This book provides a clear, replicable framework for working with couples navigating infertility, miscarriage, perinatal loss, and other forms of reproductive grief, equipping clinicians to help move partners from isolation toward deeper connection. Integrating interpersonal mindfulness and evidence-based couple therapy models, the book aids therapists in reducing conflict, deepening emotional connection, and supporting meaning-making in the face of loss. Rich case examples and practical interventions make this an essential guide for couple therapists working with this under-addressed form of grief. Reproductive grief affects a striking proportion of couples, yet existing therapeutic resources typically treat the couple as individual sufferers, rather than as an interdependent system. Clayton A. Brigance combines his years of clinical work and research with couples experiencing reproductive grief, along with an expert synthesis of contemporary literature on emotional processing and dyadic coping, to introduce four pillars of connection that can help couples support each other: connecting through mindful emotional attunement, navigating heightened and decisional conflict, sharing disrupted visions of parenthood, and maintaining quality sex and intimacy. Grounded in the neurobiology of trauma and the science of emotional connection, this book discusses how to utilize two well-established couple therapy modalities: emotionally focused couple therapy and Gottman method couple therapy. Practitioners are given concrete tools and exercises as well as clinical vignettes that help bring these approaches to life. Closing chapters address countertransference, self-disclosure, multicultural considerations including BIPOC and LGBTQIA couples, and the future of reproductive grief-centered couple therapy.
