LMSW Practice Test

The most important contraindication for marital therapy is

1. one partner's acting out behavior, e.g., infidelity, noncompliance with agreements

2. paranoid reactions by a marital partner

3. the fragility of one marital partner's defense

4. the therapist's inability to prevent a marital partner from using sessions for aggressive, hostile and destructive purposes against his or her mate

The correct answer is: one partner's acting out behavior, e.g., infidelity, noncompliance with agreements

The most important contraindication for marital therapy is one partner's acting out behavior, such as infidelity or noncompliance with established agreements. This type of behavior often creates significant barriers to effective communication and trust within the relationship. When one partner is engaging in infidelity or similar actions, it not only undermines the foundational trust required for a successful therapeutic process but also can lead to emotional harm and increased conflict during sessions. Marital therapy relies heavily on both partners being committed to the therapeutic process and willing to work on their issues collaboratively. If one partner is engaged in acting out behavior, it can shift the focus away from resolving the underlying relational difficulties and instead foster an environment of blame, resentment, and defensiveness. This can hinder progress and create further complications in the therapeutic process, making it crucial to address such behaviors before engaging in joint therapy sessions. In contrast, while paranoid reactions, fragility in defense mechanisms, or hostile behaviors pose challenges to therapy, they do not inherently prevent the parties from working towards reconciliation or improving communication, provided that the individuals are committed to the process. Thus, addressing acting out behaviors is critical for setting a healthier context for marital therapy.