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夫妻治疗中的父母:针对婚姻和共同养育关系的干预措施。

Parents in couple therapy: An intervention targeting marital and coparenting relationships.

机构信息

Family and Development Research Center, Faculty of Social and Political Sciences, University of Lausanne, Lausanne, Switzerland.

Institute of Psychotherapy, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

出版信息

Fam Process. 2022 Jun;61(2):490-506. doi: 10.1111/famp.12773. Epub 2022 Apr 8.

DOI:10.1111/famp.12773
PMID:35394059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9324095/
Abstract

This article describes the treatment framework and core therapeutic principles of the integrative brief systemic intervention (IBSI), a manualized six-session intervention intended for parents seeking couple therapy. IBSI aims to work on the couple's presenting problem, considering its specific impact in the marital and coparenting domains. The basic premise of IBSI is to consider that, when working with couples who have children, therapeutic work on their coparenting alliance may be used as a lever, as both parents may be particularly motivated to improve their relationship for their children's benefit. Increasing the coparenting alliance may then facilitate work on deeper conflicts within the marital relationship. The core therapeutic principles of IBSI are: (1) joining with the couple as romantic partners and a coparenting team from the start of the therapeutic process; (2) supporting the parents in increasing their awareness regarding their children's behavior and emotional experiences when facing their parents' conflicts; and (3) working on the spill- and cross-over effects between marital and coparenting relationships (i.e., exploring how conflict or positivity spills over from one relationship to the other or crosses over from one partner to the other). Therapeutic work following these main therapeutic principles is expected to improve the quality of both relationships. A clinical case is provided to illustrate the core therapeutic principles of IBSI.

摘要

本文介绍了综合简短系统干预(IBSI)的治疗框架和核心治疗原则,这是一种针对寻求夫妻治疗的父母的六节手册化干预措施。IBSI 的目的是解决夫妻当前的问题,同时考虑其在婚姻和共同养育领域的具体影响。IBSI 的基本前提是认为,当与有孩子的夫妻一起工作时,治疗他们的共同养育联盟可以作为一个杠杆,因为父母双方可能都特别有动力为了孩子的利益改善他们的关系。增加共同养育联盟可能会促进夫妻关系中更深层次冲突的解决。IBSI 的核心治疗原则是:(1)从治疗过程开始就将夫妻视为浪漫伴侣和共同养育团队;(2)支持父母在面对父母冲突时增加对孩子行为和情感体验的认识;(3)处理婚姻和共同养育关系之间的溢出和交叉效应(即,探索冲突或积极性如何从一种关系溢出到另一种关系,或者从一个伴侣转移到另一个伴侣)。遵循这些主要治疗原则的治疗工作有望改善两种关系的质量。提供了一个临床案例来说明 IBSI 的核心治疗原则。

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本文引用的文献

1
Affective Behavior in Parent Couples Undergoing Couple Therapy: Contrasting Case Studies.接受夫妻治疗的父母伴侣中的情感行为:对比案例研究。
Front Psychol. 2021 Mar 18;12:634276. doi: 10.3389/fpsyg.2021.634276. eCollection 2021.
2
Resolving Coparenting Dissatisfaction In Couples: A Preliminary Task Analysis Study.解决夫妻间的共同养育不满:一项初步的任务分析研究。
J Marital Fam Ther. 2021 Jan;47(1):21-35. doi: 10.1111/jmft.12450. Epub 2020 Aug 19.
3
Couples becoming parents: Trajectories for psychological distress and buffering effects of social support.夫妻成为父母:心理困扰的轨迹和社会支持的缓冲作用。
J Affect Disord. 2020 Mar 15;265:372-380. doi: 10.1016/j.jad.2020.01.133. Epub 2020 Jan 22.
4
Interventions for Couples.夫妻干预措施。
Annu Rev Clin Psychol. 2020 May 7;16:99-123. doi: 10.1146/annurev-clinpsy-071519-020546. Epub 2020 Feb 7.
5
Feeling Pressure to Be a Perfect Mother Relates to Parental Burnout and Career Ambitions.成为完美母亲的压力与父母倦怠和职业抱负有关。
Front Psychol. 2018 Nov 5;9:2113. doi: 10.3389/fpsyg.2018.02113. eCollection 2018.
6
Predicting coparenting quality in daily life in mothers and fathers.预测父母在日常生活中的共同养育质量。
J Fam Psychol. 2018 Oct;32(7):904-914. doi: 10.1037/fam0000443. Epub 2018 Jul 23.
7
The Efficacy of Emotionally Focused Couples Therapy and Behavioral Couples Therapy: A Meta-Analysis.情绪聚焦夫妻治疗和行为夫妻治疗的疗效:一项荟萃分析。
J Marital Fam Ther. 2019 Jul;45(3):447-463. doi: 10.1111/jmft.12336. Epub 2018 May 20.
8
Within-family processes: Interparental and coparenting conflict and child adjustment.家庭内过程:父母间和父母与子女间冲突与儿童适应。
J Fam Psychol. 2018 Apr;32(3):299-309. doi: 10.1037/fam0000368. Epub 2018 Mar 8.
9
Confirming, Validating, and Norming the Factor Structure of Systemic Therapy Inventory of Change Initial and Intersession.确认、验证和规范《治疗改变系统量表(初始阶段和疗程间)》的因子结构
Fam Process. 2015 Sep;54(3):464-84. doi: 10.1111/famp.12159. Epub 2015 Jun 22.
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Couple and family treatments: study quality and level of evidence.夫妻及家庭治疗:研究质量与证据水平
Fam Process. 2015 Mar;54(1):138-59. doi: 10.1111/famp.12106. Epub 2014 Oct 13.