This essential handbook describes effective treatments for a particularly challenging clinical population: couples struggling with both relationship distress and individual mental health difficulties. Distinguished scientist-practitioners provide detailed accounts of their respective approaches, reviewing conceptual and empirical foundations as well as clinical procedures. Included are well-established treatments for couples in which one or both partners has anxiety, mood disorders, schizophrenia, substance abuse, sexual dysfunction, or physical aggression. Also covered are emerging couple-based approaches to managing personality disorders, PTSD, difficulties related to aging and physical illness, and other problems. Following a standard format to facilitate comparison across treatments, each chapter is illustrated with detailed case material. Provided are powerful insights and tools for couple and family therapists, clinicians providing individual therapy, and students in any mental health discipline.

First Published in 2001. Routledge is an imprint of Taylor & Francis, an informa company.

Couple psychotherapy extends the work of the psychotherapist to the patient’s most significant committed adult relationship, yet the therapy is difficult both conceptually and technically. One major reason for this difficulty is that in every couple’s treatment there is a confusing array of psychological defenses as well as regressive and nonregressive couple object relations-as distinct from the object relations that each individual member brings to the couple. Further, many of these processes are occurring outside consciousness and at the very same time. This book is an attempt to clarify all the confusing issues by presenting a three-factor model of couple psychotherapy within a psychodynamic framework. This model has been found to be very effective with many different kinds of couples. The book suggests that there are three powerful couple dynamics that shape every couple’s treatment: (A) the quality and quantity of the couple’s projective identifications; (B) the level of their “couple object relations”; and (C) the presence or absence of the defense of omnipotent control. These three variables are the most important factors in the therapy; they determine the success or failure of every therapy with every couple. These dynamics also determine quite a bit about how to conduct a couple therapy with regard to the therapist’s level of activity, tone, the way of sorting the material in his or her head, and even the kinds of interventions he/she chooses (whether or not, for example, the therapist will use certain resistance techniques). Understanding these three variables and how they interact is key to the success of the therapy.

From leading marital therapists and researchers, this unique book presents a three-stage therapy approach for clinicians working with couples struggling in the aftermath of infidelity. The book provides empirically grounded strategies for helping clients overcome the initial shock, understand what happened and why, think clearly about their best interests before they act, and move on emotionally, whether or not they ultimately reconcile. The volume is loaded with vivid clinical examples and carefully designed exercises for use both during sessions and at home. The book will be invaluable to clinicians who treat couples, including couple and family therapists and counselors, clinical psychologists, social workers, pastoral counselors, and psychiatrists. It may also serve as a supplemental text in graduate-level courses.

By integrating family therapy principles and individual dynamics, the authors have devised a unique method of face-to-face problem solving, sometimes with the entire family, often in sessions with individual members, to help restore parental responsibility and to realign relationships with the divorcing family.

When one partner in a relationship is unfaithful to the other, it takes a lot of work by both parties involved to salvage the relationship. In today’s therapy-friendly climate, marriage/couples counseling is often a part of that rebuilding process. Many couples seek out professional therapy after an affair is out in the open, but often the act of infidelity is revealed while uncovering and discussing unrelated issues for which the couple is in counseling. And yet, amazingly, as common as this complex and difficult topic arises in therapy, there is relatively little professional literature devoted to understanding and "treating" infidelity. In this volume, Paul Peluso has assembled a truly impressive list of contributors from a range of disciplines and backgrounds, including marital therapy, family therapy, evolutionary psychology, marriage research, and cyberstudies, with the aim of filling this void.

How do you counsel a couple that is heading for divorce by the time they seek help? Building on the research presented in their previous book Family Therapies, Mark Yarhouse and James Sells have developed a resource to train pastors and counselors in restoring high conflict relationships.