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Treating Difficult Couples
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This essential handbook describes effective treatments for a particularly challenging clinical population: couples struggling with both relationship distress and individual mental health difficulties. Distinguished scientist-practitioners provide detailed accounts of their respective approaches, reviewing conceptual and empirical foundations as well as clinical procedures. Included are well-established treatments for couples in which one or both partners has anxiety, mood disorders, schizophrenia, substance abuse, sexual dysfunction, or physical aggression. Also covered are emerging couple-based approaches to managing personality disorders, PTSD, difficulties related to aging and physical illness, and other problems. Following a standard format to facilitate comparison across treatments, each chapter is illustrated with detailed case material. Provided are powerful insights and tools for couple and family therapists, clinicians providing individual therapy, and students in any mental health discipline.
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Table of Contents

Part I: Empirical and Conceptual Issues in Managing Emotional, Behavioral, and Health Concerns in Couple Therapy: An Overview Chapter 1: Comorbidity of Relationship Distress and Mental and Physical Health Problems Mark A. Whisman and Lisa A. Uebelacker Chapter 2: Tailoring Couple Therapy to Individual Differences: A Conceptual Approach Douglas K. Snyder, W. Joel Schneider, and Angela M. Castellani Part II: Couple-Based Treatments for Emotional and Behavioral Disorders Chapter 3: Anxiety Disorders Donald H. Baucom, Susan Stanton, and Norman B. Epstein Chapter 4: Depression Steven R. H. Beach and Maya Gupta Chapter 5: Bipolar Disorder David J. Miklowitz and Chad D. Morris Chapter 6: Schizophrenia-Spectrum Disorders Kim T. Mueser and Mary F. Brunette Chapter 7: Alcohol and Other Substance Abuse William Fals-Stewart, Gary R. Birchler, and Timothy J. O'Farrell Chapter 8: Sexual Dysfunction Lisa G. Regev, William O'Donohue, and Claudia Avina Chapter 9: Physical Aggression Amy Holtzworth-Munroe, Amy D. Marshall, Jeffrey C. Meehan, and Uzma Rehman Part III: Adapting Couple Therapy to Individual Problems Chapter 10: Borderline Personality Disorder Alan E. Fruzzetti and Armida R. Fruzzetti Chapter 11: Paranoia Kenneth G. Terkelsen Chapter 12: Narcissistic Disorder Jill Savege Scharff and Carl Bagnini Chapter 13: Posttraumatic Stress Susan M. Johnson and Judy Makinen Chapter 14: Childhood Sexual Trauma Barry W. McCarthy and Mia Sypeck Chapter 15: Physical Illness Gail P. Osterman, Tamara G. Sher, Gwen Hales, W. Jeffrey Canar, Reema Singla, and Tracy Tilton Chapter 16: Aging and Cognitive Impairment Sara Honn Qualls Chapter 17: Bereavement and Complicated Grief Robert M. Wills Part IV: Integration Chapter 18: Understanding Psychopathology and Couple Dysfunction: Implications for Clinical Practice, Training, and Research Douglas K. Snyder and Mark A. Whisman Index

About the Author

Douglas K. Snyder, PhD, is Professor and Director of Clinical Psychology Training at Texas A&M University. He has been recognized internationally for his programmatic research on couple therapy and is the author of the widely used Marital Satisfaction Inventory. In 1992, the American Association for Marital and Family Therapy honored Dr. Snyder with its Outstanding Research Award for his four-year follow-up study (along with Robert Wills) comparing behavioral and insight-oriented approaches to couple therapy, funded by the National Institute of Mental Health. A Fellow of the American Psychological Association, Dr. Snyder has served as Associate Editor for the Journal of Consulting and Clinical Psychology and Journal of Family Psychology, and as an editorial board member of Clinical Psychology: Science and Practice, Journal of Clinical Psychology, Journal of Marital and Family Therapy, Journal of Marriage and the Family, and the American Journal of Family Therapy. Mark A. Whisman, PhD, is Associate Professor of Psychology at the University of Colorado at Boulder. His research, which has been supported by the National Institute of Mental Health, has focused on the reciprocal association between relationship functioning and mental health. His other areas of interest include cognitive-behavioral and interpersonal perspectives on the onset, maintenance, and treatment of depression and relationship distress. A Founding Fellow of the Academy of Cognitive Therapy, Dr. Whisman has served as Associate Editor for Contemporary Psychology and as an editorial board member of the Journal of Consulting and Clinical Psychology, Journal of Family Psychology, and Clinical Psychology: Science and Practice.

Reviews

"This is one of the most important books on couple therapy ever published. Snyder and Whisman's sophisticated yet accessible text signifies that couple therapy is no longer of value solely for explicit relationship problems. As this eye-opening volume makes clear, couple therapy is now a first-line intervention for a wide range of clinical problems traditionally thought of as 'individual.' This superb volume should be required reading not only for courses on couple therapy, but also for any course on the treatment of adult psychopathology."--Alan S. Gurman, PhD, Department of Psychiatry, University of Wisconsin Medical School "At last, a book that tackles some of the issues that make certain couples hard to help. This is a book about couples in which the individual partners have their own problems, problems that interact with the couple's relationship. Everyone from graduate students to experienced clinicians will value the overviews of research and the practical guidelines on how to assess and treat the complexities of interactive individual and couple issues. This volume is going on my shelves in an easy-to-reach spot, so I can consult it when therapy gets stuck."--Kim Halford, PhD, Department of Clinical Psychology, Griffith University, Australia "Treating Difficult Couples: Helping Clients with Coexisting Mental and Relationship Disorders is a definitive, state-of-the-art text that pulls together the latest research and clinical innovation on couple treatment for the major individual and relational problems of our time. This volume includes chapters from a veritable 'who's who' of well-known couple researchers and clinicians. The reader will discover definitively what is known, and what isn't, about couple approaches to emotional, behavioral, and other health problems. The special strengths of the volume include its integrative conceptualization of individual diagnoses and relational problems, its survey of relevant research, and useful case illustrations. This book is well suited as a text for use in clinical, counseling, and family psychology programs, as well as marriage and family therapy programs."--Susan H. McDaniel PhD, Department of Psychiatry and Wynne Center for Family Research, University of Rochester School of Medicine and Dentistry "Finally we have a book that provides an avenue to all the research on difficult couples. This is a book that should be on the shelf of every marital and family therapist. Provided are very practical, usable, and up-to-date reviews of all the major problems that are comorbid with marital distress. This book is a real winner!"--John Gottman, PhD, Department of Psychology (Emeritus), University of Washington

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