Behavior analysis of couples: Intimacy as a vehicle for change

Abstract

Despite the demonstrated negative impact of relational distress on individual and family functioning, behavioral training programs seldom offer students specialized instruction in couple therapy. In this chapter, we provide a brief overview of an acceptance-based behavioral approach to couple therapy. First, we discuss the conceptual underpinnings of this approach. We provide behavioral conceptualizations of both acceptance and intimacy and discuss their role in facilitating therapeutic change. Next, we explore three therapeutic tools for achieving acceptance and intimacy: uncovering soft emotions, identifying patterns, and clarifying understandable reasons. We then address several therapeutic considerations particular to couple work. Finally, we explore ethical, training, and licensing requirements relevant to work with couples.