Behavioral treatment of marital discord

Many techniques derived from various family therapies such as filial therapy (Stover & Guerney, 1967), conjugal therapy (Ely, 1970), conjoint parent/child therapy (Wertheim, 1959), conjoint marital therapy (Haley, 1963; Satir, 1964, 1965), and conjoint family therapy (Satir, 1964, 1965) have recently been incorporated into the practice skills repertory of clinical social workers. Of all of these approaches the behavioral view has a substantial pool of accumulated data to support its wide use in practice (Jacobson & Martin, 1976). However, virtually no detailed explanation of the behavioral view appears in the social work literature, thus hindering its application. To alleviate this deficiency this article reviews the following topics: basic philosophy; behavioral exchange and marital satisfaction; development of marital conflict; clinical implications; clinical assessment; tools for intervention; and procedural guidelines for the treatment process.     

We thought it was a secret! An approach to the management of emotional disorder in children with parents in marital conflict

The relationship of marital conflict with emotional disorder in children is well known. The disturbed behaviour at these children is a reaction to, and at times may be the only manifestation of, the parent's conflict. The author has developed an interview technique, based on drawing a dream, which enables children to effectively communicate their understanding of the stressful events in their lives that contribute to their emotional disorder. These drawings and the child's perceptions of their parents' conflict are then discussed with the parents. This often sharply focuses the problem for the parents and may facilitate a resolution of the marital conflict, thereby allowing a more appropriate realignment of family relationships, with a consequent improvement of the child's emotional disorder.     

Modeling Trajectories of Adolescent‐Perceived Family Conflict: Effects of Marital Dissatisfaction and Parental Alcoholism

We evaluated the effects of marital dissatisfaction on adolescent‐perceived conflict in 435 families with and without a parental history of alcoholism. On average, family conflict decreased linearly as adolescents aged. Families with an alcoholic parent demonstrated higher adolescent‐reported family conflict and this effect was partially mediated by higher mother‐ and father‐reported marital dissatisfaction. Families with higher marital dissatisfaction had greater conflict when adolescents were young (based on fathers’ marital dissatisfaction) and as they aged (based on mother's marital dissatisfaction). Years in which mothers reported higher marital dissatisfaction than usual coincided with years in which adolescents reported greater family conflict. Results indicate that marital dissatisfaction has both within and between‐family effects on adolescent perceptions of conflict.     

THE LIMITS OF A TECHINICAL CONCEPT OF A GOOD MARRIAGE: EXPLORING THE ROLE OF VIRTUE IN COMMUNICATION SKILLS

Teaching communication skills is one of the most common approaches used to improve couples' relationships. These skills are typically presented as content-free techniques that are value neutral. Yet, marital therapists frequently see that exercising communication skills, particularly in conflict situations, can be quite difficult, requiring personal strengths such as self-restraint, courage, generosity, justice, and good judgment. These personal strengths are virtues that are presupposed in communication skills and are necessary for their successful use. The traditional attempt to see marital therapy as value neutral has made it difficult to recognize the importance of these virtues. Therapists might be more effective if they could help couples to identify and cultivate underlying character strengths necessary for good communication. This paper presents an Aristotelian reading of virtues in marriage that can broaden our understanding of marriage and open new avenues for helping couples.     

Unshared Loss and Marital Conflict*

The authors have noted in marital therapy a pattern wherein a variety of losses are not mourned and are not shared between partners; instead one spouse uses the other for externalization of internal conflict regarding the losses. Loss is neither acknowledged nor mourned, but tends to be experienced as disenchantment with and anger at the spouse. Therapy should entail the sorting out of projections so that the person can resume the ownership of his or her problems. The conjoint format is helpful for dealing adequately with projective distortions; more importantly, it can facilitate mourning and the sharing of losses.     

Marital Conflict and Children's Emotions: The Development of an Anger Organization

The aim of this study was to examine the relationship between anger‐based marital conflict and the development of an anger organization in children between the ages of 4 and 8 years old. Anger organization was defined as an adversarial approach to relationships demonstrated through (a) short‐term anger expressions during social interaction and (b) aggression in relationships. Seventy‐one children from diverse socioeconomic backgrounds, their mothers, and their teachers participated in the study. Mothers completed questionnaires on anger‐based marital conflict and on children's aggression. Sociometric ratings of anger and aggression were obtained from peers. Teachers supplied reports of children's aggression. Children's short‐term emotional expression and the circumstances that elicited emotions were observed during peer interaction. Anger‐based marital conflict was found to be strongly associated with peer, maternal, and teacher reports of aggression, but not with reports of internalizing symptomatology. Anger‐based marital conflict was also associated with short‐term anger expressions, but not with short‐term expressions of sadness. I argue that children develop an emotional organization in which anger predominates when they are exposed to high levels of anger‐based marital conflict.     

Parental Predivorce Relations and Offspring Postdivorce Well‐Being

This 2‐part study uses national longitudinal interview data from parents and their adult children to examine the way in which predivorce marital conflict influences the impact of divorce on children. In the 1st study, we find that the dissolution of low‐conflict marriages appears to have negative effects on offspring's lives, whereas the dissolution of high‐conflict marriages appears to have beneficial effects. The dissolution of low‐conflict marriages is associated with the quality of children's intimate relationships, social support from friends and relatives, and general psychological well‐being. The 2nd study considers how parents in low‐conflict marriages that end in divorce differ from other parents before divorce. We find that low‐conflict parents who divorce are less integrated into the community, have fewer impediments to divorce, have more favorable attitudes toward divorce, are more predisposed to engage in risky behavior, and are less likely to have experienced a parental divorce.     

ENGAGING THE NON-ATTENDING SPOUSE IN MARITAL THERAPY THROUGH THE USE OF THERAPIST-INITIATED WRITTEN COMMUNICATION

There is currently rather widespread acceptance among clinicians that conjoint marital therapy is the preferred format for treating marital difficulties. However, more often than not, it seems that the marital referral or inquiry for therapy stems from the efforts of one spouse, with the other spouse remaining uninvolved or resistant. Consequently, engaging the non-attending spouse in therapy is an important issue for professionals working with married couples.     

EFFECTS OF SPOUSE PRESENCE DURING THE INTERVIEW ON SURVEY RESPONSES CONCERNING MARRIAGE

Data from the 1987–88 National Survey of Families andHouseholds were used to examine the correlates of spouse presenceduring face-to-face interviews and the impact of spouse presenceon responses to sensitive questions concerning marriage. Resultssuggest that variation in interview privacy can be a sourceof response effects in survey data on marriage. When spouseswere present during the interview, subjective assessments ofthe utility of marriage were more positive, higher estimatesof spouse contributions to housework were obtained, and mengave lower estimates of the likelihood of marital dissolution.There was some indication that spouse presence led to a greaterwillingness to report sensitive factual information concerningthe marriage. Respondents were more likely to report cohabitingwith the spouse before marriage if the spouse was present, andself-reported levels of marital conflict were higher. Implicationsof these findings for survey design are discussed.     

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.     

Developmental Processes in African American Families: An Application of McLoyd’s Theoretical Model

In accordance with McLoyd’s model of African American children’s development, we examined the linkages among family income, maternal psychological distress, marital conflict, parenting, and children’s outcomes in early and middle childhood, using a sample of 591 African American children from the National Longitudinal Survey of Youth. Income during early childhood had a direct effect on behavior problems and reading recognition in middle childhood. Income also had an indirect effect on the child outcomes via maternal psychological distress and parenting. In a comparison of African American and White families, marital conflict predicted children behavior problems only in White families. Findings suggest that family psychological and material resources influence parenting as well as behavioral and cognitive outcomes for African American children.     

Affection and conflict in marital and parent-child relationships

In this study, we examined affection and conflict in marital and parent-child relationships, as reported by mothers, fathers, and 9- and 10-year-old children in a community sample of 87 families. Affection and conflict were inversely related within relationships, with mixed findings across relationships. Most reports showed an association between marital and parent-child conflict as well as between marital and parent-child affection. According to fathers, however, the association between marital affection and father-child affection is moderated by marital conflict. Clinical implications of the associations between positive and negative dimensions of family interaction and of the links between marital and parent-child relations are discussed.     

THE TREATMENT OF BORDERLINE PERSONALITY DISORDER WITHIN A DISTRESSED RELATIONSHIP*

An integrated systemic-psychodynamic approach to the treatment of characterological disorders within conjoint marital therapy is suggested. Spouses' personality disorders may serve a homeostatic function within the marital relationship. Thus, any effort to effect change on either the marital or individual system level must address both the individual and relationship distress. Borderline personality disorder, an extreme characterological impairment, has been considered intractible, although object relations therapists have experienced success in treating such clients. The present paper draws from object relations and systemic therapies in developing a treatment approach to marriages which include at least one borderline spouse. A case example illustrates the conceptualizations and interventions which are proposed.     

Rapunzel & the Pumpkin-Eater: Marital Systems of Agoraphobic Women*

A fairy tale character and a nursery rhyme are used to dramatize the marital systems of women with agoraphobia. This systems perspective emphasizes that the disorder is more than an individual or intrapsychic one, that it is an interpersonal or marital adjustment and that the phobic symptoms of the wife also provide a defence for her husband. Rapunzel characterizes an agoraphobic woman with severe dependency and separation problems. Her husband may be a Rescuing Prince — protective of her and denying of his own problems; or, a Pumpkin-Eater — sexually inadequate and withdrawn. The marriages involve unconscious transactions promising mutual protection. Finally, some aspects of psychotherapy, both individual and conjoint are examined.     

Marital Role Ideals and Perception of Marital Role Behavior in Distressed and Non Distressed Couples

Eighty non-patient couples, 50 couples seeking sex therapy, and 50 couples seeking marital therapy, were asked to report on whom they felt should and who actually does assume responsibility in eight major marital role areas. When the degree of individual “role strain”, that is, the discrepancy between role ideals and role behavior was examined, the marital therapy patients were found to be experiencing the most role strain. Husband-wife discrepancies with respect to who does have the various role assignments were found to be higher in the marital therapy couples. These data are interpreted in terms of their implications for diagnosis and treatment of sexually and maritally distressed couples.     

Integrative and Masking Emotion Work: Marital Outcomes Among Dual-Earner Couples

This study redresses a gap in the literature concerning the outcomes of emotion work by exploring how both integrative and masking emotion work relate to marital quality and marital conflict. Using data from a random sample of dual-earner couples in a northeastern city in an upper Midwestern state (n = 99 couples), this study explores the emotion-work performance of each partner. The findings show that men’s integrative emotion work is only significantly associated with men’s marital quality, whereas men’s masking emotion work significantly predicts their partner’s marital quality, men’s marital quality, and men’s marital conflict. Women’s integrative emotion work is significantly associated with women’s marital quality and their partner’s marital conflict, whereas women’s masking emotion work predicts women’s marital quality and marital conflict. Altogether, the findings suggest that considering both masking and integrative emotion work helps gain a fuller understanding of how emotion work shapes marital outcomes.     

Marital Harmony and Conflict: Links to Infants' Emotional Regulation and Cardiac Vagal Tone

This study is an investigation of linkages between marital quality (conflict and harmony) and infants' emotional and physiological regulation: It was hypothesized that infants exposed to greater levels of marital conflict would demonstrate lower levels of emotional and physiological regulation. Fifty‐six low‐risk infants and their mothers attended a laboratory session when infants were 6 months of age. A baseline EKG was gathered to assess infants' cardiac vagal tone and the Bayley Scales of Infant Development and Behavior Rating Scales were administered. Mothers also completed Braiker and Kelley's (1979) marital quality questionnaire. Consistent with past research with preschoolers, marital conflict was found to be linked to lower levels of emotion regulation in infants. However, unlike past research (Gottman & Katz, 1989), results indicated that marital conflict was associated with lower levels of cardiac vagal tone in infants as opposed to higher levels of vagal tone among preschoolers. These findings are explained in terms of a possible developmental alteration in the link between marital conflict and vagal tone from early infancy to later childhood. Findings also have important implications for understanding the potential impact of the early marital relational context for infants emerging regulatory abilities.     

Marital Conflict in Older Couples: Positivity,Personality, and Health

The authors examine the implications of health and personality characteristics for late‐life marital conflict using data from the 2010–2011 wave of the National Social Life Health and Aging Project, a nationally representative study with data on both partners in 955 marital and cohabitational dyads. Using these data, they relate characteristics of husbands to characteristics of their wives and vice versa. Wives with husbands in fair or poor physical health were more likely to report high levels of marital conflict, but the reverse was not true. Similarly, wives reported more conflict when their husbands were high on Neuroticism, high on Extraversion, and low on a new measure the authors call Positivity. The findings suggest noteworthy gender differences between men and women in the associations between individual characteristics and levels of marital conflict. The authors point to differences between husbands' and wives' marital roles as a contributor to these differences.     

Racial/Ethnic Intermarried Couples and Marital Interaction: Marital Issues and Problem Solving

Abstract

Throughout history interracial/interethnic marriages have been considered an extreme deviation from the marital norm and thus inappropriate by the standards of mainstream society and minority communities. Even today, societal views of intermarried couples often remain negative in nature. This negative perception is frequently sustained by the assumption that intermarried couples experience race / ethnic-based differences in social, moral, and living standards that result in marriages that are fraught with conflict and instability. The mate selection literature however, would suggest that intermarried couples are not socially deficient, but are similar to those who marry within their racial / ethnic group. This research is intended to fill a gap in the literature by exploring the interpersonal, interactive aspects of interracial/interethnic marriages. In particular, this study evaluates intermarried couples as they interact during videotaped sessions of cooperative problem solving to determine if they are similar to, or distinct from, intramarried couples. Data from two aspects of the marital interaction are presented: the types of marital problems encountered and the manner in which couples attempt to resolve these issues. Findings show that while race/ethnicity did not emerge as an issue for intermarried couples, they were confronting different marital issues than intramarried couples. In addition, intermarrieds often employ different interactional styles than intramarrieds when dealing with their marital issues.     

African American Marital Satisfaction as a Function of Work-Family Balance and Work-Family Conflict and Implications for Social Workers

African Americans are more likely than any other race/ethnic group to report lower levels of marital satisfaction. Due to numerous benefits of marriage such as better physical and mental health, it is important to identify factors that impact African American marital satisfaction. This study examines the impact of work-family conflict and work-family balance on African American marital satisfaction. The results reveal a negative relationship between work-family conflict and marital satisfaction as well as differences in work-family factors that predict husbands' verses wives' marital satisfaction. The article offers implications for social work.