Refining Therapeutic Mandates in Couple Therapy Outcome Research: A Feasibility Study

Using a series of 59 cases of couple therapy, we studied the nature, frequency, and pre-treatment correlates of therapeutic mandates. Following intake, therapists coded mandate and couples completed the Dyadic Adjustment Scale and the Relationship Attribution Measure. The distribution of therapeutic mandates showed that 45.8% wished to improve an overtly conflictual relationship, 28.8% consulted to remedy a lack of love and/or desire, and 25.4% aimed to change a specific aspect of an otherwise well-functioning relationship. Over the course of treatment, in 20% of cases, the therapeutic mandate was revised and adjusted. The results of a logistic regression analysis showed that mandate subgroups, men's marital satisfaction, women's responsibility attributions, and women's income are significantly associated with termination status.