Abstract
Behavioral couple therapy (BCT) is an efficacious treatment for maritally distressed couples. The current article includes a meta-analysis of BCT and waiting-list control groups from BCT outcome investigations. The findings indicate that, on average, distressed couples who are placed on waiting lists make no improvement during the waiting period. These results are consistent across 17 controlled investigations conducted in different countries. Given the consistency of these findings, the current investigators propose that marital therapy outcome investigators consider employing these effect-size estimates rather than using scarce resources to place distressed couples in waiting-list control conditions. Such a strategy circumvents the ethical dilemma of withholding efficacious treatment from clients and encourages effectiveness studies in real-world conditions.
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