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Signs of emotional or psychological abuse are often more subtle and harder to recognize than those of physical abuse, although the psychological impact of emotional abuse is likely to be as severe as or worse than that of physical abuse.Healthy boundaries are not present in abusive relationships, and this fact may make the therapy process difficult or impossible, as the safety of each partner is paramount to ensuring positive treatment outcomes.Each partner should demonstrate honesty, an interest in doing relationship work, and a willingness to accept personal accountability.All couples argue sometimes, but when insults, criticism, intimidation, threats, humiliation, or stonewalling become commonplace, the relationship enters the realm of emotional abuse.Third, he interprets the family-of-origin issues that may have led to those patterns, enhancing the mutual empathy and understanding between Paul and Rachel.Dalton (1959) discussed how anthropologists and ethnographic researchers access "inside information" from within a particular cultural setting by establishing networks of intimates capable (and willing) to provide information unobtainable through formal channels.Couples often approach counseling with the expectation that a therapist can help in some way—though they may not know just how they expect the therapist to help.

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In addition, family therapy can benefit families whose children are affected by the tension in their parents’ relationship.

As long as each partner is willing to address the issue at hand and participate in developing a solution, most relationship problems are manageable, but when challenges are left unaddressed, tension mounts, poor habits develop, and the health and longevity of the relationship are in jeopardy.

Strain can be placed on a relationship when stressful circumstances affect the couple as a whole, or even just one of the partners.

Some common relationship concerns include financial difficulties, barriers to communication, routine conflict, emotional distance, sexual intimacy issues, and lack of trust.

Sometimes, marriage itself can be the issue at hand for unmarried couple, when one partner wants to marry, or is subject to social or familial pressure to do so, and the other partner is reluctant or feels unready to marry.

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