How Can We Improve Preventive and Educational Interventions for Intimate Relationships?
How Can We Improve Preventive and Educational Interventions for Intimate Relationships?
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DOI：
10.1016/j.beth.2011.02.008
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发表时间：
2012-03-01
期刊：
影响因子：
3.7
通讯作者：
Lavner, Justin A.
中科院分区：
文献类型：
--
作者：
Bradbury, Thomas N.;Lavner, Justin A.
事实证明，通过预防和教育干预措施改善亲密关系比最初设想的要困难得多，早期的模式和方法可能正在达到极限。基本的关切仍然是这些干预措施的长期有效性，这些措施是否惠及最有可能需要它们的夫妇，以及它们如何发挥作用。我们确定了六个我们认为阻碍该领域进展的问题，并为每个问题概述了指向新的前进方向的研究结果。这些问题包括：（a）对夫妻沟通的不完全理解，以及将沟通结果毫无根据地转化为干预措施;（B）关系满意度的惊人稳定性;（c）个人历史、个性和压力在决定关系结果方面发挥的强大作用;（d）在干预项目中招募和留住高危夫妇的困难;（e）在干预措施中缺乏对关系发展的具体阶段的关注;（f）倾向于以与对痛苦夫妇的治疗相同的方式提供预防和教育干预措施。我们最后指出，大量关于亲密关系的基础研究，以及对不同人群的大规模结果研究，为推进这一领域带来了巨大的希望。
Improving intimate relationships with preventive and educational interventions has proven to be more difficult than originally conceived, and earlier models and approaches may be reaching their limits. Basic concerns remain about the long-term effectiveness of these interventions, whether they are reaching and benefiting couples most likely to need them, and how they might be exerting their effects. We identify six problems that we believe are hindering progress in the field, and for each we outline research findings that point to new ways forward. These problems include (a) the incomplete understanding of couple communication and unwarranted translation of communication findings into interventions; (b) the surprising stability of relationship satisfaction; (c) the powerful roles that personal histories, personalities, and stress play in determining relationship outcomes; (d) the difficulties involved in recruiting and retaining high-risk couples in intervention programs; (e) the lack of attention given to specific stages of relationship development in interventions; and (f) the tendency to deliver preventive and educational interventions in the same format as therapies for distressed couples. We conclude by noting that a large body of basic research about intimate relationships, and large-scale outcome research with diverse populations, hold great promise for advancing the field.