A 37-year old woman who is unhappy with her marriage of 5 years is considering divorce and seeks consultation with you. She has lost 3 pregnancies in the past 3 years. Her 45-year-old husband avoids sex, even though he states he is "not unwilling" to have a child. He is not interested in psychotherapy but might be willing to come in once or twice to see what it's like.
Discuss how you would approach this case from a systems framework. Be specific about your rationale, the theoretical constructs you would employ, and the recommendation you would give her. Recommend only one approach (even though of course many are possible), and support your approach as the treatment of choice.

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The Answer of A 37-year old woman who is unhappy with her marriage of 5 years is considering divorce and seeks consultation with you. She has lost 3 pregnancies in the past 3 years. Her 45-year-old husband avoids sex, even though he states he is "not unwilling" to have a child. He is not interested in psychotherapy but might be willing to come in once or twice to see what it's like.
Discuss how you would approach this case from a systems framework. Be specific about your rationale, the theoretical constructs you would employ, and the recommendation you would give her. Recommend only one approach (even though of course many are possible), and support your approach as the treatment of choice.

A 37-Year Old Woman Who Is Unhappy with Her Marriage