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What are the two types of distress described in the enhanced CBCT model and how do they differ?

The enhanced CBCT model describes two types of distress: primary distress and secondary distress. Primary distress arises from unmet fundamental needs and desires within the relationship, while secondary distress results from maladaptive strategies partners use in response to their unmet needs, such as withdrawal or verbal abuse.

In the enhanced CBCT model, primary distress is identified as the dissatisfaction stemming from unmet fundamental needs, such as intimacy or autonomy, which can lead to negative interactions between partners. In contrast, secondary distress is characterized by the maladaptive behaviors that partners adopt in response to their primary distress, such as withdrawing or engaging in verbal abuse. This secondary distress often exacerbates the relationship issues, creating a cycle of conflict and further dissatisfaction.

Key points

  • Primary distress is due to unmet fundamental needs in the relationship.
  • Secondary distress arises from maladaptive strategies used in response to primary distress.
  • Both types of distress contribute to relationship dissatisfaction.
  • Addressing both primary and secondary distress is essential for effective therapy.
Source:Clinical Handbook of Couple Therapy· Gottman Couple Therapy· p. 49–87

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Clinical Handbook of Couple Therapy

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