THE SYSTEMIC TREATMENT OF SHAME IN COUPLES

Shame remains largely a hidden phenomenon in the treatment of couples. It can manifest itself as a determining factor in events ranging from entrenched blaming to missed appointments. Although there is a growing body of literature on individual shame dynamics and, to a lesser extent, on couple and family shame dynamics, there is little written on how to incorporate these theories into treatment. This paper offers working definitions of shame, proposes a systemic definition of shame as seen in couples, reviews the literature on coule shame dynamics, and explores issues of therapeutic stance and treatment techniques in working with shame in couples therapy.     

BATTERING AND COUPLES THERAPY: UNIVERSAL SCREENING AND SELECTION OF TREATMENT MODALITY

As family therapists begin to experiment with couples treatment models for batterers and their partners, a basic question is: Which couples can be safely treated with conjoint therapy? Following a definition of battering and a review of rationales for considering couples therapy in cases of domestic violence, a framework for assessment of domestic violence is outlined, including sample questions, criteria for excluding couples from conjoint therapy, how to conduct a lethality assessment, and how to conceptualize postassessment treatment recommendations. This article also introduces family and couples therapists to domestic violence literature that is often not well integrated in family therapy theory and practice.     

CREATING HEALING RELATIONSHIPS FOR COUPLES DEALING WITH TRAUMA: THE USE OF EMOTIONALLY FOCUSED MARITAL THERAPY

Emotionally focused marital therapy (EFT), a marital therapy that particularly focuses on the creation of secure attachment, has proven in empirical studies to be effective for distressed couples. This paper discusses the application of EFT in couples where one or both of the partners have experienced significant trauma. EFT, in this context of trauma, incorporates the nine steps of conventional EFT and also encompasses the three stages of the "constructivist" self development theory of trauma treatment. This paper illustrates how the integration of EFT and trauma treatement can prove effective in treating not only relationsip distress but also the individual symptoms of posttraumatic stress disorder (PTSD).     

TRAUMA TRAINING AND THE REPARATIVE WORK OF JOURNALISM

This article examines discourses of trauma and affective labor in the emergence of trauma training in US journalism. In a body of training texts and films used in US journalism schools, crime and disaster journalism are being refigured as affective encounters between reporters and victims; in the process, training builds a language of trauma that describes and models the news making process as potentially reparative: as an epistemological meeting point between existing knowledge of social traumas and a training apparatus that enables constructs of trauma to do the cultural production of news differently. Rather than treat the emergence of trauma training initiatives as further evidence of the hegemony of therapeutic politics, I draw from Eve Kosofsky Sedgwick's calls for reparative critique, in which transformations in the process of news production may reveal the work of affective labor and its emotional intensities as key, but often unacknowledged, features of cultural production. Analysis of training films and manuals in these curricula, on the one hand, shows their attachments to a medical discourse of trauma that borrows language and constructs from the trauma science literature, replicating forms of referentiality between wounded bodies and traumatized psyches. However, their translation into representational practices and modes of conduct for reporters – as witnesses to others' testimonies – also pose ways of understanding the burdens and affective responsibilities professions like journalism increasingly bear for displaying and interpreting social change and political upheaval.     

WHEN TRAUMA HITS HOME: PERSONAL TRAUMA AND THE FAMILY THERAPIST

This paper discusses the immediate and long-term psychosocial consequences of traumatic events that can affect psychotherapists, including family therapits. Traumatic events invade both work and personal life and can create both opportunities and dangers. These will be discussed from a traumatological perspective. including how traumatic reactions may affect a family therapist's work.     

RUNAWAYS: JURISDICTION, DYNAMICS, AND TREATMENT

New research indicates more clearly than ever that running away from home is indeed a family affair. Understood as such, the implications for society's jurisdictional response and for effective treatment planning are deep and far-reaching. The "status offender" legal jurisdiction over runaways needs to be changed and new alternatives for dealing with runaways and their families developed. The planning and implementation of these alternatives need to be informed with the perspectives of a family therapeutic approach sensitive to the intergenerational forces of loyalty, legacy, and trust operating within families.     

USING GENDER: THE PERSONAL,INTERPERSONAL, AND EMOTIONAL STRATEGIES OF DOMESTIC LABOR

Traditional research on domestic labor has conceptualized work done in support of the home as one of the quintessential ways of “doing” gender. New directions in gender and ritual theory raise the possibility that domestic labor may also be about strategy, usefulness and intentions. Through interviews with 24 married couples, I explore the subjective experiences of men and women as they “do” their domestic labor. I find that while husbands and wives are continuing to do gender as a response to interactional accountability demands, they also “use” domestic labor as a vehicle through which they (1) reciprocally craft their gender identity, (2) symbolically communicate with their spouse, and (3) garner emotional energy. Furthermore, the men and women strategically mobilized specific tasks that are most useful in achieving these goals inside their unique dyadic schemas. Through these narratives, I explore the possibility that men and women not only do gender but they can use gender as well.     

THE MANAGEMENT AND DYNAMICS OF ANOMALIES IN SCIENTIFIC WORK

This article examines the dynamics of anomalies as part of scientific work. Several types of anomaly are identified: mistakes, artifacts, fraud, and discovery; and typical trajectories for artifacts are described: the establishment of suspected artifacts, changes from unacceptable to acceptable, changes in significance, visibility, and means of control. The conditions under which an anomaly changes status are examined. A detailed example of an anomaly trajectory is presented, analyzing an anomaly in neuroscience research and tracing its career from 1870 to the present.     

MORNING AND NIGHT COUPLES: THE EFFECT OF WAKE AND SLEEP PATTERNS ON MARITAL ADJUSTMENT*

This study explored the effects of spouses' wake and sleep patterns on marital adjustment. A total of 150 couples from three states completed questions on wake/sleep patterns, marital interaction, marital adjustment, and problem solving. Couples whose wake and sleep patterns were mismatched (e.g., an evening person married to a morning person) reported significantly less marital adjustment, more marital conflict, less time spent in serious conversation, less time spent in shared activities and less frequent sexual intercourse than matched couples. Contrary to expectations for matched couples, night couples did not report more involvement in extra-familial social activities than morning couples. Morning couples engaged in sexual intercourse more frequently in the morning than night couples; night couples had sex more often in the evening than morning couples. There were no significant differences in the intercourse rates for morning couples and night couples. Compared to matched couples, mismatched couples with high marital adjustment reported more flexibility and adaptability in their marital problem solving. The implications of these findings for premarital counseling and marital therapy are discussed.     

MARITAL THERAPY: QUALITIES OF COUPLES WHO FARE BETTER OR WORSE IN TREATMENT

To evaluate the effectiveness of couples therapy and determine the characteristics and qualities of couples who fare best in treatment, 139 couples presenting at a nonlaboratory sliding-fee clinic in Dallas, Texas, were evaluated. Observational and self-report measures of the Beavers Systems Model were taken at the first session and, for some subjects, at termination. Therapists also rated the couples on goal attainment and on dimensions of the therapeutic alliance. Not surprisingly, there was a direct association between number of sessions and goal attainment, with couples attending only one or two sessions having the lowest goal attainment. There were also significant family functioning qualities associated with success: more competent couples fared better in therapy. Another consistent finding was that couples with no children did better in treatment than those who were also parents. It is interesting that remarried couples without children did best in treatment, followed by first-married couples with no children, first-married couples with children, and, finally, remarried couples with children. Implications for screening and clinical work with couples are presented.     

INTERPERSONAL CONTEXT AT WORK AND THE FREQUENCY,APPRAISAL, AND CONSEQUENCES OF BOUNDARY‐SPANNING DEMANDS

Compared to job‐specific conditions, the interpersonal context of work has received less attention from work–family scholars. Using data from a 2007 U.S. survey of workers (N = 1,286), we examine the impact of workplace social support and interpersonal conflict on work–family conflict and exposure to boundary‐spanning demands—as indexed by the frequency that workers receive work‐related contact outside of normal work hours. Findings indicate that workplace social support is associated negatively with work‐to‐family conflict, while interpersonal conflict at work is associated with higher levels of work‐to‐family conflict. Results also indicate that both supportive and conflictive work contexts are associated with more frequent exposure to boundary‐spanning demands. However, workers in supportive contexts are more likely to appraise these demands as beneficial for accomplishing work tasks, and are less likely to appraise them as disruptive to family roles. By contrast, workers in conflictive contexts are more likely to appraise demands as disruptive to family roles, and are less likely to appraise them as beneficial for paid work. Consequently, our findings underscore the resource and demands aspects of interpersonal work contexts and their implications for the work–family interface.     

ACQUIRED IMMUNE DEFICIENCY SYNDROME: A PRELIMINARY EXAMINATION OF THE EFFECTS ON GAY COUPLES AND COUPLING

The AIDS epidemic brings with it a great many changes in attitude about life and lifestyles. Among gay men this seems to mean an increased consideration about coupling and the nature of coupled relationships, along with parallel struggles around the issues of sex and intimacy. In addition, the disease has forced large numbers of people to deal with death long before the normal time. This paper discusses the impact of AIDS on the early stages of gay coupling as well as the final stage of death.     

MARITAL RELATIONSHIPS OF ALCOHOLIC,CONFLICTED, AND NONCONFLICTED COUPLES*

Twenty-six couples with alcoholic husbands, and 26 maritally conflicted and 26 nonconflicted couples without alcohol problems were compared. As predicted, the alcoholic and maritally conflicted couples did not differ, and both groups of problem couples showed greater relationship distress than nonconflicted couples on measures of marital stability, change desired, and positive communication behaviors. Contrary to predictions, alcoholic couples were not unique with respect to struggles for control, a pattern of wife dominance, a responsibility-avoiding style of communication by the alcoholic husband, or impaired perceptual accuracy. Unexpectedly, alcoholic husbands reported less marital unhappiness than both their wives and maritally conflicted husbands on most of the self-report marital satisfaction measures.     

THE PROCESS OF CHANGE IN COUPLES THERAPY: A QUALITATIVE INVESTIGATION

Open-ended interviews with 24 couples therapy clients regarding their experience of the process of change revealed shifts in clusters of affect, communication, and cognition. Six additional contextual preconditions for change were also identified. The change process within couples was uniformly reported to be gradual.     

A REVISION OF THE DYADIC ADJUSTMENT SCALE FOR USE WITH DISTRESSED AND NONDISTRESSED COUPLES: CONSTRUCT HIERARCHY AND MULTIDIMENSIONAL SCALES

The existing research on the Dyadic Adjustment Scale (DAS) indicated that there were problems with some of the subscales and individual items. This study was designed to improve the instrument by following the standards of construct hierarchy. Through previous research and the analyses in this study, the subscales were found to contain some items that were homogeneous and others that were more heterogeneous. This problem was corrected by selecting out items that were homogeneous; 7 first-order scales were created which were combined to creat the 3 second-order concepts of consensus, satisfaction, and cohesion. With a sample of distressed and nondistressed couples, a series of confirmatory factor analyses was conducted. The factor analyses provided evidence for the construct validity of the new structure of the Revised DAS (RDAS) with the distressed, nondistressed, and total samples of this study, as well as with the sample from Spanier and Thompson's (1982) study. Additional analyses correlating the RDAS with another popular marital instrument provided more evidence for the construct validity of the RDAS. Criterion validity was demonstrated by discriminant analyses results. Both internal consistency and split-half reliability estimates demonstrated that the RDAS was reliable. The result also supported dividing the RDAS into two alternative forms for use in pre- and posttest studies. Summary statistics for the RDAS are presented as are implications for the field of marriage and family therapy.     

INDUSTRIAL DYNAMICS AND THE NEOCLASSICAL GROWTH MODEL

This paper studies industry-level dynamics and demonstrates the ability of a modified neoclassical growth model to capture a range of empirical facts. The paper begins by using U.S. data to document skilled and unskilled labor trends within industry sector classifications as well as industry sector output trends. Using Current Population Survey data from 1968 to 2004, it is shown that the ratio of skilled workers to unskilled workers employed has risen in all industries. The absolute increase in this ratio was larger in the more skilled industries, while the growth rate was larger in the less skilled industries. Furthermore, using national income account data, it is shown that relatively high-skilled industries have accounted for an increasing share of output over time. A version of the neoclassical growth model is then constructed to match these observations. One important feature of this model is a structure that introduces new goods into the economy at each moment of time. The model is able to capture a rich set of labor market movements between sectors and between skill levels as well as changes in the relative output shares across industries, yet preserves many nice features of the neoclassical growth model. ( JEL E13, J20, 030)     

REFERENDUM DYNAMICS AND THE IRISH DIVORCE AMENDMENT

Referendums are typically interpreted in terms unique to a particulartime and place; the 1986 Irish divorce referendum has been noexception. Here this vote is examined in light of referendumsin the United States and elsewhere in an attempt to identifymore pervasive patterns. It is concluded that there is a referendumdynamic capable of anticipating the diverse fluoridation votesof the 1950s, the ERA campaigns of the 1970s, and the Irishdivorce vote of 1986, all of which displayed large voter shiftsfrom an initial majority in favor to an eventual majority against.The dynamic process involved appears to be a pattern of eliteretreat brought about by community conflict, rather than theresult of confusion, ignorance, a herd instinct, or alienationin the electorate.     

USE OF FAMILY IN THE TREATMENT OF SCHIZOPHRENIC AND PSYCHOPATHIC PATIENTS*

Editor's Note. Occasionally, the Journal of Marital and Family Therapy will publish papers of major historical significance to the field of family therapy which, though written long before their appearance in the Journal, have remained unpublished and received little public circulation or attention. Such papers are those which, in the view of the Editor, would have been certain “classics” in the literature of family therapy had they been published when they were written, and which, despite their overdue appearance, are of significant enduring value. The first of these papers, by Dr. C. F Midelfort, appears here. Though essentially isolated from the family therapy movement that was soon to follow, Dr. Midelfort, in fact, published the first book on family therapy. The present article grows out of what was probably the first paper on family therapy ever presented at a psychiatric convention in the United States. In this paper, originally written almost exactly thirty years ago, Dr. Midelfort articulately presents a creative interweaving of an appreciation of the psychodynamics of family relationships with an ego-oriented family approach to severe psychiatric disturbance in one family member. It is an innovative presage of the flexible use of the principles of family dynamics, social psychiatry and biological psychiatry that has been “discovered” only very recently in family therapy with schizophrenics. The paper is introduced by Dr. John E. Bell, to whom the Journal is grateful for bringing it to light.