 |
|
|
|
|
 |
|
|
|
|
 |
|
|
|
|
|
 |
|
|
|
|
COGNITIVE-BEHAVIORAL SYSTEMS APPROACH IN COUPLE AND SEX THERAPY
|
|
| Ana Sayfa > Seçtiğiniz Site Kısmı > VIII. EFTA AVRUPA AİLE TERAPİSİ DERNEĞİ KONGRESİ > WORKSHOP > |
|
|
|
|
One of every two to three marriages end up in divorce and many other negative consequences emerge following an unsuccessful marriage. This presentation will start by discussing the reasons why people insist to marry despite the high (45-50%) divorce rate and some catastrophic outcomes following the divorce. Surprisingly, despite the trauma of divorce, the majority will choose to repeat the experience as the breakdown is seen as the other partner’s fault. The presentation will carry on by discussing whether the problem in a failing relationship is really the problematic partner and what makes the difference between happy (successful) and unhappy marriages. In behavioural systems approach the therapist attempts to reframe the problem as a result of interaction between the partners rather than arising from one of the partners. This is to shift the couple’s thinking from the illness model to the interactional model. In this approach, the focus of therapist attention is the relationship rather than the individual and thus communication training reciprocal negotiation and mutual problem solving become very important components of treatment. The workshop will progress by explaining how the therapist may at one moment be working behaviourally trying to help the couple solve their problem directly or working at a cognitive level to teach couple to identify automatic thoughts and distorted thinking and be working on a systematic level to explain their lack of co-operation and progress.
Different types of couple problems demand different therapeutic skills and responses. Whatever treatment approach is used, a good assessment and formulation is of great importance for a successful intervention, particularly in those couples presenting with relationship and sexual problems. It is generally considered inappropriate to offer sex therapy to couples with relationship problems, on the assumption that treatment is most likely to fail or remain uncompleted. However, some therapists question the validity of withholding sex therapy where relationship distress is present especially if the sexual dysfunction produces the secondary marital discord. The workshop will discuss the advantages of a combined sexual and couple therapy approach.
Some therapy failures with relationship problems may result from a mismatch between the intervention applied and the specific needs of the couple. This presentation will try to help simplify the process of making choices about which intervention may be most effective with which couple and how therapists may select interventions which are appropriate to the different levels of complexity and rigidity in a couples interaction by using a system known as alternative levels of intervention.
Learning objectives: The presentation aims to teach participants how to best assess and evaluate whether couples need sexual, couple or combined treatments. It also aims to teach participants how to clarify joint-practical-interactional goals and how to challenge interfering beliefs and cognitive distortions for a better relationship. Alternative levels of interventions (ALI) where different interventions are matched with different needs of couples will be discussed. This will be an interactional workshop and participants are welcome to discuss their own cases who suffer from either sexual or relationship problems.
|
|
|
|
|
|
|
|
|