Integrative behavioral couple therapy: An acceptance-based, promising new treatment for couple discord.

Jacobson, Neil S.; Christensen, Andrew; Prince, Stacey E.; Córdova, James V.; Eldridge, Kathleen A.

doi:10.1037/0022-006x.68.2.351

Cited by 209 publications

(175 citation statements)

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“…IBCT was designed to decrease negative interactions among partners by emphasizing emotional acceptance (Christensen et al, 2004). In contrast to traditional behavioral couple therapy (TBCT), which seeks to change behavior of spouses, the goal of IBCT is to help spouses accept, without promoting resignation, aspects of their partners that were previously unacceptable (Jacobson, Christensen, Prince, Cordova, & Eldridge, 2000). Christensen and Jacobson (2000) define acceptance as the ability "to tolerate what you regard as an unpleasant behavior of your [relative], probably to understand the deeper meaning of that behavior, certainly to see it in a larger context, and perhaps even to appreciate its value and importance in your relationship" (p. 124).…”

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confidence: 99%

An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Eisner

Johnson

2008

Behavior Therapy

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Expressed emotion (EE) is a robust predictor of outcome in bipolar disorder. Despite decades of research, interventions to reduce EE levels have had only modest effects. This study used an expanded model of EE to develop an intervention. Research has demonstrated a strong link between attributions and EE in families of patients with psychiatric disorders. There is also substantial research to suggest that anger can drive blaming attributions. Combining these ideas, this study built on previous psychoeducation interventions through the addition of an acceptance component designed to decrease anger and blaming attributions among family members of those with bipolar disorder. Twenty-eight family members attended a 1-day or 2-evening multifamily group workshop and completed a followup assessment 1 week later. At follow-up, participants demonstrated more knowledge about bipolar disorder. Anger, blaming attributions, and number of criticisms remained unchanged. Results of this study are consistent with others in that it is difficult to change EE. Implications for future clinical research in this area are addressed.The construct of expressed emotion (EE) is defined as critical, hostile, or emotionally overinvolved (EOI) attitudes toward a relative with a psychiatric disorder (Hooley, Rosen, & Richters, 1995). EE has been linked with poor patient outcome for several psychiatric disorders (Barrowclough & Hooley, 2003;Butzlaff & Hooley, 1998). Butzlaff and Hooley (1998) found a meta-analytic effect size of r=.39 across six studies that examined the relationship between EE and relapse within mood disorders. More recent research suggests that, although EE was unrelated to manic relapse, high EE was related to a five-fold increase in the odds of a depressive recurrence, even after controlling for symptom severity (Yan, Hammen, Cohen, Daley, & Henry, 2004). Criticism has been found to be the most important element of EE for understanding the course of mood disorders (Hooley et al., 1995) and for bipolar depression (Kim & Miklowitz, 2004). Thus, EE has an influence on bipolar relapse, more specifically for depression.What drives high levels of criticism? According to Weiner's (1995) attribution-affect model, attributions influence the way people experience emotion. In particular, when an individual perceives that another person is in control of his or her behavior, this leads to a judgment that the other person is responsible for his or her behavior. A judgment that the other person is responsible elicits anger and criticism. High EE relatives who are critical have a tendency to view symptoms of mental illness as behaviors that are within the patient's control (Barrowclough, Johnston, & Tarrier, 1994). Because high EE relatives believe the patient is in control of his or her behavior, they believe the patient must also be capable of modifying this behavior. Thus, relatives struggle to normalize the patient's behavior through negative feedback and controlling behavior of their own (Hooley & Campbell, 2002 Several studie...

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An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Eisner

Johnson

2008

Behavior Therapy

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“…Essa mensuração tem também importantes implicações clínicas. Por exemplo, a terapia de casal comportamental integrativa (IBCT; Christensen, Jacobson, & Babcock, 1995;Jacobson, Christensen, Prince, Cordova, & Eldridge. 2000) salienta a importância da empatia para a resolução de conflitos e para a satisfação do casal.…”

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Validity evidence of the Portuguese version of the Interpersonal Reactivity Index for Couples

et al. 2016

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-Validity evidence of the Portuguese version of the Interpersonal Reactivity Index for CouplesThe main objective of this study was to translate and adapt the Interpersonal Reactivity Index for Couples (IRIC) to Portuguese, and analyze the psychometric properties of the Portuguese version. This instrument that assesses empathy in couples, resulted from the adaptation of one of the most widely used empathy scales -Davis´s Interpersonal Reactivity Index -for the context of intimate relationships. The IRIC assesses dimensions of cognitive (perspective taking) and emotional (empathic concern) empathy, both essential for stable and satisfactory marital relationships. The original scale was translated to Portuguese and administered to 148 participants involved in an intimate relationship with a minimum duration of one year. Most of the participants were women, with a mean age of 27 years old. Our results revealed the Portuguese version has a factorial structure similar to the original version, adequate internal consistency values (Cronbach's α=.82), and good external validity with a scale of dyadic adjustment. Keywords: marital relationships; empathy; cognitive empathy; emotional empathy. RESUMEN -Evidencia de validad de la versión portuguesa del Índice de Reactividad Interpersonal en ParejasEl principal objetivo de este estudio fue traducir y adaptar a la lengua portuguesa el Índice de Reactividad Interpersonal para Parejas (IRIP), analizando las propiedades psicométricas de la versión portuguesa. Este es un instrumento de evaluación de empatía en parejas, que resultó de la adaptación de una de las más usadas escalas de empatía, el Índice de Reactividad de Davis, para el contexto de las relaciones íntimas. El IRIP evalúa dimensiones de empatía cognitiva (toma de perspectiva) y emocional (preocupación empática), importantes para la estabilidad y satisfacción de las relaciones conyugales. La escala original fue traducida al portugués y administrada a 148 sujetos que mantenían una relación amorosa desde hace por lo menos un año. La mayoría de los sujetos eran mujeres con una edad media de 27 años. Los resultados revelaron una estructura factorial semejante a la escala original, valores adecuados de consistencia interna (Cronbach's α=.82) y buenos niveles de validación externa con una escala de ajustamiento diádico. Palabras clave: relaciones maritales; empatía; empatía cognitiva; empatía emocional.A empatia é um conceito amplamente estudado na Psicologia, havendo um considerável debate em torno da sua definição e medição (

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“…Er is wel veel onderzoek uitgevoerd dat de effectiviteit van de behandeling van relatieproblemen aantoont (Johnson & Lebow, 2000). Zowel cognitieve gedragstherapie (Jacobson, Christensen, Prince, Cordova, & Eldridge, 2000) als 'emotion focused therapy' (Johnson, 2002) komen als nuttig naar voren. Er is echter weinig onderzoek dat speciaal ingaat op het doorbreken van het proces dat door de storende preoccupaties in gang wordt gehouden.…”

Section: Classificatie En Onderzoekunclassified

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2005

DITH

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Integrative behavioral couple therapy: An acceptance-based, promising new treatment for couple discord.

Cited by 209 publications

References 13 publications

An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Validity evidence of the Portuguese version of the Interpersonal Reactivity Index for Couples

Storende preoccupaties en relatieproblemen

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