Facilitating Change in Marital Therapy and Research
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abstract
We dispute Jacobson's characterizations of the behavioral marital therapy (BMT) and insight-oriented marital therapy (IOMT) delivered in Snyder and Wills's comparative treatment outcome study. We elaborate on issues of treatment distinctiveness and therapist competence articulated in Jacobson's comments and address these specifically as they relate to results of our own research program comparing long-term effectiveness of behavioral and insight-oriented marital therapy. We advocate an expanded conceptual model of change to include behavioral, affective, and cognitive components, and endorse research methodologies enhancing identification of both primary and secondary effects of therapeutic interventions along each of these dimensions.