Gottman Relationship Checkup Questionnaire (04:51)
The new relationship website can be used on any device and is HIPAA compliant. Each partner takes the questionnaire separately; the therapist receives a report demonstrating areas that need improvement and are strengths.
History of Previous Profile Attempts (03:22)
Previous questionnaires showed that if a couple was unhappily married they endorsed all the negative attributes of their partner. The sound relationship house theory describes what makes successful marriages work including friendship, intimacy, shared meaning, and conflict. Other scales include finances, in-laws, addictions, co-morbidities, affairs, mental health issues, and abuse.
Reliability and Validity of Gottman Relationship Check up (08:57)
Assessment tools include questionnaires, interviews, and interaction; the Cronbach's alpha measures between .7 and .9; the oral history interview has a 94% success rate of predicting the outcome of the relationship. See footage of a video created by Don Cole demonstrating the website's function.
Case Study: Amanda and Patrick (21:20)
Amanda and Patrick would like to improve fun, play, and spirituality in their relationship. During the first session, couples provide an oral history of their relationship and engage in a conflict discussion and an "events of the day." The partners become flooded during conflicts but they are happy and satisfied.
Case Study: Sarah and Chase (28:43)
The relationship checkup provides a second opinion on clients and provides confidence to the therapist. Caring capacity is an issue for both Sarah and Chase; when conflict begins they both want to escape. See footage of the couple processing an argument during the aftermath of a fight intervention.
Who Comes to Couples Therapy? (14:31)
The checkup can be taken repeatedly so the clients have quantitative data of their progress. A typical clinical couple is three or four deviations below the mean of the normal curve, while a research couple is half a standard deviation. Most couples wait six years after a problem manifests to go to therapy.
Conclusions Drawn (01:59)
The typical couple is extremely distressed and exhibits several comorbidities. "The Science of Couples and Family Therapy" explains new theories and interventions.
Q/A: Questionnaire (04:28)
SCL90 documents sleep disturbances but does not explore the reasons behind it. Fall of 2018 clients will be able to take the questionnaire multiple times to examine their progress in therapy. There is no demographic information.
Q/A: Aftermath of Fight (02:42)
Bumberry describes that Chase became triggered when Sarah removed her engagement ring. Caring capacity deals with how one handles a partner's negative emotions.
Q/A: Physiology (03:45)
Therapists use a pulse oximeter to measure heart rate; an individual suppresses emotion if the oxygen falls below 95%. Other tests include skin conductance, blood velocity, pulse transit time, and facial electromyography. Gay and lesbian couples tend to have a better sense of humor and speak more openly during conflict.
Q/A: Hormonal Changes (03:08)
Catecholamines and cortisol in newlyweds affects interaction; Ron Glaser and Jan Kiecolt-Glaser research can predict whether a couple will be divorced from 10 years later. The four horsemen include criticism, contempt, stonewalling, and defensiveness. Homeostasis couples experience a "5-to-1" positive to negative ratio during conflict.
Q/A: Introducing the Checkup (06:00)
At the end of the first assessment, introduce the assessment as a tool to help guide the therapeutic intervention. Do not bring results to the following session but prepare a Gottman treatment form. Frequently those who resist filling it out worry about a data breach.
Q/A: SCL-90 (02:27)
Clients will be able to take the questionnaire multiple times to examine their progress in therapy. Therapists should promote having a conflict discussion with more positivity than negativity.
Q/A: Drug and Alcohol Concerns (03:54)
Couples therapy is an excellent place to discuss the relational impact of addiction and advise additional services. Couples who only see negatives do not feel connected or bonded to each other.
Q/A: Individual Therapy (09:13)
Find therapists who believe in couples. Gottman therapists meet with each partner individually to better understand his or her experience. The Rapoport intervention teaches patients about listening and validation; two-thirds of the problems couples face will never be permanently solved.
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