisfaction within heterosexual couples (n=146 couples). Love styles (i.e., Eros, Ludus, Storge, Mania, Pragma, Agape) were set out in Lee's theory of love, which defines love as an attitude, meaning a predisposition to think, feel, and behave toward one's partner. Six APIMs representing each love style were tested using a path analysis procedure. Length of marriage and wives' and husbands' depressive moods were entered into the models as control variables. The results revealed that among the love styles, only Eros contributed to marital satisfaction for both men and women. However, our results showed that wives' Eros style had a positive impact on husbands' marital satisfaction, whereas husbands' Eros style did not influence wives' marital satisfaction.     

Complex Couples: Multi‐Theoretical Couples Counselling with Traumatised Adults Who have a History of Child Sexual Abuse

One of the major ways child sexual abuse can have an impact on individuals is in their later ability to have and maintain fulfilling couple relationships. Survivors may experience avoidance behaviours that become problematic in their adult intimate relationships. If couple therapists fail to focus on these traumatic imprints, the therapy may founder. This paper proposes that a multi‐theoretical approach enables the couple therapist to deal with the complex problems such couples present including sexuality and intimacy concerns. Such an approach integrates trauma theory, attachment theory, feminist principles, body‐oriented psychotherapy, and systemic couple therapy.     

Subjective Sexual Well-Being in a Web Sample of Heterosexual Norwegians

ABSTRACT

The aim of this study was to describe and analyze subjective sexual well-being in terms of emotional and cognitive evaluation of the individual's sexual function in adult Norwegians. The results from this study are based on 1,671 Web interviews among 18- to 67-year-olds randomly selected from Synovate's eBase. A total of 4,285 persons in the Web panel were asked to participate, yielding a response-rate of 39%. The results showed that sexual well-being decreased with increasing age and the number of years married or cohabiting. Young women were more satisfied than young men, and older men were more satisfied than older women. The presence of sexual problems heavily inflicted sexual well-being, as well as living with a partner or not. Subjective sexual well-being was also related to the person's habitualized negative or positive thinking about oneself. In a therapeutic context, restoring sexual function and increasing the client's self-esteem may be the way to increased sexual well-being.     

Testing a New Measure of Sexual Health Knowledge and Its Connections to Students' Sex Education,Communication, Confidence,and Condom Use

ABSTRACT

This study investigates the nature of college students' sexual health knowledge, prior sex education coverage, and sexual communication and confidence. We created a new, comprehensive sexual health knowledge measure to assess 347 undergraduates' knowledge of reproductive health, contraception, condom use, sexually transmitted diseases (STDs), and HIV/AIDS. Overall, students demonstrated a fairly poor understanding of sexual health issues. Women were more knowledgeable than men, specifically on the topics of contraception and STDs. Prior exposure to sex education covering mainstream reproductive health issues or newer contraception methods was correlated with greater knowledge across all domains, particularly for men. Greater knowledge was also correlated with greater sexual assertiveness and confidence with condoms among women.     

Gender Differences in the Sexual Well-Being of Mexican Adolescents

Objective: This study examines the associations of gender roles and sexual power with the sexual wellbeing of Mexican adolescents. Particularly we look at the role played by adolescent’s attitudes toward gender roles and sexual power regarding three aspects of their sexual well-being: satisfaction with one’s sex life; consistent condom use; and the refusal of unwanted sexual contact with one’s partner. Methods: we used logistic regression models to analyze possible associations between attitudes toward gender roles, and sexual power, with the sexual well-being of adolescents, using a random and representative sample of 4,738 sexually active teenagers from three Mexican states. Results: egalitarian attitudes are positively associated to high sexual satisfaction for female adolescents, whereas for males they favor the refusal of unwanted sex. Sexual power shows significant associations with consistent condom use for both males and females, and it also significantly increases the likelihood of high sexual satisfaction and refusal of unwanted sex among females. Conclusions: the findings suggest the relevance of overcoming traditional sex roles to achieve adolescent sexual well-being. In this sense, health and population policies should direct more substantial efforts in the promotion of gender equality among the adolescents and in the development of critical attitudes towards traditional gender norms.     

The Role of Attachment Behaviors in the Link between Relationship Satisfaction and Depression in Clinical Couples: Implications for Clinical Practice

Using dyadic, clinical data from 104 couples in committed relationships, the purpose of this study was to determine whether relationship satisfaction was associated with depression through perceived partner attachment behaviors—accessibility, responsiveness, and engagement—for both men and women. We found that one's satisfaction in the relationship was the lens through which they viewed their partner's attachment behaviors and—women's relationship satisfaction was the lens through which her male partner viewed her attachment behaviors. Finally, women's relationship satisfaction is associated with both individuals' depression through her perceived partner's accessibility, responsiveness, and engagement. The findings from this study are important because they provide clinically relevant and mutable constructs in which clinicians can intervene at an attachment level in distressed marriages with depressed partners.     

Measuring the Effectiveness of Experiential Date Nights: A Qualitative Study

ABSTRACT

This qualitative study examines the experience of 13 couples who attended a relationship education date night in two metropolitan areas in a western state. The intent of these date nights was to reach audiences that may not attend traditional classroom relationship education. Reasons for, benefits of attending, and impacts were explored with participants. Findings indicate that most participants had fun and enjoyed spending time together, learned qualities and skills of healthy relationships, and had positive learning experiences with other couples. Additionally, although most individuals’ reason for attending was to have fun, most experienced a positive impact on their relationships after the event, such as improved communication, increase in affection and gratitude, or spending more time together. This finding may indicate that regardless of the reasons for attending, it is possible to create an environment for learning relationship skills that can, and most likely will, extend beyond the night of the event and could potentially lead to long-term positive impacts in relationships. Based on findings and existing research, activity-based relationship education, such as date nights, needs to be taken seriously as a model for couple education and considered as part of a well-rounded approach to relationship education.