Integrative Behavioral Couples Therapy (IBCT) is a relatively new approach that has garnered promising scientific support. It is “integrative” in at least two senses. First, it integrates the twin goals of acceptance and change as positive outcomes for couples in therapy. Second, IBCT integrates a variety of treatment strategies from a behavioral theoretical framework.

In essence, IBCT assumes that relationship problems not only result from action and inaction of partners but emotional reactivity to behaviors. IBCT focuses on the emotional context between partners and strives to achieve greater acceptance and intimacy between partners, while making deliberate, targeted changes. This is done through processing partners’ reactions to each other’s communication, versus teaching a “correct” way to communicate. This focus allows responses (natural contingencies) to shape behavior. With IBCT, individuals are more open to adapting to each other and accommodating in ways that reduce conflict. They are also more willing to communicate, negotiate, or problem-solve more effectively since they are no longer adversaries.