Couples Therapy
Structured therapeutic support for couples in difficulty, aiming to improve communication, resolve conflicts and strengthen the attachment bond.
Presentation
Couples therapy treats relational difficulties between intimate partners. Today's leading model, Sue Johnson's EFT (Emotionally Focused Therapy), based on Bowlby's attachment theory, posits that couple conflicts are 'attachment protests.'
Key figures: John Gottman, Sue Johnson, Neil Jacobson, David Schnarch
Core Principles
Attachment theory: the need for secure emotional connection is fundamental. Gottman's 'four horsemen': criticism, contempt, defensiveness, stonewalling. Negative cycle: couples get 'caught' in repetitive interactional patterns.
Main Indications
- Communication conflicts
- Infidelity
- Emotional distance
- Relational sexual problems
- Life transitions
Session Overview
Sessions last 75-90 minutes. EFT treatment unfolds in three phases over 12-20 sessions: de-escalation, restructuring interactions, consolidation.
Variations
- EFT (Sue Johnson)
- Gottman Method
- Cognitive-behavioral couples therapy
- Psychodynamic couples therapy
Contraindications
- Active domestic violence
- Irrevocable separation decision
- Severe untreated addiction
Medical Disclaimer
The information presented in this article is provided for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment prescription. If in doubt, always consult your physician or a qualified healthcare professional. The techniques described do not replace conventional medical treatment.