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From a clinical view it may be helpful for couples to understand betrayal during a process not in one-time event. It is mostly found that unfaithful couples show improvement during treatment more than faithful couples. Nevertheless, it is common that couples who had an affair and did not keep this affair as a secret improved more in satisfaction than others. Also, they concluded that the unfaithful spouse is more distressed than the spouse who is not involved and both partners have similar advances in therapy. The spouse who is not involved in infidelity is more distressed during therapy and also receive more gains in treatment compare to the betrayal spouse. Recent studies on treatments and infidelity designed the case study to find the efficiency of step-by-step, forgiveness-oriented approach to help recovered couples from infidelity. The first step of healing was deal with the influence of the infidelity. The second step covers the meanings and framework of infidelity and third steep helps the couples carry on after infidelity. At the end of treatment, most of the participants show a high level of forgiveness reacting to the infidelity. In another exploratory study, Atkins et al (2005a) tested the treatment of infidelity using Traditional Behavioral Couple Therapy (TBCT) and Integrative Behavioral Couple Therapy (IBCT). Their participants were 19 couples who experienced infidelity.

They compared the level of distress and course of treatment in couples who experienced infidelity and in couples seeking therapy for another reasons. They concluded that at pretreatment stage, the couples who involved infidelity suffer more than other couples. At the end of treatment the result of infidelity couples were equal with the couples without affairs. Case (2005) focused on a treatment model of infidelity that is based on a multi-dimensional process of apology and forgiveness in which spouse works toward regain trust through specific tasks. This study concluded that many couples after experiencing infidelity in their relationship work toward balancing the relationship.
Cyber affairs require the same type of therapy as “real” affairs, but with a couple of important distinctions. The therapist must not brush off the cyber-affair as any less real and damaging to a marriage than a physical affair. Non involved spouses feel betrayed, angry, and suffer the same loss of self-esteem as spouses in other types of affairs. In treating the affair, the therapist needs to work on the typical elements of “real” affairs with an exploration of the underlying causes, opening up communication and rebuilding trust.