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The first three sessions consist of an evaluation period where the therapist learns about the concerns of the couple.
In the first session, the therapist usually sees both partners together, learns what brings the couple to therapy, and obtains a brief history of their relationship.
Integrative Behavioral Couple Therapy is "integrative" in at least two senses: First, it integrates the twin goals of acceptance and change as positive outcomes for couples in therapy.
Couples who succeed in therapy usually make some concrete changes to accommodate the needs of the other but they also show greater emotional acceptance of the other.
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As a model, it is constantly being revised as new research presents.
Azrin stated that (1) human behavior is maintained by reinforcement on the person who performed the behavior (2) people have a tendency to treat others as they are treated and (3) mutual reinforcement accounts at least partially for concepts like friendships, joy, and love.
The theory is rooted in social learning theory and behavior analysis.
Early research suggested that the components of behavioral marital therapy worked as predicted.