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Incarceration is a major systemic issue in the United States. Many couples undergo multifaceted, complex changes in their relationship due to incarceration. The purpose of this paper is to explore the usage of the Tadros theory of change, an integrative approach to couple and family therapy, to treat incarcerated lesbian couples. A case application is provided utilizing this integrated family therapy model with a lesbian couple experiencing sexual and relational issues as well as offering clinical implications for future usage. This case emphasized how client’s narratives change over time, how the systems in their lives change simultaneously, and the impact of LGBTQ + stigma on couple functioning as they navigate the criminal justice system aids in the exploration of a client’s story. Thus, gaining an in-depth understanding of the intersection between complex issues. This paper advocates for the usage of this theory with lesbian couples within the incarcerated context to better treat this underserved population.

Treating incarcerated lesbian couples with the Tadros Theory of Change