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RELATIONSHIP ISSUES DISCUSSED
comm RELATIONSHIP ISSUES DISCUSSED: PRIORITIES
comm RELATIONSHIP ISSUES DISCUSSED: DRUGS AND MONEY
communication RELATIONSHIP ISSUES DISCUSSED: BUDGETING FOR COKE
WHY COUPLES THERAPY? WHY NOW?
why_cr Therapist asks couple why they are seeking treatment. Why couples therapy, why now?
addressing client concerns
proposal 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.

limited

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
defer 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.

trust SOBRIETY TRUST DISCUSSION WITHOUT MEDICATION
antibuse SOBRIETY TRUST DISCUSSION WITH MEDICATION
missed SCOTT AND KIRSTIN MISSED TRUST DISCUSSION
lapse
vjuse USE OF ALCOHOL DURING THE PREVIOUS WEEK
partner support
casual drinking 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.

comm

Communication Sample #1
The therapist asks the clients to discuss a problematic area for 5 or 10 minutes...

Vol low COMMUNICATION SAMPLE #2
The therapist asks the clients to discuss a problematic area for 5 or 10 minutes...
drinking SCOTT AND KIRSTEN DRINKING & MARRIAGE
household CONFLICT RESOLUTION: HOUSEHOLD RESPONSIBILITIES
parenting 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.

catchtell CATCH TELL
HUSBAND AND WIFE
catchtell 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.

roundtable

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...

mll

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.

  • SPEAKING DIRECTLY USING "I" MESSAGES
  • 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?”
  • 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.
  • 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…"

ct

COMMUNICATION SKILLS
In this vignette, the couple is practicing the communication skills learned...

mirroring

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
recap THERAPIST AND CLIENT RECAP
session review THERAPIST RECAP WITH SPOUSE
problems THERAPIST RECAP WITH SPOUSE
DOMESTIC VIOLENCE
mll DV WHY COUPLES THERAPY
COUPLE INTERVIEW ABOUT DOMESTIC VIOLENCE
mll REVIEW OF DOMESTIC VIOLENCE WITH CLIENT
domestic violence VIOLENCE DISCUSSION WITH SPOUSE
mll ANGRY TOUCHING DISCUSSION WITH WIFE
mll ANGRY TOUCHING DISCUSSION WITH HUSBAND
mll HUSBAND AND WIFE DISCUSS FINANCE PROBLEMS
mll DV SAFETY PLAN DISCUSSION
mll

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..
.

timeline followback interview

TIMELINE FOLLOWBACK
2006 smart marriages presentation
SMART MARRIAGE PRESENTATION
 

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