University of California, Los Angeles, Department of Psychology, A235D Franz Hall, BOX 951563, Los Angeles, CA 90095–1563, USA.
Behav Ther. 2012 Mar;43(1):25-35. doi: 10.1016/j.beth.2010.12.009. Epub 2011 Jun 1.
The similarity in efficacy of evidence-based couple therapies suggests that it may be useful to identify those treatment principles they hold in common. Expanding on the previous description of a unified protocol for couple therapy (Christensen, 2010), this article outlines five common principles: (a) altering the couple's view of the presenting problem to be more objective, contextualized, and dyadic; (b) decreasing emotion-driven, dysfunctional behavior; (c) eliciting emotion-based, avoided, private behavior; (d) increasing constructive communication patterns; and (e) emphasizing strengths and reinforcing gains. For each of these five elements of the unified protocol, the paper addresses how and to what extent the most common forms of evidence-based couple therapy carry out this principle. Implications for clinical practice, treatment research, and basic research on intimate relationships are discussed.
基于证据的夫妻治疗方法的疗效相似，这表明识别它们共同的治疗原则可能是有用的。本文扩展了之前对夫妻治疗统一方案的描述（Christensen，2010），概述了五个共同原则：（a）改变夫妻对当前问题的看法，使其更加客观、情境化和二元化；（b）减少情绪化、功能失调的行为；（c）引出基于情绪的、被回避的、私人的行为；（d）增加建设性的沟通模式；（e）强调优势并强化收益。对于统一方案的这五个要素中的每一个，本文都讨论了最常见的基于证据的夫妻治疗方法在何种程度上实施了这一原则。还讨论了对临床实践、治疗研究和亲密关系基础研究的影响。
