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Outcomes for Emerging Therapists: Synthesizing Two Decades of Trainee-Centered Research in C/MFT Master's Programs 新兴治疗师的结果:综合二十年C/MFT硕士项目以学员为中心的研究
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-29 DOI: 10.1111/jmft.70069
Nicholas T. Triplett

In 2005, the Commission on Accreditation for Marriage and Family Therapy Education announced its transition to an outcomes-based accreditation model for C/MFT training programs. This transition to outcomes-based C/MFT education was lauded for bringing newfound freedom to instructors in C/MFT graduate programs and for ushering a paradigm shift toward collaborative, student-responsive clinical pedagogy in C/MFT training. The current study utilized a systematic research synthesis approach to explore how trainees' experiences are being conceptualized in the empirical research on master's-level C/MFT following the field's transition to outcomes-based education. Results indicated that trainees' experiences within the training context are a prevalent element in recent training-focused research, with many studies presenting trainees' experiences as a relevant factor for understanding how a given training “input” influences a trainee's eventual development of training-related skill and competency outcomes. Recommendations for instructors, C/MFT faculty, and future research toward evidence-informed clinical pedagogy are provided.

2005年,婚姻和家庭治疗教育认证委员会宣布,对C/MFT培训项目实行以结果为基础的认证模式。这种向基于结果的C/MFT教育的转变受到称赞,因为它给C/MFT研究生课程的教师带来了新的自由,并在C/MFT培训中引领了一种向协作、学生响应的临床教学法的范式转变。本研究采用系统的研究综合方法,探讨硕士水平的C/MFT在向成果导向型教育转型后,如何在实证研究中概念化受训者的经验。结果表明,在最近以培训为重点的研究中,受训者在培训背景下的经历是一个普遍的因素,许多研究将受训者的经历作为理解特定培训“投入”如何影响受训者最终发展与培训相关的技能和能力结果的相关因素。对教师、C/MFT教师和循证临床教学法的未来研究提出了建议。
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引用次数: 0
Postoperative BMI Differences in Patients With an Insecure Attachment to Close Family Members With a History of Bariatric Surgery 与有减肥手术史的亲密家庭成员有不安全依恋的患者术后BMI差异
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-29 DOI: 10.1111/jmft.70070
Megan E. Perez, Jared Durtschi, Keeley Pratt

With the rise in metabolic and bariatric surgery (MBS), many patients likely have family members who also underwent MBS, yet how attachment to these relatives affects surgical outcomes remains unclear. Understanding this relationship is crucial, as attachment influences emotional regulation, self-efficacy, and behavior change—key factors in long-term weight management and surgical success. This study examined whether attachment styles influenced body mass index (BMI) changes from presurgery to 6 months postsurgery in 123 MBS patients. Patients with higher avoidant attachment to a family member who had MBS had higher BMI at intake (b = 3.16) but showed more rapid weight loss over 6 months (b = − 2.02). Anxious attachment was unrelated to intake BMI but predicted less favorable BMI trajectories over 6 months (b = 0.82). Findings underscore the importance of considering attachment dynamics in families where multiple members have undergone MBS.

随着代谢和减肥手术(MBS)的增加,许多患者可能有家庭成员也接受了代谢和减肥手术,但对这些亲属的依恋如何影响手术结果尚不清楚。理解这种关系是至关重要的,因为依恋会影响情绪调节、自我效能和行为改变——这些都是长期体重管理和手术成功的关键因素。本研究调查了123例MBS患者手术前至术后6个月依恋类型是否影响体重指数(BMI)的变化。对患有MBS的家庭成员有较高回避依恋的患者在摄入时BMI较高(b = 3.16),但在6个月内体重减轻更快(b = - 2.02)。焦虑依恋与摄入BMI无关,但预测6个月后的BMI轨迹不太有利(b = 0.82)。研究结果强调了在多个成员经历了MBS的家庭中考虑依恋动态的重要性。
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引用次数: 0
Polyamorous Individuals' Jealous and Compersive Responses to Their Partner's New Relationship Energy: The Role of Mindfulness, Emotion Regulation, Distress Tolerance, and Empathy 多角恋个体对伴侣新关系能量的嫉妒和综合反应:正念、情绪调节、痛苦容忍和共情的作用
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-29 DOI: 10.1111/jmft.70068
Channing R. Clemons-Castaños, Sharon M. Flicker

This study sought to address the gap in understanding polyamorous individuals' responses to their partner's New Relationship Energy (i.e., the excited giddiness of burgeoning intimate relationships) with another partner. Individuals who reported greater mindfulness were hypothesized to report less jealousy (through better emotion regulation, distress tolerance, and the undoing effect) and greater compersion (through empathy). Polyamorous participants (N = 122) were recruited online and anonymously completed surveys through Qualtrics. Mindfulness was associated with lower jealousy through greater emotion regulation, greater distress tolerance, and, to a lesser extent, the undoing effect. Mindfulness was also associated with greater compersion, but not through empathy. Findings may help researchers and clinicians better understand the range of reactions one might have to a partner's New Relationship Energy with another intimate partner and facilitate the development of interventions for individuals who desire to have a different emotional response.

这项研究试图解决理解多角恋个体对其伴侣与另一个伴侣的新关系能量(即,迅速发展的亲密关系带来的兴奋和眩晕)的反应的差距。据推测,那些报告更专注的人更少嫉妒(通过更好的情绪调节、痛苦容忍和抵消效应)和更大的同情心(通过同理心)。多角恋参与者(N = 122)通过网上招募,并通过qualics匿名完成调查。正念通过更强的情绪调节、更强的痛苦容忍度,以及在较小程度上的抵消效应,与较低的嫉妒程度相关联。正念也与更大的同情心有关,但不是通过同理心。研究结果可能有助于研究人员和临床医生更好地理解一个人与另一个亲密伴侣的新关系能量可能产生的反应范围,并促进对希望有不同情绪反应的个人的干预发展。
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引用次数: 0
Profiles and Transitions of Adolescents' Differentiation of Self and Perceived Social Support: Associations With Loneliness and Depressive Symptoms 青少年自我和感知社会支持分化的概况和转变:与孤独和抑郁症状的关系
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-24 DOI: 10.1111/jmft.70063
Yifan Li, Yingying Ye, Xima Yang, Jiali Huang, Zijian He, Zhengyi Liu, Xiao Zhou

We aimed to investigate the coexistence, profiles, and transitions of differentiation of self (DoS) and perceived social support (PSS), and the associations between transitions and adolescents' loneliness and depressive symptoms. We surveyed 1342 adolescents (Age: M = 14.14, SD = 1.60) in November 2019 (T1), November 2020 (T2), and November 2021 (T3). We conducted cross-lagged panel modeling (CLPM), latent profile analysis (LPA) using dimensions of DoS (i.e., emotional reactivity, I position, emotional cutoff, fusion with others) and PSS (i.e., family, peers, and others), and random intercept latent transition analysis (RI-LTA). CLPM revealed that PSS influenced subsequent DoS. LPA and RI-LTA identified nine transitions between four profiles (Parallel Low DoS and PSS; Low I Position and PSS; Parallel High DoS and PSS; Low I Position and High PSS). Stable or decreasing DoS and PSS characterized risk for loneliness and depressive symptoms, whereas synchronic increasing of I position and PSS characterized risk for loneliness.

本研究旨在探讨自我分化(DoS)和感知社会支持(PSS)的共存、概况和转变,以及转变与青少年孤独和抑郁症状的关系。我们于2019年11月(T1)、2020年11月(T2)和2021年11月(T3)对1342名青少年(年龄:M = 14.14, SD = 1.60)进行了调查。我们进行了交叉滞后面板模型(CLPM)、潜在剖面分析(LPA),使用DoS(即情绪反应性、I位置、情绪切断、与他人融合)和PSS(即家庭、同伴和他人)的维度,以及随机截距潜在转移分析(RI-LTA)。CLPM显示PSS影响随后的DoS。LPA和RI-LTA在4个剖面(平行低do和PSS、低I位置和PSS、平行高do和PSS、低I位置和高PSS)之间发现了9个过渡。稳定或降低的DoS和PSS表现出孤独和抑郁症状的风险,而I位和PSS的同步增加则表现出孤独的风险。
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引用次数: 0
Exploring Infidelity Behavior Patterns in a Sample of Peruvian Young Adults: A Latent Class Analysis 在秘鲁年轻人样本中探索不忠行为模式:一个潜在阶层分析
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-22 DOI: 10.1111/jmft.70066
José Ventura-León, Ammy Reyes, Pablo D. Valencia, Shirley Tocto-Muñoz, Goldie Gamboa-Melgar, Jonathan Ruiz-Castro, Cristopher Lino-Cruz

Infidelity has been widely researched; however, few studies have analyzed its behavioral patterns holistically using a person-centered approach. This study, with a sample of 400 young adults (Mage = 25.28; SD = 7.24), identified patterns of unfaithful behavior by using latent class analysis to classify subgroups with distinct patterns. The 20-item Likert-scale Multidimensional Infidelity Inventory-S (MII-S) was used to assess sexual and emotional infidelity. The results indicated four latent classes: infidelity (15.7%), sexual desire (14.4%), emotional interest (27.2%), and fidelity (42.5%). In addition, age and sex were significantly related to class membership. On the other hand, men were more likely to belong to the sexual desire class and women to the emotional interest and fidelity classes. For sexual orientation or relationship duration, there were no significant differences. Implications for clinical practice and research are discussed

人们对不忠进行了广泛的研究;然而,很少有研究使用以人为本的方法对其行为模式进行全面分析。本研究以400名年轻人为样本(Mage = 25.28; SD = 7.24),通过潜在类分析对具有不同模式的亚组进行分类,确定了不忠行为的模式。本研究采用李克特多维出轨量表(MII-S)来评估性出轨和情感出轨。结果显示了四个潜在类别:不忠(15.7%)、性欲(14.4%)、情感兴趣(27.2%)和忠诚(42.5%)。此外,年龄和性别与班级成员显著相关。另一方面,男性更有可能属于性欲阶层,而女性更有可能属于情感兴趣和忠诚阶层。在性取向和关系持续时间方面,没有显著差异。对临床实践和研究的意义进行了讨论
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引用次数: 0
Barriers to Systemic Therapy Services Among Transgender and Nonbinary Adults in Canada 加拿大跨性别和非二元性成年人接受系统治疗服务的障碍
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-21 DOI: 10.1111/jmft.70064
Chichun Lin, Nate Fuks, Lukas Maitland, Haeon Kang

Systemic therapies, including relational, couple, marriage, and family therapy services, play a key role in supporting transgender and nonbinary people who experience mental health and relational challenges. However, limited research studies have examined this population's barriers to accessing these therapy services. This study aimed to explore these barriers to enhance the cultural competence of relational and family therapists. This study involved 12 TNB adult participants in Canada. Regarding methodology, the semi-structured interviews were conducted via Zoom and recorded, and the interpretative phenomenological analysis was applied. The results included the following: (1) Challenges in finding competent and affirming therapists; (2) Geographic limitations; (3) Financial concerns; and (4) Systemic and institutional barriers to accessing RCMFT services. The results can be shared in teaching, supervision, workshops, and conference presentations to improve cultural competence and reduce the barriers.

系统治疗,包括关系、夫妻、婚姻和家庭治疗服务,在支持经历心理健康和关系挑战的跨性别和非二元性别人群方面发挥着关键作用。然而,有限的研究调查了这一人群获得这些治疗服务的障碍。本研究旨在探讨这些障碍,以提升关系治疗师和家庭治疗师的文化能力。这项研究涉及加拿大的12名TNB成年参与者。在方法论上,采用Zoom进行半结构化访谈并进行记录,采用解释性现象学分析。结果包括:(1)在寻找称职的治疗师和肯定治疗师方面面临挑战;(2)地理限制;(3)财务问题;(4)获得RCMFT服务的系统性和体制性障碍。结果可以在教学、监督、研讨会和会议演讲中分享,以提高文化能力并减少障碍。
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引用次数: 0
Estimating Dyad Level Processes in MFT Research: General Overview of the Common Fate Model and Extensions Into Mediation, Moderation, Growth, and Hybrid Models MFT研究中二元水平过程的估计:共同命运模型的概述及其向中介、调节、增长和混合模型的扩展
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-19 DOI: 10.1111/jmft.70058
Michael Fitzgerald

Traditional statistical methods and models, such as linear regression, are commonly implemented in Couple/Marriage Family Therapy (C/MFT) research, yet these methods are intractable to answer dyadic and systemic questions. In the past 30 years, dyadic analysis has emerged to address such problems, and the actor–partner interdependence model (APIM) is seemingly the default analysis. The APIM answers research questions related to mutual influence, but the APIM cannot answer questions at the dyad level (e.g., characteristics of the relationship). The common fate model (CFM) is well-suited to answer such questions. Due to the underutilization of the CFM in C/MFT research, the purpose of this article is to discuss the CFM and extensions into mediation, moderation, multilevel CFM (i.e., individual and dyad level effects) models, growth models, and hybrid models that combine the APIM with the CFM are discussed. Syntax in Mplus is provided as link to video demonstrations of each model.

传统的统计方法和模型,如线性回归,通常在夫妻/婚姻家庭治疗(C/MFT)研究中使用,但这些方法难以回答二元和系统的问题。在过去的30年里,二元分析已经出现来解决这些问题,而参与者-合作伙伴相互依赖模型(APIM)似乎是默认的分析。APIM回答了与相互影响相关的研究问题,但不能回答二元层面的问题(如关系的特征)。共同命运模型(CFM)非常适合回答这些问题。由于CFM在C/MFT研究中的应用不足,本文的目的是讨论CFM,并将其扩展到中介、调节、多层次CFM(即个体效应和双水平效应)模型、增长模型以及将APIM与CFM相结合的混合模型。Mplus中的语法作为每个模型的视频演示的链接提供。
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引用次数: 0
New Strategies for Studies With Families in Borderline Personality Disorder: Challenges and Potentialities of the Use of Genogram 边缘型人格障碍家庭研究的新策略:基因图谱应用的挑战与潜力
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-18 DOI: 10.1111/jmft.70065
Ana Carolina Soares Marinho, Camila Chagas, José Carlos Galduróz, Fernanda celeste de oliveira Martins Sassi, Erlei Sassi Junior, Francisco Lotufo Neto, Claudia Berlim de Mello

Borderline personality disorder (BPD) is a complex condition characterized by emotional instability, interpersonal difficulties, and impulsivity. Although previous studies have explored the influence of family environment on BPD manifestation, methodological gaps remain in investigating these relationships, particularly in capturing multiple perspectives within the same family. This study proposes a methodological approach to compare dyads of patients and a family member using a genogram. The research involved 12 participants (6 patients and 6 family members), analyzing their perceptions of emotional family relationships (such as risk/protective factors) and symptom severity. The results of mixed methods indicated discrepancies between patients and family members regarding two categories of emotional relationships and risk behavior: “Distant/poor” and “Physical Abuse.” This study discusses other potential uses of the genogram for capturing nuances in family relationships and new possibilities for more effective therapeutic interventions.

边缘型人格障碍(BPD)是一种以情绪不稳定、人际交往困难和冲动为特征的复杂疾病。虽然以前的研究已经探讨了家庭环境对BPD表现的影响,但在调查这些关系时,方法上的差距仍然存在,特别是在捕捉同一家庭中的多个视角方面。本研究提出了一种方法学方法来比较患者和家庭成员的二联体使用的基因图谱。研究涉及12名参与者(6名患者和6名家庭成员),分析他们对情感家庭关系(如风险/保护因素)和症状严重程度的看法。混合方法的结果表明,患者和家庭成员在两类情感关系和风险行为方面存在差异:“疏远/贫穷”和“身体虐待”。本研究讨论了基因图谱的其他潜在用途,以捕捉家庭关系中的细微差别,并为更有效的治疗干预提供新的可能性。
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引用次数: 0
“My Mama Don't Like You and She Likes Everyone”: The Role of Family Approval in Partner Conflict and Satisfaction “我妈妈不喜欢你,她喜欢所有人”:家庭认可在伴侣冲突和满足中的作用
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-17 DOI: 10.1111/jmft.70062
Preshous Benjamin, Ju Ann “Esther” Park, Jared A. Durtschi

Family members' acceptance of one's romantic partner may play an important role in the progress of new and developing romantic relationships. This study used a sample of 707 couples that completed a questionnaire from the Marriage Matters Panel Survey of Newlywed Couples to observe the effects from family approval to conflict to relationship quality across the first three to 4 years of marriage. Results indicated that an increase in husbands’ family approval at Wave 1 was significantly linked with the relationship quality of both spouses at Wave 3 via the indirect effect through both spouses' conflict at Wave 2. More specifically, as husbands' families were more approving of their wives shortly after marriage, both spouses reported less conflict 18 months into marriage, and higher relationship quality 3 to 4 years into marriage. Clinical implications will be reviewed for helping couples and families navigate this developmental stage of marriage formation.

家庭成员对恋人的接受程度可能在发展新的恋爱关系中起着重要的作用。本研究使用了707对夫妇的样本,他们完成了新婚夫妇婚姻问题小组调查的问卷调查,以观察从家庭认可到冲突到婚姻前三到四年的关系质量的影响。结果表明,丈夫在第一波家庭认同的增加,通过第二波夫妻双方冲突的间接影响,与第三波夫妻双方的关系质量显著相关。更具体地说,由于丈夫的家人在婚后不久就更认可他们的妻子,夫妻双方在结婚18个月后的冲突都减少了,在结婚3到4年后的关系质量更高。临床意义将审查,以帮助夫妻和家庭导航这一发展阶段的婚姻形成。
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引用次数: 0
Families and Therapists Facing Familistic Prejudices in Italy. Developing Context-Sensitive Therapeutic Practices 意大利面临家庭偏见的家庭和治疗师。发展情境敏感的治疗实践
IF 1.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-08-06 DOI: 10.1111/jmft.70060
Francesca Balestra, Laura Fruggeri, Elena Venturelli

This paper aims to contextualize CFT within the contradictory socio-cultural environment in which families live and develop in Italy: new family lifestyles and old prejudices against new family forms coexist. It is important for therapists to be aware of the possibility that clients may internalize prejudices or social stereotypes and thus make decisions that are ultimately inappropriate for their own situation. Equally, it is important for psychotherapists to have first distanced themselves from the prejudices that clients may socially and culturally share or that might be present in their models. We will address this issue through the analysis of three different clinical cases selected according to a pattern that connects them despite their differences. The clinical cases reflect the specificity of the Italian socio-cultural context while also demonstrating how a second-level perspective—articulated through defined competencies—fosters context-sensitive clinical practice.

本文旨在将CFT置于意大利家庭生活和发展的矛盾的社会文化环境中:新的家庭生活方式和对新家庭形式的旧偏见并存。对于治疗师来说,重要的是要意识到来访者可能会内化偏见或社会刻板印象,从而做出最终不适合自己情况的决定。同样,对于心理治疗师来说,重要的是首先要远离客户可能在社会和文化上分享的偏见,或者可能出现在他们的模型中。我们将通过分析三个不同的临床病例来解决这个问题,这些病例是根据一种模式选择的,这种模式将它们联系在一起,尽管它们存在差异。临床病例反映了意大利社会文化背景的特殊性,同时也展示了通过定义能力表达的第二级视角如何促进对环境敏感的临床实践。
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引用次数: 0
期刊
Journal of marital and family therapy
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