Abstract
In this chapter, we discuss cognitive behavioral couple therapy (CBCT), an empirically supported, time-limited intervention for the treatment of relationship distress. We provide an overview of maladaptive interactional patterns, affect dysregulation, and unhelpful cognitions that can contribute to relationship distress and frequently characterize distressed couples. We offer guidance regarding which couples may be appropriate for CBCT and discuss couple-based cognitive behaviorally oriented interventions that address maladaptive couple processes. These include increasing positivity and safety in the relationship, enhancement of communication and problem-solving skills, instruction in a dyadic cognitive change process that promotes more balanced and flexible thinking, and relapse prevention. We conclude with additional resources that may be helpful for therapists and couples presenting with a range of difficulties that may contribute to relationship distress on the part of one or both members of a couple.
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Fredman, S.J., Shnaider, P., Pentel, K.Z., Monson, C.M. (2016). Cognitive Behavioral Couple Therapy for the Treatment of Relationship Distress. In: Petersen, T., E. Sprich, S., Wilhelm, S. (eds) The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy. Current Clinical Psychiatry. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-2605-3_20
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