Journal of Family Therapy最新文献

Racially marginalised young people are over-represented in the criminal justice system but less likely to be referred to, access and engage with support services. Families who experience greater cultural mistrust and disadvantage are likely those who do not complete Multisystemic Therapy (MST). This study explored the experiences of MST practitioners in England to better understand racially marginalised family engagement and change using MST. Seven focus groups (n = 22) informed a constructivist grounded theory. Ten theoretical codes were used to build a model of MST engagement and change for racially marginalised families: access to MST; the family's relationship to help; building a therapeutic alliance; family structure and functioning; acculturation and identity; the disempowered family context; working as a cultural broker; empowering families; power and language within the family; and working with interpreters. Findings build on previous research with racially marginalised young people and caregivers and highlight systemic barriers associated with power, culture and language.

This study explores the impact of the first LGBTQ + centered Emotionally Focused Couple Therapy (EFCT) Externship on participating LGBTQ + therapists. Through thematic analysis, this study found that creating a identity-based training fostered a safe and accepting environment where LGBTQ + identifying therapists felt comfortable exploring aspects of their own identities and attachment styles. This safety created a deeper understanding of EFCT which increased therapists' confidence and preparedness to work with relationships using EFCT. Overall, the findings emphasize the importance of identity-centered trainings for LGBTQ + therapists using evidence-based treatments and adds to the literature about the potential for identity centered trainings.

This study aims to explore trainees' experience of a training programme in family therapy and systemic practice at VID Specialized University of Oslo. A phenomenological mixed methods approach was used. Thirty-one trainees completed a questionnaire after their first and second years, and focus groups were conducted with 7–10 participants on both occasions. The results show significant correlations between the applicability of the programme, trainees' sense of competence, personal development, likelihood to recommend the programme and general satisfaction. After the first year, the trainees were mainly focused on their new knowledge about the systemic perspective, while after the second year, they experienced the complexity of being family therapists and systemic practitioners, integrating their new knowledge with their job and life. Findings highlight that theoretical knowledge, trainees' reflections on professional and personal experiences, supervision and peer learning are closely intertwined key elements for a systemic family therapy training.

Several evidence-based couple therapies are available for reducing relational discord. Among these are Traditional Behavioural Couple Therapy (TBCT), Integrative Behavioural Couple Therapy (IBCT) and Emotionally Focused Couple Therapy (EFCT), each propagating a different treatment focus. TBCT aims to increase the frequency ratio of positive to negative partner behaviour, IBCT aims to enhance acceptance of partner behaviour and EFCT aims to make the underlying attachment bond more secure. To date, the explanatory power of the theoretical accounts underlying these therapies has never been directly compared. Therefore, we conducted a cross-sectional examination of the variances explained of relationship satisfaction and instability, by frequency and acceptance of partner behaviour and attachment, using Actor-Partner Interdependence Modelling in a convenience sample of 539 heterosexual couples. We found that all three conceptualizations were associated with relationship functioning. Acceptance and attachment explained the largest proportions of variance in satisfaction, whereas attachment explained the greatest portion of instability.

The research was conducted as part of a master's degree in systemic psychotherapy. It was informed by my developing systemic practice alongside my work as a clinical psychologist in a community learning disability service. Data was collected from semi-structured interviews transcribed near verbatim and analysed using Foucauldian discourse analysis. The analytic process considered discursive objects, wider discourse, action orientation, subject positions and subjectivity. Five constructions of the support worker relationship are presented, namely, the support worker relationship as professional, equal and shared, a thing that can be bought with money, a family and being watched/protected. These constructions were drawn from discourses regarding professionalism, independence, the law, equality and humanity, industry and economy, parenting and longevity, and impairment. Some constructions matched those in the literature. The list of constructions could be used as a therapeutic tool to consider how constructions might utilise different discourses to enable meanings, practices and positions to be adopted or abandoned.

This article aims to demonstrate the significance of collaboration and mutual learning from the perspective of a narrative and systemic family therapist working as an outsider in the field of genetics and genetic counselling. The author proposes that systemic family therapy and narrative practices can contribute to the field of genetics, specifically genetic counselling. This paper focusses on the use of systemic family therapy (SFT) and narrative therapy (NT) concepts in the context of genetic counselling supervision. It explores additional ways to influence family discussions regarding genetic testing and diagnosis through a series of podcasts addressing genetics. The objective of this paper is to encourage curiosity and involvement.

A new version of the Systemic Clinical Outcome Routine Evaluation (C-SCORE) was developed for use with couples to assess, plan and monitor progress in therapy. This study aimed to examine the psychometric properties of C-SCORE in an international community sample of 300 participants. Exploratory and confirmatory factor analysis showed that a twenty-two-item, five-factor version of C-SCORE best fit the data. The scale and its factor sub-scales had good internal consistency and test–retest reliability over a 1-month period. C-SCORE showed good concurrent and construct validity as evidenced by significant associations with other measures of couple relational functioning, mental health and wellbeing and self-rated couple issues. These promising findings require further validation with a clinical sample.