Abstract
Couple therapy is too complex, and too important, to be undertaken under the sway of doctrinal orthodoxy. Integrating various schools of thought enlarges our toolkit and optimizes our efforts. In their excellent paper, “Couple Impasses: Three Therapeutic Approaches, Siegel, Goldman, and Fishbane provide three contemporary examples of such integration. In this commentary, I will note some commonalities in their work, highlight some singularly useful ideas from each author’s section, and conclude with some of my own thoughts about integrating and sequencing interventions in couple therapy.
Similar content being viewed by others
Notes
Fishbane and Siegel employ the term impasses to describe situations that commonly lead couples to enter therapy. By contrast, impasses in the individual psychotherapy literature more often refer to times when ongoing therapy is either stalled or in crisis. For our purposes here, the distinction makes little difference, though it allows me to note that impasses in the two-person group of individual therapy closely resemble the couple impasses described here.
References
Baucom, D. H., Hahlweg, K., & Kuschel, A. (2003). Are waiting-list control groups needed in future marital therapy outcome research? Behavior Therapy,34, 179–188.
Christensen, A. (2010). A unified protocol for couple therapy. In K. Hahlweg, M. Grawe-Gerber, & D. H. Baucom (Eds.), Enhancing couples: The shape of couple therapy to come (pp. 33–46). Göttingen, Germany: Hogrefe.
Christensen, A., & Jacobson, N. (2000). Reconcilable differences. New York: Guilford Press.
Copen, C. E., Daniels, K., Vespa, J., & Mosher, W. D. (2012). First marriages in the United States: Data from the 2006–2010 National Survey of Family Growth. National Health Statistics Reports, No. 49, March 22, 2012.
Doherty, W. J., Harris, S. M., & Wilde, J. L. (2016). Discernment counseling for “mixed-agenda” couples. Journal of Marital and Family Therapy,42, 246–255.
Eubanks, C. F., & Goldfried, M. F. (2019). A principle-based approach to psychotherapy integration. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration (3rd ed., pp. 88–105). Oxford: Oxford University Press.
Fishbane, M. D. (2013). Loving with the brain in mind: Neurobiology and couple therapy. NY: W.W. Norton.
Fraenkel, P. (2009). The therapeutic palette: A guide to choice points in integrative couple therapy. Clinical Social Work Journal,37, 234–247.
Friedlander, M. L., Escudero, V., & Heatherington, L. (2006). Therapeutic alliances with couples and families: An empirically informed guide to practice. Washington, DC: American Psychological Association.
Gold, J., & Stricker, G. (2006). Introduction: An overview of psychotherapy integration. In G. Stricker & J. Gold (Eds.), A casebook of psychotherapy integration (pp. 3–16). Washington, DC: American Psychological Association.
Gottman, J., Coan, J., Carrera, S., & Swanson, C. (1998). Predicting marital happiness and stability from newlywed interactions. Journal of Marriage and the Family,60, 5–22.
Gottman, J., & Gottman, J. (2017). The natural principles of love. Journal of Family Theory & Review,9, 7–26.
Gray, P. (1982). “Developmental lag” in the evolution of technique for psychoanalysis of neurotic conflict. Journal of the American Psychoanalytic Association,30, 621–655.
Greenberg, L. S., & Goldman, R. N. (2008). Emotion-focused couples therapy: The dynamics of emotion, love, and power. Washington, DC: American Psychological Association.
Greenberg, L. S., & Johnson, S. M. (1988). Emotionally focused therapy for couples. New York: Guilford Press.
Gurman, A. S. (2011). Couple therapy research and the practice of couple therapy: Can we talk? Family Process,50, 280–292.
Jacobson, N. S., & Addis, M. (1993). Research on couples and couples therapy: What do we know? Where are we going? Journal of Consulting and Clinical Psychology,61, 85–93.
Johnson, S. M. (1996). The practice of emotionally focused marital therapy. Florence, KY: Brunner/Mazel.
Lebow, J. L. (1997). The integrative revolution in couple and family therapy. Family Process,36, 1–17.
Lebow, J. L. (2014). Couple and family therapy: An integrative map of the territory. Washington, DC: American Psychological Association.
Lebow, J. L., Chambers, A. L., Christensen, A., & Johnson, S. M. (2012). Research on the treatment of couple distress. Journal of Marital and Family Therapy,38, 145–168.
Nielsen, A. C. (2016). A roadmap for couple therapy: Integrating systemic, psychodynamic, and behavioral approaches. New York: Routledge.
Nielsen, A. C. (2017a). From Couple Therapy 1.0 to a comprehensive model: A roadmap for sequencing and integrating systemic, psychodynamic, and behavioral approaches. Family Process,56, 540–557.
Nielsen, A. C. (2017b). Psychodynamic couple therapy: A practical synthesis. Journal of Marital and Family Therapy,43, 685–699.
Nielsen, A. C. (2019). Projective identification in couples. Journal of the American Psychoanalytic Association,67, 593–624.
Pinsof, W., Breunlin, D. C., Russell, W. P., Lebow, J., Rampage, C., & Chambers, A. (2018). Integrative systemic therapy: Metaframeworks for problem solving with individuals, couples, and families. Washington, DC: American Psychological Association.
Pitta, P., & Datchi, C. C. (Eds.). (2019). Integrative couple and family therapies: Treatment models for complex clinical issues. Washington, DC: American Psychological Association.
Rathgeber, M., Burkner, P.-C., Schiller, E.-M., & Holling, H. (2019). The efficacy of emotionally focused couples therapy and behavioral couples therapy: A meta-analysis. Journal of Marital and Family Therapy,45, 447–463.
Scheinkman, M., & Fishbane, M. (2004). The vulnerability cycle: Working with impasses in couple therapy. Family Process,43, 279–299.
Siegel, D. J. (2010). Mindsight: The new science of personal transformation. New York: Bantam Books.
Sprenkle, D. H., Davis, S. D., & Lebow, J. L. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. New York: Guilford Press.
Swindel, R., Heller, K., Pescosolido, B., & Kikuzawa, S. (2000). Responses to nervous breakdowns in America over a 40-year period: Mental health policy implications. American Psychologist,55, 740–749.
Tansey, M. J., & Burke, W. F. (1989). Understanding countertransference: From projective identification to empathy. Hillsdale, NJ: The Analytic Press.
Wile, D. B. (2013). Opening the circle of pursuit and distance. Family Process,52, 19–32.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares that he has no conflict of interest.
Research Involving Human and Animal Rights
The article does not contain any studies with human participants or animals performed by the author.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Nielsen, A.C. Couple Therapy Integrated: A Commentary on Couple Impasses—Three Therapeutic Approaches. Clin Soc Work J 48, 313–318 (2020). https://doi.org/10.1007/s10615-020-00767-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10615-020-00767-8