Week 2 - Intro to Relationship Therapy

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Dec 6, 2023

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Introduction to Relationship Therapy Danae Riley

Agenda  Why Couples Seek Therapy  Resistance to Relationship Therapy  SRCQ  Marital Satisfaction Inventory  Pros & Cons of Formal Assessments  Other Interventions to Assess Client Background & Readiness  Techniques to Informally Assess Partner’ Experiences  Case Study: Fred & Chris 2

Relationship Stats That May Shock You • 40 – 50% of marriages in US end in divorce • 67% of additional marriages end in divorce • 1/3 of married people report being in a distressed relationship • Over 70% of couples who separated prior to seeking help reported that it was due to an unwilling spouse or it being too late to help • > 1 million children in the US are affected by divorce anually

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Why Might Couples Seek Therapy • General Conflict • Intimacy Issues • Trust/Fidelity Issues • Sexual Challenges or Dissatisfaction • Communication Issues • Life Transition Challenges • Lack of Problem-Solving Skills • Preparation for Big Life Changes • Skill Building to Prevent or Overcome Conflict Easier • Deciding Whether To Divorce Or Not 4

Reasons for Resistance to Couples Therapy • Social Norms • Stigma • Time • Money • Personal Accountability • Anger or Fear • Ambivalence From One Partner

Stages of Relationship Change Questionnaire 10-minute Assessment of Readiness for Couple’s Therapy Based on the Transtheoretical Model of Change • Measures each partner’s stage • Allows therapist to customize therapeutic approach based on individual stages • Brief assessment timeframe (<10 min) Pros: • The model can only identify what stage the clients are in currently – it does not identify whether there is in fact a problem or not Cons:

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Marital Satisfaction Inventory 7 Pros: • Gives therapist reliable and valid feedback about the level of relationship distress • Provides added insight into the distress faced at different levels of the relationship Cons: • Once clients have taken the test, re- testing results may be somewhat bias/skewed • Longer timeframe to complete (20- 30 min) An assessment of quality and satisfaction in couple relationships

Pros & Cons – Formal Assessments P R O S  Helps to determine where couples are at individually and in relation to one another  Identifies key themes that will likely come up in sessions C O N S  Validity and reliability of results on effectiveness may be skewed based on the population studied typically being white, heterosexual, upper-middle class, college educated couples  Make be off-putting/less personal

Informal Assessments of Partner Experiences  Circular Questioning  Open Ended Discussions  General Observation  Roleplay

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Case Study Fred and Chris come in for a first session. Fred monopolizes the conversation and shares with you that there have been moments of infidelity – where they have caught Chris lying about relationships they have outside of their agreed-upon monogamous relationship. Chris only shares that they do not feel guilty at all and that they felt “forced” to come to therapy. Chris states that the reason for the infidelities was because Fred was controlling and that they were not satisfied with their sex life. Despite pushing, you feel Chris will not engage in therapy; they also seem to blow off that they have any fault in the challenges. On the other hand, Fred is self-aware and willing to look at changes within themselves to make the relationship shift. When you ask the couple if they have considered separation, Chris seems ambivalent, and Fred erupts in tears. 1 0

References Parnell, K. J., Scheel, M. J., Davis, C. K., & Black, W. W. (2018). An investigation of couples’ help-seeking: A multiple case study. Contemporary Family Therapy, 40 , 110-117. Bradford, K. (2012). Assessing readiness for couple therapy: The stages of relationship change questionnaire. Journal of Marital & Family Therapy, 38 (3), 486–501. Balderrama-Durbin, C., Snyder, D. K., & Balsis, S. (2015). Tailoring assessment of relationship distress using the Marital Satisfaction Inventory—Brief Form. Couple and Family Psychology: Research and Practice, 4 (3), 127–135. Gottman, J. M., Gottman, J. S., Cole, C., & Preciado, M. (2020). Gay, lesbian, and heterosexual couples about to begin couples therapy: An online relationship assessment of 40,681 couples. Journal of Marital and Family Therapy, 46 (2), 218-239. Emerson, A. J., Harris, S. M., & Ahmed, F. A., (2021). The impact of discernment counseling on individuals who decide to divorce: Experiences of post-divorce communication and coparenting. Journal of Marital and Family Therapy, 47 (1), 36-51.

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