The Relational Window of Tolerance:
Systemic Assessment of Bereaved Couples

The Relational Window of Tolerance describes how couples negotiate individual and relational coping when grieving the loss of a child.  Depending on the individual coping styles of each partner, couples may enter imbalanced, dual-fragile, or coregulatory relational states throughout their grieving process.  Each of these relational states, identified and exemplified in recent research, helps the couple to build resilience in the waves of emotional pain as they eventually form a rhythm of support for one another.  However, these “grief rhythms” can evolve in complicated ways over time, making it difficult for mental health professionals to effectively support couples in the wake of loss.  After introducing these dynamics within a systemic frame, this module will present qualitative and quantitative research that emphasizes the importance of assessing such relational states as a prerequisite to conducting individual and/or couple grief therapy.

While many couples find a constructive grief rhythm naturally, some may struggle to return to a coregulatory state swiftly and, over time, the weight of grief may become too burdensome for the relationship to tolerate. This module will examine a case study of a couple on the verge of divorce after the death of their son.  Stuck in a long-term imbalanced relational state prior to their son’s diagnosis, the couple fell into a dual-fragile state following his death, causing further distance in their already burdened relationship.  They turned to therapy to revive their connection to one another and find meaning in their shared grief.  The therapist was tasked with breaking them out of their status quo by creating new opportunities to trade off in the support role for one another.

This module will equip mental health professionals with a framework for discerning when and how to address both individual and relational needs of bereaved parents.  Through a systemic perspective on bereavement resilience, the Relational Window of Tolerance encapsulates the complex process of dyadic coping when grieving a shared loss.  This module will be followed by another on Constructing Relational Resilience, in which specific interventions are illustrated in a video recorded session.

Note: This 3-hour CE module focuses on application of psychological assessment and/or intervention methods that have overall consistent and credible empirical support in the contemporary peer reviewed scientific literature beyond those publications and other types of communications devoted primarily to the promotion of the approach.

LEARNING OBJECTIVES

  • Describe how to use the relational window of tolerance to assess bereaved couples;
  • Differentiate imbalanced, dual-fragile and coregulatory relational states; and
  • Summarize how individual coping impacts relational coping and vice versa.

Earn 3 Continuing Education (CE) Credits

Earn 1 Credit for Technique Module toward
​Certification in Family-Focused Grief Therapy
​or Certification in Meaning-Focused Grief Therapy
Offered by the Portland Institute.

 
 

PROGRAM SCHEDULE

This program contains the following video segments:

  • Grieving Together and Apart: Risk and Protective Factors for Bereaved Parents (45 mins)
  • Navigating Fragility and Stability: The Relational Window of Tolerance (45 mins)
  • Rhythm and Resonance: A Clinical Case Study (47 mins)
  • Questions for Grieving Couples: From Assessment to Intervention (43 mins)

The Relational Window of Tolerance:
Systemic Assessment of Bereaved Couples

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