Pub Date : 2017-02-28DOI: 10.1080/08975353.2017.1288989
Ulia Fisher
ABSTRACT While significant contributions have been made in analyzing the efficacy of the systemic approach with individual clients, debate on the subject continues to cast a shadow of doubt on the practice. In this article, the author presents the use of Structural Family Therapy with an individual adult client, diagnosed with intermittent explosive disorder. The use of the systemic approach as the foundation for the treatment plan was shown to be effective, as demonstrated by the client’s reduction in hostility and improved overall well-being. The outcomes revealed this approach to be effective in improving the individual client’s functioning, without working directly with the entire relational system.
{"title":"Use of Structural Family Therapy With an Individual Client Diagnosed With Intermittent Explosive Disorder: A Case Study","authors":"Ulia Fisher","doi":"10.1080/08975353.2017.1288989","DOIUrl":"https://doi.org/10.1080/08975353.2017.1288989","url":null,"abstract":"ABSTRACT While significant contributions have been made in analyzing the efficacy of the systemic approach with individual clients, debate on the subject continues to cast a shadow of doubt on the practice. In this article, the author presents the use of Structural Family Therapy with an individual adult client, diagnosed with intermittent explosive disorder. The use of the systemic approach as the foundation for the treatment plan was shown to be effective, as demonstrated by the client’s reduction in hostility and improved overall well-being. The outcomes revealed this approach to be effective in improving the individual client’s functioning, without working directly with the entire relational system.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"150 - 169"},"PeriodicalIF":1.3,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1288989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48431530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-17DOI: 10.1080/08975353.2017.1285655
Beth Nemesh
ABSTRACT Family musical interventions offer significant therapeutic outcomes when applied by music therapists. Although mainly focused on individuals with special needs, interventions contribute to family well-being by promoting family communication, shared emotions, relationships, roles, dynamics, mutual trust, and parental functioning. Despite the potential, family-based musical interventions are rarely used by family therapists or studied in family therapy programs. Thirty-five family therapists participated in an explanatory mixed-methods research aimed at identifying therapists’ perceptions toward musical interventions in clinical work, illuminating numerous sources influencing therapists’ inclination to refrain from using musical interventions. This article discusses implications for promoting use of musical interventions.
{"title":"Family Therapists’ Perspectives on Implementing Musical Interventions in Family Therapy: A Mixed-Methods Study","authors":"Beth Nemesh","doi":"10.1080/08975353.2017.1285655","DOIUrl":"https://doi.org/10.1080/08975353.2017.1285655","url":null,"abstract":"ABSTRACT Family musical interventions offer significant therapeutic outcomes when applied by music therapists. Although mainly focused on individuals with special needs, interventions contribute to family well-being by promoting family communication, shared emotions, relationships, roles, dynamics, mutual trust, and parental functioning. Despite the potential, family-based musical interventions are rarely used by family therapists or studied in family therapy programs. Thirty-five family therapists participated in an explanatory mixed-methods research aimed at identifying therapists’ perceptions toward musical interventions in clinical work, illuminating numerous sources influencing therapists’ inclination to refrain from using musical interventions. This article discusses implications for promoting use of musical interventions.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"118 - 133"},"PeriodicalIF":1.3,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1285655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-17DOI: 10.1080/08975353.2017.1285656
Lennart Lorås, P. Bertrando, O. Ness
ABSTRACT This article reviews literature describing systemic therapy and it’s basic elements. Today, many different models appear under the same umbrella term, “systemic therapy,” sharing little more than a few features. However, a comprehensive definition is needed to meet political and ethical demands, especially within the field of mental health. Our proposed definition draws on elements from the Batesonian and Milan tradition, as well as the narrative, postmodern, and dialogical developments. Our aim is to help practitioners outside the systemic field to understand what systemic therapy is, and to support “insiders” in better describing the foundations and practices systemic therapy.
{"title":"Researching Systemic Therapy History: In Search of a Definition","authors":"Lennart Lorås, P. Bertrando, O. Ness","doi":"10.1080/08975353.2017.1285656","DOIUrl":"https://doi.org/10.1080/08975353.2017.1285656","url":null,"abstract":"ABSTRACT This article reviews literature describing systemic therapy and it’s basic elements. Today, many different models appear under the same umbrella term, “systemic therapy,” sharing little more than a few features. However, a comprehensive definition is needed to meet political and ethical demands, especially within the field of mental health. Our proposed definition draws on elements from the Batesonian and Milan tradition, as well as the narrative, postmodern, and dialogical developments. Our aim is to help practitioners outside the systemic field to understand what systemic therapy is, and to support “insiders” in better describing the foundations and practices systemic therapy.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"134 - 149"},"PeriodicalIF":1.3,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1285656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43420336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-17DOI: 10.1080/08975353.2017.1285654
Yudum Akyıl, G. Bacigalupe, Anıl Özge Üstünel
ABSTRACT Emerging technology adoption poses new challenges and opportunities to families and clinicians. Research that explores clinicians’ understanding and use of information-communication technologies; however, is still scarce. Our study, a replication of a cross-national study in four countries (Canada, Mexico, Spain, and the United States), investigated the relationship among clinicians’ use of and attitudes toward emerging technologies and their beliefs about technology’s impact on families in Turkey. We further inquired the relationship of two factors: the impact of emerging technology on the clinicians’ own families and the impact of cultural values on the attitudes toward technology use. The Turkish version of the modified Emerging Technologies and Families Survey was administered to family clinicians. The analytical strategy included a comparison of the data we collected in Turkey (n = 97) and the raw data from the original study (n = 258). We found significant cross-national differences in clinicians’ use of and attitudes toward information-communication technologies, and their assessments of families’ struggles with emerging technology. We analyzed the data vis-a-vis cultural differences and gave a special emphasis on implications for enhancing clinical practice. Emerging technologies challenge families’ and family therapists’ assumptions about healthy family processes; attention to the self of the therapist at the intersection of cultural values is core in a sound assessment of families adopting emerging technologies. Cultural humility and a curious stance may counteract the pervasive negative discourse about emerging technology adoption. Empowering parents and couples to put technology in “its place” may ease the negative impact and enhance the positive influence of these technologies on families.
{"title":"Emerging Technologies and Family: A Cross-National Study of Family Clinicians’ Views","authors":"Yudum Akyıl, G. Bacigalupe, Anıl Özge Üstünel","doi":"10.1080/08975353.2017.1285654","DOIUrl":"https://doi.org/10.1080/08975353.2017.1285654","url":null,"abstract":"ABSTRACT Emerging technology adoption poses new challenges and opportunities to families and clinicians. Research that explores clinicians’ understanding and use of information-communication technologies; however, is still scarce. Our study, a replication of a cross-national study in four countries (Canada, Mexico, Spain, and the United States), investigated the relationship among clinicians’ use of and attitudes toward emerging technologies and their beliefs about technology’s impact on families in Turkey. We further inquired the relationship of two factors: the impact of emerging technology on the clinicians’ own families and the impact of cultural values on the attitudes toward technology use. The Turkish version of the modified Emerging Technologies and Families Survey was administered to family clinicians. The analytical strategy included a comparison of the data we collected in Turkey (n = 97) and the raw data from the original study (n = 258). We found significant cross-national differences in clinicians’ use of and attitudes toward information-communication technologies, and their assessments of families’ struggles with emerging technology. We analyzed the data vis-a-vis cultural differences and gave a special emphasis on implications for enhancing clinical practice. Emerging technologies challenge families’ and family therapists’ assumptions about healthy family processes; attention to the self of the therapist at the intersection of cultural values is core in a sound assessment of families adopting emerging technologies. Cultural humility and a curious stance may counteract the pervasive negative discourse about emerging technology adoption. Empowering parents and couples to put technology in “its place” may ease the negative impact and enhance the positive influence of these technologies on families.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"117 - 99"},"PeriodicalIF":1.3,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1285654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46802353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1283150
K. Hertlein, G. Weeks
ABSTRACT The role of client’s belief systems in therapy is the central concept in cognitive therapy. In our therapeutic work with clients, we focus on their cognitive schemas surrounding a particular problem. These schemas, however, are embedded in a hierarchy of much larger schemas which strongly influence the content of the particular sub-schemas being investigated. The purpose of this article is to introduce the concept of “meta-schema,” from a theoretical perspective, and then offer clinical case examples to illustrate this concept.
{"title":"The Logical and Clinical Argument for the Concept of Meta-Schema in Cognitive Therapy","authors":"K. Hertlein, G. Weeks","doi":"10.1080/08975353.2017.1283150","DOIUrl":"https://doi.org/10.1080/08975353.2017.1283150","url":null,"abstract":"ABSTRACT The role of client’s belief systems in therapy is the central concept in cognitive therapy. In our therapeutic work with clients, we focus on their cognitive schemas surrounding a particular problem. These schemas, however, are embedded in a hierarchy of much larger schemas which strongly influence the content of the particular sub-schemas being investigated. The purpose of this article is to introduce the concept of “meta-schema,” from a theoretical perspective, and then offer clinical case examples to illustrate this concept.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"22 - 4"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1283150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43731139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1279882
Sebastian A. Perumbilly, S. Anderson, W. Boylin
ABSTRACT Parenting literature often focuses on parental strategies that promote positive behavioral outcomes for children, but ignores key aspects of parents’ own growth process. This article presents a critical review of current literature on parenting and highlights the importance of focusing on parents’ growth in therapy. A clinical framework to define parents’ growth is offered along with case vignettes and practical guidelines for clinicians in order to assess parents’ growth.
{"title":"Parents’ Personal Growth: Expanding the View of Therapy for Child Behavioral Problems","authors":"Sebastian A. Perumbilly, S. Anderson, W. Boylin","doi":"10.1080/08975353.2017.1279882","DOIUrl":"https://doi.org/10.1080/08975353.2017.1279882","url":null,"abstract":"ABSTRACT Parenting literature often focuses on parental strategies that promote positive behavioral outcomes for children, but ignores key aspects of parents’ own growth process. This article presents a critical review of current literature on parenting and highlights the importance of focusing on parents’ growth in therapy. A clinical framework to define parents’ growth is offered along with case vignettes and practical guidelines for clinicians in order to assess parents’ growth.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"59 - 75"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1279882","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47500419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1283147
C. D’Aniello, H. Nguyen
ABSTRACT One of the most debated ethical issues in psychotherapy is that of therapist self-disclosure. In this article, relevant marriage and family therapy literature on therapist self-disclosure will be presented. The influence of practice setting, particularly in training clinics and private practice, on therapist self-disclosure is discussed. A distinction is drawn between intentional and spontaneous self-disclosure. Risks for excessive self-disclosure become amplified in private practice, whereas training clinics are more likely to discourage the use of self-disclosure as a clinical technique. Literature presented is intended to demonstrate that advanced training settings and advanced practice settings hold disparate positions on the issue of self-disclosure. This gap between advanced training and advanced practice may leave therapists open to ethical vulnerabilities. Recommended steps toward intentional and ethical practice are presented.
{"title":"Considerations for Intentional Use of Self-Disclosure for Family Therapists","authors":"C. D’Aniello, H. Nguyen","doi":"10.1080/08975353.2017.1283147","DOIUrl":"https://doi.org/10.1080/08975353.2017.1283147","url":null,"abstract":"ABSTRACT One of the most debated ethical issues in psychotherapy is that of therapist self-disclosure. In this article, relevant marriage and family therapy literature on therapist self-disclosure will be presented. The influence of practice setting, particularly in training clinics and private practice, on therapist self-disclosure is discussed. A distinction is drawn between intentional and spontaneous self-disclosure. Risks for excessive self-disclosure become amplified in private practice, whereas training clinics are more likely to discourage the use of self-disclosure as a clinical technique. Literature presented is intended to demonstrate that advanced training settings and advanced practice settings hold disparate positions on the issue of self-disclosure. This gap between advanced training and advanced practice may leave therapists open to ethical vulnerabilities. Recommended steps toward intentional and ethical practice are presented.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"23 - 37"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1283147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47285498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1283143
Naama Gershy, H. Omer
ABSTRACT Numerous studies have described fathers’ low participation in child psychotherapy. Few studies, however, have explored the clinical challenges involved in the process of engaging fathers effectively. The present study sought to address this gap by assessing the clinical process that takes place when the father joins therapy. Treatment supporters in a counseling program for child behavior problems were interviewed about clinical cases involving attempts to engage fathers. Qualitative analysis of the interviews revealed three main themes: The father’s initial suspiciousness, the father’s prior involvement at home, and the mother’s perception of the father’s help. Based on study results, a new model for fathers’ engagement is proposed.
{"title":"Engaging Fathers in Parent Training: A Qualitative Study","authors":"Naama Gershy, H. Omer","doi":"10.1080/08975353.2017.1283143","DOIUrl":"https://doi.org/10.1080/08975353.2017.1283143","url":null,"abstract":"ABSTRACT Numerous studies have described fathers’ low participation in child psychotherapy. Few studies, however, have explored the clinical challenges involved in the process of engaging fathers effectively. The present study sought to address this gap by assessing the clinical process that takes place when the father joins therapy. Treatment supporters in a counseling program for child behavior problems were interviewed about clinical cases involving attempts to engage fathers. Qualitative analysis of the interviews revealed three main themes: The father’s initial suspiciousness, the father’s prior involvement at home, and the mother’s perception of the father’s help. Based on study results, a new model for fathers’ engagement is proposed.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"38 - 58"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1283143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41455984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1279885
Cassandra Shruti Sundaraja, Anisha Shah
ABSTRACT Middle-aged siblings’ concerns are rarely addressed in psychotherapy literature. Siblings without their own families of procreation are quite common in many Asian cultures. Therapists’ challenges for such shrinking systems can be approached with assimilative integration. A dominant narrative therapy foundation that absorbs behavioral strategies can be a relevant style of addressing problems faced by siblings. The narrative frame helps with individual as well as family related incongruent stories, whereas the behavioral frame creates a sense of mastery over the current interactions that can in-turn consolidate new meaning about family life. Using a case illustration, we propose the use of a narrative-behavioral approach in family therapy with 2 siblings who have to create a meaningful family life together.
{"title":"How to Work With Middle-Aged Siblings: Integration of Narrative-Behavioral Approaches in Family Therapy","authors":"Cassandra Shruti Sundaraja, Anisha Shah","doi":"10.1080/08975353.2017.1279885","DOIUrl":"https://doi.org/10.1080/08975353.2017.1279885","url":null,"abstract":"ABSTRACT Middle-aged siblings’ concerns are rarely addressed in psychotherapy literature. Siblings without their own families of procreation are quite common in many Asian cultures. Therapists’ challenges for such shrinking systems can be approached with assimilative integration. A dominant narrative therapy foundation that absorbs behavioral strategies can be a relevant style of addressing problems faced by siblings. The narrative frame helps with individual as well as family related incongruent stories, whereas the behavioral frame creates a sense of mastery over the current interactions that can in-turn consolidate new meaning about family life. Using a case illustration, we propose the use of a narrative-behavioral approach in family therapy with 2 siblings who have to create a meaningful family life together.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"76 - 91"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1279885","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42132916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-02DOI: 10.1080/08975353.2017.1279881
Yesim Keskin
ABSTRACT Relational ethics highlighting the role of ethics, justice, trust, and loyalty in close relationships (Boszormenyi-Nagy & Krasner, 1986) is considered as one of the most bountiful yet obscure aspects of contextual family therapy. In this article, a visual diagramming activity integrating relational ethics and genogram work is presented as an assessment and intervention.
{"title":"The Relational Ethics Genogram: An Integration of Genogram and Relational Ethics","authors":"Yesim Keskin","doi":"10.1080/08975353.2017.1279881","DOIUrl":"https://doi.org/10.1080/08975353.2017.1279881","url":null,"abstract":"ABSTRACT Relational ethics highlighting the role of ethics, justice, trust, and loyalty in close relationships (Boszormenyi-Nagy & Krasner, 1986) is considered as one of the most bountiful yet obscure aspects of contextual family therapy. In this article, a visual diagramming activity integrating relational ethics and genogram work is presented as an assessment and intervention.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"92 - 98"},"PeriodicalIF":1.3,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2017.1279881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46166385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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