In recent decades, the debate over human sexual evolution has entertained only two options: Humans evolved to be either monogamists or polygamists. This tired debate generally devolves into an antagonistic stalemate where women are said to have evolved to seek male-provisioned domesticity while every man secretly yearns for his own harem. The battle between the sexes, we're told, is bred into our blood and bones.
Couples who turn to a therapist for guidance through the inevitable minefields of marriage are likely to receive the confusing message that long-term pair bonding comes naturally to our species, but marriage is still a lot of work.
This is a problem because there is no reason to believe monogamy comes naturally to human beings. In fact, for millions of years, evolutionary forces have cultivated human libido to the point where ours is arguably the most sexual species on Earth.
I think they can work nowadays, but not for the couple in trouble visiting the therapist.