Self-regulation in behavioral couples' therapy

Traditionally, practitioers of Behavioral couples Therapy (BCT) conduct conjoint therapy sessions attempting to change both partners' behavior simultaneously. In this paper, we argue that often BCT implicity focuses clients on changing their partners, which can be counter-productive, and describe a self-regulation model of marital functioning that emphasizes individual responsibility through self-identification of behavioral excesses and deficits, self-defined behavior change goals, self-determination of performance standards and providing suitable consequences. The self-regulation model can be applied within conjoint or individual therapy sessions addressing marital problems. From the self-regulation perspective, the process of marital therapy usually involves moving clients from a partner-blaming perspective, to a self-regulation model of marital problems. This shift in perspective encourages clients to identify changes they can make to improve their relationship rather than depending upon change by their partners.

[1]  R. Stuart Operant-interpersonal treatment for marital discord. , 1969, Journal of consulting and clinical psychology.

[2]  G. Margolin,et al.  Areas of Change Questionnaire: A Practical Approach to Marital Assessment. , 1983 .

[3]  Ted Glynn,et al.  Training parents in behavioral self-management: an analysis of generalization and maintenance. , 1981, Journal of applied behavior analysis.

[4]  S. Beach,et al.  The treatment of depression occurring in the context of marital discord , 1986 .

[5]  N. Jacobson,et al.  COMPONENT ANALYSIS OF BEHAVIORAL MARITAL THERAPY: 2-YEAR FOLLOW-UP AND PREDICTION OF RELAPSE , 1987 .

[6]  Marital therapy as a treatment for depression. , 1991 .

[7]  D. Baucom,et al.  The usefulness of cognitive restructuring as an adjunct to behavioral marital therapy , 1986 .

[8]  N. Jacobson The maintenance of treatment gains following social learning-based marital therapy , 1989 .

[9]  R. Longabaugh,et al.  Joint hospitalization and couples therapy for alcoholism; a four-year follow-up. , 1982, Journal of studies on alcohol.

[10]  W. Halford,et al.  Alcohol Abuse in Clients Presenting With Marital Problems , 1993 .

[11]  N. Jacobson,et al.  Research on couples and couple therapy: what do we know? Where are we going? , 1993, Journal of Consulting and Clinical Psychology.

[12]  H. Markman,et al.  Effectiveness of behavioral marital therapy: empirical status of behavioral techniques in preventing and alleviating marital distress. , 1988, Journal of consulting and clinical psychology.

[13]  N. Azrin,et al.  Family-member involvement to initiate and promote treatment of problem drinkers. , 1986, Journal of behavior therapy and experimental psychiatry.

[14]  B. Skinner,et al.  Science and human behavior , 1953 .

[15]  N. Epstein,et al.  Cognitive-Behavioral Marital Therapy , 1990 .

[16]  N. Azrin,et al.  Reciprocity counseling: a rapid learning-based procedure for martial counseling. , 1973, Behaviour research and therapy.

[17]  A. Kazdin,et al.  Power to detect differences between alternative treatments in comparative psychotherapy outcome research. , 1989, Journal of consulting and clinical psychology.

[18]  T. Stokes,et al.  An operant pursuit of generalization , 1989 .

[19]  H. F. Nelson,et al.  Comparative effectiveness of three types of spouse involvement in outpatient behavioral alcoholism treatment. , 1986, Journal of studies on alcohol.

[20]  T. O'farrell Marital and family therapy in alcoholism treatment. , 1989, Journal of substance abuse treatment.

[21]  A. Bandura Social learning theory , 1977 .

[22]  R. Stuart Helping Couples Change: A Social Learning Approach to Marital Therapy , 1980 .

[23]  D M Baer,et al.  An implicit technology of generalization. , 1977, Journal of applied behavior analysis.

[24]  P. Karoly Mechanisms of Self-Regulation: A Systems View , 1993 .

[25]  M. Sanders,et al.  A comparison of the generalization of behavioral marital therapy and enhanced behavioral marital therapy. , 1993, Journal of consulting and clinical psychology.

[26]  J. Gottman,et al.  Marital interaction and satisfaction: a longitudinal view. , 1989, Journal of consulting and clinical psychology.

[27]  D. Snyder,et al.  Long-term effectiveness of behavioral versus insight-oriented marital therapy: a 4-year follow-up study. , 1991, Journal of consulting and clinical psychology.

[28]  I. Gotlib,et al.  Marriage and psychopathology. , 1990 .

[29]  M. Sanders Behavioural self-control with children and adolescents: a review and critical analysis of educational applications , 1978 .

[30]  Ted Glynn,et al.  Behavioral self-management in story writing with elementary school children. , 1975, Journal of applied behavior analysis.

[31]  N. Jacobson,et al.  Marital Therapy , 1986 .

[32]  N. Jacobson Behavioral couple therapy: A new beginning , 1992 .

[33]  R. Heyman,et al.  Observation of marital interaction , 1990 .

[34]  C. Kleinke,et al.  Differences between alcoholic couples accepting and rejecting an offer of outpatient marital therapy. , 1986, The American journal of drug and alcohol abuse.

[35]  S. Beach,et al.  Marital therapy: a viable treatment for depression and marital discord. , 1990, The American journal of psychiatry.

[36]  N. Jacobson,et al.  Variability in outcome and clinical significance of behavioral marital therapy: a reanalysis of outcome data. , 1984, Journal of consulting and clinical psychology.

[37]  M. Sanders,et al.  Behavioral marital therapy: An evaluation of treatment effects across high and low risk settings* , 1990 .

[38]  W. Halford,et al.  Toward a Behavioral Ecology of Stressful Marital Interactions , 1992 .

[39]  F. H. Kanfer,et al.  Guiding the process of therapeutic change , 1988 .

[40]  M. Sanders,et al.  Behavioural Marital Therapy in the Treatment of Psychological Disorders , 1989, Behaviour Change.

[41]  David H. Barlow,et al.  Depression in Marriage: A Model for Etiology and Treatment , 1990 .