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The Variability of the Therapeutic Process

Juan Korkie, Clinical Psychologist

A central tension in couple therapy needs to be made explicit. The work is structured, systematic, and deliberate, but the process is not predictable. It does not proceed in a linear progression.

There is an intentional sequencing of the overall process, based on what needs to develop first, both within each individual and within the interaction. Much of this centres on the modulation of intensity, ensuring that the work remains within a range that can be engaged with. Without that, sessions become dominated by escalation and the process cannot progress. This sequencing is planned and applied consistently.

What unfolds within that structure is not predictable. The course of the work is shaped by the relational pattern and by each partner’s capacity to remain in the interaction while doing something different.

Progress is not determined by whether a particular intervention has been introduced or completed. The pace is not about moving through steps, but about whether the interaction has actually shifted.

What matters is engagement with the work, both in session and between sessions, and whether that engagement produces observable change. In the early stages, this shows up in shifts in how partners respond to each other under pressure. Over time, those shifts need to consolidate and begin to appear outside the session, in everyday interaction.

The therapist does not move forward because something has been explained. The work moves forward when there is evidence that something different is happening and can be repeated. It is not about acquiring skills, but about establishing and stabilising new ways of interacting.

No two couples move through the work in the same way. The same intervention unfolds differently depending on how the interaction is structured at that point and how much each partner can tolerate.

The two individuals within the relationship almost never move at the same pace. This becomes visible when between-session tasks are introduced. Couples may return having not completed them fully, despite their relative simplicity. This is not unusual. Changing behaviour in interaction is difficult, even when it is clear and structured.

The therapist holds both partners accountable for engagement. Tasks need to be attempted, and their absence becomes part of the work. Difficulty is expected, but it does not replace participation.

Two couples may enter the same intervention and produce entirely different trajectories. One may stabilise relatively quickly and move forward. Another may return to the same point repeatedly.

Progression varies from couple to couple, shaped by the nature of the relationship and the level of engagement. What matters is not pace, but whether the interaction is changing, both in session and between sessions. Evidence of change is not in what is said, but in how the couple relate to each other, and in how they engage with the work.

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