African American Therapists Working With African American Families: An Exploration of the Strengths Perspective in Treatment

With the exception of Hill's (1971, 1999) work, historically much of the literature on African American families has focused more on pathology than strengths. This study used interviews with 30 African American psychotherapists, self-identified as employing a strengths perspective with African American families, to investigate which strengths they identified in the families and how they use those strengths in therapy. Themes emerging from data analysis confirmed the continued importance of the five strengths Hill noted. In addition, two new strengths were identified by the participants: a willingness of a greater number of families to seek therapy, and the importance of family structure. Strategies used in engaging the families in therapy and practice implications for family therapists are discussed.     

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.     

Personal Reflections of A Family Therapist*

In this informal paper I discuss my personal evolution as a family therapist, developments in the field, the politics of a systems approach in conventional settings, resistances to family and marital therapy by other professionals, some still puzzling aspects of family therapy, whether family or marital therapy works and what do we mean by working, directions my own work has taken, some comments about the nature of family life, the satisfactions and frustrations and stresses of being a family therapist, some hidden agendas of family therapy practices, how one's own personal family relationships affect and are affected by this kind of work, the casualties among family and marital therapists, and, finally, whether family therapists should have family therapy for themselves and their own families.     

Working Hard and Hardly Working: Domestic Labor and Marital Satisfaction Among Dual‐Earner Couples

This article examines the effect of domestic labor, gender ideology, work status, and economic dependency on marital satisfaction using data obtained from self‐administered questionnaires for 156 dual‐earner couples. Analytic distinctions were drawn among three aspects of domestic labor: household tasks, emotion work, and status enhancement. The effects of each of these elements of the division of domestic labor on marital satisfaction were tested. We also tested the effects of a respondent's satisfaction with the couple's division of domestic labor on marital satisfaction. Finally, we tested the effects of gender ideology, hours spent in paid work each week, and economic dependency on marital satisfaction. For women, satisfaction with the division of household tasks and emotion work and their contributions to household and status‐enhancement tasks were the most significant predictors of marital satisfaction. Satisfaction with the division of labor around both emotion work and housework were significant predictors for men's marital satisfaction. Partner's status‐enhancement work was also predictive for men. Economic dependency, paid work hours, gender ideology, partner's hours spent on housework, contributions to emotion work, and number of children and preschool‐age children had only indirect effects on women's marital satisfaction. For men, hours spent on housework, contributions to emotion work, partner's emotion work, hours spent in the paid labor force, and number of preschool children had an indirect effect on marital satisfaction.     

Socioeconomic,Sociodemographic and Attitudinal Correlates of the Tempo of Divorce

This study assesses the impact of socioeconomic, sociodemographic, and attitudinal characteristics of husbands and wives on the timing of marital dissolution. The primary concerns were with divorce and the intervals of marital duration before divorce occured. The analysis was based on data collected from an initial sample of 610 couples in the early years of marriage, all of whom resided within a large North Central Standard Metropolitan Statistical Area in 1978. The couples were reinterviewed seven years later in 1985 (N = 544). The data collected from the first wave of subjects were used to identify antecedent characteristics of husbands and wives, whereas, data from the second wave were used to measure the timing (tempo) of marital dissolution among the 105 couples who subsequently divorced. Partial correlation coefficients indicated that the tempo of divorce significantly varied according to the wife's employment status, occupational status, future work plans, father's education, age at marriage, gender role orientation and number of children. Moreover, a multiple classification analysis of these variables showed that under controlled conditions wives' employment status and number of children were more powerful predictors of the tempo of divorce.     

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.     

Depression,the Family,and Family Therapy

The potential contribution of family therapists to the treatment of depression remains underdeveloped. Family therapists need to articulate how changes in family functioning might benefit depressed persons, as well as how other problems in the families of depressed persons tend to go unrecognised. Furthermore, family therapists need to be alert to how undetected depression in adults and children may interfere with their ability to meet their goals with families who seek therapy for other persons. This article provides family therapists with (1) an overview of the nature and experience of depression; (2) an introduction to antidepressant medication; (3) a summary of research findings relating depression to its family context and (4) a brief overview of developments in the marital and family treatment of depression.     

Straight therapists working with lesbians and gays in family therapy

This article uses a cultural literacy model to sensitize straight marital and family therapists (MFTs) to work with gays, lesbians, and their families. While most MFTs number gays and lesbians among their clients, differences in sexual orientation between therapist and clients are often insufficiently addressed, closing off therapeutic possibilities. Marital and family therapists are asked to systematically assess homophobic and heterosexist assumptions in both personal attitudes and professional theory and practice and to educate themselves about gay culture and family life. The role of disclosure, trust, and collaborative meaning making in creating a therapeutic relationship that is culturally sensitive, clinically effective, and ethically responsible is examined.     

The treatment of sexual problems in marital and family therapy

With the proliferation of new research data and clinical practice techniques for dealing with sexual dysfunction, many family and marital therapists whose patients express sexual complaints experience the need to integrate this knowledge into their practice. For many couples and therapists, the rapid treatment approaches to sexual difficulties are inappropriate or ineffectual, yet the current literature addresses itself to either sex therapyper se or marital therapy and rarely deals with an integration of the two. This paper presents guidelines for assessing the sexual difficulties in the context of the relationship and outlines techniques for addressing the sexual difficulties directly while maintaining a more traditional marital therapy approach.     

Therapists’ Assessment and Treatment of Internet Infidelity Cases

In this study, we investigated through an Internet survey of 508 practicing marriage and family therapists which treatment decisions varied by gender of the client and background variables of therapists. The subjects responded to several typical Internet infidelity scenarios. We varied the gender of the person initiating the infidelity for half of one sample. We also asked the family therapy participants to respond to how they might assess and treat each presenting problem. They also evaluated problem severity, prognosis of the case, number of sessions necessary for treatment, and the extent to which a therapist would focus individually or relationally. Results indicate that there were differences in how therapists assessed and treated clients based on client gender, therapists’ age, therapists’ gender, how religious therapists reported they were, and the extent of therapists’ personal experience with infidelity.     

Marriage and family therapy faculty members' balance of work and personal life

A sense of imbalance is common among both professors and therapists, though few studies have been published examining the work and personal life balance of those who work in both professions simultaneously. Using in-depth telephone interviews, this study examined the work and personal life balance of 16 marriage and family therapy (MFT) faculty members. Results showed that six were satisfied with their balance, six were dissatisfied, and four were "middle of the road." Men, older participants, and those who were in their career longer were more likely to report feeling satisfied with their balance. Internal indicators of their balance included family and workplace messages, health indicators, feelings of contentment, and congruence with personal values. Child and relationship status, tenure status, and gender issues also impacted their sense of balance. Specific balance enhancers and reducers were highlighted, and participants discussed coping strategies and recommendations for other MFT faculty members. Clinical, training, and career implications are discussed.     

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.     

STRENGTHENING DOMESTIC VIOLENCE THEORIES: INTERSECTIONS OF RACE, CLASS, SEXUAL ORIENTATION, AND GENDER

Current family therapy theories and practices of domestic violence place an important emphasis on gender. Employing the notion of intersectionality, this article demonstrates how the relevance and applicability of contemporary theories and practices may be enhanced through the inclusion of primary dimensions of social life, including but not limited to race, class, and sexual orientation. Theoretical in nature, this article suggests future directions for theory construction and clinical practice, drawing on literature not easily accessible to most marital and family therapists.     

Adolescents Seeking Mental Health Services

Summary

Inner-city adolescents receiving mental health services often get inadequate medical care. However, when those who seek counseling are asked about their health concerns, they say they want to discuss them with their therapists. Based on responses to a clinical self-assessment questionnaire (Adquest), adolescent mental health clients reported sleep difficulties, weight and eating concerns, and frequent headaches and stomachaches. Age and gender differences in patterns of vulnerability and willingness to talk were explored.     

Personal wellbeing among ethnic Koreans in China's Northeast

This study investigates personal wellbeing among a sample of ethnic Koreans in China's Northeast using the eight-item Personal Wellbeing Index (PWI). The PWI demonstrated good psychometric properties, consistent with previous studies. The data revealed a moderate level of personal wellbeing (PWI score = 70.3) and the results supported the Theory of Subjective Wellbeing Homeostasis, suggesting that strong external and internal buffers protect the HPM for ethnic Koreans, despite the onslaught of marketisation and urbanisation in China that are threatening to undermine Koreans' sense of ethnic identity. The predictors of personal wellbeing were found to be age (with a nonlinear relationship), education, gender, income, marital status and the city in which the individual lives.     

Marital Satisfaction in Turkish Remarried Families: Marital Status,Stepchildren, and Contributing Factors

This study aimed to compare marital satisfaction among those of different marital status (first-married, postdivorce remarried, and postbereavement remarried) based on gender; to investigate the effect of decision of divorce on marital satisfaction of postdivorce remarried individuals; to examine the effect of type of death on marital satisfaction of postbereavement remarried individuals; and to examine the effect of stepchildren on marital satisfaction of remarried individuals. It was also intended to investigate the predictive power of demographic and contextual variables on marital satisfaction in different households. The Dyadic Adjustment Scale and an information form were administered to 116 first-married and 223 remarried individuals. To test the hypotheses of the study, analysis of variance, analysis of covariance, and stepwise multiple regression analysis were performed. Results revealed that there was no significant marital satisfaction difference in terms of marital status. Remarried individuals with residential stepchildren had lower marital satisfaction than those with nonresidential stepchildren and those without stepchildren. For first-married individuals, length of marriage and income predicted marital satisfaction. For postdivorce remarried individuals, gender and presence of mutual children were predictors. For postbereavement remarried individuals, length of current marriage and income were significant predictors. For those with stepchildren, only residence of stepchildren significantly predicted marital satisfaction. The findings of the study were discussed in the light of relevant literature.     

Gender Dynamics Predict Changes in Marital Love Among African American Couples

This study examined the implications of gender attitudes and spouses' divisions of household labor, time with children, and parental knowledge for their trajectories of love in a sample of 146 African American couples. Multilevel modeling in the context of an accelerated longitudinal design accommodated 3 annual waves of data. The results revealed that traditionality in husbands' gender attitudes was linked to lower levels of love. Furthermore, divisions of household labor and parental knowledge moderated changes in love such that couples with more egalitarian divisions exhibited higher and more stable patterns of love, whereas more traditional couples exhibited significant declines in love over time. Finally, greater similarity between spouses' time with their children was linked to higher levels of marital love. The authors highlight the implications of gender dynamics for marital harmony among African American couples and discuss ways that this work may be applied and extended in practice and future research.     

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.     

Therapist Ratings of Frequency and Severity of Marital Problems: Implications for Research*

In order to ascertain fruitful directions for marital therapy research, practicing marital therapists were asked to provide information regarding the clinical relevance of potential research topics. A structured questionnaire was mailed to 250 members of the American Association of Marriage and Family Therapists. Therapists treating at least five couples were asked to rate the frequency, severity, and treatment difficulty for 29 problems commonly experienced by distressed couples. Therapists' responses indicated the clinical relevance of a number of potential directions for research. Communication and alcoholism were most strongly endorsed as priority areas for future marital therapy research.     

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.