Conceptualizing and Treating Problem Gambling as a Family Issue

Few family therapists have training in the identification, assessment, and treatment of problem gambling and its impact on couple and family relationships. The authors conceptualize problem gambling (PG) as a family issue and encourage clinicians and researchers to pay attention to the systemic antecedents and consequences of PG on family relationships. A review of the literature and clinicians' experiences regarding the impact of PG on couple and family relationships are presented and discussed. In light of the limited systemic-based treatments for PG, marriage and family therapists are urged to begin paying attention to this emerging issue that has significant couple and family ramifications.     

The Romance of Surrogacy1

This article seeks to demonstrate and analyze the cultural and emotional work surrogate mothers collectively engage in on the largest surrogacy support website, http://www.surromomsonline.com . Surrogate mothers’ online stories and discussions frame contract surrogacy as a “labor of love.” Women often describe their surrogacy as a “journey” of shared love; they hope for a lasting relationship with the couple they carry for. This article explores how the language of love, learned and internalized through online communication with other surrogates, creates both a cultural conceptualization of surrogacy and a ground for action. Love and altruistic giving are consistent with close interpersonal rather than market relationships; surrogates hope for a long‐term friendship with their couple. Surrogacy journeys, however, not infrequently end in disappointment; surrogates feel betrayed when couples cut ties. As a result of collective learning, surrogates’ discussions increasingly articulate the position that love, even when unreciprocated, can lead to repeated giving; love is noble and ennobling. Surrogates find appreciation and support in their online surrogacy community where they agree that giving life is a moral good. This stance has contributed to a renewed enthusiasm to bear children for others.     

An Attachment Primer for Couple Therapists: Research and Clinical Implications

According to attachment theory, humans are relational beings and even a child's earliest experiences with caregivers have a profound effect on emotional development and an overall approach to relationships. With increasing regularity, couple therapy has utilized attachment language as a conceptual tool, but more work is needed to understand the full clinical implications of attachment theory. These include understanding the intergenerational nature of attachment and adapting the delivery, timing, and pace of interventions to client attachment strategies. In this article, we summarize the origins of attachment theory, its measurement, the role of attachment in couple relationships, attachment stability and change, and ways that attachment informs therapy process and intervention. We hope that this article will provide an impetus for couple therapists to expand their conceptualization and use of attachment in their clinical work and for couple researchers to conduct more clinically relevant, attachment‐oriented process research.     

Dyadic Research in Marriage and Family Therapy: Methodological Considerations

With training that emphasizes relationship systems, marriage and family therapists are uniquely attuned to interpersonal dynamics, interdependence, and the influence of relationships on individuals’ perceptions, beliefs, and attitudes. While recent statistical advances have contributed to a proliferation of resources designed to introduce researchers to dyadic data analysis, guidelines related to the methodological aspects of dyadic research design have received less attention. Given the potential advantages of dyadic designs for examining couple and family relational and therapeutic processes, the purpose of this article is to introduce marriage and family therapy researchers to dyadic research methodology. Using examples from our own research, we discuss methodological considerations and lessons learned related to sampling, measurement, data collection, and ethics. Recommendations for future dyadic research are provided. Video Abstract     

Clients' relational conceptions of conjoint couple and family therapy quality: a grounded formal theory

Based upon a qualitative metasynthesis of 49 articles centered on clients' experiences of their conjoint couple and family therapy, the investigators constructed a grounded formal theory of Clients' Relational Conceptions of Conjoint Couple and Family Therapy Quality. The theory suggests from pretherapy conceptions to posttherapy reflections, clients' perceptions of conjoint couple and family therapy quality appear to consist of clients' constructed meanings regarding a series of interrelated relationships between clients and their therapists and therapy environments, between clients and themselves, between clients and other family members, and between process and outcome both inside and outside therapy. Within and across these relationships, clients appear to focus on expectations, connections, balance, and change when evaluating the quality of their clinical experiences. Based upon this theory, the investigators recommend that researchers continue to explore this clinical phenomenon and that therapists regularly seek clients' conceptions of quality in therapy.     

Factors Preventing Gridlock in Chilean Couples’ Relationships Based on the Discourse of Couples Therapists and Highly Adjusted Couples

The term gridlock describes the occurrence of rigid patterns in couples’ conflict. This study aimed to describe strategies of conflict resolution and gridlock prevention from the perspectives of couples and couple therapists. Participants were couple therapists and highly adjusted couples scored by the dyadic adjustment scale (DAS), distributed according to traditional and non‐traditional position in life and duration of relationships. Conflict gridlock scenarios were used to create video stimulus that were presented to participants. A qualitative methodology was used to analyse couples’ and therapists’ commentaries on the scenarios. Results showed differences in preventing conflict gridlock among sub‐groups of couples. Long‐term traditional couples focused on loyalty to a common project and value sacrificing to a higher good; long‐term non‐traditional couples prioritised caring and validating the bond in the relationship. Short‐term traditional couples focused on mutual love and the relief of hurt while short‐term non‐traditional couples supported the value of equity.     

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.     

‘Somebody Watching You’: Impact of Reflecting Teams on Hope in Couple Relationships

Reflecting teams (RTs) represent both an epistemological stance and a therapeutic technique. Most commonly associated with narrative and systemic approaches to therapy, RTs offer an outsider perspective that can bring hope and alternative narratives and perspectives for therapists and clients to explore. Relational hope is a little researched concept in the field of couple therapy research. This study explores the experience of RTs in couple relationships and the aspects of the experience that couples describe as connected to a sense of hope for their relationship. The study also considers whether difference in attachment style shows any relationship with hope in couple relationships before and after the clients’ session with a reflecting team. Couples completed questionnaires about their attachment style, demographics, and relational hope and were given the option to complete an interview about their experience with the reflecting team within 1 month of their therapy session. Our findings suggest that RTs contribute positively to hope in couple relationships particularly for clients who present with an anxious attachment style. This direction for research is important because there is very little research about hope in couple relationships despite its importance (Merolla, 2014; Snyder, 2002) and there is no research about what aspects of a reflecting team contribute to hope in couple relationships. Analysis of interviews indicates a number of features of the reflecting team feedback that were valued by clients.     

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.     

What Theories and Methods From Relationship Research Can Contribute to Sex Research

Sexual and relationship satisfaction tend to be closely linked in the context of romantic relationships. Understanding how sexual processes influence relationships and how aspects of the relationship influence a couple’s sex life can provide insight into the maintenance of sexual desire and satisfaction over time. In this article, we review how theories and methods that form the foundation for relationship research have made—and will continue to make—sexuality research a stronger, more theoretical, and methodologically sophisticated science. We discuss the key theories that have been used to advance our understanding of who is more likely to be sexually satisfied in relationships, when sex is most satisfying, and how couples can have more satisfying sex lives and relationships. We then provide an overview of dyadic and repeated-measures designs and demonstrate how the use of these types of research methods allows relationship and sexuality researchers to answer novel and nuanced questions about how romantic partners influence each other, as well as how sexual processes unfold in couples’ daily lives and over time. Throughout the review, we highlight what we see as fruitful directions for future research at the intersection of sexuality and relationships.     

Cultural Attunement in Therapy With Mexican‐Heritage Couples: A Grounded Theory Analysis of Client and Therapist Experience

There is a need for culturally attuned approaches for couple therapy with Mexican/Mexican‐Americans. This qualitative grounded theory study utilized interviews with 11 client couples of Mexican heritage and 14 marital and family therapists to shed light on how Latino and non‐Latino therapists co‐construct positive experiences of cultural attunement with Mexican and Mexican‐American couple clients. Analysis identified a model of cultural connection through personal engagement with four interrelated phases: (a) mutual invitation, (b) shared engagement, (c) expanding personal connection, and (d) creating cultural connections. Clients in this study valued professionalism and expertise of the therapist, but felt attuned to and respected when therapists demonstrated humility, shared personal stories and emotion, and engaged in a collaborative process.     

Has the American Public’s Interest in Information Related to Relationships Beyond “The Couple” Increased Over Time?

Finding romance, love, and sexual intimacy is a central part of our life experience. Although people engage in romance in a variety of ways, alternatives to “the couple” are largely overlooked in relationship research. Scholars and the media have recently argued that the rules of romance are changing, suggesting that interest in consensual departures from monogamy may become popular as people navigate their long-term coupling. This study utilizes Google Trends to assess Americans’ interest in seeking out information related to consensual nonmonogamous relationships across a 10-year period (2006–2015). Using anonymous Web queries from hundreds of thousands of Google search engine users, results show that searches for words related to polyamory and open relationships (but not swinging) have significantly increased over time. Moreover, the magnitude of the correlation between consensual nonmonogamy Web queries and time was significantly higher than popular Web queries over the same time period, indicating this pattern of increased interest in polyamory and open relationships is unique. Future research avenues for incorporating consensual nonmonogamous relationships into relationship science are discussed.     

Perceptions of Divorce,Closeness, Marital Attitudes,Romantic Beliefs,and Religiosity Among Emergent Adults From Divorced and Nondivorced Families

This article analyzes 401 college students’ perceptions of love, romance, parent–child closeness, and religiosity. Results revealed that college students from divorced homes were not as close with their parents and reported decreased religiosity compared to participants from nondivorced homes, and that these factors are associated with young adults’ views and expectations on romantic relationships. The work presented here provides implications for future studies in understanding the beliefs about and effects of divorce for adult children. Further, results from this study suggest that college students have different expectations regarding love, romance, and marriage based on a number of family relation factors. Implications and suggestions for future research are discussed.     

Technology,Relationships, and Problems: A Research Synthesis

The advances in technology alter the ways we interact with each other. For some, the use of technology can facilitate a relationship; for others, technology can complicate aspects of a relationship. The purpose of this research synthesis is to summarize current research exploring the ways in which technology impacts relationships negatively. Eight studies were reviewed across the following areas: preoperational definitions, sample, methodology, control of extraneous variables, causal influence, generalizability, validity of statistical findings, and conclusions. Implications for authors, researchers, and therapists working with couples and families struggling with technology issues are discussed.     

The Relationship of Divorced Adult Children With Their Elderly Parents

Some 93 divorced adult children of elderly parents, 69 women and 24 men aged 44.4 years, were interviewed in depth concerning their interpersonal and helping relationships with elderly parents. The great majority still felt close to their parents and had a compatible relationship with them, with little conflict. Most helped parents out of love and a desire to protect them from need, but found lack of money and time their most severe problems in helping. Although present costs of helping were low, most adult children felt future help would be limited by job and other responsibilities. Implications for social services are discussed.     

Ambivalence; Will I? Should I? Can I? Do I want to?†

In all intimate relationships where difficulties are being experienced, one or both parties can feel ambivalent. Some individuals and couples resolve their ambivalence, discover lost aspects of themselves and new ways of relating, while others either remain together regardless of a satisfactory resolution, or decide to separate. In this paper I will address the nature of ambivalence and its influence and effect on individuals and couples. Understanding and working with ambivalence requires us as therapists to consider both the emotional patterns in relationships and the influence of early childhood experiences. Methods of assessing and working with ambivalence will be outlined and contra-indications for individual and joint sessions discussed.     

The Relationship Of Family Theory To Family Therapy*

This paper deals with the knowledge and thinking of the therapist, who is the link between theory and therapy. Based on the self-analysis of a single family consultation interview, the various theories employed and the decision points are described. It is suggested that therapists can espouse many theories or single ones, but are always confronted with difficult decisions. Some features of the field of family therapy which foster an overevaluation of science and certitude are discussed.     

AN ETHNOGRAPHY OF COUPLE AND THERAPIST EXPERIENCES IN REFLECTING TEAM PRACTICE

Couple and therapist perspectives about the use and process of reflecting team practice were analyzed using ethnographic research. A domain analysis was performed on postession interviews from both couples and therapists, and on field notes from each therapist. Seven couples and five therapists were interviewed at least twice over a 4-month period concerning their reactions to and perceptions of reflecting team practice. Six domains concerning reflecting team practice emerged from the analysis: (a)benefits of its use, (b) effects of gender, (c)recommended use, (d) contraindicated use, (e) the importance of creating spatial separateness between couple and team members, and (f) sequences of communication between the couple and team members that elicit change. The latter two domains described the process of reflecting team practice (i.e., steps in how it is used and how it is implemented). The role of ethnog rahy in reflecting team practice and in family therapy research is discussed.     

The Clergyman and the Psychologist as Marriage Counselors: Differences in Philosophy,Referral Patterns and Treatment Approaches to Non-Marital Relationships*

This paper reflects the thoughts, observations and clinical experiences of the authors and two dozen of their colleagues in treating people involved in an assortment of non-marital sexual relationships. The scant existing literature is alluded to when pertinent. Ten types of non-married couple and group sex patterns and four special kinds of relationships that are of particular interest to therapists and to which they might find themselves peculiarly susceptible are described. Similarities between the philosophies, treatment approaches and referral patterns to psychologists and clergymen are elucidated; major differences are highlighted. One conclusion is that there is a need for much research into what constitutes effective treatment for people living alternate lifestyles to monogamous unions.