Emotionally focused couple therapy (EFT) is an empirically validated approach to couple therapy that uses attachment theory to understand the needs and emotions of romantic partners. EFT is recognized as one of the most effective approaches to couple therapy, but to guide therapists in their use of EFT, a theoretically based model to predict change is needed. This study tested such a model by r...

This paper presents a multi-level framework and road map to guide the therapeutic process. Starting with the couple's reactive pattern, the multi-level approach first orients the therapist on how to create a "holding environment." It then suggests how the therapist, in collaboration with the couple, can proceed to explore interactional, sociocultural/ organizational, intrapsychic, and intergene...

Vulnerability factors such as insecure attachment may have a lasting effect on the outcome of couples therapy, even long after discharge from treatment. Given that attachment has never been examined as an outcome predictor for couples therapy in the long term, the authors studied its effect on outcome during and after couples therapy. This prospective study included 71 inpatients participating ...

Objective: This study aimed to compare the effectiveness of acceptance and commitment therapy (ACT) and schema therapy on forgiveness and fear of intimacy in conflicting couples. Methods and Materials: This quasi-experimental study was conducted using a pre-test-post-test design with a control group. The participants were selected from the conflicting couples who referred to counseling and psy...

In this paper, we focus on childbearing after the dissolution of the first marital union. The discussion of what drives fertility decisions after dissolution has been largely dominated by the arguments that: (a) people want to have a child as a way to achieve the adult status of parenthood (the "parenthood hypothesis"), and that (b) a shared child can signal the partners' commitment to each oth...

Research of positive psychology interventions (PPIs) has expanded dramatically in recent years, and many novel PPIs may be useful in couples therapy. The present work identifies, summarizes, and suggests adaptations of PPIs that may improve couples therapy outcomes. Each intervention is presented as part of a larger organizational framework that may help couples therapists determine how and whe...

This article identifies and operationalizes the newly defined construct of attachment injury. An attachment injury occurs when one partner violates the expectation that the other will offer comfort and caring in times of danger or distress. This incident becomes a clinically recurring theme and creates an impasse that blocks relationship repair in couples therapy. An attachment injury is charac...

Focusing on the decision to enter into a marriage and/or to conduct a commitment ceremony, this paper explores how same-sex couples negotiate their relationships with both family and friends at the point at which they make decisions about who to invite to their ceremony. The ceremony is argued to be a ‘fateful moment’ at which point lesbians and gay men necessarily take stock of relationships w...

Natural family planning methods provide a unique option for committed couples. Advantages include the lack of medical adverse effects and the opportunity for participants to learn about reproduction. Modern methods of natural family planning involve observation of biologic markers to identify fertile days in a woman's reproductive cycle. The timing of intercourse can be planned to achieve or av...