ABSTRACT

For quite a while there were suggestions about how to understand and treat depression interpersonally. The underlying assumption of these views is that depression affects the relationships between the depressed person and her or his significant others and is affected by them in return. Interpersonal models of depression focus on the relationships between depressed patients and their significant others and attempt to explain etiological and maintaining factors of depression as context-related. Most of the models also outline suggestions for treatment. Interpersonal treatments of depression may be classified as focusing on general issues in the marital relationship (Friedman, 1975; Glick et aI., 1985), expansions of individual treatments like Klerman, Weissman, Rounsaville, and Chevron's (1984) individual interpersonal therapy (lPT), or Beck, Rush, Shaw, and Emery's (1979) traditional cognitive therapy, to a couple approach (Foley, Rounsaville, Weissman, Sholomskas, & Chevron, 1989; Rush, Shaw, & Khatami, 1980). However, most of the interpersonal treatments offered to depressed patients and their spouses may be identified as behaviorally oriented (Beach, Sandeen, & O'Leary, 1990; Jacobson & Margolin, 1979; McLean, Ogston, & Grauer, 1973; O'Leary & Beach, 1990) or systems theory oriented (Coyne, 1988; Gotlib & Colby, 1987; Teichman & Teichman, 1990). Each of the two last orientations has a variation which offers a combination or integration with cognitive therapy (Dobson, Jacobson, & Victor, 1988; Feldman, 1976; Jacobson, Dobson, Fruzzeti, Schmaling, & Salusky, 1991; Teichman & Teichman, 1990). It is interesting to examine the interpersonal treatments more closely and to look at studies that evaluated their efficacy.