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This study examines the relationship between Bowen's concept of differentiation of self and psychological symptom status in individuals age 62 years and older. Specifically, this study examines through regression methods whether the self-reported differentiation dimensions of Emotional Reactivity, “I” Position, Emotional Cutoff, and Fusion with Others (FO) accurately predicted the level of psychological symptom status as measured by a brief symptom check-list. The major hypotheses of this study were found to be supportive of Bowen's theory of differentiation, even across the stages of later life (with the exception of the FO dimension). These findings have meaningful implications for the assessment and treatment of older individuals.

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The ''I Said, You Said'' technique leads the couple through a series of communication exercises that emphasizes the power of verbal and non-verbal cues. Initially, non-verbal cues that a couple uses to interpret each other's spoken words are decreased to reduce the outside influences of attributed meaning. This allows the couple to focus on the clarity of the spoken message. Additional steps in this technique include restructuring speaker and listener roles, education about communication patterns, and learning how to communicate with more clarity and effectiveness, even when topics are emotionally laden. A brief vignette using the intervention follows this discussion.