Conjoint Treatment for
Depressed Patients with
Marital Disputes (IPT-CM)
Conjoint IPT for depressed patients with marital disputes (IPT-CM) extends individual IPT techniques for use with the identified depressed patient together with her or his spouse. It incorporates aspects of marital therapies that emphasize dysfunctional communication. This chapter condenses the unpublished manual for IPT-CM, which was developed for a clinical trial comparing conjoint to individual IPT ( Foley et al., 1990). The concepts and techniques used in IPT-CM could be applied to disputes outside the marriage as well as to disputes involving unmarried heterosexual or homosexual couples. For research purposes, however, the initial formulations and clinical trial focused on disputes taking place in heterosexual married couples.
Studies show a relationship between marital disputes and depression. The direction of the association can vary: research shows both that continuing marital problems delay recovery from depression and that individual psychotherapy may have limitations in treating depressed patients with ongo