Skip to main content

Advertisement

Log in

The Mindful Couple

  • Original Paper
  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

Abstract

Couples who request conjoint treatment often demonstrate relationship problems that are exacerbated by emotional reactivity. Neurobiology research has clarified the process of emotional dysregulation, and the benefit of mindful interventions in managing and preventing hyperarousal. This paper examines the mechanics of emotional dysregulation and presents a case example that demonstrates how breathing and staying in the moment were used to help de-escalate an agitated couple. Mindful interventions can be used to help couples tolerate, understand, and manage emotional states that can otherwise become destructive. These techniques are particularly useful with volatile couples, and can be used in conjunction with other therapeutic interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anda, R. F., Felitti, V. J., Bremmer, J. D., Walker, J. D., Whitfield, C., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives Psychiatry Clinic Neuroscience, 256, 174–186.

    Article  Google Scholar 

  • Baer, F. A. & Huss, D. B. (2008). Mindfulness and acceptance-based therapy. In J. LeBow (Ed.) Twenty-first century psychotherapies. Hoboken NJ: John Wiley. Baldini (this volume).

  • Brown, R. P., & Gerbarg, P. (2009). Yoga breathing, meditation and longevity. Annals of the New York Academy of Sciences, 1172, 54–62.

    Article  PubMed  Google Scholar 

  • Buchanan, T. W. (2007). Retrieval of emotional memories. Psychological Bulletin, 133(5), 761–779.

    Article  PubMed Central  PubMed  Google Scholar 

  • Caffo, E., & Belaise, C. (2003). Psychological aspects of traumatic injury in children and adolescents. Child and Adolescent Psychiatry Clinics of North America, 12(3), 493–535.

    Article  Google Scholar 

  • Cicchetti, D., & Toth, S. (1995). A developmental psychopathology perspective on child abuse and neglect. Journal of American Academy of Child and Adolescent Psychiatry, 34, 541–565.

    Article  Google Scholar 

  • Cloitre, M., Cohen, L. R., & Koenen, K. C. (2010). Treating survivors of childhood abuse: Psychotherapy for the interrupted life. New York, NY: Guilford.

    Google Scholar 

  • Cohen, J. A., Perel, J. M., DeBellis, M. D., Friedman, M. J., & Putnam, F. W. (2002). Treating traumatized children: Clinical implications of the psychobiology of post traumatic stress disorder. Trauma, Violence and Abuse, 3(2), 91–108.

    Google Scholar 

  • Coholic, D., & LeBreton, J. (2009). Mindfulness-based practices in group work with children and youths in care. In S. F. Hick (Ed.), Mindfulness and social work (pp. 121–134). Chicago, IL: Lyceum.

    Google Scholar 

  • Craig, A. D. (2008). Interoception and emotion: A neuroanatomical perspective. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), The handbook of emotion (3rd ed., pp. 272–288). New York: Guilford.

    Google Scholar 

  • De Castro, B., Bosch, J. D., Veermon, J. W., & Koops, W. (2003). The effects of emotion regulation, attribution and delay prompts on aggressive boys’ social problem solving. Cognitive Therapy and Research, 27, 153–166.

    Google Scholar 

  • De Zulutta, F. (2006). The treatment of psychological trauma from the perspective of attachment research. Journal of Family Therapy, 28(4), 334–351.

    Article  Google Scholar 

  • Decety, J., & Meyer, M. (2008). From emotion resonance to empathic understanding: A social developmental neuroscience account. Development and Psychopathology, 20, 1053–1080.

    Article  PubMed  Google Scholar 

  • DeRosa, R., & Pelkowitz, D. (2006). Treating traumatized adolescent mothers. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 219–245). New York, NY: Guilford.

    Google Scholar 

  • Farb, N. A. S., Anderson, A. K., & Segal, Z. V. (2012). The mindful brain and emotion regulation in mood disorders. Canadian Journal of Psychiatry, 57(2), 70–77.

    Google Scholar 

  • Fishbane, M. D. (2013). Loving with the brain in mind: Neurobiology and couple therapy. New York: W. W. Norton.

    Google Scholar 

  • Frewen, P. A., Lanius, R. A., Dozois, D. J. A., Neufeld, R. W. J., Pain, C., Hopper, J. W., et al. (2008). Clinical and neural correlates of alexithymia in posttraumatic stress disorder. Journal of Abnormal Psychology, 117(1), 171–181.

    Article  PubMed  Google Scholar 

  • Gagne, M., Drapeau, S., Saint-Jacques, M. C., & Lepine, R. (2007). Links between parental psychological violence, other family disturbances and children’s adjustment. Family Process, 46, 523.

    Article  PubMed  Google Scholar 

  • Garrido, E. F., Culhane, S. E., Petrenko, C. L. M., & Taussig, H. N. (2011). Psychosocial consequences of intimate partner violence (IPV) exposure in maltreated adolescents: Assessing more than IPV occurrence. Journal Family Violence, 26, 511–518.

    Article  Google Scholar 

  • Goldner, V. (2012). Romantic love: Bonds, binds and ruptures. Presentation to the Westchester Center for the Study of Psychoanalysis and Psychotherapy. March, 2013.

  • Greenberg, L. S., & Johnson, S. M. (1988). Emotionally focused therapy for couples. New York: Guilford.

    Google Scholar 

  • Gunnar, M. R., Fisher, P. A., & The EESPN. (2006). Bringing basic research on early experience and stress neurobiology to bear on preventive interventions for neglected and maltreated children. Development and Psychopathology, 18, 651–677.

    Article  PubMed  Google Scholar 

  • Hassan, U., Ghazanfar, A. A., Galantucci, B., Garrod, S., & Keysers, C. (2012). Brain-to-brain coupling: A mechanism for creating and sharing a social world. Trends in Cognitive Sciences, 16(2), 114–121.

    Article  Google Scholar 

  • Hatfield, E., Cacioppo, J. T., & Rapson, R. L. (1993). Emotional contagion. Current Directions in Psychological Science, 2(3), 96–99.

    Article  Google Scholar 

  • Jacobson, E. (1964). The self and the object world. New York: International Universities Press.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion Books.

  • Katz, E. (2009). Integrating affect regulation with mindfulness in family therapy. In S. F. Hick (Ed.), Mindfulness and social work (pp. 135–148). Chicago, IL: Lyceum.

    Google Scholar 

  • Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kinniburgh, K., Blaustein, M., & Spinazzola, J. (2005). Attachment, self-regulation and competency: A comprehensive intervention framework for children with complex trauma. Psychiatric Annals, 35(5), 424–430.

    Google Scholar 

  • Labar, K. S., & Cabeza, R. (2006). Cognitive neuroscience of emotional memory. Neuroscience, 7, 54–64.

    PubMed  Google Scholar 

  • Lax, R. F., Bach, S., & Burland, J. A. (Eds.). (1986). Self and object constancy. New York: Guilford Press.

    Google Scholar 

  • Lewis, M. D., & Stiegen, J. (2004). Emotion regulation in the brain: Conceptual issues and directions for developmental research. Child Development, 75(2), 371–376.

    Article  PubMed  Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2005). Attachment theory and emotions in close relationships: Exploring the attachment-related dynamics of emotional reactions to relational events. Personal Relationships, 12, 149–168.

    Article  Google Scholar 

  • Morris, A. S., Silk, J. S., Steinberg, L., et al. (2007). The role of the family context in the development of emotion regulation. Social Development, 16(2), 361–388.

    Article  PubMed Central  PubMed  Google Scholar 

  • Moses, E. B. T., & Barlow, D. H. (2006). A new unified treatment approach for emotional disorders based on emotion science. Current Directions in Psychological Science, 15, 146–150.

    Article  Google Scholar 

  • Phelps, E. A., & LeDoux, J. E. (2005). Contributions of the amygdala to emotion processing: From animal models to human behavior. Neuron, 48, 175–187.

    Article  PubMed  Google Scholar 

  • Rauch, S., Shin, L., & Wright, C. (2003). Neuroimaging studies of amygdala function in anxiety disorders. Annals of the New York Society of Science, 985, 389–410.

    Article  Google Scholar 

  • Schore, A. N. (2003). Affect regulation and the repair of the self. New York: W. W. Norton.

    Google Scholar 

  • Siegel, D. J. (2003). An interpersonal neurobiology of psychotherapy: The developing mind and the resolution of trauma. In M. F. Solomon & D. J. Siegel (Eds.), Healing trauma: Attachment, mind, body and brain (pp. 1–56). New York: W. W. Norton.

    Google Scholar 

  • Siegel, J. P. (2008). Splitting as a focus of couples treatment. Journal of Contemporary Psychotherapy, 38(3), 161–167.

    Google Scholar 

  • Siegel, J. P. (2010a). Stop overreacting. Oakland, CA: New Harbinger.

    Google Scholar 

  • Siegel, J. P. (2010b). A good enough therapy: An object relations approach to couples treatment. In A. S. Gurman (Ed.), Clinical casebook of couple therapy (pp. 134–152). New York: Guilford.

    Google Scholar 

  • Siegel, J. P. (2012). Denial, dissociation and emotional memories. Couple and Family Psychoanalysis, 2(1), 49–64.

    Google Scholar 

  • Siegel, D. J., & Hertzell, M. (2004). Parenting from the inside out. New York: Penguin.

    Google Scholar 

  • Suvak, M. K., & Barret, L. F. (2011). Considering PTSD from the perspective of brain process: A psychological construction approach. Journal Traumatic Stress, 24(1), 3–24.

    Article  Google Scholar 

  • Teicher, M. H., Anderson, S. L., Polcari, A., Anderson, C. M., & Navalta, C. P. (2002). Developmental neurobiology of childhood stress and trauma. Psychiatric Clinics of North America, 25(2), 397–426.

    Article  PubMed  Google Scholar 

  • Twardosz, S., & Lutzker, J. R. (2010). Child maltreatment and the developing brain: A review of neuroscience perspectives. Aggression and Violent Behavior, 15, 59–68.

    Article  Google Scholar 

  • Wiens, S. (2005). Interoception in emotional experience. Current Opinion in Neurology, 18(4), 442–447.

    Google Scholar 

  • Williams, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindful way through depression. New York: Guilford.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Judith P. Siegel.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Siegel, J.P. The Mindful Couple. Clin Soc Work J 42, 282–287 (2014). https://doi.org/10.1007/s10615-014-0489-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-014-0489-y

Keywords

Navigation