RELATIONSHIP ISSUES DISCUSSED |
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RELATIONSHIP ISSUES DISCUSSED: PRIORITIES |
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RELATIONSHIP ISSUES DISCUSSED: DRUGS AND MONEY |
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RELATIONSHIP ISSUES DISCUSSED: BUDGETING FOR COKE |
WHY COUPLES THERAPY? WHY NOW? |
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Therapist asks couple why they are seeking treatment. Why couples therapy, why now? |
addressing client concerns |
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THERAPIST DISCUSSES CLIENT'S CONCERN REGARDING COUPLES THERAPY |
limited confiDentiality
In the traditional sense of confiDentiality, information disclosed in an individual session remains
confiDential, except when the client discloses information about possibly harming themselves or
someone else or cases of child/elder abuse. In BCT, there also exists what is called Limited
ConfiDentiality or the No Secrets Policy. The No Secrets Policy states that when one partner
discloses information that has a significant impact on his or her relationship in an individual
session or without his or her partner, the BCT therapist reserves the right to share that
information with the other partner in a couple’s session. This information can include any issue
that would significantly impact the relationship (i.e., affair, alcohol/drug use) and may be an area
the couple needs to work on during treatment. For example, if one partner discloses to the
therapist that he or she is having an affair, under the No Secrets Policy, the BCT therapist
reserves the right to share this information with the other partner.
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THERAPIST DISCUSSES ISSUES OF LIMITED CONFIDenTIALITY
when one partner discloses information to the therapist that may need to be shared with his
or her partner, the therapist... |
therapist regains session focus |
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RELATIONSHIP ISSUES DISCUSSED
In this clip, the couple reports having experienced some relationship issues... |
SOBRIETY (Abstinence) TRUST DISCUSSION
The Sobriety Trust Discussion is a tool that can help to ease the tension and rebuild trust in
a relationship that has been affected by drugs and alcohol. With the Sobriety Trust
Discussion, both partners will be asked to make a statement to each other regarding drug and
alcohol abstinence and support of abstinence.
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SOBRIETY TRUST DISCUSSION WITHOUT MEDICATION |
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SOBRIETY TRUST DISCUSSION WITH MEDICATION |
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SCOTT AND KIRSTIN MISSED TRUST DISCUSSION |
lapse |
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USE OF ALCOHOL DURING THE PREVIOUS WEEK |
partner support |
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THERAPIST DISCUSSES ISSUES OF CASUAL DRINKING |
COMMUNICATION SAMPLE
Often in substance-using couples, patterns of communication are hostile, unhealthy,
unproductive, and ineffective. Observing the partners as they engage in a discussion will help
the therapist to: (a) iDentify areas of conflict, (b) assess coping strategies, and (c) evaluate
partners’ communication strengths and weaknesses.
Although it will be difficult to capture the exact style and
tenor of the partners’ existing communication patterns within the session, this sample will
provide a general idea of how the partners communicate with one another.
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Communication Sample #1
The therapist asks the clients to discuss a problematic area for 5 or 10 minutes... |
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COMMUNICATION SAMPLE #2
The therapist asks the clients to discuss a problematic area for 5 or 10 minutes... |
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SCOTT AND KIRSTEN DRINKING & MARRIAGE |
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CONFLICT RESOLUTION: HOUSEHOLD RESPONSIBILITIES |
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CONFLICT RESOLUTION: THERAPIST TAKES CONTROL OF A SUBJECT THAT IS TOO HEATED |
CATCH AND TELL
One of the major themes of BCT is that a satisfying relationship is based on each partner
showing caring behaviors on a regular basis. The goal of Catch Your Partner Doing Something
Nice is to have each partner begin to notice nice behaviors that his or her partner does for him or
her already, since some of these gestures may be unnoticed. Noticing caring behaviors on a
regular basis can help to alleviate some of the stress the partners may experience while
increasing the level of caring within their relationship. This exercise will encourage the partners
to engage in and notice each others caring behaviors.
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CATCH TELL
HUSBAND AND WIFE |
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CATCH TELL
This clip depicts a couple practicing the Catch and Tell skill. In this activity... |
roundtable discussion
The Round-Table Discussion is a forum that helps to: (1)
illuminate strengths and weaknesses in the relationship, (2) determine whether BCT is an
appropriate match for these partners’ needs, (3) communicate to the partners what strengths they
have to build on and what areas of their relationship BCT can help them improve, and (4) allow
partners the opportunity to voice any questions or concerns involving their participation in BCT.
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ROUNDTABLE DISCUSSION
In this clip, the therapist offers his impressions about the first two sessions (based on the self-report measures, observations, and client reports) and also lists the areas in which BCT may be helpful to this couple... |
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NO TREATMENT: HUSBAND AND WIFE ADVISED OF TREATMENT DECISION
...BCT does not treat intense violence, infidelity, or violence not connected
with substance use. If the assessment indicates that any of these behaviors are prevalent in this dyad, the therapist briefly discusses... |
COMMUNICATION SKILLS:
It is common for people to misunderstand, assume, or filter messages being sent from others.
This is particularly true when two people are discussing an important or sensitive topic from
opposing viewpoints. During communication, particularly emotionally-charged communication,
partners must learn to check their perceptions of the message and make sure their perceptions
match the speakers’ intent.
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SPEAKING DIRECTLY USING "I" MESSAGES
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MIRRORING:
- PARAPHRASING: The listener should state back to the speaker the words and feelings he or
she heard the speaker say. This is the first step in making sure that the message received by
the listener was the message intended by the speaker. The listener should use the following
formula to begin Mirroring the message back to the speaker: “What I heard you say was…”
- CLARYFING: In the second step, the listener asks for clarification about the paraphrasing
he or she has just done. If the speaker indicates that the listener has not fully understood the
major parts of the intended message, the speaker should make another attempt to send his or
her message, while the listener continues to paraphrase. This continues until the speaker
states that the listener has heard him or her correctly.
The listener should state: “Is that right?” or “Did I get that?”
- ELICITING: Once the speaker confirms that the listener has heard
everything correctly, the listener should ask if there is more that he or she would like to talk
about regarding the discussion topic. This should continue until the speaker feels like he or
she has been heard by the listener. Then, the listener becomes the speaker.
The listener should state: “Is there more?”
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VALIDATING: Validating the speaker’s position shows that the speaker’s thoughts and ideas make sense to the
listener and that his or her feelings are valid. To be very clear, Validating is not agreeing with
the speaker, but conveying an understanding about how the speaker thinks and feels.
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EMPATHIZING: Empathizing allows the listener to recognize his or her partner’s feelings in order for the partner
to feel truly heard and understood. Based on what he or she has heard, the listening partner
should imagine what the speaker is feeling and say to him or her: “That must make you feel…"
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COMMUNICATION SKILLS
In this vignette, the couple is practicing the communication skills learned... |
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SCOTT AND KIRSTEN MIRRORING
In this vignette, the communication exercise breaks down and the therapist re-engages the couple through coaching techniques. |
issues in therapy |
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THERAPIST AND CLIENT RECAP |
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THERAPIST RECAP WITH SPOUSE |
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THERAPIST RECAP WITH SPOUSE |
DOMESTIC VIOLENCE |
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DV WHY COUPLES THERAPY |
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COUPLE INTERVIEW ABOUT DOMESTIC VIOLENCE |
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REVIEW OF DOMESTIC VIOLENCE WITH CLIENT |
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VIOLENCE DISCUSSION WITH SPOUSE |
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ANGRY TOUCHING DISCUSSION WITH WIFE |
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ANGRY TOUCHING DISCUSSION WITH HUSBAND |
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HUSBAND AND WIFE DISCUSS FINANCE PROBLEMS |
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DV SAFETY PLAN DISCUSSION |
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NO TREATMENT: HUSBAND AND WIFE ADVISED OF TREATMENT DECISION
...BCT does not treat intense violence, infidelity, or violence not connected
with substance use. If the assessment indicates that any of these behaviors are prevalent in this dyad, the therapist briefly discusses... |
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Gail - Domestic violence interview |
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CHILD |
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AMY 1 |
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AMY 2 |
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AMY 3 |
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AMY 4 |
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AMY 5 |
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GAY AND LESBIAN |
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Esmay and Carrie Alcohol Effect |
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Esmay and Carrie Communication Sample Lesbian |
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Esmay and Carrie Roundtable Discussion |
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Esmay and Carrie Follow Up Relapse Lesbian |
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Scott and Mark depression effects relationship |
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Scott on depression |
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Scott and Mark partner depression relationship separation Mark |
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Scott and Mark roundtable |
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Scott and Mark separation discussed |
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Scott and Mark sobriety trust discussion negative |
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Scott and Mark therapy conflict alanon |
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Scott and Mark therapy end culmination |
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Vincent 2 why now |
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Vincent 1 kids cause drinking |
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Sophia 2 friends didn't come over |
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Vincent 3 family treatment question |
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Sophia 1 before after |
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Anna 2 friends drink at house |
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Anna 1 before after |
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Anna boy friend never at house |
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Gail discusses HIV and future |
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Lynn and Paul -Lynn viscous cycle. |
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Lynn Why now. |
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Lynn and Paul - Paul, affair. |
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Lynn and Paul - Lynn, affair. |
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Lynn Paul - Paul, angry touching. |
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Lynn and Paul - Lynn, angry touching . |
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Paul not so bad. |
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Lynn and Paul why. |
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Paul Why Now. |
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Lynn Paul trust bad |
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Lynn and Paul trust good . |
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Lynn Paul - trust all. |
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Lynn and Paul reward. |
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Lynn and Paul post reward. |
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Lynn and Paul finance. |
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Lynn and Paul- Lynn, Alcoholics Anonymous. |
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Lynn and Paul - Disease. |
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Lynn and Paul - birth of child. |
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Lynn and Paul - finance, birth. |
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Lynn and Paul - Catch your partner (doing something right). |
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Lynn and Paul - Final |
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Frank alcohol assessment family problem2. |
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Frank alcohol assessment intervention 1. |
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Frank alcohol assessment intervention debacle4. |
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Frank alcohol assessment no nixon deal3. |
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Frank Denise poor communication. |
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Frank Denise poor communication short1. |
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Frank Denise relationship issuess discussed define issues1. |
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Frank Denise relationship issuess somethings wrong2 . |
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Frank Denise relationship marital problem help3. |
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Denise spouse alcohol problem help1. |
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Denise spouse alcohol problem intervention2. |
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Frank Denise alcohol reduction agreement. |
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Frank Denise Frank tape evidence |
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Frank Denise intervention debacle confidentiality |
timeline follow back interview
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TIMELINE FOLLOWBACK |
2006 smart marriages presentation |
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SMART MARRIAGE PRESENTATION |