Distinctiveness of behavioral versus insight-oriented marital therapy: An empirical analysis.

The present study determined whether behavioral and insight-oriented marital therapy could be rendered in a distinct and uncontaminated fashion in manual-guided outcome research in which therapists were crossed with treatment condition. Results indicated that therapist interventions could be reliably coded into techniques specific to the respective approaches and into additional interventions not specific to either treatment modality. When provided with explicit treatment manuals and ongoing case supervision, therapists were able to administer both treatment conditions faithfully without contamination from techniques that were inconsistent with that theoretical approach. Behavioral marital therapy (BMT) was shown to be highly structured, with 93% of therapist interventions reflecting techniques specific to that approach. In contrast, insight-oriented marital therapy (IOMT) comprised a large percentage of nonspecific interventions (62%) compatible with but not unique to a psychodynamic orientation. Implications for the two treatment approaches and for future marital therapy outcome research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term effects of behavioral versus insight-oriented therapy with inpatient alcoholics.

Assessed the relative effects of behavioral treatment involving both covert sensitization and relaxation training vs insight-oriented treatment consisting of transactional analysis (TA) with 113 male and female alcoholic inpatients (21–73 yrs). Ss were assigned in randomized blocks to 1 of 4 groups: (a) milieu treatment control group or 1 of 3 experimental groups, each of which included the milieu treatment, (b) behavioral group, (c) TA group, (d) combined group, involving both TA and behavioral treatment. Four-year follow-up interviews yielded data on the Quantity Frequency Index scale, abstinence, and an overall clinical adjustment scale for 5 posttreatment periods. Differences between behavioral and TA treatment were significant or approached significance at 6 mo and 1? yrs after treatment, but not thereafter. Strong and consistent trends were evident favoring the behavioral approach on all 3 measures across all 5 follow-up periods. The strength of the milieu treatment was also supported, and the need for long-term follow-up studies beyond 6 mo is stressed. (70 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couples- versus individual-based therapy for alcohol and drug abuse: Effects on children's psychosocial functioning.

The study compared the effect of couples-based vs individual-based therapy for men who entered outpatient substance abuse treatment on the psychosocial functioning of children in their homes. Men were randomly assigned to (1) behavioral couples therapy (BCT), (2) individual-based treatment (IBT) or (3) couples-based psychoeducational attention control treatment (PACT). For both children of alcohol (N=71) and drug-abusing men (N=64), parents' ratings of children's psychosocial functioning was higher for children whose fathers participated in BCT at posttreatment and at 6- and 12-mo follow-up than for children whose fathers participated in IBT or PACT. BCT resulted in greater improvements in parents' dyadic adjustment and fathers' substance use. Thus, couples-based intervention that addresses both issues may have greater benefits for children in these homes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating marital and individual therapy for incest survivors: A case study.

Presents a case study of therapeutic change in a 35-yr-old female incest survivor requesting marital therapy for relationship problems. Experiential individual therapy was integrated with emotionally focused marital therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality disorder symptoms and marital functioning.

Pathological personality is strongly linked with interpersonal impairment, yet no study to date has examined the relationship between concurrent personality pathology and dysfunction in marriage--a relationship that most people find central to their lives. In a cross-sectional study of a community sample of married couples (N = 82), the authors used multilevel modeling to estimate the association of self- and spouse-reported symptoms of personality disorder (PD) with levels of marital satisfaction and verbal aggression and perpetration of physical violence. Inclusion of self- and spouse report of total PD symptoms resulted in improved model fit and greater variance explained, with much of the improvement coming after the addition of spouse report. The incremental validity of spouse report for several of the 10 PD scales was supported for marital satisfaction and verbal aggression, particularly for the Borderline and Dependent PD scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parents' marital functioning and adolescent psychotherapy.

Parents' marital functioning and adolescent psychopathology were investigated in 2 studies. The first study compared parents' marital satisfaction, conflict over childrearing, affective communication, and traditional role orientation in matched samples of psychiatric inpatient and control-group adolescents. The second study examined associations between specific dimensions of marital functioning and adolescent depression severity, suicidal ideation, and social adjustment in a larger sample of adolescent inpatients. In Study 1, parents of inpatients reported less marital satisfaction and more conflicts over childrearing than parents of control-group adolescents. In Study 2, marital conflicts over childrearing were associated with a less active or involved father–adolescent relationship and more severe school behavior and spare time problems. Marital functioning was not associated with depression severity or suicidal ideation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chronic ambivalence: An individual and marital problem.

Describes chronic ambivalence as a manifestation of the disorder of the self and examines its etiology and function for the individual and the couple. Two case examples illustrate the problem's roots in the separation-individuation phase of development and the need for establishing a separate identity with a capacity for autonomous functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Short- and long-term follow-up of clients receiving insight-oriented therapy and behavior therapy.

15 clients (aged 18–55) received short-term, insight-oriented therapy, and 15 received short-term behavior therapy over a 3-mo course of treatment. Pre- and posttreatment measures included the Personal Orientation Inventory and the Truax Current Adjustment Rating Scale. Follow-up was subsequently undertaken (4 mo and 1 yr later) with the same multiple-outcome criteria. Process as well as outcome measurement was conducted. Results show positive change for both therapy types over the treatment program, and follow-up testing indicates that improvement was sustained up to the 1-yr posttest. Process measurement suggested that relational factors may be more influential in determining client change than factors such as type of technique or procedure administered. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting marital and parent functioning in dyads and triads: A longitudinal investigation of marital processes.

This study assessed longitudinally whether couples' dysregulated negative affect before parenthood is predictive of conflict, as well as diminished affective quality, in family relationships 5 years later. Observations of 25 couples' marital communication were made before parenthood and again 5 years later, when data also were collected on parent–child and family interactions. Husbands' prechild marital behavior and couples' prechild negative escalation were predictive of husbands' conflict and triangulation of the child into marital conflict. Family-level functioning (e.g., coalition formation) was predicted by prechild negative escalation. Parenting behavior was not predicted by prechild marital functioning but was related to current marital functioning. The data provide support for the hypothesis that how couples regulate negative affect early on in marriage sets the tone for future interactions involving parents and their child. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of behavioral marital therapy on couples' communication and problem-solving skills.

Videotaped 55 couples' (mean age 33.5 yrs) interacting and coded discussions of problem areas. 29 couples were being treated with behavioral marital therapy, 14 couples were in a waiting-control group, and 12 were nondistressed couples. Analysis showed that treated couples had significantly more positive and less negative behaviors than the control couples. The interaction patterns of treated Ss resembled the pattern exhibited by the nondistressed couples. However, it was also found that treated Ss appeared to react to aversive stimuli from their spouses. It is suggested that behavioral observation is valuable in improving therapeutic interventions on an empirical basis. (43 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of cotherapists versus single therapists and immediate versus delayed treatment in behavioral marital therapy.

Evaluated the overall effectiveness of behavioral marital therapy (BMT) in aiding distressed couples, and explored the relative effectiveness of (a) cotherapists vs single therapists and (b) immediate treatment vs delayed treatment, which resulted from placing couples on a waiting list. 30 maritally distressed couples (aged 19–59 yrs) were randomly assigned to 1 of 6 treatment conditions, with 5 couples per condition: (a) immediate treatment by Therapist A; (b) immediate treatment by Therapist B; (c) immediate treatment by Therapists A and B as a cotherapy team; (d) delayed treatment by Therapist A; (e) delayed treatment by Therapist B; or (f) delayed treatment by Therapists A and B as a cotherapy team. Ss were administered a battery of tests that included the Marital Adjustment Test and Areas-of-Change Questionnaire. Results indicate that BMT was more effective than no treatment on both self-report measures and 1 of 2 behavioral measures, thus affirming the overall effectiveness of the treatment. A cotherapy team and single therapists were equally effective in producing treatment changes. In addition, overall there were no significant differences between couples receiving therapy immediately and couples treated after a 10-wk waiting period. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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 relatedness 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 Relatedness 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 by husbands). It was concluded that it is appropriate to help couples think of autonomy and relatedness as being two 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.     

Effects of parental marital status, income, and family functioning on African American adolescent self-esteem.

This study examined the effects of marital status, family income, and family functioning on African American adolescents' self-esteem. One hundred sixteen adolescents participated, 64% of whom were female. Compared with boys with nonmarried parents, boys with married parents had higher overall self-esteem, even when family income and family functioning were controlled. Parental marital status had no effect on girls' self-esteem. Family functioning was a very strong predictor of self-esteem for both sexes. However, family relational factors were more important to girls' self-esteem, whereas structural and growth factors were more important for boys. It was concluded that African American adolescent boys with nonmarried parents are at risk for developing low self-esteem compared with other African American adolescents, but a more controlled and structured environment may buffer the effects of having nonmarried parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and marital functioning: An examination of specificity and gender differences.

Recent work has emphasized the importance of assessing the marital relationships of depressed persons. The present study was designed to examine the specificity to clinical depression of problematic marital functioning and to assess potential gender differences in the marital relationships and spousal interactions of depressed persons. Depressed psychiatric patients, nondepressed medical patients, and nondepressed community control subjects and their spouses completed measures of marital satisfaction and then participated in a 20-min marital interaction task. Subjects then completed measures assessing their postinteraction mood and perceptions of their spouses, and the interactions were scored with respect to the frequency of occurrence of a number of behaviors. The depressed couples differed from the community controls on virtually every measure of marital functioning. Furthermore, although the medical patients and their spouses also reported marital dissatisfaction and exhibited dysfunctional interactional behavior, only the depressed couples were characterized by negative affect following the interactions and by negative appraisals of their spouses' behaviors. This negative affect was particularly pronounced for the depressed women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Consequences of depression during adolescence: marital status and marital functioning in early adulthood

In previous studies, depression has been associated with both marital status and marital distress. Unfortunately, given the cross-sectional design of most of this research, the temporal nature of these associations is unclear. The authors examined the marital functioning of young adults as a function of whether they received psychiatric diagnoses of major depressive disorder or nonaffective psychiatric disorder during adolescence. Depression during adolescence was found to predict higher rates of marriage among younger women and subsequent marital dissatisfaction. This pattern of results appears to be specific to depression: The presence during adolescence of a nonaffective psychiatric disorder was unrelated to subsequent marital functioning. These findings highlight the potentially adverse consequences of depression in adolescence and underscore the importance of prevention and early treatment efforts.     

Discrepant substance use and marital functioning in newlywed couples.

The configuration of partners' drinking patterns may be most critical to marital functioning. Implications of discrepant husband and wife smoking, drinking, and drug use for relationship quality at the transition to marriage were examined. Participants were 642 couples entering into their 1st marriage. Separate, self-administered questionnaires were completed at home by each partner. Both husbands and wives in couples in which only 1 partner drank heavily or used drugs reported significantly lower marital quality than other spouses. Husband Use?×?Wife Use interactions were not significant for cigarette use, alcohol use, or regular drinking. Discrepancies in more deviant substance use behaviors may be most relevant to marital functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Global marital satisfaction versus marital adjustment: An empirical comparison of three measures.

Two measures of marital satisfaction, the Quality of Marriage Index (R. Norton; see record 1983-27053-001) and the Relationship Satisfaction Questionnaire (D. D. Burns and S. L. Sayers, 1992) were compared to a measure of marital adjustment, the Dyadic Adjustment Scale (G. B. Spanier; see record 1977-00122-001). The measures showed excellent convergent validity (high correlations among each other and with other measures of marital functioning) and discriminant validity (low or nonsignificant correlations with psychopathology subscales). However, spouses' ratings of frequency of disagreements differed significantly from their ratings of satisfaction in the same areas. Formulas for converting scores among the measures are given, and the measures were found to have modest classification powers. The relative advantages and disadvantages of adjustment and satisfaction measures are discussed, and recommendations are made for when to use each type of measure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Antecedents of adult interpersonal functioning: Effects of individual differences in age 3 temperament.

We examined whether temperamental differences at age 3 are linked to interpersonal functioning in young adulthood. In a sample of over 900 children, we identified 5 distinct groups of children based on behavioral observations: Well-adjusted, undercontrolled, reserved, confident, and inhibited. At age 21, we assessed the children's interpersonal functioning in 4 social contexts: in the social network, at home, in romantic relationships, and at work. We found 3 patterns of relations: (a) Well-adjusted, reserved, and confident children defined a heterogeneous range of normative adult interpersonal behavior, (b) inhibited children had lower levels of social support but normative adjustment in romantic relationships and at work, and (c) undercontrolled children had lower levels of adjustment and greater interpersonal conflict across adult social contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)