Welcome to our
“Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work.
What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists
Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work.
How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist
Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions.
What happens when partners in couples therapy have two different agendas in mind? Hear from expert
William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists.
Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from
Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation.
Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist
Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection.
Hear an unconventional perspective on couples therapy from
David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy.
Join
Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships.
Discover with
Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries.
After the session, please let us know what you think. If you ever have any
technical questions or issues, please feel free to email
support@psychotherapynetworker.org.
Sorry for the delay in response. Thanks very much for you kind comment. For too long, the field has given the alliance short shrift when it is far more important than model and technique--and far more difficult to achieve than many think. It is the main thing that separates the great therapist from the average one. I wish we all could say outloud that psychotherapy is a relational endeavor, not a medical one!
Sorry for the delay in response. Thanks for your question. I am pretty familiar with Lambert's studies but I don't recall seeing anything that suggests that the feedback effect is limited to those of any particular acuity level but I could have missed that. I was just looking at Baldwin's (et al., 2009) analysis of OQ data and it doesn't reflect any differences in outcomes based on acuity if you are defining acuity as severity of distress at intake. Lambert's studies have typically found that the clients at risk are more likely to benefit from feedback while our studies have found a feedback effect across clients. In addition, our studies have found that 8-9 therapists out of 10 do benefit from adding feedback to their work. Lambert's use of the OQ is very different than our use of the ORS/SRS. We integrate the measures into the ongoing psychotherapy process and include a transparent discussion of the feedback with the client; We assess the alliance every session; and the Outcome Rating Scale, rather than a list of symptoms rated on a Likert Scale, is a clinical tool as well as an outcome instrument that requires collaboration with clients and clinical nuance in application.
Regarding why your practice found outcome measurement only of benefit 25% of the time, I really can't comment given that I don't know what measure you used or how it was used.
I am very confident in saying that using the ORS and SRS to include client feedback into the psychotherapy process does improve the outcomes of most therapists who give it a try.
I hope you give a try. You can find lots of free stuff about using the measures at www.heartandsoulofchange.com.
Graham Hocking Australia
Thanks for yoru comment. The top third psychiatrists got better results with placebo than the bottom third psychiatrist got with antidepressants. The reference:
Kim, D. M., Wampold, B. E., & Bolt, D. M. (2006). Therapist effects in psychotherapy: A random effects modeling of the NIMH TDCRP data. Psychotherapy Research, 16, 161-172
My book, What's Rigtht With You, discusses the alliance and the importance of relaltionship to making changes. It covers many things but there is a chapter devoted to the power of relationship in the change process.