Mediator, miracle-worker, and match-maker: all characterize our contemporary understanding of “the Marriage Counselor.” Spanning across podcasts, popular films, and reality television, the relationship therapist has earned a reputation for being the Hail Mary of couples’ conflict- a well-meaning outside perspective to reconnect partners. However, before the marriage counselor was a benevolent helper to married individuals, they were a staunch defender of marriage itself. Across the 20th century, the institutional confines of marriage continuously evolved, responding to changing socializations of race, gender, and class. Friends of the family would no longer do; Americans needed an ‘Expert.’ Eugenicists, gynecologists, welfare workers, and- eventually- therapists took up the mantle of counseling to stabilize marriage within the volatile American context. Consistently, their approaches reinforced oppressive gender norms, policed sexuality, and preserved class hierarchy. Moreover, marriage treatments remained largely inaccessible- both fiscally and emotionally- until the late 1960’s. Counseling primarily served white, middle-class couples, and even then the wives were more scrutinized than therapized. The 1970’s rise of client-directed therapy soon changed this approach, creating the empathetic marriage counselor we recognize today. Even so, America’s session notes for the 20th century would overwhelmingly read: marriage first, married people second. Despite our contemporary picture of the well-meaning mediator, the American marriage counselor has historically treated the institution of marriage before it did the married.
2022 Season trailer for the Showtime Hit "Couples Therapy." This show follows real therapist Dr. Guralnik and her clients through the ups and downs of marital counseling in the 21st century.
Cooking advice literature for wives, published in Boston Gazette on March 2, 1772.
Marriage counseling itself existed in America much before the marriage counselor. As long as there was marriage, there were nosy neighbors. In the 18th and 19th centuries, marriage was foundational to the family’s “Little Commonwealth;” it was a communal affair. Naturally, the first counselor a troubled wife or husband would seek was the family friend. Girls especially sought matriarchal elders for advice on finding a husband and becoming a desirable wife. Meanwhile, soon-to-be husbands relied on friends to police their beloved’s purity and fidelity. This collaborative approach was not limited to white couples either; in enslaved communities, “neighbors and kin found a vested interest in one another’s marriages, helping broker, solidify, or terminate relationships as the need arose” (1). Additionally, those seeking assistance found advice literature. Frequently, these newspaper columns- both secular and religious- targeted young women, placing the responsibility of upholding marriage on the wife. An 1837 advice column written by Judge Hertell reads: “a wife can never appear so interesting and amiable in the eyes of her husband, as when he sees her melting with kindness to him, and sorrowing for his sorrows” (2). Based on deference to her husband’s desires, wives were socially ranked for their respectability; not only did communities counsel marriages, they judged them for morality. For Jews, Catholics, and Protestants alike, religious interference took authority on these judgements. Puritan minister Samuel Willard of Boston saw marriage as “the first foundation of Humane Societies . . . out of which all others do arise” (3) Leaking into the 20th century, this reigning characterization of marriage as microcosmic of American society rendered marital failure a national concern. To American authorities, marriage mirrored the future of the country’s morality. Thus, it required a defender.
The first of these defenders was the Eugenicist, aiming to preserve the white, childbearing marriage. With declining white birth rates and rising immigration, the turn of the 20th century mongered fears of white extinction. In 1905, President Theodore Roosevelt expressed this anxiety, declaring America at risk for “race suicide” (4). Suddenly, the success of white families became a national security concern; the solution came in the form of Eugenic Marriage. While negative Eugenicists worked to replace miscegenation with sterilization, proponents of Eugenic Marriage focused on bolstering the ‘right’ matches. The Eugenic Marriage was characterized by a husband and wife who were intellectual, compliant with gender norms, and seemingly neurotypical. These parameters would be monitored by routine Eugenic checkups engineered for ‘marital success’ (5). Childbirth, however, was the tell-tale measure for this achievement; the American marriage required the birth of several children- as long as they were white. Meanwhile ‘mismated’ couples (i.e. disabled, nonwhite, immigrant) were seen as a threat to the American fabric itself. Marriage Council of Philadelphia Founder, Dr. Emily Hartshorne Mudd declared: “The eugenic ideal of family life is essential to the continued success of democracy” (6). While Eugenics puttered off around World War II, this sense of urgency remained. It was the American’s duty to maintain marriage; if they could not do so themselves, they had to ask for help. Soon, the Sexual Revolution of the 20’s overhauled tradition and sanctioned sexuality in the marital bed, disrupting the previous parameters for conjugal success. Couples searched for guidance outside Eugenics, and they found it in the doctor’s office.
Paul Popenoe: Eugenicist, Botanist, and Marriage Counselor. Popoenoe would later open the Institute of Family Relations in 1930’s- one of the first marriage counseling clinics in the country (Linda Hall Library).
Featured in Grant Hague's ‘The Eugenic Marriage: A Personal Guide to the New science of Better Living and Better Babies’" (1914)
Cover page of Robert B. Armitage’s Private Sex Advice to Women (1918). Again reinforcing the idea that an adequately sexual wife = happily married life.
Playing the marriage counselor, gynecologists began to count marital success not by the baby, but by the orgasm. As Freud’s psychosexual analysis and the ‘New Woman’ concept arose, the ‘sexless wife’ stereotype quickly dissipated. Good marriage now required sex as no longer a necessary evil, but a fundamental pleasure. Coming out of a prudish Victorian Era, Americans lacked the education to achieve this sexual gratification. Luckily widespread syphilis testing laws regularly landed soon-to-weds in the doctor’s office. Here gynecologists occasionally counseled men on female anatomy, but they targeted women as the sources of marital conflict well into the century. One 1957 study from The Surgical Clinics of North America advised: “[C]ases may and should be handled as if the wife were largely and completely responsible for the difficulties” (7). Experts honed in on womens’ frigidity, attributing most marital sex problems to the wife’s neurosis. They treated this neurosis through both physical and psychological means. Oftentimes (usually at the request of husbands), wives would undergo hymenal incisions and routine vaginal dilations to ease apprehension. Moreover, gynecologists steered clear of the clitoral orgasm; only teaching the vaginal orgasm would “anchor women’s erotic fulfillment to the marital bed” (8). These physiological measures paired with Freudian psychotherapy to achieve sexual success. In 1951, Dr. Walter Stokes performed a case study on Mrs. M- a virgin wife brought into his care by her husband. After month long periods of dilation and therapy, Mrs. M declared: “[N]ot only the vaginal entrance but all my sexual self seems much larger now and I feel so good about it” (9). Although it appears these doctors helped their female patients make sexual progress, this progress aimed to service men. Wives who were encouraged in their sexualities were only encouraged insofar as their pleasure depended on husbands. It did not matter what these women wanted. Counselors attached feminine sexuality to the husband in all their treatments, further enforcing the patriarchal confines of marriage.
Sims glass vaginal dilator, (British, 1880-1920)
(Science Museum Group)
President Franklin D. Roosevelt signs the Social Security Act into law on Aug. 14, 1935. (CNBC)
Among race and sexuality concerns, welfare workers utilized marriage counseling to preserve the American economy. During the Great Depression in 1929, welfare workers saw domestic cases rise dramatically. Joblessness emasculated male breadwinners, increased alcoholism, and lowered birthrates: all recipes for conjugal catastrophe. Welfare workers found themselves mediating marital discord, encouraging marriage as a vehicle for economic recovery. Couples who came to organizations like the Family Welfare Association of America received financial assistance and counseling. This counseling- primarily directed toward struggling wives- aimed to keep couples from divorcing. Marriage, after all, was good for the economy. For example, welfare workers “encouraged the wives of alcoholics to see themselves as participants in their husbands’ illness;” if wives did the emotional work, their husbands could go back to the fiscal kind (10). Essentially, if married couples could stay together, continue bearing children and buying houses, marriage could help stabilize an already insecure America. This methodology, however, quickly changed with the introduction of Roosevelt’s New Deal in 1933. Social welfare programs expanded and the economy recovered. While welfare workers were still counseling marriages, they rebranded their services to appeal to the white, middle class. In order to distance themselves from charity, these organizations discontinued aid, added fee policies, and even changed their names. In 1946, The Family Welfare Association of America became the Family Service Association of America, pandering to middle class respectability (11). This economic and political shift alienated lower class, nonwhite patients and rendered marriage counseling financially inaccessible. In gatekeeping the service, marriage counselors around the country made a statement about what marriages deserved success: those of the white, middle class. By doing so, counselors reinforced racial and class hierarchies in the structure of American marriage.
Anacin advertisement- pain reliever for headaches.
(Whitehall Laboratories Inc. 1969)
Despite financial hangups, one could argue that marriage counseling did emotionally target individuals because it used psychotherapy. Beginning in the 1930’s, the ‘Marriage Counselor’ as a profession in of itself arose. These marriage counselors- much like Dr. Stokes- tailored treatment plans to individual patients, emphasizing Freudian psychoanalysis to find unconscious sources of marital conflict. However individualized this may seem, counselors were not tailoring to married individuals as much as they were tailoring to pre-established social roles. Not only did marriage counselors therapize wives disproportionately, the Freudian psychoanalysis they used was inherently oppressive towards women and homosexuals. After World War II, working women were pushed back into the household as their husbands returned from battle. Debates over housework, child rearing, and the “Housewife Headache” drove marital tension to the counselor’s office. These counselors, once more, advised women to take on the emotional work of the adjustment, urging wives to help husbands reacclimate in hopes of restoring “[their] home[s] on a civilian pattern” (12) Not only were housewives required to complete their domestic duties, they were also required to play the counselor themselves. Moreover, marriage counselors used Freudian psychology to diagnose unconscious homosexuality as the reigning mark of marital failure. In hopes of reaching heterosexual adjustment, counselors policed femininity. One such counselor named Dr. Florence Hollis further developed this theory in her 1949 study Women in Marital Conflict, coining concepts like “The Need to Suffer.” In 1950, marriage counselor Dr. Emily Mudd revered Hollis’ theory, agreeing that the cause of marital conflict lay primarily in “personality attributes such as dependency problems, masochistic needs, unsolved parental ties, and the rejection of femininity” (13). In the end, marriage counseling only treated the individual when they were a specific kind of individual: the gender conforming, heterosexual kind. Any client who strayed outside of established sexual and gender norms was seen as pathological to the institution of marriage itself. Thus, they were incapable of marital success.
Dr. Florence Hollis- who theorized extensively about heterosexual adjustment in marriage counseling- never married. Instead she retired and lived with her close friend and colleague Rosemary Reynolds until old age.
Considering the close nature of their friendship, some historians have suggested their relationship may have been romantic.
(1957, Florence Hollis: Memories and Remembrance, Smith College School of Social Work Archive)
In the 1970’s, however, psychological advancement and cultural revolution introduced a new counselor: the marriage therapist. As wages stagnated and costs rose in the 60’s and 70’s, the family-wage eroded and gave way for the dual-income household. Moreover, the Women’s Liberation Movement and the Gay Liberation Movement disrupted the gender norms marriage counselors previously upheld. Increasingly, Americans were pushing for more egalitarian relationships- not just with their partners, but with their therapists. Edging out of Freudian theory, marriage counselors introduced conjoint counseling: marriage therapy that would treat both individuals in relation to one another. In 1963, the American Journal of Orthopsychiatry declared: “Material mainly relevant to only one partner will not be interpreted” (14). This was a drastic departure from the ‘neurotic wife’ approach of the past, reframing marriage counseling as a collaborative team-effort. Moreover, in the 1960’s, humanist Carl Rogers introduced Client-Centered therapy which required therapists to hold their patients in positive regard. Rather than having their sexuality policed by counselors, patients would be approached with empathy. Additionally, Psychologist Aaron Beck introduced Cognitive Behavioral Therapy which emphasized building and breaking patterns that affected current life events (15). Instead of looking for unconscious causes from childhood, therapists now looked to solve marital conflict by matching treatments to the clients’ prescient needs. Most strikingly however, marriage therapists began to see marriage counseling as a tool for improving self-perception. Taking class, race, and gender into account, these counselors recognized that treatment could be successful even if the couple divorced (17). Marriage was no longer the priority; the self was. Counselors sought to teach individuals ways to validate and heal their partners throughout marital conflict. In other words “changes are, thereby, affected in and supported by the marital relationship rather than the counselor-client relationship” (18). Most importantly though, marriage counselors began to understand that success of marriage cannot be determined by social norms or personal prejudices. In the words of 70’s psychologist Kathryn Johnsen: “The definition of a successful marriage must be made from the perspective of the spouses' self-concepts” (19). These treatment methods only became more integral to marriage counseling as the century came to a close. Moreover, the 80’s and 90’s brought greater acceptance of homosexuality and free love, changing the nature of coupling itself once more. Marriage counselors would become couple’s counselors and husbands/wives would become partners- all working together for marital happiness. Whereas they had previously used clients to treat the institution of marriage, counselors were now using marriage to help treat the individual clients.
The first women’s liberation march on 6 March 1971 from Hyde Park to Trafalgar Square.
(Photograph: Tony McGrath/The Observer)
Aaron Beck’s 1988 book, applying cognitive therapy to couples’ counseling.
(Book Cover from Amazon)
Clearly, marriage and couples' counseling have changed dramatically in our contemporary context. In this clip from "Couples Therapy," a cisgender woman and trans woman discuss how top surgery affected their relationship.
This just goes to show that counselors must continue to adapt as history moves us forward.
Nowadays, marriage counseling has divorced itself from the oppressive therapies of the past. With new standardized processes that precede becoming a Licensed Marriage and Family Therapist, eugenicists, gynecologists, and neighbors can no longer play the ‘expert.’ As it has throughout history, the structure of marriage itself continues to change. Obergefell v. Hodges (2015) bolstered same-sex marriage as a human right, and life partnerships are increasingly developing without the marital label. Polyamory, coparenting, and cohabitation continue to alter the meaning of American partnership, and it is the marriage counselor’s responsibility to adjust. With so many social changes afoot, the reality is there is no ‘expert’ on marriage as a whole. The therapist’s job is simply to support individual partners in their own respective contexts. Every marriage is different because every individual is different. Marriage counseling, however, still remains largely expensive (as is most therapy), and therapists themselves all have their own implicit biases surrounding race, class, and gender. That is why, it is entirely essential for those interested in the discipline to understand its history. Marriage counseling, despite its progress, is still founded on a century of institutional power structures that idolize white, heterosexual partnership. It is, thus, the contemporary marriage counselor’s mission to subvert these expectations and care wholeheartedly for the married individual. Not just the marriage.
Davis, Rebecca L. More Perfect Unions: The American Search for Marital Bliss. (Cambridge, MA: Harvard University Press, 2010), 15.
Hertell, “Advice to a Young Lady After her Marriage” Christian Secretary (1822-1889), Jul 08, 1837, https://ezproxy.bu.edu/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fmagazines%2Fadvice-young-lady-after-her-marriage%2Fdocview%2F124287186%2Fse-2%3Faccountid%3D9676, 104.
Davis, More Perfect Unions, 13.
Davis, More Perfect Unions, 13.
Hague, W. Grant. The Eugenic: Marriage a Personal Guide to the New Science of Better Living and Better Babies, in Four Volumes, 3. (New York: Review of Reviews, 1914).
Mudd, Emily H. "Report of Committee on Marriage and Family Counseling." Living, No. 2 (Iowa: 1940), 51.
Gause, Ralph W., and Robert W. Laidlaw. "The Gynecologist’s Role in Marriage Counseling." The Surgical Clinics of North America, 37, no. 2 (1957), 548.
Davis, More Perfect Unions, 43.
Stokes, Walter R. et al. “A Marriage Counseling Case: The Married Virgin.” Marriage and Family Living 13, no. 1 (1951): 29–34. https://doi.org/10.2307/347463, 30.
Davis, More Perfect Unions, 92.
Davis, More Perfect Unions, 85.
Emily Mudd and the Marriage Council of Philadelphia (as quoted in Davis, More Perfect Unions, 76).
Mudd, Emily H. "Hollis, Florence. ‘Women in Marital Conflict’ (Book Review)." Annals of the American Academy of Political and Social Science 267 (1950), 240.
Watson, A. S. The Conjoint Psychotherapy of Marriage Partners. American Journal of Orthopsychiatry, 33, no. 5, (1963). https://doi.org/10.1111/j.1939-0025.1963.tb01054.x, 915.
Epstein, Norman, and Donald H Baucom. "Outcome Research on Cognitive-Behavioral Marital Therapy." Journal of Family Psychology 1, no. 4 (1988): 378-84.
Luckey, Eleanore B. "Implications for Marriage Counseling of Self Perceptions and Spouse Perceptions." Journal of Counseling Psychology 7, no. 1 (1960): 3-9.
Johnsen, Kathryn P. “Self-Concept Validation as the Focus of Marriage Counseling.” The Family Coordinator 17, no. 3 (1968): 174–80. https://doi.org/10.2307/582258. 180
Johnsen, 174.
Julie Derraik grew up in North Carolina, but the majority of her family resides in Rio de Janeiro, Brazil. She stays connected to her relatives by listening to excessive Bossa Nova, chasing down latin food, and scribbling lots of sappy poetry. Currently, she is studying sociology with two minors in psych and film/tv. In the future, she would love to work as a relationship therapist and/or intimacy coordinator on movie sets. Her most prized possession is a tie between her poetry wall and her trusty dusty journal.