Counseling and Therapy for Couples

ISBN-10: 0495005959

ISBN-13: 9780495005957

Edition: 2nd 2007 (Revised)

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Description: Prepare for couples work with COUNSELING AND THERAPY FOR COUPLES! This counseling text includes wide coverage of topics in couples counseling, giving you exposure to the key issues and the varieties of couples with which you will be working. Numerous case examples and role-play scenarios illustrate the application of concepts to real-life situations. The integrative model discussed in the text encourages you to identify workable goals and lead couples to agreement, rather than spending time analyzing the personalities of each individual.

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Book details

List price: $117.95
Edition: 2nd
Copyright year: 2007
Publisher: Wadsworth
Publication date: 7/10/2006
Binding: Paperback
Pages: 416
Size: 7.50" wide x 8.75" long x 0.75" tall
Weight: 1.848
Language: English

Preface
Principles, Evaluation, and Planning
The Couple as a Unique System
Couples Counseling Poses Unique Challenges for the Counselor
Stressors and the Couple
Vertical Stressors
Horizontal Stressors
Systems-Level Stressors
Couples, Marriage, and Unmarriage in the New Millennium
The Unmarried and the Cohabiting
Same-Sex Marriage
The Marriage Movement
Dynamics of the Couple System
Boundaries and Boundary Violations
Couple Needs Versus Individual Needs
Families of Origin Shape Expectations and Influence the Couple System
Dealing with Conflicting Roles: Husband/Father and Wife/Mother
Couples Need Intimacy
Couples Must Deal with Power
What a Couple Goes Through: Psychological Tasks
Characteristics of Healthy Couples
Conclusion
Theories of Couples Therapy: Part One
Behavior Therapy Applied to Couples
What Is Behavior Therapy?
Definitions of Key Terms
Some Premises of Behavior Theory
Problems That Couples Experience
Therapy Methods and Techniques
Multigenerational Approaches to Couples Therapy: Object Relations and the Bowen Theory
Object-Relations Theory
The Bowen Theory
Conclusion
Theories of Couples Therapy: Part Two
Structural Therapy and Strategic Therapy Applied to Couples
Definitions of Key Terms
Some Premises of the Theories
Problems That Couples Face
Therapy Methods and Techniques
Solution-Focused Therapy
Constructivism
Overview
Definitions of Key Terms
Some Premises of Solution-Focused Theory
Problems That Couples Face
Therapy Methods and Techniques
Narrative Therapy and Emotionally Focused Couple Therapy
Narrative Therapy
Emotionally Focused Couple Therapy
Conclusion
An Integrative Model for Couples Therapy
Common Threads of the Theories
A Circular Model of Causation
Blame Is Not a Useful Concept
Assessment Is a Crucial First Activity
The Couple Must Form a Team
Feelings, Behaviors, and Cognitions Must Change
Couples Must Learn Maintenance Tasks
Couples Must Develop Joint Solvable Problems
Therapists Must Foster Hope
An Integrative Model for Couples Therapy
Assessment and Identifying a Shared Definition: "We Have a Problem"
Goal Setting: "We Have a Common Goal"
Interventions: "We Have a Solvable Problem"
Maintenance: "We Have a Solution"
Validation: "There Is No Problem"
Our Experiences in Working With the Integrative Model
Conclusion
The Assessment of Couples and Their Problems
Assessment Is an Ongoing Process
Are Assessment and Treatment Really Separate?
Biases and Assumptions in Assessment
Self-Assessment of Assumptions About Couples
Assessment Using the Integrative Model
The Funnel of Assessment
Direction for Couples Assessment: Individuals, Problems in the Relationship, or Quality of the Relationship?
Assessing Individuals
Assessing Relationship Problems
Assessing the Quality of the Relationship
Assessment During a Crisis
Using Tests and Informal Tools to Assess Couples
Testing Couples
Sharing Assessment Data With Clients
Other Considerations
The Myers-Briggs Type Indicator
Informal Assessment Tools for Couples
Other Tools
Conclusion
Diagnosis, Goal Setting, and Treatment Planning With Couples
Forms of Diagnosis
The Diagnostic and Statistical Manual Training Revision (DSM-IV-TR)
Conditions, or V Codes, in DSM-IV-TR
DSM-IV-TR Adjustment Disorder Diagnoses
Family Therapy Diagnoses
Assessment and Diagnosis: A Precursor to Treatment Planning in the Integrative Model
Formulating an Interactive Definition in Goal Setting
Deciding Which Problems Should Be Addressed First
Helping Couples Decenter
Collaboration on the Interactive Definition of the Problem
Refining the Problem
Setting Goals
Transforming a Problem Into a Goal
Choosing the Kinds of Goals
Conclusion
Common Issues in the Life of the Couple
Treatment Strategies
The Need for Creative Treatment Strategies
Reframing
Metaphor and Imagery
Role Reversal
Role Rehearsal
Rituals
Contracting
Creating Intensity
De-escalating Conflict
Using Storytelling and Narrative Techniques
Dance/Movement Therapy
Psychodrama Techniques
Art Therapy Techniques
Music Therapy
Exploring Exceptions
Therapeutic Compliments
Instilling Hope
Play and Humor
Conclusion
Communication and Relationship Education
"I Miss You Most When We Are Together"
Communication as Skills
A Short History of Communication in Couples Therapy
Communication Fundamentals
Nonverbal Communication
Gender Differences in Communication
Self-Disclosure and Male-Female Relationships
The Linear Model
Feedback: The Way Out
Games, Smokescreens, Dreams, and Manipulations
Indirectness and Culture
Assessment of Communication Problems and Strengths
Videotaped Assessment
Who Should Receive Communication Training?
Communication Problems in Couples
Common Problems
Other Maladaptive Problems
Positive Communication Skills
Communication-Training and Relationship Education Programs
Sound Marital House
PREPARE/ENRICH
Prevention and Relationship Enhancement Program
Relationship Enhancement
Practical Application of Intimate Relationship Skills
Marriage Encounter and Marriage Enrichment
Conclusion
Intimacy and Sexuality
Intimacy
Gender Issues
Sternberg's Triangular Model of Love
Case Example: Amy and Greg
Application of the Integrative Model: A Problem of Intimacy
Considerations for Working with Intimacy Problems
Sexual Aspects of Relationships
Sexuality and the Couple
Social Issues and Sexuality
Communication and Sexuality
The Development of Sexual Problems
Dysfunction or Problem?
The Process of Sexuality Therapy
Assessment and Diagnosis
Sexual Genogram
Goal Setting for Sexual Problems in Therapy
Male and Female Sexual Dysfunctions
Male Dysfunctions
Common Female Sexual Dysfunctions
Other Problems in Sexual Relationships
Sexually Transmitted Diseases and Infections
Acquired Immunodeficiency Syndrome
Alcohol and Sexuality
Infertility Issues
Aging Issues
Childhood Sexual Abuse and Therapy
Checklist for Treatment of Sexual Dysfunction
Ethical Concerns for Counselors Treating Sexual Issues
Case Example: Charlotte and Frank
Application of the Integrative Model: Working with a Sexual Problem
Conclusion
Conflict: Negotiation and Resolution
Sources of Conflict
Social Context
Situational Stress
Perceptual Differences Theories
Behavior/Event Theories of Conflict
Negotiation Theory
Developmental Theory
Verbal Conflict and Anger
An Anger Genogram: Questions to Ask
Anger as Manipulation or Defense
Withdrawn Partners
Characteristics of Verbal Abuse
Conflict Issues and Patterns
Control, Power, and Equity
Blame
Triangulation
Interactive Conflict Patterns
Developmental Stages of Couples Conflict
Early Disagreement
Repeated Conflict
Severe Conflict
Severed Couple's Relationship
Violence in a Couple's Relationship
Scope of the Problem
Definition of Battering
Recognizing a Potential Batterer
The Cycle of Violence
Reasons Why Women Stay or Return to Abusive Situations
Counseling for Batterers and Victims of Domestic Violence
Equity in a Couple's Relationship
Negotiation and Problem Solving for Couples
Conflict Training
Problem-Solving Model
Fair Fighting
Clinical Interventions
Reframing
Using Metaphors
Contracting
Case Example: Maria and Kimberlee
Role Reversal
Case Example: Morena and Saul
Application of the Integrative Model
Considerations for Working With Couples in Conflict
Conclusion
Divorcing Couples
Sociological Context: The Prevalence of Divorce
Divorce Stage Theories
Making the Divorce Decision
The Stages of Divorce
Developmental Models of Divorce
The Three Stages of Divorce
A Diaclectic Model of Divorce
Application of Divorce Stage Models
Counseling and the Stages of Divorce
The Integrative Model and Divorce Therapy
Case Example: David and Marcy
Application of the Integrative Model: Divorce Therapy
Considerations for Counselors
Intervention Strategies
Mediation
Rituals for Separation and Divorce
Case Example: Kim and Lia
Conclusion
Extramarital Affairs
Definitions
How Prevalent Are Extramarital Affairs?
Are There Types of Affairs?
Online Infidelity
Why Do People Have Affairs?
Gender Differences
Romance: Threat or Menace?
Societal Factors
Treating Infidelity in Light of Culture
Case Example: Elaina and Jorge
Helping People Deal Constructively With Affairs: Practical Issues
Is an Affair the End of the Relationship?
Can We Help People Fall Out of Love?
Should the Therapist Who Learns About an Affair From One Spouse Keep It a Secret?
When Should Affairs Not Be Revealed?
What if You Are Not Sure That an Affair Is Taking Place?
Guidelines for Revealing an Affair
Guidelines for the Therapist Using the Integrative Model
Affairs and the Integrative Model: A Case Example
Case Example: Clarice and William
Conclusion
Special Challenges
Counseling Couples With Alcohol Problems
Alcohol and the Couple
Aspects of Alcoholism: Terminology
Alcoholic
Codependency
Alcohol Dependence and Alcohol Abuse
Abstinence and Sobriety
The Couple Relationship That Supports Alcoholism
Referring the Couple for Alcohol Treatment
Couple Patterns That Support Alcoholism
How the Partner Can Help the Alcoholic
The Systems Approach Toward Alcoholic Behavior
The Alcoholics Anonymous Approach and the Systems Approach
The Problem Drinker
Therapy Techniques
Interventions to Support the Alcoholic's Change
Interventions to Enhance the Quality of the Relationship Following Treatment
Behavioral Couples/Marital Therapy
Relapse Prevention
The Integrative Model and Couples With Alcohol Problems
Assessment Issues
Assessing the Alcoholic and the Relationship
Developing the Interactive Definition
Case Example: Ed and Beth
Application of the Integrative Model: Alcoholism
Conclusion
Blending Couples
Sociological Context
Issues for Blending Couples
Differences Between Blending Families and Biological Nuclear Families
The Role of Stepmother
The Role of Stepfather
Healthy Stepfamily Characteristics
Flexibility and Adaptability
Patience
Realistic Expectations
Cooperation of Separate Households
A Unified Couple
Establishment of Constructive Rituals
Formation of Satisfactory Step-Relationships
Strengths of Stepfamilies
Stepfamily Hurdles and Challenges: Stressors in the Family
Stages of Stepfamily Development
The Impact of Blending Families at Various Stages of the Life Cycle
Issues Within Blending Couples and Families
Economic Issues
Conflicted Feelings and Behaviors
Movement of Children Between Households
New Roles and Rules
Treatment Issues
Treatment Modalities
Case Example: Corey and Corina
Application of the Integrative Model: Blending Couples
Summary of Techniques for Working with Blending Couples
Scenarios for Discussion and Role Playing
Conclusion
Same-Sex Couples
Sociological Context
The Gay or Lesbian Lifestyle's Effects on the Couple
Stage Model of Relationship Development for Same-Sex Couples
Sources of Conflict in the Gay or Lesbian Lifestyle
External Factors
Internal Factors
Therapy Issues for Same-Sex Couples
Couples Issues
Working with Same-Sex Couples
The Integrative Model and Same-Sex Couples
Case Example: Barbara and Melissa
Application of the Integrative Model: Same-Sex Couple
Intervention Strategies Useful for Same-Sex Couple Therapy
Scenarios for Discussion and Role Playing
Conclusion
References
Index
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