The number of individuals experiencing Alzheimer’s disease is increasing as the population ages. The majority of individuals experiencing Alzheimer’s disease receive care from a family member, most often a spouse or adult child. Adult child caregivers have unique needs and life situations that put them at increased risk for caregiver burden and burnout. While both individual therapy and family therapy have been used with family caregivers, little scholarship has explored the role of couples therapy in improving caregiver outcomes. This article explores contributing factors to adult child caregiver burden and applies contextual therapy to treat these problems in couples therapy. We use a clinical vignette to illustrate the application of fairness, balance, loyalty conflicts, and constructive/destructive entitlement to caregiving. In all, we identify common dynamics in couples wherein one or both partners are primary caregivers for parents with Alzheimer’s disease and provide clinical suggestions on how to assess and treat these challenges in couples therapy.

随着人口老龄化，经历阿尔茨海默氏病的人数正在增加。大多数患有阿尔茨海默氏病的人都会得到家庭成员的照料，通常是配偶或成年子女。成年儿童保姆有独特的需求和生活状况，使他们面临增加保姆负担和倦怠的风险。虽然个体护理和家庭疗法都已与家庭护理员一起使用，但很少有学者研究夫妻疗法在改善护理员结局中的作用。本文探讨了成年儿童保姆负担的影响因素，并应用情境疗法来解决夫妻疗法中的这些问题。我们使用临床插图来说明公平，平衡，忠诚度冲突以及对护理的建设性/破坏性权利的应用。在所有，