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relieving stress and strengthening the marital bond This chapter explores many of the concerns of first-time parents and couples with young children: expectations, returning to work, sex and intimacy, in-laws, leisure time, and communication It also discusses an early-intervention model aimed toward diminishing marital dissatisfaction in first-time parents For the purposes of this chapter, we will consider a couple, married once, who together are the biological parents of all children in the family, although this scenario seems less and less likely with the preponderance of blended families M A R I TA L E X P E C TAT IONS Couples enter counseling because of the real or perceived pain of one or both partners Since women are frequently the emotional caretakers of the relationship, it is often the woman who is first aware of disruption in the relationship following the birth of a child and seeks assistance.



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Randomized treatment trials Russell et al. (1987) N = 21 Eisler et al. (1997) Age = 15.3 yrs Duration = 14.4 mths Le Grange et al. (1992) N = 18 Squire-Dehouck (1993) Age = 15.3 yrs Duration = 13.7 mths Robin et al. (1999) N = 37 Age = 14.2 yrs Duration < 12 mths Eisler et al. (2000) N = 40 Age = 15.5 yrs Duration = 12.9 yrs 10.3 wks inpatient + 1 yr FU of: (a) family therapy (b) individual supportive therapy 6 mths outpatient FT: (a) conjoint family therapy (b) separated family therapy 1 1.5 yrs FT/IT (43% admitted): (a) behavioural family systems therapy (b) ego-oriented individual therapy 1 yr FT (10% admitted): (a) conjoint family therapy (b) separated family therapy





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She is also the one whose life is impacted most directly by childbirth, both physiologically and emotionally When counseling couples who are either transitioning to parenthood or adding more children to the family, it is important to help them verbalize their expectations of the changing relationship and of each other They need a mutual acknowledgment that established patterns will need to be adapted and roles renegotiated Experience from the original family strongly influences an individual s parenting style and affects decisions such as which parent will be the primary caregiver and nurturer, whether or not the wife works outside the home, the level of paternal involvement, and the emotional closeness or distance of extended family members, especially grandparents.

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Too often, couples operate from unspoken expectations, with a new mother perhaps anticipating that her husband will be the hands-on father of her childhood memory, while the new father plans to relegate to his wife all childcare and homemaking duties Mark and Angie had such a problem with unexpressed expectations Angie and Mark had agreed that Angie would stay home for at least six months following the birth of their child, Amy However, when Mark announced that he was extending his own parental leave by several weeks, without pay, to share fully in this important family event, Angie became agitated and fearful Her own father had never heard of parental leave and left all child raising to her mother Money, or the lack of it, was always an issue in her home, and the family had to make sacrifices to survive on her father s modest income.

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Mark s decision to take leave without pay and be a hands-on dad aroused fearful memories in Angie of financial hardship and concerns regarding her adequacy as a parent, since she believed Mark now looked to her as the expert in matters of childcare Their constant bickering and Angie s anxiety brought them into counseling, lamenting the loss of closeness at what they had hoped would be the happiest time of their lives..

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