To explore the effectiveness of a mentalization-based therapeutic intervention specifically developed for parents in entrenched conflict over their children. To the best of our knowledge, this is the first randomized controlled intervention study in the United Kingdom to work with both parents postseparation, and the first to focus on mentalization in this situation. Using a mixed-methods study design, 30 parents were randomly allocated to either mentalization-based therapy for parental conflict-Parenting Together, or the Parents' Group, a psycho-educational intervention for separated parents based on elements of the Separated Parents Information Program-part of the U.K. Family Justice System and approximating to treatment as usual. Given the challenges of recruiting parents in these difficult circumstances, the sample size was small and permitted only the detection of large differences between conditions. The data, involving repeated measures of related individuals, was explored statistically, using hierarchical linear modeling, and qualitatively. Significant findings were reported on the main predicted outcomes, with clinically important trends on other measures. Qualitative findings further contributed to the understanding of parents' subjective experience, pre- and posttreatment. Findings indicate that a larger scale randomized controlled trial would be worthwhile. These encouraging findings shed light on the dynamics maintaining these high-conflict situations known to be damaging to children. We established that both forms of intervention were acceptable to most parents, and we were able to operate a random allocation design with extensive quantitative and qualitative assessments of the kind that would make a larger-scale trial feasible and productive. (PsycINFO Database Record

Couple therapy outcomes tend to be judged by randomized controlled trial evidence, which comes primarily from the United States. United Kingdom and European outcome studies have tended to be naturalistic and there is a debate as to whether "laboratory" (RCT) studies are useful benchmarks for the outcomes of "clinic" (naturalistic) studies, not least because the therapies tested in the RCTs are hardly used in these settings. The current paper surveys the naturalistic studies in the literature and presents results from a U.K. setting of 877 individually and relationally distressed participants who completed at least 2 sessions of psychodynamic couple therapy and completed self-report measures assessing psychological well-being (CORE-OM) and relationship quality (Golombok Rust Inventory of Marital State, GRIMS). A clinical vignette is given that demonstrates the psychodynamic approach used. Analysis of the measure data conducted using hierarchical linear modeling showed an overall significant decrease in individual psychological distress for both male and female clients at the end of therapy, with a large effect size of d = -1.04. There was also a significant improvement in relationship satisfaction for both male and female clients, with a medium effect size of d = -0.58. These findings suggest that psychodynamic couple therapy is an effective treatment for couples experiencing individual and relational distress, with effect sizes similar in strength to those reported in RCTs. It argues that naturalistic effectiveness studies should be given a stronger role in assessments of which therapies work. (PsycINFO Database Record

Despite the well-established links between couple relationship quality and healthy family functioning, and burgeoning evidence from the international intervention field, there is little or no evidence of the efficacy of couples-based interventions from the United Kingdom (U.K.). This study explored whether the Parents as Partners (PasP) program, a group-based intervention developed in the United States, brought about the same benefits in the U.K. The evaluation is based on 97 couples with children from communities with high levels of need, recruited to PasP because they are at high risk for parent and child psychopathology. Both mothers and fathers completed self-report questionnaires assessing parents' psychological distress, parenting stress, couple relationship quality and conflict, fathers' involvement in child care and, importantly, children's adjustment. Multilevel modeling analysis comparing parents' responses pre- and postintervention not only showed substantial improvements for both parents on multiple measures of couple relationship quality, but also improvements in parent and child psychopathology. Analyses also indicated most substantial benefits for couples displaying poorest functioning at baseline. The findings provide initial evidence for the successful implementation of PasP, an American-origin program, in the U.K., and add support for the concept of the couple relationship as a resource by which to strengthen families.

The case histories written by C. G. Jung, from his 1902 Doctoral Dissertation to his 1950 case of Miss X, are evaluated as pieces of evidence in support of his theories. Evidence is shown to rely for its validity on an ‘evidential context’ which has altered over time. Jung's case histories change over the course of his writings and become more like stories. The reason for this difference is his move from an interpretative schema based on the natural sciences when a psychiatrist, through that of psychoanalysis, to one based on the human sciences, and in particular to one based on hermeneutics ‐ the study of interpretation and meaning ‐ when he developed his theory of analytical psychology. Jung moves from a form of hermeneutics based on what constitutes a ‘valid’ interpretation to one that concentrates on meaning and understanding. In writing his later case histories like stories, Jung is using them as merely part of the wider cultural context of evidence required by analytical psychology rather than as privileged pieces of evidence in themselves.

The film American Beauty is used as a vehicle to explore difficulties in the individuation process, to look at a particular aspect of couple relationships in which mourning is avoided, and to make a general comment about the relationship between film and psychological experience. The thesis of the paper is that the individuation process is both an intra-psychic experience and an inter-psychic one which relies on relationships with external figures to enable development. The adult couple relationship is taken as one of the key areas of emotional life for the individuation process and as an area that can best show up false starts, successes, or even retreats in psychological development. Using the poetry of William Blake and the work of Michael Fordham, I show a process of anti-individuation going on in the relationship between the characters of Lester and Carolyn Burnham in the film.