Abstract
Abstract Twenty-eight married patients with severe, persisting psychiatric disorders were treated with a mean of 9.3 hours of spouse-aided therapy, an explicitly non-marital problem-solving couples therapy. Significant and sustained improvement in couples' ratings of personal and target problems occurred after therapy. A small minority of couples failed to respond, or experienced negative effects, in relation to two types of marital interaction which inhibited shared problem solving. In one, both partners were strongly extrapunitive and persistently blamed and mistrusted each other; in the other, couples attributed the patients' symptoms to a formal psychiatric illness, and therapy exposed the spouses' reliance on repression and denial as coping mechanisms.
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