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FORGIVENESS IN INTIMATE RELATIONSHIPS: THE IMPACT OF HOPE- FOCUSED MARRIAGE THERAPY Presented at APA Division 36 6 th Annual Mid-Year Conference on Religion and Spirituality February 29, 2008 By: Leon, C., Ripley, J.S., Davis, W., Mazzio, L., Smith, A. Regent University
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Method 8 free couples therapy sessions + $75.00 for completing research component Exclusion criteria (considering divorce, violence, extended leave, etc.) Some participants referred for individual therapy (i.e. depression) Consent for use of religious references Random assignment Religiously enriched treatment group (n= 52)(Explicitly religious) Standard treatment group (n= 56) (Implicitly religious) Wait-list control group (n= 20) First 4 sessions largely skill based, last 4 sessions more emotion-focused
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Participants 70 couples completed the screen and a baseline assessment 58 couples completed the intake session 42 of those couples completed all eight sessions of treatment Median age 34 years old; 71% Caucasian, 17% African-American, 8% Hispanic, and 2% Asian Half participants highly religious, half participants moderate religiosity; 37.53 average (SD=9.24) on the RCI; 93% identified as Christian, 1 Atheist, 1Agnostic, 4 “other.” Among Christian participants, 70 did not affiliate with any particular tradition, 47 Protestant tradition, and 10 Catholic tradition. 77% in 1 st marriage, 15% in 2nd, 4 participants in 3rd, 1 couple each in their 4th and 5th marriage. 2 couples engaged to be married. Largely early-marriage with median length of marriage being four years.
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Assessments Revised Dyadic Adjustment Scale Relationship Commitment Scale Behavioral Coding (IDCS) Gordon-Baucom Forgiveness Inventory Other research data collected on weekly basis from participants and counselors Other measures for clinical purposes: Beck Depression Inventory-PC, Screens for violence and divorce potential, Open-ended questions
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Gordon-Baucom Forgiveness Inventory (Gordon & Baucom, 2005) Two-part situational forgiveness measure. Assesses self-reported forgiveness toward partner, using Gordon and Baucom’s (1998) 3- stage model of forgiveness. Instructions: Event or events where partner did something that hurt you and it disrupted the relationship. Briefly describe, then rate (23- items). Scores for three scales. Each scale corresponds to one of the three stages of forgiveness: 1) “impact” stage, 2) “meaning” stage, and 3) “moving on” stage. Assessments
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Gordon-Baucom Forgiveness Inventory (cont.) Stage I is the “impact” stage: where the injured partner begins to realize the effect of the offense upon him-/herself and his/her relationship Stage II is the “meaning” stage: where the partner attempts to discover why the offense occurred (makes partner’s behavior more understandable and predictable) Stage III is the “moving on” stage: where the injured person intentionally seeks to move beyond the offense and stop allowing it to control his/her life 5-month follow up: Completed GB inventory 2x: once for original offense & once for offense discussed during in-session forgiveness intervention Assessments
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Forgiveness Literature Distinction between decisional and emotional forgiveness. GB looks at both but more so at decisional (Worthington, E.L.,Van Oyen Witvliet, C., Pietrini, P. & Miller, A.J., 2007) Distinction between situational and dispositional forgiveness. GB looks at situational (Vaughan, 2001; Burchard et al., 2003) Forgiveness interventions most effective when hurt is pre- identified (Reed & Enright, 2006; Gordon et al., 2004; Alvaro, 2001; Sells et al., 2002) Forgiveness interventions most effective for serious and specific offenses (e.g., affairs, financial offenses) (Reed & Enright, 2006; Gordon et al., 2004; Alvaro, 2001; Sells et al., 2002)
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It is hypothesized that participants in couples therapy (regardless of religiously enriched or standard treatment) will experience increased forgiveness for their partner from pre to post-intervention compared to those in the wait-list condition, as measured by the Gordon-Baucom Forgiveness Inventory. The partners will demonstrate forward movement in the Gordon- Baucom stage theory of interpersonal forgiveness. From pre-test to post-test the couples will significantly increase in overall marital satisfaction as measured by the RDAS and relationship commitment as measured by the RCS Finally, the data will be examined to see if assignment to religiously-enriched version of the intervention will have increased forgiveness scores compared to those in the standard version of the intervention Hypothesis
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Results Repeated measures MANOVA with general relationship measures (RDAS, RCS) Repeated measures MANOVA with Gordon-Baucom focused on initial offense Repeated measures MANOVA with Gordon-Baucom focused on event from forgiveness-focused counseling sessions Repeated measures MANOVA with IDCS behavioral coding measures- positive, negative, positive escalation and negative escalation
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Omnibus Results Going to run 14 analyses, so modified Bonferroni alpha =.004 Wait-list (8 couples) dropped due to missing data + 2 couples who got a lot better. Time was a significant factor overall, Wilks’ Lambda=.24, F (18, 26) = 4.54, p<.001. However, there was not a significant difference time X condition interaction, Wilks’ Lambda=.39, F (18,25)= 2.15, p=.05, not significant. Univariate results were similar.
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Wilks’ Lambda=.79; F (6,352)=7.15, p<.001 RDAS F test (1,59) = 13.77, p<.001 Revised Dyadic Adjustment Scale Relationship Commitment Scale RCS F test quadratic F(1,59)=6.12, p =.02
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IDCS Behavioral coding Wilks’ Lambda=.82; F(12,445)=2.84, p=.001
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Wilks’ Lambda =.59; F(6,200)=10.21, p<.001 Gordon-Baucom Wilks’ Lambda =.45; F (6,46)=9.45, p<.001
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All together MANOVA = partial ŋ 2 =.76 Measure ŋ2ŋ2 ŋ2ŋ2 Dyadic Adjustment.20Positive code Negative code.08.04 Commitment.06Pos. escalation Neg. escalation.11.10 Original Forgive- impact stage.28Counsel Forgive- impact stage.27 Original Forgive – meaning stage.23Counsel Forgive- meaning stage.22 Original Forgive- moving on stage.17Counsel Forgive- moving on stage.17 Effect Sizes
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