Married women's response to spousal pornography use: A grounded theory.

Empirical research suggests that married women may more commonly experience spousal pornography use as a relational attachment threat and are more likely to experience negative relational outcomes such as distress and loss of trust. The purpose of this study was to develop a grounded theory of married women's response to the discovery or disclosure of spousal pornography use. This study included the experiences of 30 married women who reported spousal pornography use as a threat to relational attachment, who chose to remain with their spouse, and who reported evidence of individual and relational healing thereafter. The research question, "How do married women describe the experience of learning of their spouse's pornography use and the individual and relationship sequelae that follow?" was explored using grounded theory methods to analyze deidentified blogpost accounts emphasizing response to a spouse's pornography use. The results describe a process model highlighting three interrelated informant categories-emotional response, mental response, and physical response-and one resultant category-behavioral response. Implications include (a) the importance of open communication regarding pornography use within relationships, (b) the necessity for individual and relational healing following betrayal trauma, and (c) the role of therapeutic intervention in shaping adaptive healing processes.

Sexual beliefs in couple relationships: Exploring the pathways of mindfulness, communication, and sexual functioning on sexual passion and satisfaction.

Two types of sexual beliefs, growth and destiny, have been found in past research to be differentially associated with sexual and relationship outcomes; however, past research has not explored these beliefs with dyadic data nor considered common intervening variables that might be pathways through which beliefs influence outcomes. Consequently, using the sexual wholeness model, we analyzed how couples' specific sexual beliefs (growth and destiny) influenced their sexual mindfulness, communication, and functioning within their couple relationships and how each of these variables influenced sexual satisfaction and harmonious sexual passion. Using a national sample of dyadic data from 964 sexually active individuals (482 heterosexual couples) who had been in a committed relationship for at least 2 years, we evaluated an actor/partner structural equation model with distinguishable dyads. We found that while sexual growth and destiny beliefs had a significant association with sexual mindfulness, communication, and functioning for both partners, sexual beliefs had no direct association with sexual satisfaction and harmonious sexual passion. Because growth beliefs had strong associations with sexual communication, it may be beneficial to help couples identify their implicit beliefs and encourage the development of sexual growth beliefs.

Discerning Motivational Interviewing through a spiritual lens-discovering a Christian MI archetype and native MI language.

An overarching conceptual perspective on motivational interviewing (MI) captures how it evokes intrinsic motivation for change by relying on four key elements: establishing vision, exploring discrepancy, and building efficacy, which coalesce to resolve for change. We suggest that the Christian narrative and doctrines of creation, fall, and redemption, motivating repentance resolve, invoke these same motivating processes. In this paper we explore these parallels between MI and Christian doctrine and use empirical literature to suggest how secular and religious counselors can enhance their efforts to evoke intrinsic motivation for change with religious clients by employing their "native language" within this framework of MI process.

Reshaping Couple Configurations that Get in the Way of Relationship Repair and Healing.

In the context of relationship trauma, partners' reactive patterns of engagement can disrupt and derail attempts at relationship correction and healing. A circumplex typology of couple patterns of engagement in relational trauma context is defined in terms of partners' underlying views of self in relation to other (VSIRO). VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self-aggrandizing) versus collapsed (self-abnegating) VSIRO, with a balanced (egalitarian) VSIRO, characterized by accountability and forbearance, as the target position. The circumplex model delineates four problematic couple configurations-a dejected couple, a taker-enabler couple, an ultimate fighting couple, and a debtor-collector couple. Where problematic engagement occurs, therapists need to reshape couple engagement toward the balanced, egalitarian position prior to relational trauma work. Clinical vignettes depict these couples and springboard an analysis of unique needs and interventions associated with each couple configuration. Reshaping couple patterns of engagement using a circumplex model of couple configurations is an essential prerequisite to effective and ethical relational trauma work.

A Circumplex Model of Couple Configurations in Relational Trauma Context: An Example of Practice-Based Model Development.

We propose a circumplex model and typology of patterns of couple engagement to help therapists assess and shape positive couple engagement, prerequisite to successful resolution of relational trauma. View or value of self in relation to other (VSIRO) is conceived as a primary engine organizing couple relationships and patterns of engagement. VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self-aggrandizing) versus collapsed (self-negating) VSIRO, with a balanced (egalitarian) VSIRO as the target position, consisting of self and other mutuality, respect, and equality. Two axes (one for each partner) form the circumplex model of five couple configurations-four quadrants plus a balanced, mid-axes region. Using couple configuration conceptualization to address patterns of engagement is an essential prerequisite to resolving couple relational trauma.

An Organizational Framework for Sexual Media's Influence on Short-Term Versus Long-Term Sexual Quality.

Although research has suggested a net negative influence of sexual media on sexual quality, enough researchers have found results suggesting that sexual media has no effect or a positive influence that the matter warrants further investigation. We present an organizational framework utilizing primarily the acquisition, activation, application model (3AM), and the Antecedents-Context-Effects model (ACE) to reconcile these apparently contradictory claims. By synthesizing these theories, we suggest that to truly understand the impact of sexual media on sexual quality, four factors must be taken into account: (1) the content of the sexual media being viewed, (2) the difference between short-term and long-term sexual quality, (3) the influence of exclusivity, formativeness, resonance, and reinforcement in moderating the extent to which the portrayed sexual script is applied (influences attitudes and behavior), and (4) the couple context for congruency of use, script application, and moral paradigms. While acknowledging the many nuances that should be considered, we ultimately argue that when considering these factors simultaneously, the overall scripts presented in sexual media are congruent with pursuing factors for short-term sexual quality and incongruent with pursuing factors for long-term sexual quality.

Anger Can Help: A Transactional Model and Three Pathways of the Experience and Expression of Anger.

Anger is a significant human emotion with far-reaching implications for individuals and relationships. We propose a transactional model of anger that highlights its relational relevance and potentially positive function, in addition to problematic malformations. By evolutionary design, physical, self-concept, or attachment threats all similarly trigger diffuse physiological arousal, psychologically experienced as anger-emotion. Anger is first a signaling and motivational system. Anger is then formed to affirming, productive use or malformed to destructive ends. A functional, prosocial approach to anger organizes it for protective and corrective personal and relational adaptation. In our model, threat perception interacts with a person's view of self in relation to other to produce helpful or harmful anger. Inflated or collapsed views of self in relation to other produce distinct manifestations of destructive anger that are harmful to self, other, and relationship. Conversely, a balanced view of self in relation to other promotes constructive anger and catalyzes self, other, and relationship healing. Clinical use of the model to shape healing personal and relational contact with anger is explored.

Pornography Use and Loneliness: A Bidirectional Recursive Model and Pilot Investigation.

Sexuality is presumptively and observably a powerful core element of the human pair-bond relationship. Technological advances of the last half-century have made media a dominant cultural and developmental presence, including scripting sexual relationship attitudes and behavior. Theoretically and empirically, we examine loneliness as it relates to pornography use in terms of pornography's relational scripting and its addictive potential. Empirically, we examine the associative nature between pornography use and loneliness using a measurement model and two structural equation models where pornography use and loneliness are regressed on each other, respectively. Survey data were collected from a sample of 1,247 participants, who completed an online questionnaire containing questions on pornography use, the University of California-Los Angeles Loneliness Scale (UCLALS), and other demographic variables. Results from our analyses revealed significant and positive associations between pornography use and loneliness for all three models. Findings provide grounds for possible future bidirectional, recursive modeling of the relation between pornography use and loneliness.

Attachment Change in the Beginning Stages of Therapy: Examining Change Trajectories for Avoidance and Anxiety.

The purpose of this study was to investigate the nature of self-reported attachment change (avoidance and anxiety) in the context of six sessions of couple therapy designed to emphasize both therapist-centered and couple-centered (i.e., enactment-based) clinical process during the beginning stages of therapy. A total of 48 couples with at least one partner who reported clinically significant relationship dissatisfaction participated in this study. Findings confirmed that some couples experience positive attachment-related change (anxiety or avoidance), while also identifying a subset of individuals who may not experience optimal levels of attachment-related change. In addition, findings point toward both differences and similarities between change trajectories for avoidance and anxiety. Finally, there was evidence that socio-demographic factors may be associated with attachment change.

A comparison of attachment outcomes in enactment-based versus therapist-centered therapy process modalities in couple therapy.

Attachment issues are viewed by many therapists as lying at the heart of couple distress. It is critical to empirically validate therapy processes that facilitate couples in responding to each other's attachment needs. This study examined enactments as a therapy process and change mechanism to promote secure attachment in couple therapy. Sixteen couples were randomly assigned to 1 of 2 experimental groups--1 group received 3 therapist-centered sessions followed by 3 enactment-based sessions, and a second group received 3 enactment-based sessions followed by 3 therapist-centered sessions. To measure between-session and within-session change, each spouse completed presession and postsession measures of attachment security each week. Results showed that couples who received enactment-based sessions first reported greater increases in attachment security than those receiving therapist-centered sessions first. These same couples continued to show improvement after switching to the therapist-centered sessions. Conversely, couples who received therapist-centered sessions first did not increase attachment after switching to enactment-based sessions. For wives, enactment-based sessions produced the greatest improvement in attachment, yet both therapy process modalities led to some improvement. Conversely, for husbands, attachment improved only when they received enactment-based sessions first. Enactment-based sessions may therefore be more important for husbands than wives. Overall, with some qualification it appears that enactment-based therapy process may improve attachment more than a therapist-centered process. These observed trends and findings are generally consistent with previous research supporting use of enactments in couple therapy.

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.

Common pitfalls of beginning therapists utilizing enactments.

Empirical data, clinical observation, and theoretical rationales support use of enactments as a fundamental mechanism of change in relationship therapies. Yet beginning therapists may lack an adequate conceptual framework and operational training essential to effectively utilize enactments. Inadequate training may contribute to ineffective execution, and in turn to negative results, which could lead to abandonment of enactments. This study sought to identify proficiencies and nonproficiencies of beginning therapists in conducting enactments. Twenty beginning therapists from three Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE)-accredited programs were briefly trained in an indirect therapy style that incorporates enactments. Twenty-six therapist enactments were coded using a comprehensive observational measure designed to assess proficiencies and nonproficiencies in executing enactment phases, component tasks, and subcomponent operations. Results suggest that beginning therapists struggle with numerous clinical operations conceptually linked to the successful engagement of relationships in marriage and family therapy. In light of these findings, specific recommendations for additional enactment training in COAMFTE-accredited programs are offered.

The effect of proxy voice intervention on couple softening in the context of enactments.

In this study we evaluated the effectiveness of proxy voice (therapist acting as client's "voice") intervention, embedded within couple enactments, on client-perceived softening. The primary research question was whether use of proxy voice would be more likely to bring about softening, or if its use was counterintuitive to enactment conceptualization and would elicit struggle behavior (e.g., withdrawal or negativity). Results indicate that proxy voice has a significant, positive association with softening and is inversely related to withdrawal or negativity. Preliminary findings suggest that proxy voice intervention embedded within a fluid, carefully delineated, and discriminating model of enactments effectively facilitates essential elements of couple interaction (expression of primary affect and articulation of self-concept and attachment threats) while promoting self-reliant couple interaction and increased softening.

Enacting relationships in marriage and family therapy: a conceptual and operational definition of an enactment.

Enactments are a potential common clinical process factor contributing to positive outcomes in many relational therapies. Enactments provide therapists a medium for mediating relationships through simultaneous experiential intervention and change at multiple levels of relationships--including specific relationship disagreements and problems, interaction process surrounding these issues, and underlying emotions and attachment issues confounded with those problems. We propose a model of enactments in marriage and family therapy, consisting of three components--initiation operations, intervention operations, and evaluation operations. We offer a conceptual framework to help clinicians know when and to what purpose to use this model of enactments. We provide an operational description of each component of an enactment, exemplifying them using a hypothetical clinical vignette. Directions for future research are suggested.

Adapting enactments to couple reactivity: five developmental stages.

Interest in change interventions that are common to different models of relationship therapy has spurred investigation of enactments as one such candidate. In change-focused enactments, therapists structure and coach couple/family interaction, as opposed to channeling interaction through the therapist. Still, varying levels of couple/family distress, volatility, and reactivity mean that readiness for enactment intervention varies along a broad continuum and changes over the course of therapy. This suggests the need for differentiated enactments. Currently, however, no model exists for adapting enactments to changing relationship conditions. We propose a five-stage developmental model of clinical operations in couple therapy that adapts the process and structure of enactments to changing levels of relationship distress, interactional volatility, and emotional reactivity. The model increases the possibility for therapists to use enactments successfully over the entire course of couple therapy. Issues to be considered in using the couple enactments model as a template for the development of enactment models for other relationship systems are noted.

"Languaging" factors affecting clients' acceptance of forgiveness intervention in marital therapy.

Forgiveness is a significant intervention for healing interpersonal injury. Yet therapists do not often use forgiveness intervention. Employing a semantic perspective and a survey design (n = 307), this study investigated whether the language used to rationalize forgiveness intervention (set at five levels: personal growth, relationship reconciliation, spiritual issue, others' growth, and pardoning/condoning) may affect its acceptability. Gender, problem type, and choice were also included in the analyses. Overall, forgiveness was found to be an acceptable intervention. A pardoning/condoning rationale led to significantly lower acceptability ratings. Other results are discussed. We conclude that therapists should be less apprehensive about using forgiveness, but need to inform themselves better concerning its purpose, process, and articulation.

Cluster layouts : A basis for the design of ( earthen ) structures in urban dwelling environments

The paper is focused on the task of physical planning in the context of developing countries, the low income majority and rapidly urbanizing areas. Specific aspects of the problems of land use and the provision of infrastructures are explored. The design of buildings must have a basis in the urban plan. A cluster design which groups individually owned lots around a shared common court is proposed as answering many of the problems (AU)