Couples often come to therapy in the aftermath of infidelity. Their marriage is in crisis, their emotions are intense, and you are required to quickly organize a lot of complex information into a coherent treatment plan. How do you do this with confidence?
Discover what to look for, how to delineate core treatment issues in the initial, middle and termination stages of therapy. Next, use 10 parameters to assess the meaning of the infidelity and then uncover the major types of lies and deception to give you a solid way to determine what to address and when.
Learning Objectives
Outline:
Session Introduction
Ellen Bader discusses managing infidelity in couples therapy.
Highlights common therapist challenges: conflict avoidance, over-identifying with betrayed partner, addressing deception without shaming.
Understanding Infidelity
Infidelity profoundly disrupts trust, attachment, family plans, and self-esteem.
Important to evaluate deeper meanings behind affairs and address obsessive rumination constructively.
Therapeutic Approaches
First stage: Assess couple’s motivation, commitment, and willingness to honestly confront issues.
Therapists should directly address patterns of lying, conflict avoidance, and emotional maturity.
Case Example
Four-year affair involving husband and nanny, discovered after wife's cancer treatment.
Emphasis on husband's lack of self-awareness, need for honesty, and wife's struggle with trust and obsessive questions.
Value of Rumination
Rumination can guide therapy by uncovering critical details and patterns.
Therapists encourage direct questioning, vulnerability, and creating shared understanding.
Effective vs. Ineffective Repair
Effective: Genuine remorse, honesty, self-reflection.
Ineffective: Avoidance, defensiveness, superficial apologies.
Role of Emotions
Couples must openly confront shame, anger, fear, and pain.
Therapist’s role includes guiding emotional expression and reinforcing therapeutic commitment.
Addressing Multiple Affairs
Requires strong assessment of motivation and clear evidence of honesty (e.g., transparency with phone/social media).
Collaboration with individual therapists may be essential.
Rebuilding Trust
Repeated honesty is crucial.
Therapists must address deep fears and conflict-avoidant behaviors.
Effective Communication & Curiosity
Encouraging open dialogue, genuine curiosity, and self-reflection.
Developing a mutual understanding and shared meaning around the affair.
Trusting Intuition
Partners should trust their instincts post-infidelity.
Rebuilding self-esteem and developing a clear personal voice is vital, especially for betrayed partners.
Future Concerns
Avoid rushing to reassurance; focus on deep conversations to build trust and emotional safety.
External reassurances from therapists are insufficient; partners must trust themselves and each other.
Responsibility vs. Blame
Three therapeutic stages: addressing blame, processing grief, exploring reasons behind the affair.
Therapists adjust confrontation styles based on severity of lies and deception.
Sexless Marriages & Prevention
Addressing sexless dynamics involves honest, difficult conversations.
Honesty prevents infidelity; couples may consider new arrangements if openly discussed.
Assessing Honesty & Initiative
Betraying partner must proactively address tough topics in therapy.
Both partners recognize their role in relational dynamics leading to infidelity.
Final Thoughts
Importance of therapists being comfortable with varied confrontation styles.
Recommend resource: Tell Me No Lies for further guidance on addressing infidelity.
Ellyn Bader, PhD, is a founder and director of The Couples Institute in Menlo Park, California. As a clinical psychologist, workshop leader, author, and speaker, she is dedicated to helping couples create extraordinary relationships. Over the past 30 years she has trained therapists in couples therapy throughout the United States as well as Europe, Asia, South America, and Australia. She served as a Clinical Faculty in Stanford University School of Medicine for 8 years.