Treating Affair Couples: An Integrative Approach Kristina Coop Gordon University of Tennessee In collaboration with: Donald H. Baucom University of North Carolina Douglas K. Snyder Texas A&M University Why Study Affairs? Lifetime occurrence in oldest cohort: 37% men; 19% women (Laumann et al., 1994) 40% of divorced men/44% of divorced women report extramarital sexual contact during marriage 2nd leading cause of divorce for women and 3rd leading cause for men (Janus & Janus, 1993) Therapists report as 3rd most difficult issue to treat (Whisman, Dixon, & Johnson, 1997) What Is An Affair? Physical non-monogamy: Occurs along a continuum of physical involvement Emotional non-monogamy: Characterized by emotional intimacy, secrecy, or sexual chemistry Betrayal: Violation of relational standard (implicit or explicit) regarding physical or emotional exclusivity Infidelity: A Trauma Perspective Violation of important standards or assumptions about the world or relationship (safety, commitment, trust, well-being of the individual) (Janoff-Bulman, 1992) Post Traumatic Stress Disorder (PTSD) – Recurrent, intrusive, and distressing thoughts – Avoidance of activities, places, or persons associated with the trauma – Increased arousal (disturbances in sleep and concentration; hypervigilance) Characteristics of Successful Process Gaining a fuller and balanced understanding of event Not remaining preoccupied with the traumatic events Giving up the right to continuously punish the person who has “wronged” you Deciding whether to maintain or terminate the relationship Overview of Stage I: Absorbing the Blow A Thoughts Assumptions about partner/self/relationship disrupted Extreme, negative attributions Perceptions of loss of control in the relationship B Emotions Strong, overwhelming emotions such as anger, depression, and anxiety May change daily or hourly C Behaviors Strong need to question partner about his/her behavior e.g., Why did he/she do it? What was he/she thinking? Refuge -- or acts of revenge Overview of Stage II: Giving Meaning A Thoughts Gain a deeper understanding of what contributed to the affair and subsequent reactions Explanations for the affair may change B Emotions Intensity decreases Control increases Affected by changing explanations of the affair and response C Behaviors Retributions by injured partner diminish Restitution by participating partner may continue Vacillations between retreat vs. engagement Overview of Stage III: Moving Forward A Thoughts More realistic perceptions of partner/self/relationship More realistic expectations for the future B Emotions May experience compassion for partner and ability to wish her/him well Regain a sense of emotional safety which allows you to give up some of the anger and anxiety C Behaviors Relinquish the right to punish partner further Decision about future of the relationship Enacting the actions needed to improve the relationship or to terminate it Preliminary Outcome Findings How does this intervention impact: – Symptoms of trauma and related individual distress? – Empathy and assumptions about one’s partner? – Relationship distress and commitment? Study Method Participants: Six married couples having had sexual affair in past year; not ongoing Excluded based on psychoticism, alcohol abuse, borderline personality disorder, antisocial personality disorder Recruited based on television stories, radio interviews, newspaper ads PTSD Symptoms 20 18 16 14 12 IP 10 PP 8 6 4 2 0 Pre-Tx Post-Tx Beck Depression Inventory 16 14 12 10 8 IP 6 PP 4 2 0 Pre-Tx Post-Tx State - Anger 18 17 16 15 IP PP 14 13 12 11 10 Pre-Tx Mid 1 Mid 2 Post-Tx Negative Assumptions About Partner 18 16 14 12 10 IP PP 8 6 4 2 0 Pre-Tx Mid 1 Mid 2 Post-Tx Empathy 40 38 36 34 32 IP PP 30 28 26 24 22 20 Pre-Tx Mid 1 Mid 2 Post-Tx Global Forgiveness 5 4.5 4 3.5 3 IP 2.5 2 1.5 1 0.5 0 Pre-Tx Mid 1 Mid 2 Post-Tx Follow-Up Global Distress (MSI-R) 70 68 66 64 IP 62 PP 60 58 56 Pre-Tx Mid 1 Mid 2 Post-Tx Follow-Up Global Commitment 94 92 90 88 86 IP 84 PP 82 80 78 76 74 Pre-Tx Post-Tx Treatment Success Injured partners’ forgiveness levels increased overall; their global marital distress and symptoms of individual distress decreased. Across the four treatment periods, injured partners reported decreases in negative assumptions about their partners, consistent with predictions based on a forgiveness model. Over time, injured partners reported less withdrawal from their partners. Initial Assessment Process Interview both partners together Interview each partner separately – Injured partner – Participating partner Provide initial tentative formulation to both partners together Goals of the Initial Interview Establish an atmosphere of safety Establish an atmosphere of trust Establish an atmosphere of competence – Expertise regarding affairs and recovery process Prepare for subsequent sessions Domains of the Initial Interview Brief marital history Current marital functioning Individual functioning (screening only) Immediate decisions and subjective timeline Crisis containment Domains of the Initial Interview Current marital functioning Content and regulation of marital affect Conflict engagement and level of containment Intramarital boundaries Extramarital boundaries Domains of the Initial Interview Immediate decisions and subjective timeline Whose decision to pursue couple therapy Initial goals of couple therapy – Containment of negative exchanges – Evaluate potential for restoration – Work toward reconciliation Beliefs about recovery process – How recoverable? How long? By what process? Domains of the Initial Interview Contain immediate crises Verbal or physical aggression Immediate decisions regarding boundaries Immediate self-care needs Goals of Individual Interviews Strengthen therapeutic alliances Provide opportunity for self-disclosures Obtain additional information: – Individual and marital histories – Current understanding of affair and recovery – Current individual functioning and needs Individual crisis intervention and support Domains of Individual Interviews Understanding of affair and recovery process Beliefs about why the affair occurred Expectancies regarding a recurrence Attributions regarding affair: – Own behavior prior to and following disclosure – Partner’s behavior prior to and following disclosure Expectancies regarding potential for recovery – Partners’ responsibilities in recovery process Domains of Individual Interviews Follow-up on individual functioning Affect: Content, intensity, lability Cognitions: Content, intensity, consistency Coping strategies: – Intrapersonal – Interpersonal Additional attention to flashbacks Individual crisis intervention and support Goals of Follow-Up Interview Provide tentative formulation based on: Marital history: Attachment and conflict Situational stressors Individual histories: – Potential vulnerabilities prior to the affair – Individual challenges following disclosure of affair – Resources for coping and recovering from affair Summary of immediate challenges Summary of overall strategy and next phase Treatment Goals for Stage I Re-establish some form of “equilibrium” for the couple and individuals – Minimize emotional upset and dysregulation – Establish behavioral routines Minimize additional damage to either individual or the couple– “damage control” – Minimize hurtful behaviors between the partners – Minimize either partner creating problems with the outside world Treatment Strategies for Stage I Re-establishing equilibrium Couple – Set boundaries regarding 3rd person – Decide on new behavioral patterns (e.g., who sleeps where) – Discuss impact of affair Individual – Deal with flashback-type phenomena – Use self-care strategies (e.g., exercise, diet, prayer, minimizing sexuallytransmitted diseases) Flashback Guidelines Clarify whether emotional upset is due to something currently upsetting or re-experiencing feelings from past Let your partner know what is happening (e.g., driving by the hotel triggered old feelings) Let your partner know what you need at present (e.g., being held; being left alone; talking about it) Balance how much you talk with partner about flashbacks with other ways to handle on your own Treatment Strategies for Stage I Minimizing additional damage Between partners – Problem-solve on issues such as physical violence or saying hurtful things – Discuss limits of what to discuss about affair (e.g., details of sexual behavior) Between couple and outside world – Discuss limits of what to tell other people Discussing Impact of the Affair What assumptions have been violated about who your partner is and what to expect from your relationship? What standards for your marriage (how partners should behave) have been violated? What does the affair mean about your partner, the relationship, and you? What emotions are you experiencing, and what ideas go with those feelings? Given these thoughts and feelings, what behaviors have changed or have been disrupted? Brian and Angela – Summary Brian 29, injured partner; Angela 26, participating partner Married 6 years; sons ages 3 and 1 Affair – two months’ duration. Marital history and shared work history. Individual histories: – Angela: Adopted, mother died age 18 – Brian: Oldest of 3 siblings; college drop-out Treatment Goals for Stage II Identify factors that potentially contributed to “vulnerability” or “risk” of affair For injured partner: Restore predictability and soften view of participating partner For participating partner: Expand explanatory context while promoting responsibility for decision Prepare groundwork for additional change Treatment Strategies for Stage II Present rationale – Potential benefits and risks of doing this Examine potential factors successively – Relationship factors – Stressors from outside the marriage – Individual susceptibilities or contributions Participating partner Injured partner Develop shared, comprehensive formulation Rationale for Exploring Context For injured partner – Restores predictability – Potentially “softens” view of participating partner – Contributes to appropriate self-view For participating partner – Broadens explanations for hurtful behavior – Contributes to appropriate self-view For couple – May facilitate collaborative efforts at addressing marital and outside factors Challenges to Stage II Confusing “understanding” with “excusing” Reactivity of injured partner – Reluctance to examine marital or own factors – Preoccupation with “why” Reactivity of participating partner – Reluctance to hurt injured partner further – Intolerance for sustained distress Differences in subjective time-lines Preparing a Formulation Emphasize multiple contributing factors – Vulnerabilities or risks from multiple domains – Both historical (developmental) and recent Different factors at different stages of affair Cite reductions in risk already achieved Propose additional steps to be pursued Treatment Goals for Stage III Consolidating work done in Stage II Discussing forgiveness and blocks to forgiving or “moving on” Deciding whether or not to continue the relationship Either making the necessary changes to rebuild the relationship or working on an amicable termination Treatment Strategies for Stage III Consolidating work from Stage II Each partner writes a “narrative” of the affair Discuss the narrative in session Discuss how their understanding has changed since they began treatment Couple identifies what needs to change in the relationship, based on what they have learned Therapist summarizes and gives feedback Treatment Strategies for Stage III Discussing “forgiveness,” “letting go,” or “moving on” Assess/discuss couple’s beliefs about forgiveness Discuss how forgiveness fits with work done in previous sessions Discuss whether they feel ready to move on and to forgive and what that means to them If not ready, discuss “blocks” to forgiveness Address pro/cons of forgiving/not forgiving Common Beliefs about Forgiveness Forgiveness means reconciliation Forgiveness means excusing the partner or saying what happened does not matter Forgiveness means forgetting or no longer feeling any anger about what has happened Forgiveness is weak or condoning what happened Forgiveness must be granted immediately, particularly if person has apologized One should not/must not forgive one’s partner for certain types of betrayals: affairs, violence, lies ... Our Model of Forgiveness Forgiveness is not: – Excusing or forgetting the affair – Reconciling – An immediate or one-time event Forgiveness is: – A process – An opportunity to gain in understanding about your partner, your relationship, and yourself – A release from being dominated by negative thoughts, feelings, and behaviors Treatment Strategies for Stage III Deciding whether to continue relationship Again discuss changes that would need to occur for relationship to continue Discuss evidence supporting their ability to make the desired changes Discuss partner’s motivation and willingness to make the changes Help them think through what they wish to do Preparing a Formulation Emphasize multiple contributing factors – Vulnerabilities or risks from multiple domains – Both historical (developmental) and recent Different factors at different stages of affair Cite reductions in risk already achieved Propose additional steps to be pursued Formulation for Brian and Angela Relationship strengths Basis of attraction, initial maintenance Initial stressors and responses to these Escalation of tensions, relationship erosion Additional contributing factors Implications for reducing vulnerability – Communication changes – Balance of relational roles Questions for Evaluating the Relationship Is the affair isolated event or ongoing pattern? Has participating partner been able to make difficult changes in the past? Has the injured partner been able to make similar changes? Has participating partner accepted appropriate responsibility for actions? Are both partners willing to make the necessary changes? In themselves? In the relationship? References Baucom, D. H., Snyder, D. K., & Gordon, K. C. (in press). Treating couples recovering from affairs. New York, NY: Guilford Press. Snyder, D. K., Baucom, D. H., & Gordon, K. C. (2007). Getting past the affair: A program to help you cope, heal, and move on – together or apart. New York, NY: Guilford Press. Gordon, K.C., Baucom. D.H., Snyder, D. K., & Dixon, L. J. (2008). Treating affair couples. A. Gurman (Ed.), Clinical Handbook of Couple Therapy (pp. 429-458). New York: Guilford Press. Gordon, K. C., Baucom, D. H., & Snyder, D. K. (2004). An integrative intervention for promoting recovery from extramarital affairs. Journal of Marital and Family Therapy, 30, 213-231. Allen, E. S., Atkins, D. C., Baucom, D. H., Snyder, D. K., Gordon, K. C., & Glass, S. (2005). Intrapersonal, interpersonal, and contextual factors in engaging in and responding to infidelity. Clinical Psychology: Science and Practice, 12, 101-130. Contact Information Kristina Coop Gordon University of Tennessee kgordon1@utk.edu Douglas Snyder Texas A&M University d-snyder@tamu.edu Donald H. Baucom University of North Carolina at Chapel Hill donbaucom@aol.com