Married men and women (N = 1,899 couples) reported readiness to eat a healthier diet, lose weight, and get more exercise (stage of change) and indicated whether they were confident to make these changes (self-efficacy). Husbands' and wives' reports of readiness to change each health behavior were positively associated. Furthermore, women who…

This article reviews the research on couple therapy over the last decade. The research shows that couple therapy positively impacts 70% of couples receiving treatment. The effectiveness rates of couple therapy are comparable to the effectiveness rates of individual therapies and vastly superior to control groups not receiving treatment. The…

This paper provides a commentary on the special series on universal processes and common factors in couple therapy. The authors in this section share their insights, from varying perspectives, about what it is in couples therapy and relationship education programs that work, why they work, and for whom they work best. In so doing, these articles…

Although much has been written about how to help couples negotiate regarding different spending styles or risk tolerance levels, less has been said about ways in which therapists can assist couples to understand each other's experience of distress regarding financial issues and find constructive individual and dyadic ways to reduce the distress.…

Objective: To follow distressed married couples for 5 years after their participation in a randomized clinical trial. Method: A total of 134 chronically and seriously distressed married couples were randomly assigned to approximately 8 months of either traditional behavioral couple therapy (TBCT; Jacobson & Margolin, 1979) or integrative…

As the newest generation of veterans returns home from the fronts in Afghanistan and Iraq, increased attention is being paid to their postdeployment mental health adjustment as well as the interpersonal sequelae of posttraumatic stress disorder (PTSD) and other mental health conditions. The Department of Defense has begun to invest in…

Finding it difficult to overcome the emotional distress experienced when considering her husband's infidelity, a client seeks counselling support. The client's goal was to learn about herself and to use the experience as an opportunity for self transformation. The case study utilizes Attachment Theory and Cognitive Behavioural Therapy to help the…

Although the field of couple therapy has made significant strides in recent years, there continues to be a need for theoretically sound and empirically supported treatments. The current case study examines whether Acceptance and Commitment Therapy (ACT), an experiential acceptance-based behavior therapy, can be effective in treating distressed…

The aim of this study is to investigate the effectiveness of cognitive-behavioral marriage enrichment program to decrease the level of the dysfunctional attitudes of the couples. Forty participants with dysfunctional attitudes determined by The Dysfunctional Attitude Scale were randomly chosen as experimental and control groups. The results of the…

An integration of Adlerian and social constructionist ideas, the reflecting "as if" technique asks clients to take a reflective step backward to consider perceptual and behavioral alternatives as a prelude to their acting as if they were the couple they desire to be. This article describes the reflecting as if technique and provides a…

Describes a cognitive-behavioral model for treating couples' negative reactions to infertility. After a discussion of why the cognitive-behavioral approach can competently address the goals of couples coping with infertility, three phases of treatment are outlined: assessment, therapy, and closure. Areas for assessment include spouses, marital…

Assessed the prevalence and frequency of marital violence for 88 male alcoholics and their wives at entry to and 1 year after completing a behavioral marital therapy (BMT) program. Although violence and prevalence decreased significantly after treatment, the alcoholics' drinking outcome status was associated with the extent of violence after BMT.…

The aim of this study was to evaluate the effectiveness of treating depression with coping-oriented couples therapy (COCT) as compared with cognitive-behavioral therapy (CBT; A. T. Beck, C. Ward, & M. Mendelson, 1961) and interpersonal psychotherapy (IPT; M. M. Weissman, J. C. Markowitz, & G. L. Klerman, 2000). Sixty couples, including 1…

Attempted to identify predictors of positive treatment outcome following behavioral marital therapy. The only variable that significantly predicted outcome at both posttest and follow-up was a measure reflecting traditional affiliation/independence patterns: couples with a highly affiliative wife and a highly independent husband were less likely…

Describes ways of operationalizing clinically significant change, defined as extent to which therapy moves someone outside range of dysfunctional population or within range of functional population. Uses examples to show how clients can be categorized on basis of this definition. Proposes reliable change index (RC) to determine whether magnitude…