Katherine M. Hertlein

Internet Infidelity: A Critical Review of the Literature

People are using the Internet more frequently to form friendships and romances and to initiate affairs. In the present article, the authors provide a critical review of the literature on Internet infidelity. The authors examine articles that focus on the definition of Internet infidelity, attitudes toward it, factors contributing to it, treatment, and/or any information about the impact of Internet infidelity on couples and families. The authors discuss the evolving use of the computer in sexual interactions and briefly summarize and critique the existing treatment methods. Recommendations for future directions in theory, research, and practice are presented.

Technology, Relationships, and Problems: A Research Synthesis

The advances in technology alter the ways we interact with each other. For some, the use of technology can facilitate a relationship; for others, technology can complicate aspects of a relationship. The purpose of this research synthesis is to summarize current research exploring the ways in which technology impacts relationships negatively. Eight studies were reviewed across the following areas: preoperational definitions, sample, methodology, control of extraneous variables, causal influence, generalizability, validity of statistical findings, and conclusions. Implications for authors, researchers, and therapists working with couples and families struggling with technology issues are discussed.

Infidelity: An Overview

SUMMARY In this article, we provide an overview of infidelity theory, research, and treatment. We discuss the effect of infidelity on couples and delineate three types of infidelityemotional, physical, and infidelity including aspects of both. Further, we expand traditional thinking about infidelity by reviewing the role of the Internet in infidelity, and explore infidelity within the context of comarital relationships. Finally, we discuss the overarching theories and common models used in infidelity treatment.

How many bytes does it take? A content analysis of cyber issues in couple and family therapy journals

In the fifteen years since the explosion of the Internet, using cyber technology for work and social functions has exponentially increased. Yet, questions around how to manage such changes remain elusive in family therapy literature. In this investigation, we conducted a content analysis to determine to what extent marriage/couple and family therapy (M/CFT) journals have responded to the integration of the Internet in couple and family life. We found 79 of 13,274 articles across seventeen journals focused on the Internet in some capacity. Implications for clinical practice, training, and future research are discussed.

A systematic research synthesis of EMDR studies: implementation of the platinum standard

Eye movement desensitization and reprocessing (EMDR) is a psychological treatment method used primarily for people who have experienced trauma. This article provides a systematic research synthesis of EMDR studies targeting trauma symptomatology published between 1997 and 2003. This synthesis builds on the Revised Gold Standard (RGS) as a guide to evaluate empirical EMDR studies. Modifications and additions to the RGS criteria are proposed. The resulting standard is referred to as the Platinum Standard (PS). Sixteen EMDR studies are reviewed and critiqued using the PS criteria. None of the studies reviewed met full PS criteria. The mean score for the studies on the PS was 8.28, with 9 of the studies exceeding the mean. The review calls for researchers to employ more rigorous research designs for EMDR effectiveness using PS criteria. Implications for practice, policy, and research are discussed.

Four Key Dimensions for Distinguishing Internet Infidelity From Internet and Sex Addiction: Concepts and Clinical Application

Along with the advances and positives the Internet can have for relationships, there are also significant challenges to couples and families, including the potential for Internet addiction, Internet infidelity, cybersex, and other issues. The ambiguity between these concepts in literature creates difficulty in diagnosis and treatment for couple therapists. We propose four dimensions that can assist therapists to appropriately distinguish between an Internet infidelity scenario, a sex addiction facilitated by the Internet, and an Internet addiction.

Systemic Sex Therapy

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Essential Elements of Internet Infidelity Treatment

As the worldwide usage of the Internet tops 1.6 billion people, problems related to its use such as online Infidelity are becoming widespread issues for couples and, consequently, for their therapists. The purpose of this qualitative study was to understand how practicing therapists treat Internet infidelity through exploring the basic themes used in Internet infidelity treatment. We conducted in-depth interviews of 15 therapists with experience in treating Internet infidelity. Our findings indicate that therapists go through a variety of steps in treatment, including: (a) develop physical boundaries, (b) develop psychological boundaries, (c) manage accountability, trust, and feelings, (d) increase client awareness around etiology of the Internet relationship, (e) assessment of the couples context and readiness for change, (f) assess the presence of unique circumstances, and (g) work toward forgiveness. Implications and future research are discussed.

Marriage and Family Counselors’ Perceived Ethical Issues Related to Online Therapy

Technology use in the practice of couple and family therapy has many advantages. The use of online and technology-based modes of communication for therapy, however, presents several valid ethical concerns. In a survey of 226 licensed Marriage and Family Counselors, students, and supervisors, participants were asked to identify ethical concerns and drawbacks of online therapy. Five themes related to this topic emerged: (a) confidentiality, (b) impact to the therapeutic relationship, (c) licensing and liability issues, (d) issues related to crises and risky clinical situations, and (e) training and education. Implications for practice, training, and research are discussed.

The Integration of Technology into Sex Therapy

The purpose of this article is to integrate the use of technology positively within the Intersystems approach for the treatment of sexual dysfunction. First is a presentation of the problems facilitated by technology in couple relationships, particularly related to sex and sexual dysfunction and technologys role in contributing to problems within each level of the intersystems approach. Second, the pros of using technology in couple relationships are presented. Finally, treatment strategies are outlined incorporating technology consistent with the intersystems approach.