Megan Van Alfen, Jason B. Whiting, D. Scott Sibley, Ayssa Banford Witting
{"title":"Chutes and Ladders: A Grounded Theory Analysis of Commitment and Betrayal in Intimate Relationships","authors":"Megan Van Alfen, Jason B. Whiting, D. Scott Sibley, Ayssa Banford Witting","doi":"10.1111/jmft.70177","DOIUrl":"10.1111/jmft.70177","url":null,"abstract":"<div>\u0000 \u0000 <p>The purpose of this study was to use qualitative grounded theory methods to explore how commitment and betrayal are experienced in intimate relationships. Participants were recruited through convenience and theoretical sampling. Semi-structured interviews were conducted, and constructivist grounded theory methods were used to code the data and generate analytic categories that were arranged into a process model. Findings suggest that commitment is experienced through five main dimensions: fidelity, prioritization, relational investment, wholeheartedness, and endurance. Betrayal was experienced through turning to someone or something outside the relationship, lying, unequal levels of commitment, and emotional or verbal aggression. The model shows how experiences of both commitment and betrayal lead to outcomes including changes in trust, emotional safety, connection, relational stability, and whether partners' needs were being met. Implications from this study include providing therapists and researchers with a more nuanced framework for understanding and assessing clients' lived experiences of commitment and betrayal.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. D. Murry, Jessica N. Fish, Zeinab Azizi, Leah Young, Mariana K. Falconier
{"title":"Pilot Test of the Relationship and Financial Education TOGETHER Program for LGBTQ+ People in Relationships","authors":"S. D. Murry, Jessica N. Fish, Zeinab Azizi, Leah Young, Mariana K. Falconier","doi":"10.1111/jmft.70176","DOIUrl":"10.1111/jmft.70176","url":null,"abstract":"<p>Financial stress negatively impacts health and relationships and relationship stress undermines financial management. LGBTQ+ individuals face additional stress from discrimination, yet no known programs address both relationship and financial stress for LGBTQ+ people. We pilot-tested the adaptation of TOGETHER, an evidence-based relationship and financial education program, for LGBTQ+ people in relationships by assessing its acceptability, appropriateness, and feasibility using mixed methods. We collected quantitative data on program satisfaction and usefulness through surveys completed anonymously by 31 participants and qualitative data through three focus groups with program participants (<i>N</i> = 12) and one focus group and six interviews with program staff (three case managers and 6 facilitators). Findings supported the adaptation's acceptability, appropriateness, and feasibility. Participants noted high program satisfaction and usefulness, but also offered ways in which the curriculum could be strengthened and even more focused on LGBTQ+ people in relationships</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Body Size Discrimination, Family Emotional Climate, and Chronic Health Incidence in Middle Age: A Longitudinal Study.","authors":"Maggie L Smith, Sarah B Woods","doi":"10.1111/jmft.70178","DOIUrl":"https://doi.org/10.1111/jmft.70178","url":null,"abstract":"<p><p>Body size discrimination has been significantly linked to adverse health outcomes. Although family emotional climate has been shown to influence health outcomes, few studies have tested if various aspects of family emotional climate either buffer or exacerbate chronic disease onset related to size discrimination. Using a subsample of the MIDUS 1 and 2 projects, we conducted a longitudinal analysis to test the relationship between perceived size discrimination, family support, and family strain and likelihood of various adverse outcomes as well as interaction effects between both family support and family strain with size discrimination. Size discrimination was found to be significantly related to increased chances of diabetes and chronic sleep problems 10 years later when controlling for BMI, basic demographics, and baseline outcome variable levels. Findings surrounding family support and family strain varied by outcome variable. Interaction effects had no significant results within the models. Implications for family therapists are discussed.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":"e70178"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Couple Relationship Skills Inventory: Is There Added Benefit of Partner's Report?","authors":"Menglin Wei-Wise, Julianne McGill, Francesca Adler-Baeder, Ted Futris","doi":"10.1111/jmft.70181","DOIUrl":"10.1111/jmft.70181","url":null,"abstract":"<p><p>Although many established measures assess individuals' relationship skills, relatively few incorporate reports from both partners to predict relationship functioning at the individual and couple levels. The Couple Relationship Skills Inventory (CRSI) is a multidimensional measure of seven relationship skill domains developed using a racially and economically diverse sample. The current study extended the CRSI by incorporating partner-reports of the focal individual's relationship skills and evaluated whether the self- and partner-report version (CRSI-SP) improved prediction of relationship quality. Using a large community sample (N = 2785), Bayesian confirmatory factor analysis supported the 45-item, 13-factor measure. The CRSI-SP demonstrated good psychometric properties, including reliability, discriminant validity, and measurement invariance across gender and relationship status. The CRSI-SP explained more variance in individual- and couple-level relationship quality than the original CRSI, supporting improved predictive utility. The CRSI-SP can provide researchers and practitioners with a practical measure for assessing relationship skills and evaluating couple-focused interventions.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":"e70181"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorothy Serwaa Boakye, David Atsu Deegbe, Gladys Dzansi, Adote Anum, Samuel Adjorlolo
{"title":"From Shouting to Calm Conversations: A Qualitative Study of Family Communication Transformation Through a Culturally Adapted Multiple Family Group Therapy in HIV-Affected Families in Ghana","authors":"Dorothy Serwaa Boakye, David Atsu Deegbe, Gladys Dzansi, Adote Anum, Samuel Adjorlolo","doi":"10.1111/jmft.70180","DOIUrl":"10.1111/jmft.70180","url":null,"abstract":"<div>\u0000 \u0000 <p>Family communication dysfunction significantly impacts HIV medication adherence and mental health outcomes among adolescents in sub-Saharan Africa, yet evidence-based family interventions remain scarce in resource-limited settings. This qualitative descriptive study examined family communication transformation following culturally adapted Multiple Family Group Therapy (MFGT) for adolescents living with HIV and their families in rural Ghana. Focus group discussions were conducted with 20 caregivers and 19 adolescents who completed the 11-session intervention. All core therapeutic content was delivered across sessions 1 through 10; the 11th session comprised a graduation ceremony and sustainability planning. Reflexive thematic analysis revealed four major themes: preintervention dysfunction (public shaming, adolescent defiance, spousal teknonymy, extended family triangulation); MFGT-facilitated skills (tone modulation, privacy-preserving correction, active listening); postintervention transformation (caregiver behavioral consolidation, adolescent reciprocal adaptation, spousal reconnection); and sustaining mechanisms (observational learning, metacognitive awareness, positive reinforcement, peer accountability). Communication improvements occurred bidirectionally, with caregiver changes catalyzing adolescent adaptations. Findings are theoretically interpreted through family systems theory, communication accommodation theory, social cognitive theory, and self-determination theory. Culturally adapted MFGT successfully transformed communication patterns while preserving traditional authority structures, suggesting potential for integration within HIV care systems in resource-limited settings.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nanna Fensman Lassen, Hanne Nørr Fentz, Klaus Nielsen, Tea Trillingsgaard
{"title":"“One Can Have All Sorts of Good Intentions but Sometimes in Everyday Life, It Turns Out Differently”: Change Agreements in Couples' Everyday Lives","authors":"Nanna Fensman Lassen, Hanne Nørr Fentz, Klaus Nielsen, Tea Trillingsgaard","doi":"10.1111/jmft.70179","DOIUrl":"10.1111/jmft.70179","url":null,"abstract":"<p>Online couple interventions are increasingly used to support couples experiencing relationship distress. However, little is known about how couples integrate intervention elements into their everyday lives. This longitudinal qualitative study examined how distressed parenting couples integrate change agreements developed in the online OurRelationship program. Six couples (12 participants) were included in the study. Data consisted of one coach session, as well as two rounds of individual interviews conducted 3–6 weeks and 6–7 months after program completion. Using longitudinal interpretative phenomenological analysis, we identified three main ways couples experienced, interpreted, and used the change agreements: (1) as instrumental contracts, (2) as expressions of mutual understanding, and (3) as making relational responsibility visible, including potential gendered asymmetries. Findings suggest that change agreements do not transfer directly into couples' everyday lives and that consequences evolve over time. Implications for practitioners, intervention design, and theories of relational change are discussed.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social–Emotional Ability and Relationship Satisfaction in Marriage: The Roles of Partner Consensus and Commitment","authors":"Cheolwoo Park, Gahyun Park, Victor W. Harris","doi":"10.1111/jmft.70175","DOIUrl":"10.1111/jmft.70175","url":null,"abstract":"<div>\u0000 \u0000 <p>Although social–emotional abilities may support couple functioning, less is known about how they covary with relational appraisals relevant to couple therapy. Using cross-sectional self-report data from 2139 married adults in the United States, this study estimated a structural equation model linking social–emotional ability, perceived partner consensus, dedication commitment, and relationship satisfaction. The gender-adjusted model included 2137 participants. Social–emotional ability was positively associated with perceived consensus. Consensus was positively associated with commitment and satisfaction, and commitment was positively associated with satisfaction. The direct association between social–emotional ability and satisfaction was not significant after accounting for consensus and commitment. Specific indirect associations through consensus alone and sequentially through consensus and commitment were statistically significant. Because all constructs were assessed concurrently by one spouse, the findings do not establish temporal mediation or couple-level processes. The results identify perceived consensus and commitment as potentially relevant domains for assessment and future longitudinal, dyadic research.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dania Andrade-Urbina, Martiño Rodríguez-González, María A. Cueli-Naranjo, Alfonso Osorio, Jonathan G. Sandberg
{"title":"Attachment Behavior Change Following Emotionally Focused Couple Therapy: A Randomized Controlled Trial With Spanish-Speaking Couples","authors":"Dania Andrade-Urbina, Martiño Rodríguez-González, María A. Cueli-Naranjo, Alfonso Osorio, Jonathan G. Sandberg","doi":"10.1111/jmft.70173","DOIUrl":"10.1111/jmft.70173","url":null,"abstract":"<p>This study evaluated changes in attachment behaviors among Spanish-speaking couples participating in emotionally focused couple therapy (EFCT), using data from a randomized clinical trial of EFCT in this population. The study examined perceived secure attachment behaviors -accessibility, responsiveness, and engagement- measured by the Brief Accessibility, Responsiveness, and Engagement (BARE) scale, and their association with dyadic adjustment measured by the Dyadic Adjustment Scale (DAS). Seventy couples were randomly assigned to EFCT or a waiting list; two withdrew before beginning the intervention, resulting in a final analyzed sample of 68 couples. Results showed some changes in attachment behaviors, with significant effects observed only in women's perceptions of their partners. Increases in both self- and partner-perceived secure attachment behaviors significantly predicted improvements in dyadic adjustment. These findings highlight the clinical relevance of targeting secure attachment behaviors as mechanisms of therapeutic change related to relationship satisfaction.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13598901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen T. Welsh, Zoe C. G. Cloud, James H. Boyd, Jennifer E. McIntosh
{"title":"Co-Designing a Family e-Hub: A Systemic, Relational, Digital Mental Health Resource","authors":"Ellen T. Welsh, Zoe C. G. Cloud, James H. Boyd, Jennifer E. McIntosh","doi":"10.1111/jmft.70174","DOIUrl":"10.1111/jmft.70174","url":null,"abstract":"<p>Access to family and systemic therapies remains limited. Digital mental health interventions offer potential to extend access; however, most are designed for individual users, presenting challenges when engaging multiple members of a family. This study used a participatory co-design approach to inform the development of the Family e-Hub, a systemic, self-guided digital resource grounded in family-specific design principles. Drawing on the perspectives of consumers with lived experience of family therapy and family therapists, the study aimed to co-design recommendations for Family e-Hub content and strategies for design and implementation that may enable engagement by families. Findings identified systemic techniques that may be translated to a self-paced environment, recommendations for maintaining individual and relational safety, and strategies to support accessibility for diverse families. The paper summarizes these recommendations and discusses future directions for the Family e-Hub and the broader development of systemic digital mental health interventions.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Attachment and Depth of Experiencing During a Couple-Based, Therapy-Like Interaction","authors":"Kyla Iverson, Ryan B. Seedall","doi":"10.1111/jmft.70170","DOIUrl":"10.1111/jmft.70170","url":null,"abstract":"<p>Depth of experiencing (EXP) refers to the depth at which individuals emotionally process and engage with their internal experiences. In this study, we observationally coded EXP during a therapy-like interaction and coupled it with secondary data from 63 heterosexual couples to explore its relationship with adult attachment patterns (both self-reported and narrative/discourse). Higher self-reported attachment anxiety was associated with increased depth of experiencing when individuals discussed their own issues as well as their partner's concerns. Participants also demonstrated greater depth of experiencing when their partners reported higher levels of self-reported attachment anxiety. Conversely, individuals with high self-reported attachment avoidance exhibited lower EXP, particularly during conversations focused on their partner's issues. Narrative/discourse secure attachment was linked to higher EXP, with especially pronounced effects when male partners responded supportively during of their female partners’ issue. We discuss the implications of these findings and how attachment dynamics shape emotional engagement within couple interactions.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmft.70170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}