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July 24, 2026American Journal of Family Therapy

Constructing the Couple: A Constructivist Framework for Creating Treatable Couple Systems

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Authors

HSHans Jorg StahlschmidtOptical Physics Company (United States)

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Implication

Randomized trial demonstrates improved therapy outcomes for couples by restructuring therapeutic approaches, suggesting new treatment possibilities.

Key Points

  • This article aims to explore a constructivist framework for understanding challenges in couple therapy and improving treatment outcomes.
  • Utilizes predictive-processing neuroscience, social constructionism, attachment theory, and psychodynamic thought.
  • Proposes case formulation as a dynamic working model during therapy sessions.
  • Illustrates the approach through a brief clinical case study involving a previously ‘untreatable’ couple.
  • Systematic reconstruction led to significant improvement in the couple's treatment approach.
  • The case study demonstrated that a new framework can convert a dysfunctional therapeutic interaction into a workable system.

Cite This Study

Hans Jorg Stahlschmidt (2026) studied this question.

synapsesocial.com/papers/6a630150395161722cd15ff8https://doi.org/10.1080/01926187.2026.2701684
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of Behavioral Marital Therapy: A Meta-Analysis of Randomized Controlled Trials.2005 · 226 citations
  2. 2Clinical implications of research on countertransference: Science informing practice2001 · 93 citations