CliniCal Handbook of Couple THerapy

1 CliniCal Handbook of Couple THerapyClinical Handbook of Couple TherapyFourth EditionEd i t e d b yALAN S. GURMANTHE GUILFORD PRESS new york london 2008 The Guilford PressA Division of Guilford Publications, Spring Street, New York, NY rights reservedNo part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the in the United States of AmericaThis book is printed on acid-free digit is print number: 9 8 7 6 5 4 3 2 1 The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors, nor the editor and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information.

2 Readers are encouraged to confirm the information contained in this book with other of Congress Cataloging-in-Publication DataClinical Handbook of Couple THerapy / edited by Alan S. Gurman. 4th ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-59385-821-6 (hardcover : alk. paper) 1. Marital psychotherapy Handbooks, manuals, etc. I. Gurman, Alan S. [DNLM: 1. Marital THerapy methods. 2. Couples THerapy methods. WM C641 2008] 2008 1562 dc22 2008010079To Jim Framo, Cliff Sager, and Robin Skynner who understood a thing or two about couples,and, of course, to Neil Jacobson who is still a part of this vii about the editorAlan S. Gurman, PhD, is Emeritus Professor of Psychiatry and Director of Family THerapy Training at the University of Wisconsin school of medicine and Public Health. He has edited and written many influential books, including Theory and Practice of Brief THerapy (with Simon H. Budman), the Handbook of Family THerapy (with David P.)

3 Kniskern), and Essential Psychotherapies (with Stanley B. Messer). A past two-term Editor of the Journal of Marital and Family THerapy and former President of the Society for Psychotherapy Research, Dr. Gurman has received numerous awards for his contri-butions to marital and family THerapy , including awards for Distinguished Contribution to Research in Family THerapy from the American Association for Marriage and Family THerapy , for Distin-guished Achievement in Family THerapy Research from the American Family THerapy Academy, and for Distinguished Contributions to Family Psychology from the American Psychological As-sociation. More recently, he received a national teaching award from the Association of Psychology Postdoctoral and Internship Centers for Excellence in Internship Training/Distinguished Achieve-ment in Teaching and Training. A pioneer in the development of integrative approaches to Couple THerapy , Dr. Gurman maintains an active CliniCal practice in Madison, Wisconsin.

4 Ix ContributorsDonald H. Baucom, PhD, Professor, Psychology Department, University of North Carolina Chapel Hill, Chapel Hill, North CarolinaSteven R. H. Beach, PhD, Professor, Department of Psychology, and Director, Institute of Behavioral Research, University of Georgia, Athens, GeorgiaGary R. Birchler, PhD, Retired, formerly CliniCal Professor of Psychiatry, University of California San Diego, San Diego, CaliforniaNancy Boyd-Franklin, PhD, Professor, Graduate school of Applied and Professional Psychology, Rutgers, The State University of New Jersey, New Brunswick, New JerseyJames H. Bray, PhD, Associate Professor, Departments of Family and Community medicine and Psychiatry, Baylor College of medicine , Houston, TexasAndrew Christensen, PhD, Professor, Department of Psychology, University of California Los Angeles, Los Angeles, CaliforniaAudrey A. Cleary, MS, PhD candidate, Department of Psychology, University of Arizona, Tucson, ArizonaGene Combs, MD, Director of Behavioral Science Education, Loyola/Cook County/Provident Hospital Combined Residency in Family medicine , Chicago, IllinoisSona Dimidjian, PhD, Assistant Professor, Department of Psychology, University of Colorado Boulder, Boulder, ColoradoLee J.

5 Dixon, MA, PhD candidate, Department of Psychology, University of Tennessee Knoxville, Knoxville, TennesseeJessica A. Dreifuss, BS, PhD candidate, Department of Psychology, University of Georgia, Athens, GeorgiaJennifer Durham, PhD, President, Omolayo Institute, Plainfield, New JerseyNorman B. Epstein, PhD, Professor, Department of Family Science, and Director, Marriage and Family THerapy Program, University of Maryland College Park, College Park, Marylandx ContributorsWilliam Fals-Stewart, PhD, Director, Addiction and Family Research Group, and Professor, school of Nursing, University of Rochester, Rochester, New YorkBarrett Fantozzi, BS, PhD candidate, and Research Coordinator, DBT Couples and Family THerapy Program, Department of Psychology, University of Nevada Reno, Reno, NevadaKameron J. Franklin, BA, PhD candidate, Department of Psychology, University of Georgia, Athens, GeorgiaJill Freedman, MSW, Director, Evanston Family THerapy Center, Evanston, IllinoisAlan E.

6 Fruzzetti, PhD, Associate Professor and Director, Dialectical Behavior THerapy and Research Program, Department of Psychology, University of Nevada Reno, Reno, NevadaBarbara Gabriel, PhD, Research Scholar, Graduate Study Research Center, University of Georgia, Athens, GeorgiaKristina Coop Gordon, PhD, Associate Professor, Department of Psychology, University of Tennessee Knoxville, Knoxville, TennesseeMichael C. Gottlieb, PhD, FAFP, CliniCal Professor, Department of Psychiatry, University of Texas Health Science Center, Dallas, TexasJohn Mordechai Gottman, PhD, Emeritus Professor, Department of Psychology, University of Washington, and Director, Relationship Research Institute, Seattle, WashingtonJulie Schwartz Gottman, PhD, Cofounder and CliniCal Director, The Gottman Institute, and Cofounder and CliniCal Director, Loving Couples/Loving Children, Inc., Seattle, WashingtonRobert-Jay Green, PhD, Executive Director, Rockway Institute for LGBT Research and Public Policy, and Distinguished Professor, California school of Professional Psychology, Alliant International University San Francisco, San Francisco, CaliforniaAlan S.

7 Gurman, PhD, Emeritus Professor and Director of Family THerapy Training, Department of Psychiatry, University of Wisconsin school of medicine and Public Health, Madison, WisconsinMichael F. Hoyt, PhD, Staff Psychologist, Kaiser Permanente Medical Center, Department of Psychiatry, San Rafael, CaliforniaSusan M. Johnson, EdD, Professor, Department of Psychology, University of Ottawa, Ottawa, Ontario, Canada, and Research Professor, Alliant University San Diego, San Diego, CaliforniaCharles Kamen, MS, PhD candidate, Department of Psychology, University of Georgia, Athens, GeorgiaShalonda Kelly, PhD, Associate Professor, Graduate school of Applied and Professional Psychology, Rutgers, The State University of New Jersey, New Brunswick, New JerseyJennifer S. Kirby, PhD, Research Assistant Professor, Psychology Department, University of North Carolina Chapel Hill, North CarolinaCarmen Knudson-Martin, PhD, Professor and Director, PhD Program in Marital and Family THerapy , Department of Counseling and Family Sciences, Loma Linda University, Loma Linda, CaliforniaJon Lasser, PhD, Assistant Professor, Department of Educational Administration and Psychological Services, Texas State University San Marcos, San Marcos, TexasJaslean J.

8 LaTaillade, PhD, Assistant Professor, Department of Family Science, University of Maryland College Park, College Park, MarylandJay Lebow, PhD, CliniCal Professor of Psychology, The Family Institute at Northwestern and Northwestern University, Evanston, IllinoisChristopher R. Martell, PhD, ABPP, Independent Practice and CliniCal Associate Professor, Contributors xiDepartment of Psychiatry and Behavioral Sciences and Department of Psychology, University of Washington, Seattle, WashingtonBarry W. McCarthy, PhD, Professor, Department of Psychology, American University, and Partner, Washington Psychological Center, Washington, DCSusan H. McDaniel, PhD, Professor, Departments of Psychiatry and Family medicine , and Director, Wynne Center for Family Research, University of Rochester school of medicine and Dentistry, Rochester, New YorkAlexandra E. Mitchell, PhD, Professor, Department of Psychology, Texas A&M University, College Station, TexasValory Mitchell, PhD, Professor, CliniCal Psychology PsyD Program, Fellow at the Rockway Institute for LGBT Research and Public Policy, and California school of Professional Psychology, Alliant International University San Francisco, San Francisco, CaliforniaTimothy J.

9 O Farrell, PhD, Professor, Department of Psychology, and Chief, Families and Addiction Program, Department of Psychiatry, Harvard Medical school , VA Boston Healthcare System, Boston, MassachusettsK. Daniel O Leary, PhD, Distinguished Professor and Director of CliniCal Training, Department of Psychology, State University of New York Stony Brook, Stony Brook, New YorkLaura Roberto-Forman, PsyD, Professor, Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical school , Norfolk, VirginiaMichael J. Rohrbaugh, PhD, Professor, Departments of Psychology and Family Studies, University of Arizona, Tucson, ArizonaNancy Breen Ruddy, PhD, Behavioral Science Faculty, Hunterdon Family Practice Residency Program, Hunterdon Medical Center, Flemington, New JerseyDavid E. Scharff, MD, Codirector, International Psychotherapy Institute, and CliniCal Professor, Department of Psychiatry, Georgetown University, Washington, DC, and the Uniformed Services University of the Health Sciences, Bethesda, MarylandJill Savege Scharff, MD, Codirector, International Psychotherapy Institute and CliniCal Professor, Department of Psychiatry, Georgetown University, Washington, DCVarda Shoham, PhD, Professor and Director of CliniCal Training, Department of Psychology, University of Arizona, Tucson, ArizonaGeorge M.

10 Simon, MS, Faculty, The Minuchin Center for the Family, New York, New YorkGeorganna L. Simpson, JD, Attorney at Law, Owner, Law Offices of Georganna L. Simpson, Dallas, TexasDouglas K. Snyder, PhD, Professor and Director of CliniCal Psychology Training, Department of Psychology, Texas A&M University, College Station, TexasMaria Thestrup, MA, PhD candidate, Department of Psychology, American University, Washington, DC xiii ContentsCHaPTER framework for the Comparative Study of Couple THerapy : History, Models, and applications1Al a n S. Gu r m anPaRT I. MODELS OF Couple THERaPyBehavioral approachesCHaPTER behavioral Couple Therapy31Do n a l d H. Ba u c o m, No r m a n B. Ep s t e i n, Ja s l e a n J. LaTa i l l a d e, and Je n n i f e r S. Ki r byCHaPTER behavioral Couple Therapy73So n a Di m i d j i a n, Ch r i s t o p h e r R. Ma r t e l l, and An d r e w Ch r i s t e n s enHumanistic Existential approachesCHaPTER focused Couple Therapy107Su s a n M.