While it is likely that Couple and Family Therapists will treat clients with interpersonal trauma history, not much is known about how interpersonal trauma history associates with the therapy process in couple and family therapy settings. The aims of this study were twofold: (1) describe the types of interpersonal trauma that couples, seeking treatment for relationship issues, have experienced, and (2) investigate how this history of interpersonal trauma was associated with the process of treatment, including therapeutic alliance, number of sessions attended, and termination status. Data were collected through a survey distributed upon consent at an on-campus couple and family therapy clinic. Participants included 73 couples who were assessed for physical abuse, sexual abuse, and experiences of abandonment using Carlson et al.’s (Psychol Assessment 23(2):463, Carlson et al., Psychological assessment 23:463, 2011) Trauma History Screen. Using content analysis, responses were categorized into three groups: both partners, only one partner, and no partners reported having experienced an interpersonal trauma. Results revealed that just under 50% of individuals had experienced some type of interpersonal trauma, affecting 71.2% of couples. Quantitative analyses were conducted to assess for significant differences, and effect sizes, among trauma categories in terms of number of sessions attended, termination status, and therapeutic alliance. Results suggested that couples who had previously experienced interpersonal trauma, particularly when both partners reported interpersonal trauma, may be more likely to terminate without agreement or no-show. Future researchers should continue to investigate how the presence of interpersonal trauma in dyads associates with the therapeutic process and clinical outcomes to better inform couples’ therapy treatment.

中文翻译：

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夫妻和创伤史：人际创伤和临床结果的描述性概述

虽然夫妻和家庭治疗师很可能会治疗有人际关系创伤史的客户，但人们对人际关系创伤史如何与夫妻和家庭治疗环境中的治疗过程相关联知之甚少。本研究的目的有两个：(1) 描述寻求治疗关系问题的夫妻所经历的人际创伤类型，以及 (2) 调查这种人际创伤史如何与治疗过程相关联，包括治疗联盟、参加的会议数量和终止状态。数据是通过在校内夫妇和家庭治疗诊所经同意分发的调查收集的。参与者包括 73 对夫妇，他们使用 Carlson 等人对身体虐待、性虐待和遗弃经历进行了评估。's (Psychol Assessment 23(2):463, Carlson et al., Psychological Assessment 23:463, 2011) Trauma History Screen。使用内容分析，反应被分为三组：两个合作伙伴，只有一个合作伙伴，没有合作伙伴报告经历过人际关系创伤。结果显示，只有不到 50% 的人经历过某种类型的人际关系创伤，影响了 71.2% 的夫妻。进行了定量分析以评估创伤类别在参加会议次数、终止状态和治疗联盟方面的显着差异和影响大小。结果表明，以前经历过人际关系创伤的夫妻，特别是当双方都报告人际创伤时，更有可能在没有达成协议或不露面的情况下终止婚约。