Couples and Marital Counseling:
Behavior Exchange Methods
Dr. Patrick J. Hart
Couples, Marriage, and Family Relationship Counseling
Friendship is not a big thing . . .
. . . it is a million little things!
“Beginnings are usually scary, endings are usually sad, but it’s what’s in the middle that counts. So when you find yourself at the beginning, just give hope a chance to float up. And it will.”
― Hope Floats
Integrative Behavioral Couples Therapy (IBCT) was developed by Neil S. Jacobson and Andrew Christensen. This method of therapy is experimentally based, and supported by a world-view known as “Functional Contextualism.” Noteworthy in this approach is B.F. Skinner’s distinction between contingency-shaped and rule-governed behavior.
IBCT is “integrative” in at least two senses: First, it integrates the twin goals of acceptance and change as positive outcomes for partners in seeking to improve their relationship. Those who succeed in this effort usually make various concrete behavioral changes to attune to the needs of one-another. They also learn greater emotional acceptance or “psychological flexibility” in the contexts of both emotional and behavioral functioning. Second, IBCT integrates a variety of treatment strategies under a consistent behavioral theoretical framework. It is considered a third generation behavior therapy which is associated with clinical behavior analysis.
Both the integrative and traditional behavioral models have origins primarily in behaviorism. While traditional therapy has more roots in social learning principles, the later model is based on Skinnerian behaviorism, drawing heavily on the use of functional analytic psychology and emphasizing a distinction between contingency-shaped and rule-governed behavior to balance acceptance and change in the relationship 
The Gottman Institute was co-founded by Drs. John and Julie Schwartz Gottman. The Institute helps individuals directly, and it provides state-of-the-art training to mental health professionals and other health care providers, applying leading-edge research on marriage in a practical, down-to-earth manner and training therapists who are committed to helping their clients in marriages or long-term relationships. Its approach to couples’ counseling, education and therapy relies on intensive, detailed, and long-term scientific research into the reasons marriages succeed or fail.
The Best Relationships Are Gentle!
Please Note: While I am not a certified Gottman Marital Therapist, I do integrate the Gottman’s wisdom into my behavioral counseling — see below.
The Four Horsemen of the Apocalypse: Save Your Relationship
The four attitudes that most predict the dissolution of a relationship, especially in combination, are criticism, defensiveness, contempt, and stonewalling (in order of least to most dangerous). Dr. John Gottman, a psychologist at the University of Washington, studied more than 2,000 marriages over two decades. He discovered patterns in the way spouses relate to each other which can be used to predict – with 94% accuracy – which marriages will succeed and which will fail. Gottman says that each horseman paves the way for the next.
1 Criticism: Attacking your partner’s personality or character, usually with the intent of making someone right and someone wrong. Generalizations: “you always…” “you never…”“you’re the type of person …”“why are you so …”
2. Contempt: Attacking your partner’s sense of self with the intention to insult or psychologically abuse him/her
- Insults and name calling: “bitch, bastard, wimp, fat, stupid, ugly, slob, lazy…”
- Hostile humor, sarcasm or mockery
- Body language & tone of voice: sneering, rolling your eyes, curling your lip.
3 Defensiveness: Seeing self as the victim, warding off a perceived attack
- Making excuses (e.g., external circumstances beyond your control forced you to act in a certain way) “It’s not my fault…”, “I didn’t…”
- Cross-complaining: meeting your partner’s complaint, or criticism with a complaint of your own, ignoring what your partner said
- Disagreeing and then cross-complaining “That’s not true, you’re the one who …”
- Yes-butting: start off agreeing but end up disagreeing
- Repeating yourself without paying attention to what the other person is saying
- Whining “It’s not fair.”
4 Stonewalling: Withdrawing from the relationship as a way to avoid conflict. Couples may think they are trying to be “neutral” but stonewalling conveys disapproval, icy distance, separation, disconnection, and/or smugness
- Stony silence
- Monosyllabic mutterings
- Changing the subject
- Removing yourself physically
- Learn to make specific complaints & requests (when X happened, I felt Y, I want Z)
- Conscious communication: Speaking the unarguable truth & listening generously
- Validate your partner (let your partner know what makes sense to you about what they are saying; let them know you understand what they are feeling, see through their eyes)
- Shift to appreciation (5 times as much positive feeling & interaction as negative)
- Claim responsibility: “What can I learn from this?” & “What can I do about it?”
- Re-write your inner script (replace thoughts of righteous indignation or innocent victimization with thoughts of appreciation, responsibility that are soothing & validating)
- Practice getting undefended (allowing your partner’s utterances to be what they really are: just thoughts and puffs of air) and let go of the stories that you are constructing to make sense of your own conflicts.
Seattle Couples Counseling: Seattle Marital Therapy
Marriage Counseling Alternatives:
Harmonize Your Marriage: eHarmony provides an online alternative to marriage counseling for those who want to achieve healthier and happier marriages.
The Codependency Model: Help for “Codependent” Relationships.