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Family Therapy (family + therapy)
Terms modified by Family Therapy Selected AbstractsSEXUAL ADDICTION AND MARRIAGE AND FAMILY THERAPY: FACILITATING INDIVIDUAL AND RELATIONSHIP HEALING THROUGH COUPLE THERAPYJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2006Mark H. Bird In recent decades there has been an increase in literature regarding sexual addiction as well as a growing number of clients presenting in therapy with problems related to their sexual behaviors (including internet sexual addiction). This article (a) presents a synthesis of the research on the impact of sexual addiction on the addict, the partner, and the couple; (b) outlines the process of healing for each based on the research synthesis; and (c) discusses the role of marriage and family therapy in facilitating both individual and relationship healing from sexual addiction. Implications for future research in sexual addiction, generally, and in marriage and family therapy, specifically, are presented. [source] IN-HOME FAMILY THERAPY: INDICATORS OF SUCCESSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2005Jeremy B. Yorgason In this study, we explore how specific individual, family, and family-within-community characteristics, as well as aspects of in-home family therapy, relate to responses to treatment. The Child and Adolescent Functional Assessment Scale scores and Global Assessment of Functioning scores were used as outcome measures. Results revealed significant differences between pre- and post-scores for clients receiving in-home family therapy services, providing an initial indicator of treatment success. In addition, primary family caregiver social support, role performance in school/work, and self-harmful behavior were indicative of successful outcomes. Clients with higher problem levels had the greatest rates of change, and clients receiving more hours of services fared better in therapy. [source] INITIAL LEVELS OF DIFFERENTIATION AND REDUCTION IN PSYCHOLOGICAL SYMPTOMS FOR CLIENTS IN MARRIAGE AND FAMILY THERAPYJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2005Suzanne Bartle-Haring Using Bowen Family Systems Theory as a theoretical underpinning, in this study, we investigated the hypothesis that clients with higher levels of differentiation would improve more quickly in therapy than clients with lower levels of differentiation. Hierarchical Linear Modeling was used to analyze the data over nine sessions of therapy in a sample from an on-campus training clinic. The results suggest that there was variation in the initial levels of psychological symptoms and that differentiation was a significant predictor of this variance. The results also suggest that although psychological symptoms decreased over the nine sessions of therapy, there was very little variance in this change. These results are discussed in relation to Bowen Theory. The difficulties of doing this type of research and the lessons learned from this project are also discussed. [source] BEYOND COMMON FACTORS: MULTILEVEL-PROCESS MODELS OF THERAPEUTIC CHANGE IN MARRIAGE AND FAMILY THERAPYJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2004Thomas L. Sexton A number of scholars have proposed the common factors perspective as the future direction of marriage and family therapy (MFT). Although intuitively appealing, the case for the common factors perspective is not as clear-cut as proponents portray. In its current form, the common factors perspective overlooks the multilevel nature of practice, the diversity of clients and settings, and the complexity of therapeutic change. In contrast, comprehensive process-based change models are analternative to the limitations of common factors. In this article, we consider the limitations of the common factors perspective and propose the necessary and sufficient components and processes that might comprise comprehensive, multilevel, process-based therapeutic change models in MFT. [source] THE THERAPEUTIC ALLIANCE IN HOME-BASED FAMILY THERAPY: IS IT PREDICTIVE OF OUTCOME?JOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2002Lee N. Johnson This study examined the association between the therapeutic alliance in family therapy and changes in symptom distress, interpersonal relationships, and family coping. The participants (N = 81) were members of low socioeconomic status families referred to a university clinic for in-home family therapy. Participants completed the Outcome Questionnaire, Family Crisis Oriented Personal Evaluation, and the Family Therapy Alliance questionnaires. Regression analyses revealed that the therapeutic alliance explained 19% of the variance in symptom distress changes for mother, 55% for fathers, and 39% for adolescents. The implications of these findings for practicing and researching family therapy are presented. [source] EXPANDING BOWEN'S LEGACY TO FAMILY THERAPY: A RESPONSE TO HORNE AND HICKSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2002Carmen Knudson-Martin In response to Horne and Hicks's critique of my 1994 revision of Bowen Theory, I present an updated rationale for my work. I argue that the primary difference in my construction of emotional differentiation rests in the way "self" is constructed. I suggest that many women, persons from less individualistic cultures, and very spiritual persons develop a "connected self" that is significantly different than Bowen's image of separate selves engaged with each other. I hold that Bowen Theory privileges individuality and ignores many of the positive aspects of togetherness. I put forth an inclusive model for differentiation that equally prioritizes each. [source] ENHANCING FAMILY THERAPY: THE ADDITION OF A COMMUNITY RESOURCE SPECIALISTJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2001H. Charles Fishman First page of article [source] THE INFLUENCE OF MARITAL AND FAMILY THERAPY ON HEALTH CARE UTILIZATION IN A HEALTH-MAINTENANCE ORGANIZATIONJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2000David D. Law Research has shown that people reduce their use of health care after individual psychotherapy. However, little research has been done to learn if marital and family therapy has a similar effect. Subjects (n = 292) from a health-maintenance organization were randomly selected according to the type of therapy they had received. Subjects' medical records were examined for 6 months before, during, and after therapy. Those who received marital and family therapy significantly reduced their use of health care services by 21.5%. These results show an "offset effect" for marriage and family therapy. [source] THE POWER EQUITY GUIDE: ATTENDING TO GENDER IN FAMILY THERAPYJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2000Shelley A. Haddock In the past two decades, feminist scholars have challenged the field of family therapy to incorporate the organizing principle of gender in its theory, practice, and training. In this paper, we introduce a training, research, and therapeutic tool that provides guidance for addressing or observing gender and power differentials in the practic of family therapy. As a training tool, the Power Equity Guide helps trainees to translate their theoretical understanding of feminist principles into specific behaviors in therapy. Researchers and supervisors can use the Power Equity Guide to evaluate the practice of gender-informed family therapy. We also provide specific suggestions for its use by trainers, supervisors, therapists, and researchers. [source] Multiracial Recruitment in the Field of Family Therapy: An Innovative Training Program for People of ColorFAMILY PROCESS, Issue 3 2005Laurie Kaplan This article describes the creation of a training program designed to increase the number of family therapists of color in the family therapy field. In 1992, a partnership between New York City schools of social work, community agencies, and the Ackerman Institute for the Family created the Diversity and Social Work Training Program. Elements critical to the program's success were recruitment strategies, mentorships, partnerships with outside organizations, provision of a long-term institutional commitment, biracial collaborations, and institutional change. This article describes the design, structure, and process of this program's evolution and its impact 12 years later. [source] A Wake Up Call: Comment on "Lived Religion and Family Therapy"FAMILY PROCESS, Issue 1 2003William J. Doherty Ph.D. No abstract is available for this article. [source] Notes for a Cultural History of Family Therapy,FAMILY PROCESS, Issue 1 2002C. Christian Beels M.D. The official history of family therapy describes its beginnings as a daring technical and philosophical departure from traditional individual treatment in the 1960s, inspired especially by the "system thinking" of Gregory Bateson. This celebrated origin story needs to be supplemented with a longer and larger history of both practice and thought about the family, and that is the subject of this article. The longer history goes back to the founding of social work by Mary Richmond, of pragmatism by William James, and of the organic view of social systems intervention by John Dewey. Seen against this background, family therapy is, among other things, a consequence of the development of persistent elements of American professional culture, experience, and philosophy. The taking of this historical-anthropological view discloses also the origins of two other histories that have made their contribution to the development of family therapy: a science of observing communication processes that starts with Edward Sapir and leads to contemporary conversation analysis, and a history of mesmerism in the United States that culminates in Milton Erickson and his followers. [source] The Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children,FAMILY PROCESS, Issue 4 2001Ellen Pulleyblank Coffey Ph.d. This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care. [source] Save the Young,the Elderly Have Lived Their Lives: Ageism in Marriage and Family Therapy,FAMILY PROCESS, Issue 2 2000David C. Ivey Ph.D. The paucity of literature addressing mental health issues concerning geriatric populations represents the perpetuation of ageist practices and beliefs in the field of marriage and family therapy. The purpose of this study was to assess whether client age and clinical training relate to the evaluation of couples who present for conjoint therapy. Written vignettes describing two couples, one older and one younger, who report issues involving the absence of sexual intimacy, increased frequency of arguments, and increased use of alcohol were evaluated by practicing marriage and family therapists, therapists-in-training, and individuals with no clinical background. It was hypothesized that respondents' views would vary in connection with the age of the couple and with the three levels of participant training. Results indicate that client age and participant training are associated with perceptions of individual and couple functioning. Our findings suggest that the relational and mental health concerns experienced by elder couples are not perceived as seriously as are identical concerns experienced by younger couples. Contrary to our expectations the observed differences between views of the two age conditions did not significantly differ between levels of participant training. Training and experience in marriage and family therapy may not significantly mitigate vulnerability to age-discrepant views. [source] Global Perspectives in Family Therapy: Development, Practice, TrendsFAMILY RELATIONS, Issue 4 2004John W. Engel No abstract is available for this article. [source] The effectiveness of family therapy and systemic interventions for child-focused problemsJOURNAL OF FAMILY THERAPY, Issue 1 2009Alan Carr This review updates a similar paper published in the Journal of Family Therapy in 2001. It presents evidence from meta-analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family-based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either alone or as part of multimodal programmes for sleep, feeding and attachment problems in infancy; child abuse and neglect; conduct problems (including childhood behavioural difficulties, ADHD, delinquency and drug abuse); emotional problems (including anxiety, depression, grief, bipolar disorder and suicidality); eating disorders (including anorexia, bulimia and obesity); and somatic problems (including enuresis, encopresis, recurrent abdominal pain, and poorly controlled asthma and diabetes). [source] Strengthening the Voice of Family TherapyJOURNAL OF FAMILY THERAPY, Issue 1 2008Ivan Eisler First page of article [source] Table talk: inviting students to share the feastJOURNAL OF FAMILY THERAPY, Issue 4 2007Carol Farrington This account describes part of the first morning of the AFT accredited South Yorkshire Foundation Course in Family Therapy and Systemic Practice. The course committee members join together in a reflective conversation about the course. We share with the students our ,kitchen table' discussions, the history of our involvement, and how it has affected our lives. We aim to introduce social constructionist practice in which we present the context of the course and address the power relationships in the room by being transparent about our own experiences. We hope to create an atmosphere in which learning can flourish. [source] Marital and Family Therapy, Fourth Edition by Glick, I., Berman, E., Clarkin, J. and Rait, D.JOURNAL OF FAMILY THERAPY, Issue 3 2007Mark Rivett No abstract is available for this article. [source] Meeting the Needs of Evidence-based Practice in Family Therapy: Developing the Scientist-practitioner ModelJOURNAL OF FAMILY THERAPY, Issue 2 2002D. Russell Crane Effective models of clinical training have been and continue to be a primary topic of discussion in the field of family therapy, particularly given the needs of evidence-based practice. This article outlines the major historical and contemporary struggles of one such model of clinical training and practice: the scientist-practitioner model. Throughout the article, the principles of the scientist-practitioner model and evidence-based practices are compared and contrasted. Suggestions for overcoming the contemporary challenges faced by the scientist-practitioner in a family therapy practice or in an educational environment are discussed. [source] The Scientific Practitioner and Family Therapy: A way Forward, a Strait-jacket or a Distraction?JOURNAL OF FAMILY THERAPY, Issue 2 2002Ivan Eisler First page of article [source] The Experiences of Parents of Adolescents in Family Therapy: A Qualitative InvestigationJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2010Maryann Sheridan While understanding clients' experiences in family therapy is becoming increasingly important, we know very little about how the parents of adolescents in family therapy perceive and experience this process. The current study uses a multicase qualitative design and constructivist theoretical framework to describe the experiences of 15 parents of adolescents attending family therapy in private practices. Constant comparative analysis revealed four core categories that described parents' therapeutic experiences: (a) pretherapy presentation, (b) supportive therapeutic climate, (c) family therapy process, and (d) reflections on the therapy experience. The implications of study findings for clinicians and researchers are presented and discussed. [source] When the Levee Breaks: Treating Adolescents and Families in the Aftermath of Hurricane KatrinaJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2008Cynthia L. Rowe Hurricane Katrina brought to the surface serious questions about the capacity of the public health system to respond to community-wide disaster. The storm and its aftermath severed developmentally protective family and community ties; thus its consequences are expected to be particularly acute for vulnerable adolescents. Research confirms that teens are at risk for a range of negative outcomes under conditions of life stress and family disorganization. Specifically, the multiple interacting risk factors for substance abuse in adolescence may be compounded when families and communities have experienced a major trauma. Further, existing service structures and treatments for working with young disaster victims may not address their risk for co-occurring substance abuse and traumatic stress reactions because they tend to be individually or peer group focused, and fail to consider the multi-systemic aspects of disaster recovery. This article proposes an innovative family-based intervention for young disaster victims, based on an empirically supported model for adolescent substance abuse, Multidimensional Family Therapy (MDFT; Liddle, 2002). Outcomes and mechanisms of the model's effects are being investigated in a randomized clinical trial with clinically referred substance-abusing teens in a New Orleans area community impacted by Hurricane Katrina. [source] Editor's Introduction and Call for Papers: Education and Training in Marital and Family TherapyJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2008Thorana S. Nelson PhD Associate Editor No abstract is available for this article. [source] The Development of Core Competencies for the Practice of Marriage and Family TherapyJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2007Thorana S. Nelson In response to a series of national policy reports regarding what has been termed the "quality chasm" in health and mental health care in the United States, in January 2003, the American Association for Marriage and Family Therapy convened a task force to develop core competencies (CC) for the practice of marriage and family therapy (MFT). The task force also was responding to a call for outcome-based education and for the need to answer questions about what marriage and family therapists do. Development of the CC moves the field of MFT into a leading-edge position in mental health. This article describes the development of the CC, outcomes of the development process for the competencies, and recommendations for their continued development and implementation. [source] MOTIVATIONAL, ETHICAL, AND EPISTEMOLOGICAL FOUNDATIONS IN THE TREATMENT OF UNWANTED HOMOEROTIC ATTRACTIONJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2003Christopher H. Rosik A recent special section of the Journal of Marital and Family Therapy(October, 2000) focusing on the mental health needs of gay, lesbian, and bisexual individuals neglected to address the clinical needs of homosexual persons who desire to increase their heterosexual potential. This article attempts to correct this omission by outlining common motivations for pursuing change, updating the current state of knowledge regarding the effectiveness of change efforts, and providing some ethical guidelines when therapists encounter clients who present with unwanted homoerotic attraction. Finally, to assist marriage and family therapists (MFTs) in more deply understanding divergent perspectives about reorientation treatments, an examination of the role of moral epistemology is presented and some examples of its potential influence are described. MFTs are encouraged to recognize and accept, rather than ignore or deny the valid needs of clients who seek to modify their same-sex attraction. [source] THE USE OF THEORY IN FAMILY THERAPY RESEARCH: A CONTENT ANALYSIS OF FAMILY THERAPY JOURNALSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2000Dale R. Hawley Ninety-five studies from Family Process and Journal of Marital and Family Therapy were evaluated with regard to their use of theory. While a majority of the articles were judged to use theory in either an explicit or an implicit manner, 42% did not appear to draw on theory in either the introductory or discussion sections. Studies that used qualitative methods appeared to use theory more frequently and explicitly than those using quantitative methods alone. Systems theory was found to be the most common conceptual framework, followed by feminism. We conclude that the link between theory and reasearch in family therapy needs strengthening and suggest that the role of theory in family therapy be reexamined. [source] Family Therapy as an Alternative to Medication: An Appraisal of Pharmland, by Phoebe S. Prosky and David V. Keith (Eds.)AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2004Article first published online: 24 MAR 2010 No abstract is available for this article. [source] Concise Guide to Marriage and Family Therapy, by Eva C. Ritvo and Ira D. GlickAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2002Article first published online: 22 JUL 2010 No abstract is available for this article. [source] Practitioner Review: Adolescent alcohol use disorders: assessment and treatment issuesTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 11 2008Francheska Perepletchikova Background:, Alcohol use disorders in adolescents are associated with significant morbidity and mortality. Over the past decade, there has been a burgeoning of research on adolescent alcohol use disorders. Methods:, A summary of the alcohol assessment tools is provided, and randomized studies reviewed and synthesized to provide an overview of state of the art knowledge of treatment of adolescent alcohol use disorders. Animal models of addiction are also briefly reviewed, and the value of translational research approaches, using findings from basic studies to guide the design of clinical investigations, is also highlighted. Results:, Comorbidity is the rule, not the exception in adolescent alcohol use disorders. Comprehensive assessment of psychiatric and other substance use disorders, trauma experiences, and suicidality is indicated in this population to optimize selection of appropriate clinical interventions. In terms of available investigated treatments for adolescents with alcohol use disorders, Multidimensional Family Therapy and group administered Cognitive Behavioral Therapies have received the most empirical support to date. There is a paucity of research on pharmacological interventions in this patient population, and no firm treatment recommendations can be made in this area. Conclusions:, Given the high rate of relapse after treatment, evaluation of combined psychosocial and pharmacological interventions, and the development of novel intervention strategies are indicated. [source] |