The purposes of this study were (1) to determine the immediate effects, if any, on marital adjustment of a marital enrichment program entitled Marital Skills Training. Program (MSTP); (2) to determine the residual effects, if any, on marital adjustment after MSTP had been terminated; and (3) to determine the differences, if any, in the effect on marital adjustment of an on-going group and extended session group using MSTP. Measures of marital communication and marital adjustment served as the dependent variables while the MSTP training served as the independent variable. Instruments used for data collection were the Marital Adjustment Test (Short Form), the Primary Communication Inventory, and the Semantic Differential. The study concluded that teaching marital communication skills in a conjoint couples' group in an on-going setting is an effective way to increase marital adjustment. However, the passage of time appears to be a necessary factor in integrating MSTP into behaviors which affect marital adjustment since the significant increase did not appear until five weeks following training and was found to exist only in the On-going training group.

A videotape playback treatment was investigated in the present study with regard to its effects on acceptance of responsibility for conflict in distressed couples. Three major hypotheses were tested. The first hypothesis that subjects given videotape playback of their pretherapy sessions would show a significant increase in self-attribution was supported.The second hypothesis that subjects who received videotape playback of their pretherapy sessions would show a significant increase in the frequency of self-attributional statements was also supported. Results of the present study did not support the final hypothesis that following a significant increase in self-attribution. It was concluded that videotape playback may provide an effective means of facilitating acceptance of responsibility for conflict in distressed couples. The implication for practitioners is that videotape playback could accelerate the marital therapy process through facilitation of the acceptance of responsibility.

Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of effect sizes for VBI in mental health treatment of adults? (b) what is the mean standardized effect size for VBI in this context? and (c) what categorical variables, such as type of mental health issue or specific VBI application, moderate the effect of VBI? A comprehensive literature search strategy and coding plan for between-group studies was developed; the overall effect size for the 60 included studies equaled 0.34. A meta-regression was conducted; although the results were not significant, it is possible that type of VBI may be a moderator. Subgroup analyses by mental health outcome found the largest effect size, 0.48, for caregiving attitude and the smallest effect size, 0.21, for depression. Although the results of this meta-analysis were mixed, this study provides preliminary support for VBI use with adults as an evidence-based treatment. VBIs can contribute to positive social change by improving mental health treatment for the benefit of individuals, families, and society.