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The Enhancement of Traditional Behavioral Couples Therapy: Consideration of Individual Factors and Dyadic Development
Clinical Psychology Review, Vol. 18, No. 6, pp. 745±764, 1998 Copyright 1998 Elsevier Science Ltd Printed in the USA. All rights reserved 0272-7358/98 $19.00 ϩ .00 PII S0272-7358(98)00027-0 THE ENHANCEMENT OF TRADITIONAL BEHAVIORAL COUPLES THERAPY: CONSIDERATION OF INDIVIDUAL FACTORS AND DYADIC DEVELOPMENT Erika Lawrence, Kathleen A. Eldridge, and Andrew Christensen University of California, Los Angeles ABSTRACT. There has been little effort by behavior therapists to develop couple interventions that view marriage from a content-relevant or developmental perspective. Consequently, we have delineated ways in which a perspective of intimate relationships including individual factors and dyadic development might guide the enhancement of traditional behavioral couples therapy (TBCT) with novel and improved techniques that will ultimately allow us to reach a wider range of distressed couples than our current interventions allow. Speci®cally, we examined the potential bene®ts to intervention that could occur by considering the impact of individual factors on rela- tionship quality, using the literature on attachment patterns as an example. Further, we have discussed the potential gains to couple interventions that could occur by considering the impact of dyadic development on relationship satisfaction. We ®rst addressed gradual changes in mar- riage, using intimacy as an example. Next we examined ``stage of marriage'' issues, using child behavior problems as an example. Finally, we considered whether or not a problem was chronic. Throughout, we have proposed utilizing TBCT as a starting point, and considering ways to enhance TBCT speci®cally, as it is the marital therapy for which we have the most information and empirical support. -
Couples Biofeedback Training Using Alive Pioneer®
Couples Biofeedback Prepared by Somatic Vision, Inc., makers of Alive, Training using Alive May 2014 Pioneer® Alive Pioneer enables couples to train together with both partners being measured By Yuval Oded, PhD (c) simultaneously in Alive. By using physiological synchronization as feedback they can improve co-regulation and therapeutical efficacy. Interpersonal Biofeedback Training with Couples When used in psychotherapy, biofeedback training aims at increasing patients’ awareness of their bodily states and the body-mind connection. This awareness, along with biofeedback training, allows patients to learn to improve their self-regulation skills. Generally, the role of the therapist is to assist the client to achieve these goals by teaching him several techniques and finding those that best contribute to a more balanced and flexible autonomic nervous system, allowing efficient functioning in the face of varying internal and external environmental stimuli. The focus in such an intervention is on the psychological state of the client and on his physiology. In this article we would like to present a few ways where biofeedback is used in the context of a relationship, using examples from couples therapy and discuss how extending the traditional role of biofeedback opens new possibilities in therapy. Couples therapy many times elicits very extreme emotional reactions. For a therapist observing the interaction, it is often very clear how partners react to each other’s' emotions and behaviors but for the partners themselves those patterns may not be conscious. Since many patterns of behaviors are related to deeply automatic reactions dependent on past histories of the partners, it can take a lot of time and effort to help them change those rigid behaviors. -
Informed Consent for Mental Health and Assessment Services
Informed Consent for Mental Health and Assessment Services UVU Student Health Services (SHS) consists of the following sub-departments: mental health services, medical services, psychiatric services, crisis services, and assessment services. This document provides information on how mental health and assessment services are provided. ELIGIBILITY In order to qualify for mental health and assessment services you must be a current-term registered student at UVU. A student must be 18 years or older to receive mental health and/or assessment services. Students requesting to begin treatment during the spring or fall semesters must be enrolled with at least 9 credit hours in order to be eligible for individual and/or couples therapy. Students requesting to begin treatment during the summer semester must be enrolled with at least 6 credit hours. A student is permitted to receive services while on a vacation semester provided this will not result in two consecutive semesters of not attending classes. Students who are registered for classes but have never attended UVU previously must wait until classes commence before receiving mental health or assessment services. Any student currently enrolled may be eligible for group therapy, biofeedback, or assessment services regardless of amount of credit hours. COUNSELING SERVICES Mental Health Services primarily provides group therapy, individual therapy, biofeedback, and couple’s therapy. Services are provided by professionals who are licensed psychologists, licensed social workers, licensed mental health counselors, as well as graduate trainees (who are supervised by a licensed professional). Generally, students are allotted a total of 24 individual and/or couples sessions over their time at UVU. -
Information to Users
INFORMATION TO USERS This mazmsciÿt has been reproduced from the microSlm master. U M I films the text direct^ &om the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of conçuter printer. The quality of this reproduction is d^>end^t upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard marÿnc, and inyroper aiigmnent can adversety affect reproductiorL In the unlikety event that the author did not send U M I a complete manusotyît and there are missing pages, these w ill be noted. Also, if unauthorized copyri^t material had to be removed, a note win indicate the deletion. Oversize materials (e.g^ maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand comer and continuing from 1 ^ to right in equal sections with smafl overlaps. Each original is also photographed in one exposure and is included in reduced form at the back of the book. Photographs included in the original manuscript have been reproduced xerogr^hically in this copy. Higher quality 6" % 9" black and white photographic prints are available for aity photographs or illustrations spearing in this copy for an additional charge. Contact UM I directty to order. UMI A Bel! & Howell information Company 300 Nortn Zeeb Road. Ann Arbor. Ml 48106^1346 USA 313.'761-4700 800/521-0600 THERAPISTS' EXPERIENCE OF METAPHORIC COMMUNICATION IN THERAPY Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By: Carina Sudarsky-Gleiser, M.A. -
An Overview of Gottman Method Couples Therapy Mark R. Reynaud, MA, LPC-S, LMFT-S What Is Dysfunctional in Ailing Marriages? •
An Overview of Gottman Method Couples Therapy Mark R. Reynaud, MA, LPC-S, LMFT-S What is Dysfunctional in Ailing Marriages? More negativity than positivity Presence of the 4 horsemen: Criticism, Contempt, Defensiveness and Stonewalling Failure of repair attempts Negative Sentiment Override Flooding and the Distance and Isolation Cascade Chronic Diffuse Physiological Arousal (DPA) Failure of men to accept influence What is Functional When a Marriage is Going Well? Matches in conflict style: validators, avoiders, volatiles: It is the mismatches that predict divorce (Supported by Susan Johnson’s work on EFT) Dialogue with perpetual issues: 69% of problems are perpetual. Active listening model is not validated in research Softened rather than harsh start-up (especially for women) Accepting influence (especially for men) Effective repair attempts De-escalation of negativity, usually by male partner in low conflict situations Positive affect, especially as a way to de-escalate conflict Presentation of issues as joint problems and specific to one situation Ability to remain physiologically calm during conflict Active building of friendship, intimacy and positive affect Sound Relationship House Model Build Love Maps Share Fondness and Admiration Turn Towards Positive Perspective Manage Conflict Make life dreams come true Create Shared Meaning Trust and Commitment Assumptions: Couples therapy is primarily DYADIC The role of emotion: A) Learning is state dependent B) All emotions and wishes are acceptable and needing to be expressed/understood The therapist’s role in soothing Interventions should have low psychological cost Couples therapy as a positive affective experience GMCT is about building the “good enough marriage” rather than the ideal marriage. -
Comprehensive Cognitive-Behavior Therapy with Couples and Families: a Schema Focused Approach
COMPREHENSIVE COGNITIVE-BEHAVIOR THERAPY WITH COUPLES AND FAMILIES: A SCHEMA FOCUSED APPROACH FRANK M. DATTILIO, PH.D., ABPP HARVARD MEDICAL SCHOOL ©2007 Frank M. Dattilio, Ph.D., ABPP COGNITIVE-BEHAVIORAL STRATEGIES WITH COUPLES AND FAMILIES Frank M. Dattilio, Ph.D., ABPP HArvArd MedicAl ScHool Introduction I. Historical Development of Cognitive-Behavior Therapy • Philosophy and theory – an overview II. Application of Cognitive-Behavioral Strategies with Couples and Families • Cognition, affect, and behavior • Combined perspectives within a systems framework • Role of core beliefs and schemas and their multimodal dimensions • Video clips III. Assessment Techniques and Case Conceptualization • Conjoint, individual, and family interviews • Use of surveys, questionnaires, and assessment measures • Development of case conceptualization including negative automatic thoughts • Assessing personality and other disorders • Orient couple or family to the cognitive-behavioral model ©2007 Frank M. Dattilio, Ph.D., ABPP IV. Techniques and Procedures for Couples and Families • Identify automatic thoughts, underlying schemas, maladaptive assumptions, and cognitive distortions • Draw link between emotions and negative automatic thoughts and misperceptions. Use of the Daily Dysfunctional Though Record • Identify negative frame and ingrained beliefs associated with cognitive distortions • Weighing evidence and challenging automatic thoughts and schemas • The use of new evidence in correcting distorted thinking and ingrained schema • Practice alternative -
T~~E Evolution of Psychotherapy. a Conference
T~~E EvoluTioN of PsycHOTHERApy. SM A CoNfERENCE. Sponsored by The Milton H. Erickson Foundation Cosponsored by University of California, Irvine-Department of Psychiatry & Human Behavior California State University, Fullerton-Department of Psychology December 12-16, 1990 Anaheim, California FEATURING: Beck, Bugental, Ellis, Glasser, M. Goulding, Haley, Hillman, Kaplan, Lazarus, Lowen, Madanes, Marmor, Masterson, May, Meichenbaum, Minuchin, Palazzoli, E. Polster, M. Polster, Rossi, Szasz, Watzlawick, Whitaker, Wolpe and Zeig. KEYNOTE ADDRESSES Viktor Frankl Betty Friedan PsycheScapes= Positions & Projections Featuring: Aaron Beck, M.D. James Bugental, Ph.D. Albert Ellis, Ph.D. William Glasser, M.D. Mary Goulding, M.S.W. Jay Haley, M.A. James Hillman, Ph.D. Helen Singer Kaplan, M.D., Ph.D. Arnold Lazarus, Ph.D. Alexander Lowen, M.D. Cloe Madanes, Lie. Psychol. Judd Marmor, M.D., Ph.D. James Masterson, M.D. Rollo May, Ph.D. Donald Meichenbaum, Ph.D. Salvador Minuchin, M.D. Mara Selvini Palazzoli, M.D. Erving Polster, Ph.D. Miriam Polster, Ph.D. Ernest Rossi, Ph.D. Thomas Szasz, M.D. Paul Watzlawick, Ph.D. Carl Whitaker, M.D. Joseph Wolpe, M.D. Jeffrey Zeig, Ph.D. This second Evolution of Psychotherapy Conference, PsycheScapes: Positions and Projections, is dedicated to those presenters from the 1985 Conference who cannot be with us here, but who will always be with us in spirit. Their wisdom and contributions have added to the well-being of humankind. Bruno Bettelheim Murray Bowen Ronald D. Laing Carl Rogers Virginia Satir Lewis Walberg And to Robert Goulding who could not attend the Conference due to ill health. THE HONORABLE CITY COUNCIL FRED HUNTER, Mayor IRV PICKLER, Mayor Pro Tern MIRIAM KAYWOOD, Councilwoman WILLIAM D. -
The History of Family Therapy
AA01_GLAD8906_06_SE_FM.indd01_GLAD8906_06_SE_FM.indd PagePage iiiiii 29/03/1429/03/14 7:327:32 PMPM//205/PH01382/9780133488906_GLADDING/GLADDING_FAMILY_THERAPY6_SE_9780133488906/SE/2 f-w-155-userf0-w5-/P15H50-1u3s8e2r /9780133488906_GLADDING/GLADDING_FAMILY_THERAPY6_SE_9780133488906/SE/ ...... PREFACE PHILOSOPHY Therapeutic work with families is a recent scientific phenomenon but an ancient art. Throughout human history, designated persons in all cultures have helped couples and families cope, adjust, and grow. In the United States, the interest in assisting families within a healing context began in the 20th century and continues into the 21st. Family life has always been of interest, but because of economic, social, political, and spiritual val- ues, outsiders made little direct intervention, except for social work, into ways of helping family functioning until the 1950s. Now, there are literally thousands of professionals who focus their attention and skills on improving family dynamics and relationships. In examining how professionals work to assist families, the reader should keep in mind that there are as many ways of offering help as there are kinds of families. How- ever, the most widely recognized methods are counseling, therapy, educational enrich- ment, and prevention. The general umbrella term for remediation work with families is family therapy . This concept includes the type of work done by family professionals who identify themselves by different titles, including marriage and family therapists, licensed professional counselors, psychologists, psychiatrists, social workers, psychiatric nurses, pastoral counselors, and clergy. Family therapy is not a perfect term; it is bandied about by a number of professional associations, such as the American Association for Marriage and Family Therapy (AAMFT), the American Counseling Association (ACA), the American Psychological Association (APA), and the National Association of Social Workers (NASW). -
Couples Therapy That Goes Deeper Than Dirty Dishes
Couples Therapy that Goes Deeper than Dirty Dishes Ari Tuckman, PsyD, MBA West Chester, PA [email protected] adultADHDbook.com A good relationship pushes you to become a better person Deeper Couples Therapy 2 ADHD Inconsistency Impacts Relationships . ADHD, especially unmanaged, can impact: . One’s ability to be the partner one wants to be . A partner’s ability to be the partner they want to be . Every couple needs to negotiate different desires and ways of doing things . ADHD exacerbates these universal struggles Deeper Couples Therapy 3 ADHD Unreliability Impacts Security . We hope for reliable actions from our partner in order to trust what they say . And from ourselves. ADHD inconsistency makes it harder for: . ADHD partner to feel effective . Non-ADHD partner to feel secure . The easy trap . ADHD becomes the scapegoat for the non-ADHD partner’s anxiety Deeper Couples Therapy 4 It Takes Two To Tango Deeper Couples Therapy 5 The Classic Dynamic . It’s easy to fall into the stereotypical dynamic of the under- and over-functioner . Will all the accompanying anger, nagging, avoidance, and general frustration . Casualties mount on the battlefield of daily demands . ADHD is an obvious contributor, but the other partner is still half of the relationship Deeper Couples Therapy 6 It’s a Trap . Nobody is winning when stuck in this chase dynamic . And doing more of the same won’t tip the balance . Nobody is bringing their best to the relationship . And we can’t expect our partners to behave better than we do . Medication and good systems can help a lot . -
Emotionally Focused Therapy for Couples: a Treatment for Depression and Anxiety
St. Catherine University SOPHIA Master of Social Work Clinical Research Papers School of Social Work 5-2018 Emotionally Focused Therapy for Couples: A Treatment for Depression and Anxiety Courtney Reinitz St. Catherine University, [email protected] Follow this and additional works at: https://sophia.stkate.edu/msw_papers Part of the Social Work Commons Recommended Citation Reinitz, Courtney. (2018). Emotionally Focused Therapy for Couples: A Treatment for Depression and Anxiety. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/ msw_papers/838 This Clinical research paper is brought to you for free and open access by the School of Social Work at SOPHIA. It has been accepted for inclusion in Master of Social Work Clinical Research Papers by an authorized administrator of SOPHIA. For more information, please contact [email protected]. Running head: EMOTIONALLY FOCUSED THERAPY FOR COUPLES Emotionally Focused Therapy for Couples: A Treatment for Depression and Anxiety By Courtney E. Reinitz, B.A. MSW Clinical Research Paper Committee Members: Mary Tinucci, DSW (Faculty Chair) Katy Kolstad, MSW, LGSW Christine Kleich, MSW, LICSW The Clinical Research Project is a graduation requirement for MSW students at Saint Catherine University/University of Saint Thomas School of Social Work in Saint Paul, Minnesota and is conducted within a nine-month time frame to demonstrate facility with basic social research methods. Students must independently conceptualize a research problem, formulate a research design that is approved by a research committee and the university Institutional Review Board, implement the project, and publicly present the findings of the study. This project is neither a Master’s Thesis nor Dissertation. -
3. Helping Relationship Comps Review
3. Helping Relationship l. Helping relationships Considerable research evidence suggests that the relationship in counseling is the determining factor whether or not counseling is successful. Theories of counseling provide the underlying philosophy and strategies for building and maintaining this relationship. Four key elements in building this relationship are: 1. Human relations core: empathy, respect and genuineness as identified by Carl Rogers. 2. Social influence core: competence, power and intimacy. Expertness, attractiveness, and trustworthiness were identified by Stanley Strong in his social influence model. 3. Skills core: Allen Ivey identified microskills-communication skill units such as attending, inquiry and reflection. 4. Theory core: These help the counselor understand self and interpersonal relationships and skills. They also help to understand the problems of clients and help to choose interventions that are likely to be effective with the identified problems. 2. Psychoanalytic (Sigmund Freud) Freud identified a structure of personality: Id: Unconscious motivation or energy is the id ruled by the pleasure principle. Ego: The ego is controlled by the reality principle Superego: the superego is internalized ethics. Therapy techniques include: Free association Interpretation of dreams and other client material. Transference (projections onto therapist) must be worked through. Countertransference consists of projections of the therapist onto the patient. 3. Neo-Freudians A number of psychoanalysts moved away from Freud's emphasis on the id as the dominant psychological force and placed more emphasis on the ego, including both psychodynamic and sociodynamic forces. Karen Horney: Security is each person's major motivation and the person becomes anxious when it is not achieved. Irrational ways to mend disrupted human relationships may become neurotic needs. -
Effect of Emotion-Oriented Couple Therapy and Cognitive- Behavioral Couple Therapy on Marital Burnout
Original Article Effect of Emotion-oriented Couple Therapy and Cognitive- Behavioral Couple Therapy on Marital Burnout. A comparative study Farahnaz Ghasemi 1, Karim Afshari Nia 2*, Hassan Amiri 3 1 Ph.D. Student in Counseling Psychology, Faculty of Literature and Humanities, Kermanshah Azad University, Kermanshah, Iran. 2 Assistant Professor of Counseling Psychology, Faculty of Literature and Human Sciences, Kermanshah Azad University, Kermanshah, Iran. 3 Assistant Professor of Counseling Psychology, Faculty of Literature and Human Sciences, Kermanshah Azad University, Kermanshah, Iran. Abstract Evaluation of the effectiveness of couple therapy approaches, especially the emotion-oriented and cognitive-behavioral approach that is able to implement in a group and so far has provided evidence of the effectiveness of each alone, can play a significant role in preventing family and social harm and enormous costs on society. In addition, as previous researches show, few studies have examined the effectiveness of these two approaches on marital burnout compared to each other. The purpose of this research was to compare the effectiveness of emotion- focused couple therapy and cognitive-behavioral couple therapy on couples referred to Azarshahr psychology clinic in Kermanshah in 2016. This research was a semi-experimental with pre-test and post-test. In this study, 30 subjects were randomly assigned to two experimental groups. Marital burnout scale (CBM) was used for data collection. Data were analyzed using SPSS-21 statistical software. Statistical results showed that both methods were effective in reducing marital burnout (P <05). The results of this comparison, in addition to benefiting the couples participating in this research, can be used in psychologists' medical decision-making, training in medical protocols at universities, developing media and cultural programs to promote mental health in the media.