Step-Families and the Marriage Counsellor*

Marital breakdown and the threat of it affects all members of the family. When a stepfamily is involved more people are affected. Marriage counsellors will now encounter more clients who are in stepfamilies. Stepfamily formation is different from nuclear family formation. These differences and their relevance to marriage counselling are discussed. Utilising family system, small group learning and organisational development concepts a number of tasks for the marriage counsellor and others dealing with stepfamilies are discussed.     

DEPRESSION, BIOLOGY, MARRIAGE AND MARITAL THERAPY

Marital therapists have an, as yet, unrecognized contribution to make to the treatment of depression. It is incumbent upon them to keep abreast of the growing literatures concerning both biological and interpersonal aspects of depression, and to inform other mental health professionals, policy makers, and depressed persons and their families as to what marital therapy has to offer. Consistent with this goal, this article provides an introductory overview of recent findings concerning the biology of depression, the relative merits of medication versus psychotherapy, and the complex relationships between marriage and depression. While there is considerable evidence that many depressions have a biological component and that medication is an efficacious way of providing symptomatic relief, this in no way contradicts findings concerning the efficacy of psychotherapy and the importance of the marital relationship in the outcome of a depressive episode.     

MARITAL PARADIGMS: COMPATIBILITY, TREATMENT, AND OUTCOME IN MARITAL THERAPY

Marital paradigms comprise the guiding images that serve as reference models for a couple's relationship. Such individualized images can be understood as variations on a small set of basic themes. An understanding of clients' marital paradigms can help foeus treatment on the most appropriategoals usingapproaches and techniques that are most effective for a particular couple. An unselected group of 103 couples seen in systems-oriented marital therapy were reviewed, to identify outcome and treatment issues as a function of marital paradigm. Based on outcome criteria that took marital paradigm into account, 92% of 38 cases where both partners identified with the same basic paradigm were judged to be treatment successes, while only 60% of the cases where the partners identified with different paradigms could be considered successful outcomes. Clinical approaches based on experience with marital therapy conducted within a paradigmatic framework are presented.     

THE MARGINALIZATION OF FAMILY THERAPY: A HISTORICAL AND CONTINUING PROBLEM

Family therapy, and marital and family problems, are mariginalized in the larger fields of mental and physical health care, which is a misfortune both for family therapy and for other mental health professions. The early family therapists, who had multidisciplinary backgrounds, attempted toestablish a new, nondisciplinary paradigm and also tried to expand the perspectives of the more traditional mental health disciplines. More recently, family therapists have exerted greater effortsto establish marriage and family therapy as a differentiated, autonomous profession. These alternatives each involve dilemmas for the family therapy field. The positive side of becoming a distinctive profession is greater internal strength and clear professional identy; the downside is the threat of increased marginalization in rlation to the other professions, a tendency toward intellectual isolation, and hence restricted opportunities for invigorating new challenges. Family therapy now needs to develop new modes of interchange, collaboration, and selective integration with otherhealth care professions. Such interchange will be beneficial both to family therapy and to other professions.     

Quality of marriage: a comparison between golden wedding couples and couples married less than fifty years

The quality of marriage is investigated for a sample of 79 couples living in a midwestern comprehensive retirement community. These 158 older, middle-class men and women are healthy and average 74.8 years of age. Marital length averages 41 years, and 34.8 percent have celebrated their fiftieth wedding anniversary. Marital quality, morale, and sexual behavior are not significantly different for golden wedding couples than for couples married less than 50 years. Couples married less than 50 years spend more time socializing with other couples each week than do those who have passed the 50 year mark; they also have higher levels of sexual interest, and are more likely to have been previously married. All of these couples are happily married, have high morale, and most are still sexually active (62.8 percent).     

Development and Validation of the Marital Metaphor Questionnaire (MMQ‐10) for Urban Chinese Women

Metaphors have long been applied to marital counseling and couple therapy. This pioneering study measures marital conceptualization through metaphors. It reports the validation of the Marital Metaphor Questionnaire (MMQ‐10), designed to measure the marriage conceptualization of Chinese women through marital metaphors. The MMQ‐10 was found to have favorable psychometric properties including reliable internal consistency, a good discriminative prediction of marriage at risk and moderate correlation with a Chinese indigenous multidimensional marital satisfaction inventory. Factor analysis reveals that the MMQ‐10 is composed of three dimensions: conjugal relationship, marital anguish, and marital conviction. The MMQ‐10 appears to be suitable for the use with Chinese women in premarital or marital counseling sessions. The present researchers hope that this study may support the use of metaphors in future research and clinical practice in other nations and cultures.     

Marriage,Obesity and Dieting

Despite the importance of marriage as a basic social institution, there has been little analysis of the relationship between marriage and obesity. This paper reviews work on the prevalence of obesity by marital status; factors associated with obesity as a criterion for entry into marriage; the similarity of fatness in marital partners; changes in weight in relationship to marital problems; and the relationship between obesity and marital termination. The application of knowledge about marriage and obesity to weight loss therapy is also considered. More research is needed to specify the extent, form and dynamics of the relationship between obesity and marriage.     

MARRIAGE AND FAMILY CONSULTATION WITH RANCH AND FARM FAMILIES: AN EMPIRICAL FAMILY CASE STUDY

There is a paucity of marriage and family therapy literature addressing therapeutic consultation with farm and ranch families. This article describes a case study in which several Marital and Family Therapy approaches were used to consult with a ranch family. It also provides empirical data showing in which of five treatment phases changes occurred. Two generations, including four couples from an extended family, participated in family consultation over 42 months and completed assessments six times. Statistical results and clinical impressions confirm that the five-phase consultative process resulted in significant improvements in family satisfaction with adaptability and family strains levels and positive movement in seven other areas.     

AUTONOMY AND RELATEDNESS IN MARITAL FUNCTIONING

The current investigation expands the focus of cognitive behavioral formulations of marriage by exploring the constructs of autonomy and relatendness in marriage. One hundred forty-one married couples matched to the 1990 U.S. census data on age, race, and income completed a number of self-report marital inventories including the Autonomy and Relatendness Inventory (Schaefer, Edgerton, & Burnett, 1991). Autonomy was measured by evaluating spouses' perceptions of the extent to which partners encouraged a sense of independence and individuality for the spouses. Relatedness was measured by evaluating spouses' perceptions of the amount of closeness that partners provided. It was found that autonomy and relatedness were significantly positively correlated with each other, as well as with marital adjustment for both males and females. It was found that for females, the provision of relatedness (as reported by their husbands) was significantly related to the standards that they held for the relationship. In addition, it was found that for females, the provision of relatedness (as reported by their husbands) was significantly related to the standards that husbands held for the relationship. However, no significant relationships were found between husbands' standards and relatedness (either as reported by wives or husbands). It was concluded that it is appropriate to help couples think of autonomy and relatedness as being tow important aspects of marriage that can exist together and are related to a satisfying marriage. Implications of the findings suggest that marital therapists could expand the conceptualization of marital therapy beyond being primarily relationship focused to include attention to individual needs of the spouses. Relatedness was measured by evaluating spouses' perception of the amount of closeness that partners privided. It was found that autonomy and relatedness were significantly positively correlated with each other as well as with marital adjustment for both males and females. It was found that for females, the prpvision of relatedness(as reported by their husbands) was significantly related to the srandards that they held for the relationship. In addition, it was found that for females, the provision of relatedness(as reported by their husbands)was significantly related to the standards that husbands held for the relatinship. How-ever, no significant relationships were found between husbands' standards and     

Sources of Influence in the Family Therapy Field: Publication Trends in Three Major Journals1

The institutional sources of all articles published in the three major marriage and family therapy journals through 1978 are identified. The journals reviewed include: Family Process, Journal of Marital and Family Therapy, and the American Journal of Family Therapy. While no single center emerges as dominating the published family therapy literature, a small number of institutions clearly have exerted a profound impact on the literature of the field. Moreover, the absolute number of centers influencing the field is rapidly increasing, and these centers are becoming particularly influential in the newer journals in the field.     

Clinician identified barriers to clinical research

Involvement of front-line clinicians in clinical studies is crucial for quality marriage and family therapy effectiveness research. To identify common barriers to clinical research, 326 clinical members of the American Association for Marital and Family Therapy from three geographically diverse states were asked to describe their willingness to participate in a hypothetical research project. Therapists cited time constraints, outside limitations, client concerns, and a lack of understanding about and involvement in the study as major reasons for refusal to participate. Recommendations for building collaborative relationships between clinicians and researchers as well as future research are addressed.     

A Premarital Contract

A couple sought therapy after 19 years of marriage. The roots of their current difficulties had been quite apparent at the time of their marriage, when the wife's father imposed a marriage contract upon the young couple. Marriage contracts are being increasingly accepted by courts, and an informal process of contracting as a mode of clarifying expectations of marriage and of marital partners is being advocated by lawyers, marital therapists, and others. Premarital consultation regarding legal and emotional issues in marriage could be an area of constructive collaboration for the mental health and legal professions.     

Are the Negative Effects of Divorce on Well‐Being Dependent on Marital Quality?

We test the so‐called escape hypothesis, which argues that for people from a poor marriage, a divorce has a less negative or even a positive effect on well‐being. In an analysis of two waves of the National Survey of Families and Households (N =4,526), we find only limited evidence. When people divorce from a dissatisfactory or unfair marriage, they experience smaller increases in depression than when they divorce from a less dissatisfactory and less unfair marriage. For marital conflict, we find no interaction. Marital aggression seems to increase the negative effect of divorce, especially among women, suggesting that notions about the accumulation of problems after divorce need to be considered in combination with notions of escape.     

Using culture and the intersubjective perspective as a resource: A case study of an African-American couple

In this article a White Jewish-American therapist shares what she learned from her work with an African-American couple using a semi-structured protocol for planned short-term marital therapy. Twenty-eight months after the original treatment, the author met again with the couple for an audiotaped follow-up interview. Marital satisfaction for both partners was tracked with an Index of Marital Satisfaction over the course of the treatment and the follow-up process. The empirical findings augment the story of the couple and the therapist. During the middle phase, the therapy reached an impasse. With the goal of creating a cognitive shift, the therapist used the couple's culture as a resource for therapeutic change. The cultural metaphor is considered as the vital step in overcoming the treatment impasse. The major finding is that cultural responsiveness does not end with the engagement and assessment of clients. The culture of the clients and the culture of the therapist provide powerful metaphors and rich resources to introduce change possibilities. With this couple, when culture was combined with an appreciation of the intersubjective meanings for both clients and therapist, culturally responsive and effective therapy became possible.     

Marital Status,Marital History,Body Weight,and Obesity

Marital status and marital history are associated with health. Marital history can be represented by the marital trajectory components of timing, transitions, sequence, and duration. We examined whether marital trajectory components add insights beyond marital status in predicting body weight in a retrospective analysis of 3,011 adults. Marital status findings revealed that married men were heavier than separated/divorced men, and never married women were heavier and more often obese than married women. Marital history findings showed that after adjusting for marital status, trajectory measures of age at first marriage, second marriage or second divorce, experiencing widowhood, and duration of separation/divorce were not clearly associated with body weight or obesity. Body weight and obesity appear to be associated with current marital status but not marital history.     

PARENTAL DEATH AS A PRECIPITANT OF MARITAL CONFLICT IN MIDDLE AGE*

When a long-standing marriage suddenly becomes conflictual, one precipitant can be the recent death of the parent of one of the partners. The bereaved spouse can identify with the deceased parent, attacking or withdrawing from his or her partner; or he/she can become irrationally angry because the partner cannot replace an idealized parent. The main goal of therapy is to facilitate the bereaved partner's mourning of the dead parent. Choosing an effective therapeutic method depends on the couple's capacity for mutual empathy and support and their need for insight. Without marital therapy, unrecognized mourning may contribute to the breakdown of long-standing marriages.     

Shared Reality and Grounded Feelings During Courtship: Do They Matter for Marital Success?

This study provides evidence that newlywed pairs who have a shared and well‐grounded understanding of their courtship are better able to establish unions that endure. Using a sample of 168 couples, the authors found that marriages were more likely to survive when courting partners (a) loved each other to a similar degree, (b) depicted the probability of marriage and changes in the likelihood of marriage in a corresponding fashion over the course of their courtship, and (c) portrayed the courtship as escalating from a low (25%) to a high (75%) probability of marriage as spanning a comparable period of time. The durability of marriages was reflected, as well, in how solidly courting partners' feelings for each other were interwoven with their courtship experiences. More specifically, courtship difficulties were not as associated with weakened feelings of love or with heightened feelings of ambivalence among couples who later divorced as compared to those who stayed married.     

‘All together now!’ Couples and the ontological problem of cohabitation as a form of life

The aim of this essay is that of analysing cohabitation as a form of life, according to its ontological status. This way of investigating leads to a comparison with marriage as a specific institution and with the conversation rules between partners. From the empirical analysis of more than 50 interviews with cohabitating couples comes the idea of a relationship whose intent is reciprocal care and assistance in everyday life. In other words, cohabitation is not a mere refusal of marriage as an institution, in the perspective of the interviewed, but seems to represent the lifestyle that best expresses the political ideal of a liberal-democratic society based on conversation between free and consenting individuals. At first glance cohabitation shows an ontological status of its own, a sort of ‘marriage conversation’. Yet, deploying a deeper way of analysis and following a critical realist and relational epistemology, one can notice that such status is influenced by an abstract expansion of the present as the only possible dimension for the couple. As soon as one thinks about shared future plans, the implied call of a married perfection of one's life experience strikes back, revealing the existence of a hidden rule towards marriage as a form of life. The importance of cohabitation is now conceived as the relevance of contingency and unselected opportunities. This fact reveals the limits of the individualized perspective influencing the everyday life of cohabiting couples. Doubts on ontological independence of cohabitation are still many, with its constant and ambivalent reference to the marriage dimension.     

The Ties That Bind: Family Systems Correlates of Parental Decision-Making in Custody/Access Disputes

Family systems theorists have developed certain concepts which they claim predict marriage outcome and the possible success of divorce mediation, should the marriage fail. In this paper I examine concepts of individual and family functioning. The concept of ‘emotional flexibility’ is presented as a criterion predisposing marriage partners to a more or less fused marriage. This in turn, is seen as predisposing the partners, in the event of separation, either to search for their own parental agreement with regard to their children's wellbeing, or to insist on a Judicial decision. In order to test the applicability of this concept, I explore the results of 64 conciliation conferences conducted by me in the Sydney Registry of the Family Court. I also consider a typology of divorcing couples worked out by divorce therapists, which uses type of spousal interaction as a criterion for predicting suitability for divorce mediation. I analyse the results of 30 Family Reports prepared by me, to test the usefulness of the typology for deciding on the most appropriate method of family dispute resolution for a given couple. I conclude by suggesting systematic exploration of core family system concepts and variables having a modulating effect, that can be used as predictors of client suitability for negotiation as well as to anticipate the type of custody/access arrangements that can be achieved.     

Love attitude and marital adjustment in the family life cycle

The present study examines husband and wife perceptions of attitude toward love and marital satisfaction through seven family life cycle stages. A significant relationship was determined between husbands’ and wives’ attitude toward love and marital satisfaction for couples in the early years of marriage with no children, and for couples with children in the preschool years. Marital satisfaction and attitude toward love seem to function more independently of one another in the other family life stages. Overall, husbands vary slightly more than wives on marital satisfaction and attitude toward love, but the pattern for both is similar in that each relationship is curvilinear.