Cogni&ve Behavioural Couple Therapy: a personal view 14/12/15 - - PowerPoint PPT Presentation

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Cogni&ve Behavioural Couple Therapy: a personal view 14/12/15 - - PowerPoint PPT Presentation

Sep 03, 2022 265 likes •426 views

Cogni&ve Behavioural Couple Therapy: a personal view 14/12/15 Andrew Grimmer Counselling Psychologist BABCP Accredited Cogni&ve Behavioural Psychotherapist www.bristolcbt.co.uk 0780 609 3773 Introduc&on Jacobson &

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Cogni&ve Behavioural Couple Therapy: a personal view

14/12/15

Andrew Grimmer

Counselling Psychologist BABCP Accredited Cogni&ve Behavioural Psychotherapist www.bristolcbt.co.uk 0780 609 3773

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Introduc&on

  • Jacobson & Margolin (1979). Marital therapy:

Strategies based on social learning and behavior exchange principles

  • Jacobson & Christensen (1996). Integra8ve couple

therapy: Promo8ng acceptance and change.

  • Epstein & Baucom(2002). Enhanced cogni8ve-

behavioral therapy for couples: A contextual approach.

  • DaSlio (2009). Cogni8ve-behavioral therapy with

couples and families: A comprehensive guide for clinicians.

www.bristolcbt.co.uk 2

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Assessment

  • 1. How distressed is this couple?
  • 2. How commiVed is this couple?
  • 3. What are the issues that divide them?
  • 4. What makes these issues such a problem for

them?

  • 5. What are this couple’s strengths?
  • 6. What can treatment do to help them?

www.bristolcbt.co.uk 3

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Distress

  • Reflec&ve ques&on 1

– What are the signs that a rela&onship is a happy

  • r unhappy one?
  • Task 1

– Engage the couple – Manage their interac&ons – Validate the distress of each partner – Iden&fy the presen&ng issue

www.bristolcbt.co.uk 4

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Commitment

  • Reflec&ve ques&on 2: What are the pros and

cons of being in a rela&onship?

  • Task 2: assess mo&va&on and each partner’s

agenda

www.bristolcbt.co.uk 5

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Issues

  • Reflec&ve ques&on 3: what do couples fight
  • ver?
  • Task 3: assess areas of disagreement and

division (don’t forget sex!)

www.bristolcbt.co.uk 6

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Formula&on

  • Reflec&ve ques&on 4: What turns a difference
  • r disagreement into prolonged conflict or

unhappiness?

  • Task 4: assess couple dynamics

– assess couple fit (reason for being together) – develop problem formula&on – ascribe posi&ve intent

www.bristolcbt.co.uk 7

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From love to war

  • The Theme

– What is it about my partner that means I'm not geSng my needs met (and what is it about me that means they're not geSng their needs met)?

  • Polarisa&on

– Maladap&ve coercive paVerns of influence

  • Mutual trap

– We can’t go on like this but we can’t give up either

www.bristolcbt.co.uk 8

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www.bristolcbt.co.uk 9

Situation Feelings Feelings Thoughts Thoughts Physical Physical Behaviour Behaviour

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Strengths

  • Reflec&ve ques&on 5: what makes a

rela&onship resilient or fragile?

  • Task 5: assess couple protec&ve factors,

resources and deficits

www.bristolcbt.co.uk 10

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Treatment

  • Reflec&ve ques&on 6: what would you want

from a couple therapist (and what would you not want)?

  • Task 6: develop and propose a shared plan for

therapy based on acceptance and change

www.bristolcbt.co.uk 11

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Acceptance

  • Generate in&macy through empathic joining
  • Communicate effec&vely
  • Manage emo&onal arousal
  • Revise unhelpful percep&ons
  • Explore the impact of distressed interac&ons
  • n each partner and wider family

www.bristolcbt.co.uk 12

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Change

  • Behaviour change
  • Dyadic stress management
  • Problem solving/conflict management

www.bristolcbt.co.uk 13

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Thank you

  • Any further thoughts or ques&ons?

www.bristolcbt.co.uk 14

Andrew Grimmer

Counselling Psychologist BABCP Accredited Cogni&ve Behavioural Psychotherapist www.bristolcbt.co.uk 0780 609 3773