Forty Years of Couple Therapy Process Research and We Are Still Just Getting Started: A Review of Quantitative Research

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Main Authors: Jared R. Anderson, Brady C. Eisert, Ju Ann Kim, Hamidreza Fereidouni, Maria F. Portillo, Moloud Sivandian, Paul Zehr
Format: Artículo Open Access
Published: Wiley 2025
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author Jared R. Anderson
Brady C. Eisert
Ju Ann Kim
Hamidreza Fereidouni
Maria F. Portillo
Moloud Sivandian
Paul Zehr
author_facet Jared R. Anderson
Brady C. Eisert
Ju Ann Kim
Hamidreza Fereidouni
Maria F. Portillo
Moloud Sivandian
Paul Zehr
Jared R. Anderson
Brady C. Eisert
Ju Ann Kim
Hamidreza Fereidouni
Maria F. Portillo
Moloud Sivandian
Paul Zehr
collection Wiley Open Access
contents Forty Years of Couple Therapy Process Research and We Are Still Just Getting Started: A Review of Quantitative Research Jared R. Anderson Brady C. Eisert Ju Ann Kim Hamidreza Fereidouni Maria F. Portillo Moloud Sivandian Paul Zehr Journal of Marital and Family Therapy ABSTRACTCan empirical research guide clinicians in how to conduct effective couple therapy? While we know that couple therapy works, understanding the mechanisms of action—how and why it works—has been the focus of research for several decades. Using Doss's framework for understanding the key components of the change process—therapy change processes, client change processes, mediators, and outcomes—we reviewed 48 quantitative couple therapy process studies over a 40‐year period. The results reveal a fragmented knowledge base. No single study examines the entire process of change, and although several findings show promise, none have been replicated. Additionally, only a limited number of hypothesized associations achieved statistical significance, with neither theory nor empirical evidence adequately explaining why some hypotheses were supported while others were not. Current couple therapy process research cannot yet guide clinicians on how to conduct effective therapy. Until it does, the divide between research and practice will persist. 10.1111/jmft.70013 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/jmft.70013
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spellingShingle Forty Years of Couple Therapy Process Research and We Are Still Just Getting Started: A Review of Quantitative Research
Jared R. Anderson
Brady C. Eisert
Ju Ann Kim
Hamidreza Fereidouni
Maria F. Portillo
Moloud Sivandian
Paul Zehr
Journal of Marital and Family Therapy
Forty Years of Couple Therapy Process Research and We Are Still Just Getting Started: A Review of Quantitative Research Jared R. Anderson Brady C. Eisert Ju Ann Kim Hamidreza Fereidouni Maria F. Portillo Moloud Sivandian Paul Zehr Journal of Marital and Family Therapy ABSTRACTCan empirical research guide clinicians in how to conduct effective couple therapy? While we know that couple therapy works, understanding the mechanisms of action—how and why it works—has been the focus of research for several decades. Using Doss's framework for understanding the key components of the change process—therapy change processes, client change processes, mediators, and outcomes—we reviewed 48 quantitative couple therapy process studies over a 40‐year period. The results reveal a fragmented knowledge base. No single study examines the entire process of change, and although several findings show promise, none have been replicated. Additionally, only a limited number of hypothesized associations achieved statistical significance, with neither theory nor empirical evidence adequately explaining why some hypotheses were supported while others were not. Current couple therapy process research cannot yet guide clinicians on how to conduct effective therapy. Until it does, the divide between research and practice will persist. 10.1111/jmft.70013 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Forty Years of Couple Therapy Process Research and We Are Still Just Getting Started: A Review of Quantitative Research
topic Journal of Marital and Family Therapy
url https://onlinelibrary.wiley.com/doi/10.1111/jmft.70013