Conflict in marital relationships affects couple intimacy and satisfaction impacting on the couple system, the family system and wider social systems. Negative conflict is associated with breakdown in intimacy, marital dissatisfaction, and is seen to be a prominent cause of marital failure. As conflict is a process, it has the possibility of change and development over time, including moving towards a process whereby disagreements can be worked out with mutually acceptable solutions. Theoretical frameworks for conflict and marital counselling were reviewed and the systems-interactionist theory and a systemic-based counselling approach chosen for the purposes of this study. It was hypothesised that a systemic-based counselling approach would lower the levels of conflict occurring within a marital relationship. The principal objective of this study was to provide a more rigorous investigation than previous studies of client perceptions of the effectiveness of a systems-based counselling approach for marital counselling. Three case studies were conducted, with embedded units of analysis, within the context of a therapeutic process which drew on current theories of systemic counselling. Conflict was measured and operationalised as overt behavioural conflict, communication of negative affect, frequency of disagreements, intensity of disagreements, desire to change the other partner, the desire for change, and evidence of, and frequency of, positive conflict. As the study was based on the client's perceptions of change, multi-methods of selfreports were employed. As none of the known measurements met the needs of this study, a questionnaire known as the QCR was devised specifically for the pre- and posttests. The QCR was designed to measure: any increase or decrease in positive conflict; changes to both the intensity and frequency in negative conflict; and perceptions of the desire for change. The effectiveness of the counselling approach was measured by comparing the results of the pre-and post-tests with the continual self-reports and the self-reports at the long term follow-up interviews. An analysis of the self-reports focus on: the desire for change; the effectiveness of a systems based counselling approach in lowering negative conflict; and the usefulness of the QCR and other tools as measures. The systems-based-counselling approach, proved from the clients' perspective, to be: highly effective in case one; mostly effective in case two; and ineffective in case three as one partner aborted the counselling process. The systems-based-counselling approach had variable success in decreasing the intensity of negative conflict but was mostly successful in decreasing the frequency of negative conflict. This approach was not largely successful in reporting an increase in the frequency of positive conflict. The study revealed evidence of a relationship between commitment to the marital relationship and negative conflict. It also adds to the debate about the appropriateness of a systems-based counselling approach in violent relationships. In judging the clients' perceptions of the effectiveness of the systems-based counselling approach multi-measurements employed including the lengthy recording of the therapeutic sessions. It is claimed that this thesis offers a more rigorous methodology than anecdotal evidence previously used in the reporting of systemic counselling cases.

Sustaining a Spinal Cord Injury at any point in time is life altering – physically, emotionally, and financially – for all persons affected by the injury, but it can place unique challenges on younger married couples. This study examines the transition to injury for 18 couples (ages 21-55). Data were collected using individual interviews with each partner at three time points following injury, as well as observation in the rehabilitation setting (Creekview). This resulted in 96 individual interviews and 300 hours of observation. Using a combination of the life course perspective and cognitive sociology as guiding theoretical frameworks and grounded theory analysis, I examined how the health care institution influenced the couples’ relationships during their rehabilitation stay and the subsequent transition home. Overall, this study found that Creekview shaped a thought community that emphasizes a return to walking and high levels of physical recovery. Patients who achieved these goals constructed positive narratives about the future while those with lower levels of recovery constructed negative narratives over time. Additionally, because of the dominant medical narrative of wait and see regarding physical recovery, many respondents constructed fuzzy narratives about the future that reflect ambiguity about what life would look like following injury. Additionally, Creekview staff and couples accepted and reinforced the dominant cultural narrative that women are natural caregivers, but larger social structures of class, gender, and the division of paid and unpaid labor work together to push some women into caregiving faster or prevent other women from engaging in caregiving. Expanding on Aneshensel et al.’s (1995) caregiving career, this study examines how younger couples move through the caregiving career when the expected outcome is not long-term care placement or death. This study identified three main types of caregivers, each with their own path of caregiving – Naturalized, Constrained, and Resistant caregivers. Overall, the transition to injury is complex for patients and partners and this study highlights some of the ways the marital relationship is affected by a non-normative, unexpected transition.

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Introduction: Cancer survivors continue to experience psychological distress and challenges in their daily lives long after the completion of treatment. Caregivers play a pivotal role in the lives of cancer survivors by providing support in various domains of their lives. The cancer experience between support persons and cancer survivors is intertwined. The interdependence theory will serve as a theoretical framework to guide the purposes of this study. Objective:The purpose of this research was to gain a better understanding of unmet needs of caregivers supporting long-term cancer survivors and explore how fulfilling the needs of caregivers influenced the psychological well-being of cancer survivors. Specifically, an emphasis was placed on exploring the level of dependence present in marital relationships, and how this impacted the relationship between caregiver unmet needs and the psychological outcomes of cancer survivors. Method: Data was drawn from The Cancer Support Persons’ Unmet Needs Survey (SPUNS) (Campbell et al., 2009) and The Cancer Survivors’ Unmet Needs Survey (SUNS) (Campbell et al., 2009). Regression models tested for significant interactions between caregiver unmet needs and factors influencing survivor dependence with psychological distress in cancer survivors. Results: Findings revealed main effects between caregivers’ depression, anxiety, and stress with the respective psychological outcomes in cancer survivors. Caregivers’ concerns about the future predicted elevated depression in cancer survivors. Caregivers with needs pertaining to information or emotions predicted higher anxiety in cancer survivors. Information needs, future concerns, and health care access and continuity needs of caregivers predicted higher survivor stress. Conversely, work and financial needs of caregivers predicted lower depression, anxiety and stress in cancer survivors. Significant interactions were found for caregivers’ concerns about the future by recurrence of diagnosis with decreased survivor anxiety, health care needs of support persons by recurrence of illness with increased survivor anxiety, caregivers’ personal needs by severity of illness with higher survivor anxiety, support persons’ emotional needs by severity of illness with lower survivor anxiety, caregivers’ emotional needs by severity of illness and decreased survivor stress, and finally, support persons’ health care needs by severity of illness with higher survivor stress. Conclusion: Findings did not fully support the hypotheses of this present study. Nonetheless, the significant results revealed in the findings would be useful to generate alternative hypotheses in future studies regarding interdependence, unmet needs and psychological well-being. The findings for the present study will also provide direction towards improvement in treating caregivers and cancer patients as a conglomerate, and inform programs, services and policies in cancer care.

Introduction: Cancer survivors continue to experience psychological distress and challenges in their daily lives long after the completion of treatment. Caregivers play a pivotal role in the lives of cancer survivors by providing support in various domains of their lives. The cancer experience between support persons and cancer survivors is intertwined. The interdependence theory will serve as a theoretical framework to guide the purposes of this study. Objective:The purpose of this research was to gain a better understanding of unmet needs of caregivers supporting long-term cancer survivors and explore how fulfilling the needs of caregivers influenced the psychological well-being of cancer survivors. Specifically, an emphasis was placed on exploring the level of dependence present in marital relationships, and how this impacted the relationship between caregiver unmet needs and the psychological outcomes of cancer survivors. Method: Data was drawn from The Cancer Support Persons’ Unmet Needs Survey (SPUNS) (Campbell et al., 2009) and The Cancer Survivors’ Unmet Needs Survey (SUNS) (Campbell et al., 2009). Regression models tested for significant interactions between caregiver unmet needs and factors influencing survivor dependence with psychological distress in cancer survivors. Results: Findings revealed main effects between caregivers’ depression, anxiety, and stress with the respective psychological outcomes in cancer survivors. Caregivers’ concerns about the future predicted elevated depression in cancer survivors. Caregivers with needs pertaining to information or emotions predicted higher anxiety in cancer survivors. Information needs, future concerns, and health care access and continuity needs of caregivers predicted higher survivor stress. Conversely, work and financial needs of caregivers predicted lower depression, anxiety and stress in cancer survivors. Significant interactions were found for caregivers’ concerns about the future by recurrence of diagnosis with decreased survivor anxiety, health care needs of support persons by recurrence of illness with increased survivor anxiety, caregivers’ personal needs by severity of illness with higher survivor anxiety, support persons’ emotional needs by severity of illness with lower survivor anxiety, caregivers’ emotional needs by severity of illness and decreased survivor stress, and finally, support persons’ health care needs by severity of illness with higher survivor stress. Conclusion: Findings did not fully support the hypotheses of this present study. Nonetheless, the significant results revealed in the findings would be useful to generate alternative hypotheses in future studies regarding interdependence, unmet needs and psychological well-being. The findings for the present study will also provide direction towards improvement in treating caregivers and cancer patients as a conglomerate, and inform programs, services and policies in cancer care.

Empirical research suggests that married women may more commonly experience spousal pornography use as a relational attachment threat and are more likely to experience negatively associated relational outcomes such as distress and loss of trust. The purpose of this study was to develop a grounded theory of women’s response to concealed spousal pornography use. This study included the experiences of 30 women who reported spousal pornography use as a threat to relational attachment and demonstrated evidence of individual and relational healing thereafter. The research question, “How do women describe the experience of learning of their spouse’s pornography use and the individual and relationship sequelae that follow?” was explored using grounded theory methods to analyze de-identified blog accounts emphasizing response to a spouse viewing pornography in marital relationships. The results describe a process model highlighting three interrelated informant categories— emotional response, mental response, and physical response—and one resultant category—behavioral response. Implications include the importance of open communication regarding pornography use within relationships, the necessity for individual and relational healing following betrayal trauma, and the role of therapeutic intervention in shaping adaptive healing processes.

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The current study examined direct and indirect influences of romantic attachment processes, marital adjustment, and the coparenting relationship on family functioning. Data was collected from a community sample of 86 heterosexual couples with a child aged eight to eleven living in the home. Both spouses completed a demographic questionnaire, the Experiences in Close Relationships Scale, the Dyadic Adjustment Scale, the Coparenting Scale, and the Self-Report Family Inventory as part of a larger study on family processes in middle childhood. Data analysis included multilevel modeling, utilizing the actor-partner interdependence model. Results indicated that marital adjustment mediated the association between attachment processes and family functioning, suggesting that a healthy marital relationship is an important variable that helps explain links between attachment security and the family functioning. Findings also highlighted the benefit of conceptualizing adult romantic attachment, marital, and coparental subsystems within a systemic framework.

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Made available in DSpace on 2016-04-29T13:30:44Z (GMT). No. of bitstreams: 1 Mariana Serafim Xavier Antunes.pdf: 1659688 bytes, checksum: bfcc9291d345c32bd0290874905a462c (MD5) Previous issue date: 2010-05-21 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This dissertation addresses the disclosure of a supposed itinerary of female single life conjectured by the production of a discourse, broadcast in mass communication media on a new social character: the new single female . Apparently, the notions about this new single female can build a political identity seeking recognition of new meanings to the character, who is then promoted as the protagonist of contemporary social changes. In a context of pluralism, it also seems to substantiate a process of social individualization. Interests linked to this proposed cultural enhancement, when based on instrumental purposes, may trigger greater disparities to access and participate in social, economic and cultural benefits, and highlight unequal relationships already established among social actors. In these cases, the restoration of the single female character seems to distance itself from the notion of an identity proposal of autonomous character. Contrarily, it is designed as an option among excluding and discriminatory choice possibilities. Thus, this research seeks to understand the reasons and directions laid out by these women regarding their life projects. This study is proposed within the field of Critical Social Psychology, in which we aim at covering, in the light of the sintagm Identity-Metamorphosis-Emancipation, potential pitfalls that such itinerary may give an emancipatory utopia. Moreover, we seek to recognize in lifestories the movements to overcome the restrictive conditions identified through a historical context that, in turn, provided us with information to discuss the possibility to strengthen the autonomy of women nowadays / Esta dissertação aborda a divulgação de um suposto itinerário da vida de solteira, conjecturado por meio da produção de um discurso, veiculado nos meios de comunicação de massa, sobre uma nova personagem social: a nova solteira . Aparentemente, as noções a respeito desta nova solteira podem compor uma política identitária que busca o reconhecimento de novos sentidos à personagem que é, então, promovida como protagonista das mudanças sociais contemporâneas. Num contexto de pluralismo, parece também substanciar um processo de individualização social. Os interesses vinculados a essa proposta de valoração cultural, quando baseada em propósitos instrumentais, podem fomentar maiores disparidades de acesso e participação aos bens sociais, econômicos e culturais, além de acentuar as relações de desigualdade já instituídas entre os atores sociais. Nestes casos, a reposição da personagem solteira parece se distanciar do sentido de uma proposta identitária de caráter autônomo, mas se configura como uma opção dentre possibilidades de escolha excludentes e discriminatórias. Deste modo, esta pesquisa busca compreender as razões e os sentidos dispostos por estas mulheres para seus projetos de vida. Este estudo é proposto dentro do campo da Psicologia Social Crítica, em que procuramos abarcar, à luz do sintagma Identidade-Metamorfose-Emancipação, as possíveis armadilhas que tal itinerário pode conferir a uma utopia emancipatória. Além disso, buscamos identificar, em histórias de vida, movimentos de superação das condições restritivas, identificadas por intermédio de uma contextualização histórica que, por sua vez, nos forneceu elementos para discutir a possibilidade de fortalecimento da autonomia feminina nos dias atuais