Relationship education research: current status and future directions

The overarching aim of this article is to review the research on relationship education programs and approaches that has been published or accepted for publication since the last review article in 2003. This article provides a critical overview of the relationship education field and sets an agenda for research and practice for the next decade. A theme weaved throughout the article is the ways in which relationship education is similar and different from couples therapy, and we conclude that there can be a synergistic, healthy marriage between the two. We then provide recommendations for future directions for research in the relationship education field. Finally, the coauthors comment on our experiences in both the relationship education field and the couples therapy field as both researchers and interventionists.     

Best practice in couple relationship education

Relationship education is widely available to couples and is intended to reduce the prevalence of relationship distress, divorce, and the associated personal and social costs. To realize the potential benefits of couple relationship education, it needs to be evidence-based, offered in ways that attract couples at high-risk for relationship problems, and focused on factors that put couples at high-risk for future relationship problems.     

A permutation test approach to phase II historical control trials

In this note we outline 15 years of Gynecologic Oncology Group (GOG) experience conducting a series of phase II second-line intraperitoneal trials in the treatment of ovarian cancer. Using this information, the goal is to define a new permutation approach to historical control phase II trials in ovarian cancer. We utilize seven previous phase II GOG trials in our database to illustrate our methodology.     

Gender Identity Disorder,the Gender Binary,and Transgender Oppression: Implications for Ethical Social Work

This article argues that social workers are ethically obligated to serve as allies of transgender and gender-nonconforming communities and, thus, should critically examine the diagnosis of gender identity disorder and the oppression inherent in pathologizing gender nonconformity. Social workers should also consider the oppression inherent in the socially constructed gender binary that is the root of the perceived psychosis in gender nonconformance and should fight against this oppression and, therefore, against that binary. This article proposes several action steps that social workers can take to advocate for the transgender and gender-nonconforming communities.     

Marital Therapy, Retreats, and Books: The Who, What, When, and Why of Relationship Help-Seeking

When doubts creep in and marriages begin to falter, where do couples turn for assistance? In a longitudinal study of 213 couples over the first 5 years of marriage, results indicated relationship help‐seeking was relatively common, with 36% of couples seeking some form of outside help during this period. Individual and relationship difficulties predicted increased use of relationship books and marital therapy in the following year; therefore, these behaviors appear to be important outlets for relationship assistance. In contrast, attending marriage retreats/workshops was related only to demographic variables. Results of the present study suggest that the most common types of relationship help‐seeking by community couples are understudied and likely underutilized in the dissemination of empirically based marital interventions.     

Structural Flaws in the Bridge From Basic Research on Marriage to Interventions for Couples

In an article that received widespread media attention, Gottman, Coan, Carrère, and Swanson (1998) reported on a longitudinal study of newlywed couples and recommended major changes in the practice of marital therapy and education. Most notably, they called for the abandonment of interventions that promote active listening, they concluded that anger was not detrimental to marital outcomes, and they advocated an interaction pattern wherein wives raise issues more gently and husbands more readily accept wives' influence. Because of several methodological and conceptual shortcomings, the recommendations of Gottman et al. appear to us to be premature at best. We raise methodological concerns about the nonrandom selection of research subjects, failure to control for factors that may have differentiated couples initially, procedural issues regarding observational and physiological data, and ambiguity about statistical tests employed. We raise conceptual concerns about how the labeling of patterns affects the conclusions drawn and also about the use of correlational data to make strong causal inferences. We conclude that the article by Gottman et al. risks influencing couples and practitioners alike in a manner that, in our view, exceeds the scope and methods of the underlying research.     

The Timing of Cohabitation and Engagement: Impact on First and Second Marriages

Using a multistate sample of marriages that took place in the 1990s, this study examined associations between premarital cohabitation history and marital quality in first (N = 437) and second marriages (N = 200) and marital instability in first marriages (intact N = 521, divorced N = 124). For first marriages, cohabiting with the spouse without first being engaged or married was associated with more negative interaction, higher self‐reported divorce proneness, and a greater probability of divorce compared to cohabiting after engagement or marriage (with patterns in the same direction for marital positivity). In contrast, there was a general risk associated with premarital cohabitation for second marriages on self‐reported indices of marital quality, with or without engagement when cohabitation began.     

Exploring the Relationship Between Stimulant Use and Gambling in College Students

Both gambling and stimulant use are common and can lead to problems on college campuses with consequences that impact the financial, emotional, academic and physical well-being of students. Yet few studies have been conducted to understand the co-occurrence of these conditions and the increased risk factors if any that may exist for gambling and related problems. The present study is among the first to document the co-occurrence of these behaviors in both a random sample of students (N = 4640), and then to explore to what extent stimulant use impacts subsequent gambling and related problems 12 months later in an at-risk sample (N = 199). Results revealed a three-fold higher rate of recent problem gambling for those who used stimulants versus those who had not (11 vs. 4 %). For those already gambling, stimulant use predicted an increased frequency in gambling 12 months later. Implications for prevention and screening are discussed.