Chapter 3: Integrative Behavioral Couple Therapy (IBCT) – Flashcards
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Contributors
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Andrew Christensen Neil S. Jacobson
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view of distress
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Even the healthiest couples will face areas of difference and disagreement.
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cause of distress
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Caused by the destructive ways that some couples respond to inevitable incompatibilities.
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Four destructive patterns frequently characterize distressed couples' conflicts over their differences:
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1. mutual escalating coercion 2. vilification 3. polarization 4. alienation
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4 types of negative coercive strategies:
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1. moving against the partner (criticizing, demanding, fault finding, etc.) 2. moving away from the partner (avoidance, withdrawal, defensiveness, etc.) 3. hanging on to the partner (pursuing, hovering, invading the partner's privacy, etc.) 4. moving against the partner with the help of others (allying with others, making coalitions, etc.)
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According to coercion theory, these negative behaviors are...
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inadvertently and mutually reinforced.
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View on behavior
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behavior and any changes in that behavior are a function of the context in which the behavior occurs.
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Why does IBCT emphasize the recipient of the behavior?
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1. quick and dramatic change is unlikely 2. increased acceptance in one partner may also mediate increased change 3. the reaction to an offending behavior is as much a problem as the offending behavior itself
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Mechanism of change
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through contingency-shaped behavior - reinforcing a behavior naturally by the experience
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Structure of IBCT
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- outpatient - twenty-six 50 minute sessions - acceptance oriented sessions
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Role of the Therapist
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- depends on the context of a particular intervention - can be active or directive - may play a role of coach or teacher to enhance interaction and problem-solving skills
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Assessment and Treatment Planning
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- 3 or 4 sessions - questionairres - frequent check-ins
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Functional Assessment
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- examines a problematic behavior and finds the stimuli that has given rise to it. - used for case formulating and goal planning
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Case Formulation Components
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- the theme (categories of conflicting behavior) - the DEEP analysis - polarization process - the resultant mutual trap
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Guiding questions in the assessment phase
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1. How distressed is the couple? 2. How committed is this couple to the relationship? 3. What issues divide the partners (the theme or themes of the couple)? 4. Why are these issues such a problem for them (the DEEP analysis of those themes)? 5. What are the strengths holding them together? 6. What can treatment do to help them?
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Components of the assessment phase
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1. The First Conjoint Interview 2. Individual Interviews 3. Feedback Session
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The First Conjoint Interview
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- establishes a link between couple and therapist - explains the structure of the therapy - differentiates between assessment and treatment phases - link between couples current problems and history
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Individual Interviews
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- separate for each person - gathers information in: problems/current situation, family history, relationship history, and commitment level
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Feedback Session
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- establishes a link between assessment and treatment - therapist summarizes problems and offers treatment plan (goal setting)
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Goal Setting
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- helps couple hear, understand, and accept one another - helps the couple change or accept stressors and have improved interactions
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Interventions
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1. Acceptance Strategies (Empathic Joining & Unified Detachment) 2. Tolerance Strategies 3. Change Strategies
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Empathic Joining
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- Acceptance Strategy - uses weekly questionnaires - disclosures are "soft" in manner
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Unified Detachment
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- Acceptance Strategy - distances couple from conflicts - allows partners to speak of their disagreements without accusation - which interactions trigger conflict? - frame differences that emerged from history, culture, ethniciy, etc.
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Tolerance Building
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- aims to help couples refrain from trying to change on another - point out positive aspects of negative behavior - practice negative behaviors in session - tolerance through self-care
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Change Techniques
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- increasing positive behavior - communication/problem solving
