title: Difficulties in the middle years of marriage: the role of the family physician.
abstract: Many more couples are splitting up after relatively long periods of marriage. The family physician can help them see whether this response is to breakdown of the marriage or to the inevitable stresses of middle life. A stepwise approach to such an evaluation need take only four to six sessions, covering trust, refocussing, validation, encouragement, clarification and feedback.
authors.forename: A
authors.initials: A
authors.lastname: Lyall