Halford W K, Bouma R, Kelly A, McD Young R
School of Applied Psychology, Griffith University, Nathan, Queensland, Australia.
Behav Modif. 1999 Feb;23(2):179-216. doi: 10.1177/0145445599232001.
This article is a review of the association of individual and marital problems. The focus is on depression, alcohol abuse, anxiety disorders, and the functional psychoses, each of which interact with marital distress in important ways. Although the causal connections between these disorders and marital distress are complex and only particularly understood, the available evidence shows that individuals' and couples' problems often exacerbate each other. Consequently, regardless of whether the initial presentation is individual or couple focused, there is routinely a need to assess both individual and relationship functioning. Couples therapy, and in particular behavioral couples therapy (BCT), is an important element of effective treatment of depression, alcohol abuse, anxiety disorders, and the functional psychoses. The integration of couple and individual therapy presents a number of clinical challenges, and in concluding this article the authors provide guidelines for managing these challenges.
本文是对个人问题与婚姻问题之间关联的综述。重点关注抑郁症、酒精滥用、焦虑症和功能性精神病，其中每种病症都以重要方式与婚姻困扰相互作用。尽管这些病症与婚姻困扰之间的因果联系复杂且仅部分为人所理解，但现有证据表明，个人问题和夫妻问题往往会相互加剧。因此，无论最初呈现的是个人问题还是夫妻问题，通常都需要评估个人功能和关系功能。夫妻治疗，尤其是行为夫妻治疗（BCT），是有效治疗抑郁症、酒精滥用、焦虑症和功能性精神病的重要组成部分。夫妻治疗与个人治疗的整合带来了一些临床挑战，在本文结尾，作者提供了应对这些挑战的指导方针。
