Lief H I
Am J Psychiatry. 1975 Jun;132(6):583-92. doi: 10.1176/ajp.132.6.583.
The authors describe various methods of marital therapy in use today. Although absence of a unifying conceptual scheme in the past has hampered developments in this field, the increasing acknowledgment by psychiatrists of the important effect of the environmental system on thoughts, feelings, and behavior has facilitated a therapeutic approach stressing not only a person's intrapsychic conflicts but current environmental, family, and spouse-related phenomena. The authors discuss three dimensions of marital psychodynamics--power, intimacy, and marital boundary setting--and relate them to the marital life cycle and to four classifications of the marital relationship: 1) rules for defining power, 2) parental stage, 3) level of intimacy, and 4) personality style and psychiatric terminology. The paper includes a brief discussion of therapy techniques, sex counseling, the use of cotherapists, the future of marriage, and alternative lifestyles.
作者描述了当今使用的各种婚姻治疗方法。尽管过去缺乏统一的概念框架阻碍了该领域的发展，但精神科医生越来越认识到环境系统对思想、情感和行为的重要影响，这促进了一种治疗方法的发展，该方法不仅强调一个人的内心冲突，还强调当前的环境、家庭以及与配偶相关的现象。作者讨论了婚姻心理动力学的三个维度——权力、亲密关系和婚姻边界设定——并将它们与婚姻生命周期以及婚姻关系的四种分类联系起来：1）定义权力的规则，2）父母阶段，3）亲密程度，4）人格风格和精神科术语。本文简要讨论了治疗技术、性咨询、联合治疗师的使用、婚姻的未来以及替代生活方式。
