Research on couples and couple therapy: what do we know? Where are we going?

  title={Research on couples and couple therapy: what do we know? Where are we going?},
  author={Neil S. Jacobson and Michael E. Addis},
  journal={Journal of consulting and clinical psychology},
  volume={61 1},
  • N. Jacobson, M. Addis
  • Published 1 February 1993
  • Psychology
  • Journal of consulting and clinical psychology
This article discusses the outcome and process research on couple therapy and integrates the articles special section "Couples and Couple Therapy" into the discussion. All tested couple treatments show statistically significant effects relative to control groups, but there are no reliable differences between different theoretical models. Moreover, all tested approaches leave substantial numbers of couples unimproved or at least still somewhat distressed. A discussion of the strengths and… 
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This paper describes the main differences between behavioral and systems therapy with couples. To improve clinical decision making for a given case, the theoretical assumptions of the chosen
Interventions for couples.
Concern about the negative impact of marital discord and divorce will continue to provide the impetus for research on more effective means of intervening with couples, and future research could benefit from a focus on a more diverse population of couples, treatment in natural settings, and the examination of those interventions over longer periods of time and with more comprehensive outcome measures.
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This study confirms the effectiveness of couples therapy theories in a Swedish context and shows significant improvements in relationship matters, individual mental health and enhanced coping abilities for both sexes.
En 10 tionally Focused Couples Therapy : Status and Challenges
This article presents the basis for, and the research on, emotionally focused couples therapy (EFT), now recognized as one of the most researched and most effective approaches to changing distressed
Integrative behavioral couple therapy: an acceptance-based, promising new treatment for couple discord.
Results of a preliminary clinical trial indicated that therapists could keep the 2 treatments distinct, that both husbands and wives receiving IBCT evidenced greater increases in marital satisfaction than couples receiving TBCT, and that I BCT resulted in a greater percentage of couples who either improved or recovered on the basis of clinical significance data.


Although there are a growing number of outcome research studies in marital therapy, there is a complete absence of research on change processes, and how such processes relate to outcome. This study
Client-treatment interaction in the study of differential change processes.
Despite the less than encouraging record of ATI research, it should not be abandoned, rather its purposes should be expanded, instead of focusing on the pragmatic but hard-to-achieve goal of finding an optimal match between individual clients and specific therapies.
A component analysis of behavioral marital therapy: 1-year follow-up.
Specific and nonspecific factors in the effectiveness of a behavioral approach to the treatment of marital discord.
  • N. Jacobson
  • Psychology
    Journal of consulting and clinical psychology
  • 1978
Two behavioral treatments for marital discord with a nonspecific control and a waiting-list control combined training in problem-solvi ng skills with training in contingency management procedures, differing only with respect to the contracts.
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Behavioral and insight-oriented therapies resulted in significant improvements in self-reports of global marital accord and, to a lesser extent, in the reduction of overall psychological distress and in the enhancement of self-concept, with no significant differences between treatment conditions.
A comparison of gestalt and relationship enhancement treatments with married couples
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Emotionally Focused Couples Therapy: An Outcome Study.
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