The unprecedented times of the novel Coronavirus quarantine and subsequent stay‐at‐home orders have changed the way many couple therapists provide clinical services. Understanding couple therapists’ experiences with teletherapy is important for optimizing future telehealth delivery with couples. Thus, the purpose of this mixed methods survey study was to explore couple therapists’ experiences of transitioning from in‐person/traditional therapy to online/telehealth delivery. A total of 58 couple therapists completed an online survey for this study. Reported are both quantitative and qualitative findings. Overall, this study found that couple therapists experienced a positive shift from traditional/in‐person therapy to online/telehealth therapy, with a majority of couple therapists (74%) reporting they would continue providing teletherapy after the novel Coronavirus pandemic and social distancing regulations had ended. Thematic analysis was used to identify themes from couple therapists’ experiences related to advantages, challenges, and recommendations for practice. Implications for clinical training and future research are discussed.
The novel Coronavirus pandemic (COVID‐19) and subsequent social distancing practices have altered the way we move through the world and access physical and mental healthcare. While researchers and clinicians have begun to explore the impact of telehealth delivery on psychotherapy and treatment outcomes, the purpose of this study was to explore the lived experiences of individuals in teletherapy, specifically those engaging in teletherapy with a romantic partner or family member. Using a thematic analysis of open‐ended online survey questions, we explored the experiences of 25 individuals who engaged in couple or family teletherapy after social distancing began. The resulting themes included “making do,” safe therapeutic space, convenience, logistical challenges, and therapist accommodation. We discuss the clinical implications of these themes to support effective couple and family teletherapy and offer suggestions and considerations for remote clinical interventions and practices. [Correction added on 22 March 2021, after first online publication: The term '19' has been changed to '(COVID‐19)' in the first line of the Abstract section, in this version.]
The present study explored how spouses’ reports of marital dissatisfaction (independent variable) are associated with depression symptoms (mediator) and physical health (dependent variable) over time. Data were from the Marriage Matters Panel Survey (Nock et al., ). We used autoregressive cross‐lagged models to test temporal connections between variables for newlywed husbands, wives and couples (N=707 couples) at Waves 1, 2 and 3, spanning five years. Results indicated physical health is an important predictor, as are wives’ depression symptoms and husbands’ marital dissatisfaction (all three demonstrate partner effects). However, the effects of health are no longer observed at Time 2. For wives there is a reciprocal relationship between marital dissatisfaction and depression symptoms; for husbands, marital dissatisfaction leads to increased depression. This study provides additional support that marital dissatisfaction, depression and physical health are interrelated across time.
Practitioner points
Assessment and treatment using a biopsychosocial approach is critical to fully understanding connections between marriage, depression and health for couples
Repeated assessment of marital dissatisfaction in couple therapy may be necessary, as effects of dissatisfaction are corrosive over time and predict other areas of wellbeing
Attending to and exploring gender differences in couples may be helpful, as links between marital dissatisfaction, depression and health vary for men and women
This study examined associations between reported histories of childhood abuse and later reports of obligation towards their family of origin from a family life cycle perspective. Data from this study included a subsample of 725 single and married, English-speaking adult participants (57.1% female, M age 5 49.8 years) from the National Survey of Midlife Development in the United States (MIDUS II): Biomarker Project. Findings suggest that childhood abuse impacts later family obligation in many ways, and that different categories of abuse (e.g. emotional, neglect, physical and sexual) and severity levels (e.g. none, less severe, more severe) differ in their impacts on adults' reports of obligation to their families. Implications for future research and clinical practice are suggested.Practitioner points • Clinicians should be aware that different categories of childhood abuse may have unique effects on clients' feelings of obligation towards their families later in life • The intersection between severity of childhood abuse and category of childhood abuse is important to explore in therapy due to nuanced effects on feelings of family obligation later in life
The purpose of this study was to explore (a) faculty members' beliefs about the ethics of reparative therapy and referring lesbian, gay, and bisexual (LGB) clients, (b) course content related to reparative therapy and referral of LGB clients, and (c) positions taken by programs associated with reparative therapy and referral of LGB clients. A total of 117 faculty members from accredited family therapy programs completed an online survey for this study. While the vast majority of faculty members reported that reparative therapy is unethical, there was less agreement related to the ethics of referring LGB clients, which may highlight the need for clearer ethical guidelines to regulate this potentially harmful practice. Implications for clinical training and future research are discussed.
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