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ebook THE GUILFORD PRESS Clinical Handbook of Couple Therapy Also Available Clinical Casebook of Couple Therapy Edited by Alan S. Gurman Common Factors in Couple and Family Therapy: The Overlooked Foundation for Effective Practice Douglas H. Sprenkle, Sean D. Davis, and Jay L. Lebow Couple-Based Interventions for Military and Veteran Families: A Practitioner’s Guide Edited by Douglas K. Snyder and Candice M. Monson Essential Psychotherapies: Theory and Practice, Third Edition Edited by Stanley B. Messer and Alan S. Gurman Getting Past the Affair: A Program to Help You Cope, Heal, and Move On—Together or Apart Douglas K. Snyder, Donald H. Baucom, and Kristina Coop Gordon Helping Couples Get Past the Affair: A Clinician’s Guide Donald H. Baucom, Douglas K. Snyder, and Kristina Coop Gordon Theory and Practice of Brief Therapy Simon H. Budman and Alan S. Gurman Treating Difficult Couples: Helping Clients with Coexisting Mental and Relationship Disorders Edited by Douglas K. Snyder and Mark A. Whisman Clinical handbook of Couple therapy FIFTH EDITION Edited by Alan S. Gurman Jay L. Lebow Douglas K. Snyder THE GUILFORD PRESS New York London © 2015 The Guilford Press A Division of Guilford Publications, Inc. 370 Seventh Avenue, Suite 1200, New York, NY 10001 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the authors, nor the editors and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources. Library of Congress Cataloging-in-Publication Data Clinical handbook of couple therapy / edited by Alan S. Gurman, Jay L. Lebow, Douglas K. Snyder.—Fifth edition. pages cm Includes bibliographical references and index. ISBN 978-1-4625-1392-5 (hardcover) 1. Marital psychotherapy—Handbooks, manuals, etc. I. Gurman, Alan S. II. Lebow, Jay. III. Snyder, Douglas K. RC488.5.C584 2015 616.89′1562—dc23 2014045405 The case illustrations in this book are based on the authors’ research and clinical practice. In all instances, names and identifying information have been changed. In memory of our dear colleague and friend Al Gurman, whose monumental contributions to the practice and study of couple therapy live on About the Editors Alan S. Gurman, PhD, until his death in 2013, was Emeritus Professor of Psychiatry at the University of Wisconsin School of Medicine and Public Health in Madison. A pioneer in the development of integrative approaches to couple therapy, he edited and wrote many influential books; was a past two-term editor of the Journal of Marital and Family Therapy; and was former president of the Society for Psychotherapy Research. Dr. Gurman was a recipient of awards including the Distinguished Contribution to Research in Family Therapy Award from the American Association for Marriage and Family Therapy (AAMFT), the Distinguished Achiev