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.     

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     

TREATMENT OF MARITAL CONFLICT AND PREVENTION OF DIVORCE

This paper provides a review of previous literature reviews on the effectiveness of marital therapy and evaluates the long-term efficacy of couples therapy in preventing marital separation and divorce. There is general agreement that marital therapy can be effective in reducing marital conflict and promoting marital satisfaction, at least in the short term. Research examining the long-term efficacy of couples therapy for the prevention of marital separation and divorce is sparse but promising with respect to its effectiveness in promoting marital stability. Predictors of successful marital therapy outcomes, the clinical significance of marital therapy outcomes, and the cost effectiveness of marital therapy are also discussed.     

AFFECT IN MARITAL THERAPY

Affect has been conceptualized in various ways. These conceptualizations have influenced the manner in which emotion is dealt with in marital therapy. Using a network theory of emotion, the role of the evocation of emotion in emotionally focused marital therapy to create intimacy and facilitate conflict resolution is discussed. Accessing underlying primary emotional responses in partners makes available adaptive action tendencies which promote problem solving and helps change self- and relationship definitions. The role of emotion in creating change in cognitions, motivation and communication patterns in marital therapy is discussed.     

STRUCTURED SEPARATION FOR MARITAL TREATMENT AND DECISION-MAKING*

Structured marital separation is an intervention method designed to assist distressed marital couples during their critical period of decision-making either to divorce or maintain the marriage. This paper presents a brief review of separation models and addresses separation counseling including: assessment, contracting, initial adjustment to separation, relationship enhancement and individual change. Particular attention is given to the terms of marital separation contracting and a complete sample contract is provided.     

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.     

PREDICTORS OF SUCCESS IN EMOTIONALLY FOCUSED MARITAL THERAPY

This study examined client variables expected to predict success in emotionally focused marital therapy (EFT), now the second most validated from of marital therapy after the behavioral approaches. The relationship of attachment quality, level of emotional self-disclosure, level of interpersonal trust, and traditionality to the therapy outcome variables, marital adjustment, intimacy, and therapist ratings of improvement, was examined. These variables were chosen for their relevance to the theory and practice of EFT and to intimate relationships in general. Overall, therapeutic alliance predicted successful outcome; the task dimension of the alliance in particular predicted couples' satisfaction. More specifically, one dimension of female partners' trust, their faith in their partner, predicted couples' satisfaction at follow-up. Females' faith also significantly predicted males' level of intimacy at follow-up. Males who were most likely to be nondistressed at termination indicated higher levels of proximity seeking on an attachment measure at intake, and older males and males whose partners had higher levels of faith in them were more likely to be nondistressed at follow-up. Traditionality was not found to be significantly related to outcome. Couples who made the most gains at follow-up also indicated lower initial marital satisfaction and included males who indicated lower levels of use of attachment figure on the attachment measure at intake. Males who made the largest gains at termination were older and were rated as less expressive by their partner on self-disclosure measures at intake. Age was the only variable significantly related to males' gains in satisfaction at follow-up, Implications for the practice of marital therapy and future research are delineated.     

Sexual satisfaction, perceived availability of alternative partners, and marital quality in newlywed African American couples

The goal for this project was to examine the manner in which husbands' and wives' sexual satisfaction was related to their perceptions of the availability of alternative partners and overall marital quality. Participants were 470 newlywed African American couples residing in the southern region of the United States. Path analysis was used to simultaneously examine actor (individuals' sexual satisfaction on their own outcomes) and partner (individuals' sexual satisfaction on their partners' outcomes) effects. Wives' and husbands' sexual satisfaction was strongly and positively associated with their own reports of marital quality, although it was not associated with their partners' reports of marital quality. For both wives and husbands, higher sexual satisfaction was associated with lowered perceptions that they would be able to find other acceptable partners should their current relationship end. Perceived availability of alternative partners was, in turn, negatively associated with reports of marital quality.     

Intimate Relationships

The study examined differences between college stu- dents from divorced and intact families on several measures of intimate relationships. Analyses indicated that students from divorced families had more sexual partners and desired more sexual involvement when going steady than students from intact families. Regression analyses indicated that, for students from both divorced and intact families, parental marital conflict was a significant predictor of total number of sexual partners and negative attitudes toward marriage. In addition, parents' marital status was a significant predictor of sexual involvement while going steady and a significant predictor of self perceptions of socialbility and morality. For students from divorced families, conflict after the divorce was a significant predictor of sexual involvement while going steady and negative attitudes toward marriage. Number of years since the divorce occurred was also a significant predictor of sexual involvement desired after several dates, relationship beliefs, and attitudes toward marriage for students from divorced families. Implications of these results are discussed in terms of college students' development of intimate relationships.     

WAITING LIST CONTROLLED TRIAL OF COGNITIVE MARITAL THERAPY IN SEVERE MARITAL DISCORD

Forty-one couples with severe marital discord participated in a controlled trial conducted to evaluate whether a form of marital therapy that is designed to enhance marital intimacy through facilitating self-disclosure of personal constructs was effective. The study found that there was no spontaneous remission in marital discord in couples on a 10-week waiting list. Couples subjectively reported improvement as a consequence of participating in marital therapy, and couples in therapy and on the waiting list showed a significant reduction in symptoms of nonpsychotic emotional illness. There was a significant pattern of improvement for wives in the therapy group compared to the waiting list group, but no such effect for the husbands.     

PREDICTING DEPRESSION FROM MARITAL DISTRESS AND ATTRIBUTIONAL PROCESSES*

This study examined the interaction between marital distress and spouses' attributions and expectancies regarding the marital relationship in predicting depressive symptoms in a mixed sample of 59 clinic and nonclinic couples. The best single predictor of depression for both sexes was a measure of disaffection, reflecting emotional distance and alienation in the marriage. However, prediction of wives' depression in multiple regression analyses was enhanced by measures of overt marital disharmony, attribution of causality for relationship difficulties to their own behavior, and failure to attribute difficulties to their husbands' behavior. Regression analyses accounted for 55% of the variance in wives' depression, in contrast to only 32% for husbands. Treatment implications are discussed.     

News and comments

A sample of 6,029 married persons from the National Survey of Families and Households was analyzed to determine the correlates of sexual inactivity in marriage and to see if sexually inactive marriages were less happy and stable than those with sexual activity. Sixteen percent of the marriages in this sample had been sexually inactive during the month prior to the interview. A logistic regression analysis showed unhappiness with the marital relationship, increased likelihood of separation, lack of shared activity, few arguments over sex, lack of physical violence, increased age, fewer children, the presence of preschoolers, and poor health all to be significant correlates of sexually inactive marriage. Significant differences existed between males and females, such as the presence of relationship violence being associated with sexual activity only for females, and the presence of preschoolers and poor health associated with sexual inactivity only for males. These findings suggest that although sexually inactive marriages are not uncommon, they are not happy, stable marriages in which the partners simply do not have sex. Lack of sexual activity may be a danger signal for many marriages.     

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.     

PREDICTING DIVORCE AT MARITAL THERAPY INTAKE: WIVES' DISTRESS AND THE MARITAL STATUS INVENTORY*

The Marital Status Inventory (MSI), a measure of divorce potential was given to couples in six independent samples. Scores from the five clinical sites and one marital enrichment sample (N = 241 couples) were used to provide adequate reliability, discriminant validity and predictive validity data. Compound probability for the five clinical sites supports the contention that, overall, wives' are more distressed than their husbands. The MSI was also able to identify couples who later divorced. However, the Guttman properties of the MSI, previously identified, were not replicated. Clinical implications of the higher wives' scores for prediction of divorce and marital therapy are discussed.     

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).     

THE MEASUREMENT OF MARITAL INTIMACY

The Waring Intimacy Questionnaire (WIQ), is a 90-item, true/false questionnaire specifically developed to measure the quantity and quality of marital intimacy. Eight facets of marital intimacy are measured: affection, cohesion, conflict resolution, compatibility, expressiveness, sexuality, autonomy and identity. Forty items provide a measure of total intimacy and a social desirability scale is included. Reliability and validity data are presented which suggest that the WIQ merits further study for evaluation of its clinical and research utility.     

THE MEASUREMENT OF MARITAL INTIMACY

The Waring Intimacy Questionnaire (WIQ), is a 90-item, true/false questionnaire specifically developed to measure the quantity and quality of marital intimacy. Eight facets of marital intimacy are measured: affection, cohesion, conflict resolution, compatibility, expressiveness, sexuality, autonomy and identity. Forty items provide a measure of total intimacy and a social desirability scale is included. Reliability and validity data are presented which suggest that the WIQ merits further study for evaluation of its clinical and research utility.     

Systemic effects of trauma in clinic couples: an exploratory study of secondary trauma resulting from childhood abuse

Clinical literature suggests that those close to a trauma survivor may experience intrapersonal and interpersonal distress because of indirect or secondary effects of the trauma. The focus of this study is on the association between reported childhood physical and sexual abuse and current individual stress symptoms, relationship satisfaction, and family adjustment. The participants included 96 clinic couples who reported a history of childhood physical or sexual abuse in one or both partners and 65 clinic couples in which neither partner reported such abuse. Couples in which one or both partners reported childhood abuse reported significantly lower marital satisfaction, higher individual stress symptoms, and lower family cohesion than couples with no abuse history. No significant differences were found between individuals who reported a history of abuse and their partners who reported no history of childhood abuse, suggesting support for secondary trauma theory. Clinical and future research implications are discussed.     

SEXUAL ATTARACTION AND ROMANTIC LOVE: FORGOTTEN VARIABLES IN MARITAL THERAPY*

The purpose of this paper is to address the lack of attention in the mariage therapy literature ot romantic love and sexual attraction. Although mot coupples marry because of romantic love and tent to divorce when they “fall out of love,” few guidelines are available to therapists concerning how to deal with love as an issue in therapy. In contrast to models of marriage therapy which focus on rational skill devlopment, the model presented here is based on the assumption that marriage problems are emotional in nature and that the success of marital theapists is dependent upon skill in addressing emotional states. Based on recent findings in neurobioloy, this model contends that the affective dimension of love is precognitive and similar to the attchment between infant and parnent. By providing nonverbal and precognitive experience whithin therapy that can alter the emotional pattern of couples, therapists can increase the likelihood of a successful outcome.     

THE RELATIONSHIP CHART — A recording and therapeutic process

Those affected by a marital separation are inclined to talk about who caused the marriage to end, with blame being widely apportioned. In seeking to help clients come to terms with marital separation, the author developed a process involving the building of The Relationship Chart. The Relationship Chart presents in visual form a record of the couple's relationship. Satir uses a family life chronology to change the focus from an identified client to a family relationships focus. Similarly The Relationship Chart process endeavours to change the focus from blaming others to one in which the partners can focus on their mutual responsibility for their own separation.