DIFFERENT LENSES: VARIATIONS IN CLIENTS' PERCEPTION OF FAMILY THERAPY BY RACE AND GENDER

Race and gender have been given extensive theoretical and clinical attention in family therapy in the last decade. However, little empirical work has focused on their effect on therapy. The present study examines the effect of clients' race and therapists' race and gender on male and female partners' assessments of an initial and subsequent family/marital therapy session. One hundred twenty-six individuals, comprising 63 heterosexual adult couples, evaluated both the first and the fourth therapy session using the Session Evaluation Questionnaire (Stiles, 1980). Results indicated a strong effect for race, with black females rating initial sessions more negatively than white females when seeing a white therapist. Black men, however, had a more positive response than white men to the initial session, regardless of the race of the therapist. Over time, these differences decreased. The results suggest not only that race and gender may contribute to differences in partners' perceptions of the same session, but also that these differences are not static.     

SEX ROLE CONSIDERATIONS AND BEHAVIORAL MARITAL THERAPY: EQUAL DOES NOT MEAN IDENTICAL*

Despite the egalitarian position espoused in behavioral marital therapy, little attention has been paid to sex role issues and female-male differences. This paper explores advantages and disadvantages of behavioral marital therapy vis à vis the treatment of women and men. Features of behavioral marital therapy implicated as important in the consideration of sex role issues include underlying assumptions of egalitarianism, assumptions of external causality, and orientation toward action, as well as specific procedures such as goal setting, behavioral exchange and training in communication and problem-solving skills. Each of these features is evaluated with respect to clinical considerations as well as to research findings on female-male differences in marriage. The paper concludes with recommendations as to how behavioral marital therapy could become more sensitive to sex role issues.     

Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being

A long tradition of research and theory on gender, marriage, and mental health suggests that marital status is more important to men's psychological well-being than women's while marital quality is more important to women's well-being than men's. These beliefs rest largely on a theoretical and empirical foundation established in the 1970s, but, despite changes in gender and family roles, they have rarely been questioned. The present analysis of three waves of a nationally representative survey indicates that, with few exceptions, the effects of marital status, marital transitions, and marital quality on psychological well-being are similar for men and women. Further, for men and women, occupying an unsatisfying marriage undermines psychological well-being to a similar extent--and, in some cases, to a greater extent--than exiting marriage or being continually unmarried.     

THE INTERACTION BETWEEN MARITAL STANDARDS AND COMMUNICATION PATTERNS: HOW DOES IT CONTRIBUTE TO MARITAL ADJUSTMENT?

Couples' cognitions about marriage and their communication patterns have both been found to be highly associated with marital distress. To examine the relationships among marital cognitions, communication, and marital adjustment, we had a sample of 387 community couples complete three self-report measures: the Dyadic Adjustment Scale, the Inventory of Specific Relationship Standards, and the Communication Patterns Questionnaire. Results indicated that the correlation of communication with marital adjustment is higher for women with more relationship-focused standards than for women with less relationship-focused standards; this interaction does not occur for men. The implications of the interaction and the gender difference as well as the importance of teaching communication skills, and working with associated cognitions are discussed.     

Relational resources, gender consciousness and possibilities of change in marital relationships

Investigating the possibilities of change in marital relationships, we argue, involves examining the interplay of gender consciousness, relational resources and material circumstances in their concrete, interactional manifestations. The attempt to address this interface is grounded in the idea that understanding gender relations necessarily involves both institutional and interactional dimensions. While much research has been devoted to the influence of material or structural resources on indicators such as the domestic division of labour, relatively little direct attention has been given to the issue of differing ‘relational’ or interpersonal resources. We use a multi-method approach based on interviews with women in different occupations to analyse possibilities of change in marital communication and the domestic division of labour in relation both to women's material and to their relational resources. We conclude that a combination of increased gender consciousness and the development of particular inter-personal skills facilitates negotiation and change in the boundaries regulating both communication and the domestic division of labour within the marital relationship.     

ARE GOALS AND TOPICS INFLUENCED BY GENDER AND MODALITY IN THE INITIAL MARRIAGE AND FAMILY THERAPY SESSION?

Establishment of a goal is crucial to therapy, but identification of therapeutic goals may be difficult in conjoint therapy because each participant may identify a different problem. We examined the influence of gender on ability to successfully introduce therapeutic topics in marital and family therapy by conducting two studies. The first study evaluates the ability of therapists to identify therapeutic goals that matched goals prioritized by both women and men clients on pretherapy questionnaires. The second study examines the process of initial therapy sessions to see whether gender influences a client's ability to introduce a therapeutic topic. Results suggest that therapeutic topic is influenced by the interaction of gender and treatment modality. Specifically, therapists were better able to match women's pretherapy stated goals in marital therapy than family therapy, men were more successful at introducing topics in family therapy, and women were more successful at introducing topics in marital therapy.     

Marital Happiness,Divorce Status and Partner Differences in Attributions About Communication Behavior

According lo the egocentric attribution in marriage. spouses take more responsibility for marital behaviors (giving compliments, ignoring the partner) than they give to their partners. On the other hand, evidence has also been found for a partner-centric attribution for positive behaviors in which individuals underestimate their own contributions. These attributions are examined as a function of communication behaviors discriminating: between four marital groups based on three levels of marital happiness (low, medium, high) and a divorced group. Partner differences were also examined. The analysis revealed effects for marital group and partner on the direction of communication attributions. For example, the divorced individuals ascribed more responsibility for dominance to their partners than moderate and low quality couples. There were gender differences in which the husbands made a partner-centric attribution in reporting that their wives were more likely to express feelings while the wives made an egocentric attribution for this behavior. The results are discussed in terms of the direction of cognitive inferences.     

Marital status, marital transitions, and health: a gendered life course perspective

We work from a life course perspective to assess the impact of marital status and marital transitions on subsequent changes in the self-assessed physical health of men and women. Our results suggest three central conclusions regarding the association of marital status and marital transitions with self-assessed health. First, marital status differences in health appear to reflect the strains of marital dissolution more than they reflect any benefits of marriage. Second, the strains of marital dissolution undermine the self-assessed health of men but not women. Finally, life course stage is as important as gender in moderating the effects of marital status and marital transitions on health.     

Gambling Type,Substance Abuse,Health and Psychosocial Correlates of Male and Female Problem Gamblers in a Nationally Representative French Sample

Many studies carried out on treatment-seeking problem gamblers (PG) have reported high levels of comorbid substance use disorders, and mental and physical health problems. Nevertheless, general population studies are still sparse, most of them have been carried out in the United States or Canada, and gender differences have not always been considered. Thus, the aim of this study was to describe the type of games, and psychological and physical correlates in male and female PG in a nationally representative French sample. The total sample studied involved 25,647 subjects aged 15–85 years, including 333 PG and 25,314 non-problem gamblers (NPG). Data were extracted from a large survey of a representative sample of the French general population. They were evaluated for sociodemographic variables, gambling behavior, type of gambling activity, substance use, psychological distress, body mass index, chronic disease, and lack of sleep. Overall, there were significant differences between PG and NPG in gender, age, education, employment and marital status, substance use disorders (alcohol, tobacco, cannabis, cocaine and heroin), psychological distress, obesity, lack of sleep and type of gambling activity. Although male and female PG had different profiles, the gambling type, especially strategic games, appeared as an important variable in the relationship between gender and problem gambling. This research underlines the importance of considering gender differences and gambling type in the study of gambling disorders. Identifying specific factors in the relationship between gender, gambling type and gambling problems may help improve clinical interventions and health promotion strategies.     

Gender,Marital Status and Social Support

Abstract

While many studies have examined the separate effects of gender and marital status on patterns of perceived social support, none have examined the simultaneous effects of these two variables while controlling for other relevant variables in a large, random sample. This paper responds to this lacuna by investigating the relationships among these variables for six specific types of problems that may elicit social support from others. Using data drawn from a representative sample of the United States population, results indicate that the perception of sources of social support is primarily shaped by differences in marital status as opposed to gender. However, gender is influential in some situations. While it is not significantly related to the perception of emotional support, gender is significantly related to the perception of instrumental support. (Women manifest a tendency to consider both spouse / partner and relatives as sources of instrumental support more than men, while men rely on friends as sources of instrumental support.) The suggestion that gender may find expression within categories of marital status is supported by findings indicating that, within each of the marital status categories, when men turn to relatives and / or friends for help they tend to be male and when women turn to relatives and / or friends for help they tend to be female. Suggestions for future research are offered.     

Gender Differences in Marital Satisfaction: A Meta‐analysis

The purpose of the present meta‐analysis was to empirically test the widely held assumption that women experience lower marital satisfaction than men. A total of 226 independent samples with a combined sum of 101,110 participants were included in the meta‐analysis. Overall results indicated statistically significant yet very small gender differences in marital satisfaction between wives and husbands, with wives slightly less satisfied than husbands; moderator analyses, however, indicated that this difference was due to the inclusion of clinical samples, with wives in marital therapy 51% less likely to be satisfied with their marital relationship than their husbands. The effect size for nonclinical community‐based samples indicated no significant gender differences among couples in the general population. Additional moderator analyses indicated that there were also no gender differences when the levels of marital satisfaction of husbands and wives in the same relationship (i.e., dyadic data) were compared.     

Barriers to Marital Infidelity

This study used a qualitative approach as a means of exploring barriers to marital infidelity. There has been a substantial amount of research on marital infidelity in recent years, but there is no significant empirical research that looks at protective factors that act as a barrier to keep the marital relationship safe from marital infidelity. This study focused on establishing themes that represent opportunities to have a marital affair, as well as identifying protective factors that act as a barrier to marital infidelity. Semi-structured interviews were audiotaped, transcribed, and analyzed using thematic analysis, a process for encoding qualitative information (Boyatzis) served to identify themes and categories from the recorded participant experiences. Three themes emerged that represent an opportunity to have a marital affair and three themes emerged as barriers to marital infidelity. Opportunities to have a marital affair were represented by direct attempts, flirtatious behavior, and establishing emotional intimacy. Finally, the barriers to marital infidelity were love, religious values and commitment, and communication. Clinical implications are discussed, as well as the limitations of the current study.     

The Impact of Gender and Marital Status on Attitudes and Responses to Unemployment

The study examined differences in job search intensity, attitudes toward unemployment, and related responses among a sample of Israelis, based on gender and marital status (single vs. married). The findings indicate that gender-based differences were greater than those based on marital status. Regarding the impact of gender, women were more likely than men to reject jobs because of conflict with family responsibilities or unsuitable working conditions. Both men and women mentioned gender atypical characteristics of occupations as a reason for rejecting employement, although this tendency was especially prevalent among married women. Women also reported more stress reactions and decline in health as an outcome of unemployment. Regarding the impact of marital status, married men tended to seek jobs more intensively than respondents in the other research groups. Single respondents of both sexes were more likely than their married counterparts to view unemployment as a personal advantage because it gives them more time to themselves. Moreover, married respondents of both sexes were more likely to reject job offers because of conflict with family responsibilities or unsuitable working conditions. In light of the findings, practical recommendations for counselors are provided.     

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).     

Help-seeking behavior among mental health practitioners

The purpose of this exploratory study was to collect self-report data on willingness to seek personal therapy among therapists in Utah, and to discover if group trends occur among marriage and family therapists, psychologists, and social workers. Self-report background characteristics such as age, gender, marital status, number of children, and practice site, served as independent viriables. Responses from 421 therapists were obtained from a mail survey. Results showed that number of children, years in private practice, number of client contact hours per week, gender, marital status, religion, profession, and practice site were significant in willingness to seek personal therapy. Specific gender data and differences across the professions are presented.     

Healthy Relationship Education: A Statewide Initiative Case Study and Outcome Evaluation

Couple and relationship education (CRE) is effective in improving relationship quality and communication skills. However, its methods and structures of delivery (e.g., content, intensity, and settings) vary widely and have lacked empirical scrutiny. This article examines both the structure (i.e., initiative inputs and outputs) and the outcomes of one healthy relationship initiative. First, we use the comprehensive framework for CRE proposed previously to examine ways in which relationship education may be delivered by way of a statewide initiative in which 19 Cooperative Extension County Faculty provided education. Second, we analyze and report outcome data from 2,219 participants. A variety of CRE delivery methods significantly increased perceived levels of relationship knowledge regardless of gender, income, marital status, and whether participants had previous relationship education. Perceived knowledge acquisition differed by participant ethnicity, participant satisfaction with the education, and by CRE format such as single events versus multiple events. Programmatic implications are discussed.     

Anxiety Disorders and Family Therapy

The role of family therapy in anxiety disorders is controversial. Empirical data exist only in relation to agoraphobia and obsessive compulsive disorders. Experienced clinicians, generally working with complex cases, regard marital and family conflict as central to many cases, which require a family approach for optimal therapy. In contrast, research workers generally regard marital and family factors as irrelevant to treatment. This is because complex cases are usually excluded from empirical research. This leaves mainly uncomplicated cases without significant family conflicts, for which a family approach is rarely necessary. Techniques for treating anxiety disorders in a marital/family setting are outlined.     

Analysis of projective identification: An object-relations approach to marital treatment

Projective identification is an important construct to both analytic and family therapy practice approaches. It is an especially useful concept in marital therapy, and can be used as the foundation for assessment and intervention. This paper provides an overview of projective identification and an illustration of its use in marital treatment.     

Behavioral Approaches to Marital Discord and Conflict*

This paper reviews the empirical research in behavioral approaches to marital therapy. The level of product of current research designs has not yet advanced significantly beyond the non-factorial single-group design, and the breadth of treatment populations employed thus far has been restricted. The power of the behavioral method is found in its theoretical base, observational and treatment-relevant assessment, procedural specificity, and quantification of outcome. The outcomes of treatment, though relatively small in number, thus far, have been almost universally positive and encouraging.     

The importance of difference: conceptualising increased flexibility in gender relations at home

In this paper we have three goals. First, to provide a critique of attempts to theorise in the area of intimate care and domestic division of labour which do not pay adequate attention to issues of plurality/difference. We argue that the ideological environment within which contemporary couples operate consists of more than one existing normative structure, and that therefore an approach which can incorporate the idea of change can only really arise in the context of a focus on plurality and difference among households. Secondly, to discuss large-scale empirical evidence relating to the domestic division of labour which seem to indicate an increasingly narrow basis for blanket 'no change' arguments. Historical series of time-use diaries suggest that over a long period consistent changes have occurred in the amount of time that both women and men devote to domestic labour, such that (some) women are doing on average proportionately less, and (some) men proportionately more. Finally, to offer a framework for the discussion of difference and change in gender relations in the home. This focuses on the analysis of the continuing marital conversation as the key arena where the institutional and interactional dimensions of gender relations are played out. Our evidence suggests that the 'opening up' of the marital conversation is an important indicator and facilitator of change, and that mechanisms underlying this 'opening' can be shown to facilitate higher levels of men's participation in family work.