scholarly journals Why consider the client's partner in psychotherapy?

2013 ◽  
Vol 17 (1) ◽  
pp. 55-64
Author(s):  
Jon Hay ◽  
Stephen Appel

The bi-directional impacts of an individual’s psychotherapy on their partner and of the partner and their relationship on the therapy should be a consideration throughout treatment. There is a bias in the literature towards either an individual or a couples approach to therapy, but only scattered mention of working with a blend of the two. This article considers how, during the process of change in individual therapy, new problems might arise in a client’s romantic relationship. Furthermore, the client’s significant other might resist or otherwise hamper their partner’s therapy if they do not accept or understand the changes that are taking place. Finally, some ethical arguments are raised which add to the case that psychotherapists should not ignore the impact that psychotherapy has on their client’s relationships and vice versa. Whakarāpopoto Ko ngā awe o te arongarua o te whakaoranga hinengaro tautahi ki tōna hoa me te hoa tau atu hoki ki tā rāua tirohanga ki te whaihauora e tika ana kia āta whakaarohia huri noa o te rongoā. E whakawhirinaki ana ngā tuhinga ki te takitahi ki tā te tokorua kauawhi ki te rongoā, engari torutoru noa iho te whakahuanga ake o te whakamahitanga i te hononga o ēnei. E titiro ana tēnei tuhinga i te wā o te huringa o te haumanu takitahi, tērā pea ka ara ake he raruraru hou ki te noho whaiāipo a te kiritaki. I tua atu hoki, tērā pea ka ātete atu tērā o te kiritaki ka whakaroa rānei i te whakaoranga o tana hoa mena kāre e whakaae e moohio rānei ki ngā huringa hou. I te mutunga, ka whakaarahia ake ētahi whakapae matatika e tautoko ana i te kōrero kia kaua te kaiwhakaora hinengaro e noho turi ki te awe o te whakaoranga hinengaro ki ngā hononga o ā rātou kiritaki, ā, huri whakamuri hoki.

2021 ◽  
pp. 026540752110120
Author(s):  
Kyrsten Sackett-Fox ◽  
Judith Gere ◽  
John Updegraff

Many people have goals to increase their physical activity levels through engaging in exercise, but have difficulty establishing and maintaining an exercise routine. Research shows that people are more successful at exercising if they do so together with their romantic partner. In this study, we examined how exercising with a romantic partner may influence the experience of exercise itself, as well as people’s daily experiences. Specifically, we examined how joint exercise influences daily and exercise affect, daily relationship satisfaction, and amount of daily exercise. Young adults who were currently involved in a romantic relationship (N = 95) completed intake questionnaires and 14 daily reports of their exercise behavior, exercise and daily affect, and daily relationship satisfaction. Multilevel models showed that on days when people exercised with their romantic partner, they experienced higher positive affect during exercise, higher daily positive affect, and were more satisfied with their relationship compared to days when they exercised without their partner. No effects were found on daily and exercise negative affect, or amount of exercise. This study illustrates how exercising with a romantic partner may improve people’s experience of both exercising and their daily experiences, and may help provide a reason why people might be more successful at maintaining their exercise routine when they exercise together with their romantic partner.


2012 ◽  
Vol 5 (1) ◽  
pp. 18-24
Author(s):  
José Miguel Martínez González ◽  
Natalia Albein Urios ◽  
Pilar Munera ◽  
Antonio Verdejo García

The aim of this study was to prospectively analyze the impact of psychoeducation with relatives of addicted patients with personality disorders. We measured the impact of the psychoeducational intervention using a self-report questionnaire designed to assess perceived familiar support. The sample was composed by 37 patients with alcohol dependence following outpatient treatment. They underwent a cognitive-behavioral therapy relapse prevention program especially tailored for addicted individuals with comorbid personality disorders. 56.8% of patients followed individual therapy, and 43.2% followed group therapy. The relatives of the subgroup patients following group therapy simultaneously received the psychoeducational intervention. The analyses of the familiar support questionnaire across treatment showed a significant difference between groups as a function of treatment modality. Patients whose relatives followed the psychoeducational intervention had greater perception of familiar support throughout the treatment process.


2010 ◽  
Vol 3 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Anne Joice ◽  
Stewart W. Mercer

AbstractLarge psycho-education groups are being increasingly used in mental-health promotion and the treatment of common mental-health problems. In individual therapy there is a well-established link between therapist empathy, therapeutic relationship and patient outcome but the role of empathy within large psycho-educational groups is unknown. This service evaluation investigated the impact of a 6-week large psycho-education group on patient outcome and the role of perceived therapist empathy on outcome. Within a before–after experimental design, 66 participants completed baseline and endpoint measures; Clinical Outcome Routine Evaluation (CORE), Patient Enablement Instrument (PEI), and the modified Consultation and Relational Empathy (CARE) measure. The results showed that the intervention had a positive impact on patient outcome; the CORE score reduced significantly over the 6 weeks by 0.63 (95% CI 0.82–1.14) (t= 9.18, d.f. = 55,p= <0.001) and attendees felt highly enabled. Attendees perceived the course leader as highly empathetic. However, the relationship between perceived empathy and attendee outcome was less clear; no significant relationship was found with the main outcome measure (the change in CORE score). Factors that influenced the main outcome included age, symptom severity at baseline, having a long-term illness or disability, and whether attendees tried the techniques at home (homework). These findings suggest that large group psycho-education is an effective treatment for mild to moderate mental-health problems, at least in the short term. The role of therapist empathy remains ambiguous but may be important for some patient outcomes.


Author(s):  
Maria A. Sullivan

Addiction in older adults very often goes unrecognized, for several reasons: social biases about the elderly, age-related metabolic changes, and the inappropriate use of prescription benzodiazepines and opioids to address untreated anxiety and mood conditions. Alcohol or substance-use disorders (SUDs) in older individuals may present in subtle and atypical ways. Strategies to overcome such difficulties include systematic screening using validated instruments, patient education regarding the impact of psychoactive substances on health, and cautious prescribing practices. Relying on standard DSM criteria may result in a failure to detect an SUD that presents with cognitive symptoms or physical injury, as well as the absence of work or social consequences. Older individuals can benefit from the application of risk-stratification measures, and they can be referred, e.g., to age-appropriate group therapy and non-confrontational individual therapy focusing on late-life issues of loss and sources of social support, as well as be offered medication management for alcohol or substance use disorder. Although research has been limited in this population, treatment outcomes have been found to be superior in older adults than younger adults.


1996 ◽  
Vol 168 (1) ◽  
pp. 87-93 ◽  
Author(s):  
Jane Roberts

BackgroundClinical practice suggests that partners of psychotherapy patients often have powerful feelings about the therapy and therapist. The repercussions of psychotherapy on those close to the patient are rarely considered. A small exploratory study was therefore conducted.MethodAll patients who had completed at least two months of weekly psychodynamic psychotherapy in 1990 at an out-patient unit of a psychiatric hospital (n = 35) and had a partner with whom they were living at the time of starting therapy (n = 23) were contacted. Eight gave permission for their partner to be contacted directly. All eight partners agreed to participate in a semi-structured interview exploring their perceptions of the effects of the therapy on a number of family relationships. The impact of the process of the study was also investigated by means of a questionnaire sent to all partners some weeks after the interview.ResultsConsiderable changes were perceived to have taken place in association with therapy affecting not only the relationship between the couple but also their parenting relationship, the children, and at times members of the extended family. Partners' views about the direction of such changes seemed to influence other perceptions about the therapy.ConclusionsThe repercussions of individual psychotherapy may well spread extensively within a family. This further blurs the boundary between individual and family therapy, both theoretically and clinically. Research procedures are themselves a major intervention and may have a considerable emotional impact on participants.


2011 ◽  
Vol 20 (6) ◽  
pp. 355-359 ◽  
Author(s):  
Jeffry A. Simpson ◽  
W. Andrew Collins ◽  
Jessica E. Salvatore

Adopting an organizational view on social development, we have investigated how interpersonal experiences early in life predict how well individuals will resolve relationship conflicts, recover from conflicts, and have stable, satisfying relationships with their romantic partners in early adulthood. We have also identified specific interpersonal experiences during middle childhood and adolescence that mediate the connection between how individuals regulated their emotions with their parents very early in life and how they do so as young adults in their romantic relationships. We discuss the many advantages of adopting an organizational view on social development.


Author(s):  
Bedia Kalemzer KARACA ◽  

Due to the severe course of COVID-19, the rate of transmission, and the high risk of death, country governments have taken many measures, such as social isolation, to reduce the rate of transmission. This study, it is aimed to reveal the effect of the social isolation process caused by the COVID-19 pandemic on the romantic relationships of individuals. In this correlational study, 540 people (n=433 females, n=107 males) who had a romantic relationship in Turkey were reached by random sampling method. The participants were given the Sociodemographic Information Form and the Anxiety in Romantic Relationships During the Covid-19 Pandemic Period. Validity and reliability analyzes of the scale were made. Romantic relationships of the Covid-19 pandemic process have been determined that it affects women more than men, those with low education levels more than those with higher levels, and those with short relationships than those with long-term relationships. At the same time, it was concluded that those who live separately are more affected than those who live together, those who avoid sexuality are more affected than those who do not, and those who apply social distance rules at home are more affected than those who do not apply social distance rules at home. The research has some limitations. The scale was applied online to 540 people and reached a limited number of people. The results need to be supported by different studies.


Author(s):  
Shiddiq Ardhi Irawan

The industrial revolution is a process of change in which human work in various fields is replaced by machines. Currently the world has entered the era of the industrial revolution 4.0 so that the process of producing goods or services is much more efficient than before. Therefore, since 2017 the Ministry of Industry has made a roadmap for the Implementation of Making Indonesia 4.0 to accelerate the development of the manufacturing industry in Indonesia. In the process of achieving this goal, Indonesia is one of the countries most affected by the COVID-19 pandemic which began in early 2020. The activity plans that have been prepared in the roadmap must be adjusted because most of their budget has been reallocated or refocused for handling the impact of the COVID-19 pandemic. -19, this study aims to determine the implementation of Making Indonesia 4.0 on the impact of the covid-19 pandemic in terms of policies and budget allocations. The method used is a literature study and descriptive analysis using quantitative and qualitative data types. Based on the results of the descriptive analysis, information was obtained that the 2020 budget allocation for the Implementation of Making Indonesia 4.0 included the refocusing of 63.4% of the initial ceiling. With this refocusing, it is necessary to reconstruct the national priority programs contained in the roadmap for the Implementation of Making Indonesia 4.0 and redesign. financing so that not all national programs use the state budget.


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