Social Justice and Race in the United States: Key Issues and Challenges for Couple and Family Therapy.

Social justice tends to be narrowly defined as equality without due recognition of human dignity and respect for those whose daily lives continue to be adversely impacted by race. This article seeks to explore key issues and challenges at the intersection of social justice and race for couple and family therapy. These include: (a) defining social justice; (b) diversity and inclusion; (c) power and privilege; (d) witness; and (e) personal responsibility.

Clinical and Ethical Considerations for Delivering Couple and Family Therapy via Telehealth.

Studies have generally supported telehealth as a feasible, effective, and safe alternative to in-office visits. Telehealth may also be of particular benefit to couples/families interested in relational treatments, as it addresses some of the barriers that may be more prominent for families, such as childcare and scheduling difficulties. Therapists interested in expanding their practice to include telehealth should understand ethical and practical considerations of this modality. This article discusses areas unique to the delivery of telehealth to couples and families. Each broad domain is then elaborated upon with case examples from actual clinical practice and specific recommendations for addressing potential difficulties. Authors recommend further empirical research examining differences in modality outcome, as well as feasibility of the suggestions proposed here.

Integrative Behavioral Couple Therapy (IBCT) as a third-wave therapy / La Terapia Integral Conductual de Pareja (TICP) como terapia de tercera generación

BACKGROUND: This article presents a description of the Integrative Behavioral Couple Therapy (IBCT), and puts forwards its contributions, its techniques and progress, the research data on its usefulness compared to traditional behavioral couple therapy, and explains basically its articulation in third-wave behavior therapies using the concepts of functionality, rule-governed/contingency-shaped behavior and acceptance. METHOD: A theoretical review of the main IBCT bibliography was carried out. RESULTS: The review shows that this intervention model includes innovative intervention strategies (to promote acceptance and tolerance) that join the already well-known behavioral couple therapy techniques (behavior exchange, communication training and couple problem solving), substantially modifying the therapy. Furthermore, it incorporates useful orientation for especially difficult problems in couples (such as infidelity and substance use, abuse and dependence situations). CONCLUSIONS: After this analysis, IBCT is revealed as a new intervention, the scope of which is still spreading among professionals. The acceptance concept, one of the core elements of third-wave therapies, has been fruitfully included in behavioral couple therapy through the IBCT

ANTECEDENTES: este artículo presenta una descripción de la Terapia Integral Conductual de Pareja (TICP); se enumeran sus aportaciones, sus técnicas y su curso; se ofrecen datos de investigación respecto a su utilidad comparada con la terapia de pareja conductual tradicional y se explica su articulación en las terapias de tercera generación a través de los conceptos de funcionalidad, aceptación y conducta gobernada por reglas/moldeada por contingencias. MÉTODO: se efectuó una revisión teórica en la bibliografía más importante de la TICP. RESULTADOS: la revisión ha revelado que este modelo de intervención incluye novedosas estrategias de intervención (para el fomento de la aceptación y la tolerancia) que se unen a las ya conocidas de la terapia de pareja conductual (intercambio de reforzadores, entrenamientos en comunicación y resolución de problemas), de forma que modifica sustantivamente la terapia; además, incorpora orientaciones útiles para problemas especialmente difíciles de las parejas (como infidelidades y situaciones de consumo de sustancias, maltrato y dependencia). CONCLUSIONES: la TICP se presenta como una intervención nueva y cuyo alcance está aún por divulgarse. El concepto de aceptación, uno de los elementos nucleares de la tercera generación, se ha incorporado fructíferamente a la terapia de pareja a través de la TICP

Psicoterapia psicoanalítica de pareja: teoría y práctica clínica / No disponible

Se revisan las principales aportaciones teóricas y técnicas realizadas en el ámbito dela psicoterapia psicoanalítica de pareja, así como la evidencia empírica sobre la eficaciay efectividad de dicho tratamiento. Desde la perspectiva teórica, el presente trabajo secentra en las modalidades psicoanalíticas de pareja que se nutren fundamentalmentede la escuela de las relaciones objetales, a partir de sus ramificaciones británica ynorteamericana, así como de la teoría del apego. La relación de pareja, como cualquiervínculo, tiene su raíz en las experiencias relacionales que se han ido sucediendo desde lainfancia. Se discute la importancia de la identificación proyectiva como mecanismo dedefensa clave para la normalidad o psicopatología de la relación. Respecto al abordajeclínico de los conflictos de pareja, la psicoterapia psicoanalítica subraya la importanciade diagnosticar con precisión dichos conflictos, de entender los patrones relacionalesinconscientes repetitivos que se activan en la pareja. La clarificación e interpretaciónde esos patrones y la regulación de las intensas emociones que se suscitan, constituirándos aspectos fundamentales del tratamiento. En la última parte de este trabajo, se sintetizanuestra experiencia de trabajo con parejas en la Unidad de Pareja y Familia de laFundació Vidal i Barraquer(AU)

The main theoretical and technical contributions in the realm of couples psychotherapyare surveyed, as is the empirical evidence on the efficacy and effectiveness ofthis treatment. From the theoretical perspective, this study focuses on the modalitiesof couples psychotherapy that primarily draw from the school of object relations in itsBritish and American branches, as well as attachment theory. Couple relationships, justlike any affective ties, are rooted in relationship experiences since childhood. This articlediscusses the importance of projective identification as a crucial defence mechanism forthe normality or psychopathology of the relationship. With regard to the clinical approach to couple conflicts, psychoanalytical psychotherapy underscores the importanceof accurately diagnosing these conflicts, of understanding the unconscious, repetitiverelationship patterns that are activated in the couple. Clarifying and interpreting thesepatterns and regulating the intense emotions that they arouse are two fundamental aspectsof the treatment. In the last section of this study, our work experience with couples in theCouple and Family Unit of the Vidal i Barraquer Foundation is summarised(AU)

Facilitated disclosure versus clinical accommodation of infidelity secrets: an early pivot point in couple therapy. Part 1: couple relationship ethics, pragmatics, and attachment.

A critical and potentially polarizing decision in treating infidelity is whether facilitating partner disclosure or accommodating nondisclosure is most beneficial following private disclosure of infidelity to the therapist. Given couple distress and volatility following disclosure, understandably some therapists judge accommodating an infidelity secret both efficient and compassionate. Employing Western ethics and an attachment/intimacy lens, we consider ethical, pragmatic, and attachment intimacy implications of accommodating infidelity secrets. Issues bearing on the decision to facilitate disclosure or accommodate nondisclosure include (a) relationship ethics and pragmatics; (b) attachment and intimacy consequences; and (c) prospects for healing. We conclude that facilitating voluntary disclosure of infidelity, although difficult and demanding, represents the most ethical action with the best prospects for renewed and vital attachment intimacy.

VIH-sida y parejas serodiscordantes: aproximaciones a los miembros negativos desde la perspectiva bio-médica / HIV-AIDS and serodiscordants couples: approaches to the negative members from the biomedical perspective

El trabajo tiene por objetivo describir los resultados de una investigación cualitativa que tuvo por propósito indagar, a través de entrevistas semiestructuradas, las percepciones de los/as profesionales de salud con relación a la atención del miembro negativo de las parejas serodiscordantes. El análisis de los resultados muestra la escasez de espacios y acciones de salud destinadas específicamente a dichos sujetos y la invisibilización de los mismos en los ámbitos de atención pública de salud. Se pretende proveer conocimientos que faciliten la reflexión acerca de la problemática en cuestión y aportar a la planificación y puesta en práctica de dispositivos destinados específicamente a los miembros negativos.

The aim of this paper is to describe the results of a qualitative research which objective was to analyze the perceptions of health professional regarding to the attention of serodiscordant couples negative member. Our results show that the spaces and health actions destined to these people are almost nonexistent and that they are neglected in the public health attention field. This research also expects to stimulate social reflections about this problematic and tries to contribute to the planning and implementations of actions and devices destined to negative members.