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Systemic Therapy Through a Pixelated Lens: Using Minecraft in Therapy With Families That Include Autistic Children and Children With ADHD 通过像素化镜头的系统治疗:使用Minecraft治疗包括自闭症儿童和多动症儿童的家庭
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2026-01-27 DOI: 10.1111/1467-6427.70020
Ellie Finch, Mark Rivett

This paper presents two accounts of therapeutic work using Minecraft with families that include autistic children and children with ADHD. These accounts show how a popular videogame can be adapted to become the site for systemic interventions and a reflective space for families to explore strengths, difficulties, and relationships. With preparation, a range of systemic techniques and practices – including externalisation, sculpting, circular and reflexive questioning, and perspective-taking exercises – can be adapted for and implemented within the game. The paper outlines how these approaches were integrated into online systemic therapy, how practical and safety considerations were addressed, and how the families experienced the process. In both accounts, Minecraft provided an accessible, engaging, and flexible environment that supported therapeutic aims while also fostering moments of shared enjoyment, creativity, and bonding. The paper concludes by inviting practitioners to consider Minecraft as a medium for creating more inclusive and accessible services for families that include autistic children and children with ADHD.

本文介绍了两个使用Minecraft治疗工作的家庭,包括自闭症儿童和多动症儿童。这些描述表明,一款流行的电子游戏可以成为系统干预的场所,也可以成为家庭探索优势、困难和关系的反思空间。通过准备,一系列系统的技术和实践-包括外化,雕刻,循环和反思性提问,以及换位思考练习-可以在游戏中进行调整和实施。本文概述了如何将这些方法整合到在线系统治疗中,如何解决实用性和安全性问题,以及家庭如何经历这一过程。在这两种情况下,《我的世界》都提供了一个可访问的、吸引人的、灵活的环境,支持治疗目标,同时也培养了分享快乐、创造力和联系的时刻。论文最后邀请从业者将《我的世界》作为一种媒介,为包括自闭症儿童和多动症儿童在内的家庭创造更具包容性和可访问性的服务。
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引用次数: 0
Therapeutic Work in the Shadow of Collective Trauma: Reflections With Colleagues at a Resilience Centre in Southern Israel 集体创伤阴影下的治疗工作:与以色列南部弹性中心同事的反思
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2026-01-10 DOI: 10.1111/1467-6427.70019
David Amias, Ofra Shtayner

This study examines the experiences of Israeli therapists in conditions of collective trauma following the devastating events of October 7, 2023. The study is based on eight in-depth interviews conducted with six therapists, a director, and a clinical supervisor at the Sdot Negev Resilience Centre in southern Israel, conducted during the period May to July 2024, 8–10 months after the start of the war between Israel and Hamas. The interviews focussed on (1) the challenges of providing mental health treatment after the October 7 terrorist attacks, (2) adapting professional interventions to the new reality, and (3) personal coping resources of the therapists. A thematic analysis of the interviews raised five main themes: the need for mental flexibility and creativity in therapeutic interventions in emergency situations; the challenge of maintaining professional involvement against the backdrop of the crisis of trust in the state's systems; the impact of strong identification between therapists and clients against the background of the shared traumatic experience; the increased importance of self-care for caregivers; the added value of systemic work with families and communities. The findings of the study indicate the need to develop a new treatment paradigm adapted to situations of collective trauma, while recognising the complexity of therapeutic work when the therapist is part of the affected community.

本研究考察了2023年10月7日毁灭性事件后,以色列治疗师在集体创伤条件下的经验。这项研究基于对以色列南部Sdot Negev恢复中心的六名治疗师、一名主任和一名临床主管进行的八次深度访谈,访谈时间为2024年5月至7月,即以色列和哈马斯战争开始后的8-10个月。访谈集中于(1)“10·7”恐怖袭击后提供心理健康治疗的挑战;(2)专业干预措施如何适应新的现实;(3)治疗师的个人应对资源。对访谈的专题分析提出了五个主题:在紧急情况下的治疗干预中需要心理灵活性和创造性;在对国家系统的信任危机的背景下,保持专业参与的挑战;在共同创伤经历的背景下,治疗师和来访者之间强烈认同的影响;照顾者自我照顾的重要性增加;与家庭和社区进行系统工作的附加价值。研究结果表明,需要开发一种新的治疗模式,以适应集体创伤的情况,同时认识到当治疗师是受影响社区的一部分时,治疗工作的复杂性。
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引用次数: 0
Transitioning Between Treatment for Eating Disorders in Adolescent and Adult Mental Health Services: The Role of Family and Motivation 青少年和成人心理健康服务中饮食失调治疗的过渡:家庭和动机的作用
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-31 DOI: 10.1111/1467-6427.70009
Sofie Harboe, Emma Byskov, Mette Bentz, Anne Bryde, Stig Poulsen, Signe Holm Pedersen

Transitioning between mental health services is a vulnerable process that can challenge treatment outcomes. This study explores the experience of moving from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) from the perspective of young people with anorexia nervosa. Qualitative interviews were conducted with three women undergoing this transition, focusing on their motivation, ambivalence and the changing role of the family. The data were analysed using interpretative phenomenological analysis. Four themes emerged: Sudden shift of responsibility; relational needs unmet during transitioning; the changing role of the family; and transitioning to treatment with peers. The findings highlight two novel aspects of this process: the lasting impact of family-based treatment on parental involvement and the dual role of peer treatment as both maintaining and motivating.

Trial Registration: ClinicalTrials.gov identifier: NCT05956366

心理健康服务之间的过渡是一个脆弱的过程,可能会挑战治疗结果。本研究以神经性厌食症青少年为研究对象,探讨从儿童青少年心理健康服务中心(CAMHS)转到成人心理健康服务中心(AMHS)的经验。对三名正在经历这种转变的妇女进行了定性访谈,重点是她们的动机、矛盾心理和家庭角色的变化。使用解释性现象学分析分析数据。出现了四个主题:责任的突然转变;过渡期间关系需求未得到满足;家庭角色的转变;并过渡到与同伴一起治疗。研究结果突出了这一过程的两个新方面:以家庭为基础的治疗对父母参与的持久影响,以及同伴治疗作为维持和激励的双重作用。试验注册:ClinicalTrials.gov标识符:NCT05956366
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引用次数: 0
Examining the Tuning in to Kids Parenting Programme With Turkish Military Fathers and Their Partners of 4- to 6-Year-Old Children 与土耳其军人父亲及其4至6岁儿童的伴侣一起检查儿童养育计划的调整
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-23 DOI: 10.1111/1467-6427.70018
Dilan Pamukcu, Sema Büyüktaşkapu Soydan, Sophie S. Havighurst

This study examined the impact of the Tuning in to Kids (TIK) parenting programme for military fathers, their spouses and their children aged 4–6 years. TIK is designed for parents of children aged 4–12 and provides guidance on enhancing parental emotion socialisation. The programme uses an emotion-focused approach to improve parent emotional functioning, emotion coaching, parent–child relationships, and children's emotional, social and behavioural functioning. In this study, TIK was delivered separately to mothers and fathers in group settings. Participants included 12 military fathers, their spouses, and their children aged 4 and 6. An experimental design without a control condition was employed. Measures included the Children's Emotion Knowledge Test, Social Problem Solving Skills Scale, and parent report measures of Reactions to Children's Emotions and Coping with Children's Negative Emotions Scale. Findings indicated that TIK participation was associated with increases in parents' reported emotional socialisation behaviours. Children's also showed improvements in emotion understanding and social problem solving skills. These preliminary findings suggest the programme may benefit military families, highlighting the need for further evaluation with larger samples.

这项研究调查了“关注孩子”(TIK)育儿计划对军人父亲、他们的配偶和4-6岁的孩子的影响。TIK专为4-12岁儿童的父母而设计,并提供加强父母情感社会化的指导。该方案采用以情感为中心的方法来改善父母的情感功能、情感指导、亲子关系以及儿童的情感、社会和行为功能。在本研究中,TIK是在小组环境中分别给予母亲和父亲的。参与者包括12名军人父亲、他们的配偶以及他们4岁和6岁的孩子。采用无控制条件的实验设计。量表包括儿童情绪知识测验、社会问题解决能力量表、家长报告儿童情绪反应量表和应对儿童消极情绪量表。研究结果表明,TIK参与与父母报告的情绪社交行为的增加有关。孩子们在情感理解和解决社会问题的能力上也有所提高。这些初步调查结果表明,该方案可能使军人家庭受益,强调需要以更大的样本进行进一步评估。
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引用次数: 0
Relational Reflexivity in Dialogical Family Therapy: Exploring Linguistic Practices and Responses in Reflecting Team Dialogues 对话式家庭治疗中的关系反身性:探讨反映团队对话的语言实践和反应
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-23 DOI: 10.1111/1467-6427.70017
A. E. Sidis, A. R. Moore, J. A. Pickard, V. M. Bairstow, F. P. Deane

Dialogical and collaborative approaches for mental health crises have become increasingly popular worldwide. Although many of the ideas taken up in dialogical therapy, such as Tom Andersen's reflecting team, are widely practiced, little is known about how this practice supports relational reflexivity during dialogical meetings with families. This study used Systemic Functional Linguistics to explore reflecting team dialogues and the immediate responses of family members during 14 Open Dialogue network meetings. We found markers of reflective and dialogical interactions including the presence of mental processes expressed as spatial metaphors; epistemic modality to invite perspectives; and expressions that expand on themes in the families' talk. In the moments immediately after team reflections, network members took up these metaphors, moved into broader contextual reflections, and used language that acknowledged multiple viewpoints. These results offer insights into how dialogical therapies may support interpersonal reflection, recovery, and healing.

心理健康危机的对话和协作方法在世界范围内日益流行。尽管对话疗法中采纳了许多观点,比如汤姆·安德森的“反思团队”,被广泛采用,但很少有人知道这种做法是如何在与家庭的对话会议中支持关系反思的。本研究运用系统功能语言学探讨了14次开放式对话网络会议中反映团队对话和家庭成员的即时反应。我们发现了反思和对话互动的标记,包括以空间隐喻表达的心理过程的存在;引入视角的认知形态;以及在家庭谈话中扩展主题的表达。在团队反思之后,网络成员立即接受这些隐喻,进入更广泛的上下文反思,并使用承认多种观点的语言。这些结果为对话疗法如何支持人际反思、恢复和愈合提供了见解。
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引用次数: 0
The Reliability and Validity of the Systemic Practice Scale 系统实践量表的信度与效度
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-14 DOI: 10.1111/1467-6427.70015
Catherine Butler, Chloe Constable, Jon Crossley, Hannah Hewson, Trish Joscelyne, Tom O'Neill, Samantha Oulton, Helen Pote

Competency-based training is thought to increase standards of therapist practice. The Systemic Practice Scale (SPS) has been developed to measure student competence in systemic therapy. Two studies were conducted to test the reliability and validity of this scale by using student data across three different UK training sites. Reliability was assessed by checking consistency in scoring across training sites and comparing data across year groups, with an expectation that competencies would improve over time. The factorial validity was assessed by examining the factor structure and internal consistency of the scale from data collected at one training site over seven years. The results of the studies indicate that the SPS holds construct validity, as student scores increased over time, and that the scale measures a single dominant construct. However, there was a difference in scoring across sites which linked to whether the SPS was used for assessment or feedback only.

以能力为基础的培训被认为可以提高治疗师实践的标准。系统实践量表(SPS)是用来衡量学生在系统治疗方面的能力。我们进行了两项研究,通过使用英国三个不同培训地点的学生数据来测试该量表的可靠性和有效性。可靠性是通过检查各培训地点得分的一致性和比较各年级组的数据来评估的,期望能力会随着时间的推移而提高。因子效度是通过检查因子结构和量表的内部一致性来评估的,这些数据来自一个培训地点超过七年的数据。研究结果表明,随着学生得分随时间的推移而增加,SPS具有结构效度,并且该量表测量的是单一的主导结构。然而,不同地点的评分差异与SPS是否仅用于评估或反馈有关。
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引用次数: 0
Three Good Things Intervention for Parent–Child Relationship: A Pilot Randomised Controlled Trial 三件好事干预亲子关系:一项随机对照试验
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-11 DOI: 10.1111/1467-6427.70016
Kamakshi Sabharwal, Dinesh Chhabra, J. Kim Penberthy

Parent–child relationships observe many changes when adolescents grow up to be young adults. The Three Good Things intervention has been used in different contexts (e.g., couples' relationships) but not much in different relationship contexts such as parent–child relationships. Therefore, the present study aimed to adapt the ‘Three Good Things’ intervention for parent and adult child relationships and study its impact on the parent–child relationship. Intervention design (pre, post, and follow-up) having two groups—intervention group (n = 32 pairs) and control group (n = 30 pairs) was utilised to study the intervention's impact on parent–child closeness, relationship, parental stress, emotional involvement and perceived criticism. Participants were college students (18–24 years old) and any one of their parents. The results of the study report that the intervention did not have any significant impact but resulted in a slight improvement in the relationship. The findings support the need for further studies applying this intervention in the context of parent–child relationships on varied children groups.

当青少年成长为年轻人时,亲子关系会发生许多变化。“三件好事”干预已被用于不同的情境(如夫妻关系),但在不同的关系情境(如亲子关系)中应用不多。因此,本研究旨在将“三好”干预引入亲子关系,研究其对亲子关系的影响。采用干预组(n = 32对)和对照组(n = 30对)两组的干预设计(前、后、随访),研究干预对亲子亲密度、亲子关系、父母压力、情感投入和感知批评的影响。参与者是大学生(18-24岁)和他们的父母之一。研究结果报告,干预没有任何显著影响,但导致关系略有改善。研究结果支持需要进一步研究将这种干预应用于不同儿童群体的亲子关系。
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引用次数: 0
Family Therapy Intervention and the ‘Real Problem’ of an Eating Disorder: Implications for a Systemic Philosophy of Practice 家庭治疗干预和饮食失调的“真正问题”:对系统实践哲学的启示
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-03 DOI: 10.1111/1467-6427.70010
Mary Donovan, Joel W. T. Khor

Family therapy intervention for eating disorders has deep roots in family therapy discourse and its evolution is closely entwined with wider developments in the history of family therapy over the past fifty years. In this paper we argue that this family therapy intervention holds seminal insights for longstanding debates within family therapy well beyond the domain of eating disorders. These relate to the limits of any exclusive social constructionist framing of family therapy and particularly that relating to our engagement with external reality. We draw on the paradigm of family therapy intervention with the ‘real problem’ of an eating disorder to make this case. The paper considers the potential in co-constructivism and critical realism to expand our theoretical lens beyond social constructionism, to draw out and help formulate a systemic philosophy of practice encompassing the knowledge, expertise and values that underpin our work and based on which we inevitably take a position on reality whether this remains implicit or preferably is acknowledged and made available for reflexive critique.

饮食失调的家庭治疗干预深深植根于家庭治疗话语,其演变与过去50年家庭治疗历史的更广泛发展密切相关。在本文中,我们认为这种家庭治疗干预为长期以来家庭治疗中的争论提供了开创性的见解,远远超出了饮食失调的领域。这些涉及到任何排他性的社会建构主义家庭治疗框架的局限性,特别是与我们与外部现实的接触有关的局限性。我们利用家庭治疗干预的范例来解决饮食失调的“真正问题”。本文考虑了共同建构主义和批判现实主义的潜力,将我们的理论视角扩展到社会建构主义之外,绘制并帮助制定一种系统的实践哲学,包括支撑我们工作的知识、专业知识和价值观,并在此基础上,我们不可避免地对现实采取立场,无论这是隐含的还是最好是被承认的,并可用于反思性批评。
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引用次数: 0
Social–Emotional Abilities, Relationship Commitment, and Romantic Relationship Quality in Married Relationships: Structural Equation Modelling 婚姻关系中的社会情感能力、关系承诺与浪漫关系质量:结构方程模型
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-12-01 DOI: 10.1111/1467-6427.70007
Cheolwoo Park, Victor W. Harris

Grounded in the Social–Emotional Ability Development (SEAD) framework, this study examined how social–emotional abilities are associated with romantic relationship quality, consisting of relationship satisfaction, positive interaction, and emotional bonds, with relationship commitment as a mediating factor. Structural equation modelling was conducted with data from 1268 married individuals to test direct and indirect effects. Findings revealed that social–emotional abilities were positively associated with romantic relationship quality, and commitment significantly mediated this association. Individuals with great emotional awareness, regulation, and empathy reported strong dedication to commitment, which in turn enhanced relationship outcomes. These findings underscore the importance of social–emotional development in sustaining healthy relationships. Because social–emotional abilities can be cultivated throughout the lifespan, they represent meaningful targets for prevention and intervention. Moreover, relationship quality has spillover effects on the psychological and relational well-being of couples and their children; the findings offer practical implications for marriage and family counselling, psychoeducation, and relational health programs.

本研究以社会情感能力发展(SEAD)框架为基础,考察了社会情感能力与恋爱关系质量的关系,包括恋爱关系满意度、积极互动和情感纽带,并以恋爱关系承诺为中介因素。对1268名已婚人士的数据进行了结构方程建模,以测试直接和间接影响。研究发现,社交情感能力与恋爱关系质量呈正相关,而承诺在其中起着显著的中介作用。具有强烈情感意识、调节能力和同理心的人对承诺有很强的奉献精神,这反过来又增强了关系的结果。这些发现强调了社会情感发展对维持健康关系的重要性。因为社交情感能力可以在整个生命周期中培养,它们代表了预防和干预的有意义的目标。此外,关系质量对夫妻及其子女的心理健康和关系健康具有溢出效应;研究结果为婚姻和家庭咨询、心理教育和关系健康项目提供了实际意义。
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引用次数: 0
Further Validation of the Systemic Clinical Outcome Routine Evaluation for Couples (C-SCORE) 夫妻系统临床结局常规评价(C-SCORE)的进一步验证
IF 0.9 4区 心理学 Q3 FAMILY STUDIES Pub Date : 2025-11-27 DOI: 10.1111/1467-6427.70008
Laura Trihy, Peter Stratton, Aideen Kieran, Patricia Starken, Hannah Sherbersky, Melanie Shepherd, Michael Galbraith, Naureen Whittinger, Valeria Pomini,  Kunsang Yang Yang, Finiki Nearchou, Alan Carr

This study employed a mixed-methodssecondary data analysis to further validate the Systemic Clinical Outcome and Routine Evaluation for Couples (C-SCORE), a routine outcome measure (ROM) designed for assessment, treatment planning and outcome monitoring in couple therapy. Using existing survey data from an international community sample of individuals in committed relationships (N = 300, mean age = 41.61, 49% females), both quantitative scores and responses to two embedded open-ended qualitative questions from the C-SCORE were analysed. Reflexive thematic analyses of the qualitative responses revealed that individuals in the highest C-SCORE quartiles tended to describe their relationships more positively and perceived their problems as less negatively impactful on relational functioning. Quantitative ratings of the positivity of relationship descriptions and the perceived impact of relational problems were significantly correlated with the C-SCORE's quantitative scales. This study provides further validation of the C-SCORE, as a routine outcome measure for use in couple therapy.

本研究采用混合方法和二次数据分析来进一步验证夫妻的系统性临床结果和常规评估(C-SCORE),这是一种常规结果测量(ROM),用于评估、治疗计划和夫妻治疗的结果监测。利用现有的调查数据,从一个国际社区样本的个人承诺关系(N = 300,平均年龄= 41.61,49%的女性),定量得分和C-SCORE的两个嵌入式开放式定性问题的回答进行分析。对定性反应的反身性专题分析显示,C-SCORE得分最高的个体倾向于更积极地描述他们的关系,并认为他们的问题对关系功能的负面影响较小。关系描述的积极性和关系问题的感知影响的定量评分与C-SCORE的定量量表显著相关。本研究进一步验证了C-SCORE作为夫妻治疗的常规结果测量。
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引用次数: 0
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Journal of Family Therapy
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