Category: Treatment - CBT

Symposium

Intervening With Military and Veteran Couples at Risk From Marital Infidelity: An Evidence-Based Treatment

Saturday, November 18
3:30 PM - 5:00 PM
Location: Aqua Salon E & F, Level 3, Aqua Level

Keywords: Couple Therapy | Dissemination | Military
Presentation Type: Symposium

Sexual infidelity occurs in 21% of men and 11% of women in the U.S. general population, and rates among military couples are estimated to be nearly twice as high. Research documents a broad range of negative emotional and behavioral effects for individuals engaging in infidelity or learning of their partner’s affair – including partner violence, depression, suicidal ideation, acute anxiety, and substance misuse – particularly when disclosure or discovery of infidelity results in marital separation or threats of divorce.


This presentation will describe the adaptation of an evidence-based intervention for couples struggling with the impact of infidelity for dissemination to military and veteran couples. Across a 7-year period, over 400 U.S. Army chaplains were provided intensive two-day training in cohorts of 40 chaplains each as part of an advanced 6-month in-residence curriculum at the U.S. Army Chaplain School.  Preliminary findings indicated that chaplains receiving this two-day training incorporating a detailed treatment manual, didactic presentation, and video-recorded exemplars of clinical interventions not only could learn the information, but also could apply it appropriately in analog clinical situations. 


More recently, over 300 allied mental health providers have received training in this intervention protocol through a two-hour webinar administered by the Center for Deployment Psychology (affiliated with the Uniformed Services University of the Health Sciences). Preliminary evaluation data indicate clinicians’ gains in knowledge about intervening with military and veteran couples around issues of infidelity, as well as intention and preparedness to implement this protocol.


This presentation will describe logistic and clinical issues in adapting the original 20-session intervention to an abbreviated 8-session protocol. In addition, the presenter will discuss challenges in (a) transporting a psychologically-based intervention into a faith-based environment, (b) promoting treatment integrity across providers varying in basic clinical-counseling skills, and (c) evaluating both training and delivery of this protocol across diverse clinical settings.

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