fmsc260 final

fmsc260 final - FMSC260 Final Exam Couple Therapy Couple...

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Unformatted text preview: FMSC260 Final Exam Couple Therapy Couple Therapy vs. Relationship Education Relationship education o Primary prevention of onset of relationship distress (primary prevention) and/ or identifying couples who are at risk to reduce the likelihood of distress onset (secondary prevention) o Couples more likely to be happy with their relationship, seeking improvement o Focus on psychoeducation, skills training o Brief, short-term Couple therapy o Intervention following the onset of relationship distress and/or to prevent relapse of distress, divorce o Couples often in crisis o Interventions designed to produce second order changes in couple relationships o Restructuring of couple relationship to get couple out of crisis and make substantial changes to reduce distress and increase satisfaction o Can be more long-term Joining and Couple Readiness for Therapy Give couple a chance to get comfortable with therapy so that you dont alienate them Acknowledge and validate couples ambivalence about being in therapy o Feelings of shame, failure, reluctance o Normalize their feelings o Receive commitment to more than one session Orient couple to the process of therapy, what to expect o Assessment, feedback, discuss with couple whether or not they would like to proceed with treatment Assessment of the Couple Brief discussion of current difficulties and why they are seeking therapy at this time o Obtain couples goals for therapy (e.g. stay together, separate) Obtaining a detailed history of the relationship o Courtship period How did you two meet? What initially attracted you to your partner? How did you decide to live together/get engaged/married? Focus on positive aspects of the relationship o Onset of current problems First signs of relationship difficulties What has the couple tried so far to address their problems? What worked? What didnt work? Look back on your relationship, was there anything that hinted at the difficulties you are experiencing now? Relationship functioning o Relationship satisfaction o Communication behaviors o Degree of commitment to the relationship Psychological and physical abuse o About 30% of couples are violent towards each other at least once, and 60% of couples in therapy report at least one instance of aggression on self-report measures Individual partner functioning o Depression About 50% of partners seeking couple therapy to report some elevated depressive symptoms o Alcohol and drug use Do they use alcohol/drugs during relationship conflicts? o Anxiety, trauma history Typical Course of Couple Therapy Total of 20-25 50-minute sessions on average Initial treatment session goals o Start with small, achievable goals to increase hope o Increasing positive interactions o Building collaboration and joining (especially with more reluctant partner) Intermediate treatment session goals o Focus on couples central problems...
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This note was uploaded on 11/29/2010 for the course FMSC 260 taught by Professor Staff during the Spring '09 term at Maryland.

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fmsc260 final - FMSC260 Final Exam Couple Therapy Couple...

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