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Journal of Marital and Family Therapy

Joy Heafner, Laura Mauldin
The field of marriage and family therapy has historically focused on dynamics within family systems, and at times the role of social and cultural factors external to the family. To date, however, little scholarship has examined how therapists themselves are embedded within a mental healthcare system. The purpose of this article is to demonstrate how structural components of the mental healthcare system shape the practice of therapy. We draw from the field of medical sociology to illustrate how three dominant structures-managed care, diagnosis, and evidence-based models-are intertwining and mutually reinforcing systems that have significant and long-term implications for systemic therapists and researchers...
May 21, 2018: Journal of Marital and Family Therapy
Maren Rathgeber, Paul-Christian Bürkner, Eva-Maria Schiller, Heinz Holling
Behavioral couple therapy (BCT) and emotionally focused couples therapy (EFCT) are well-established treatments to reduce couple distress. This meta-analysis summarizes the current state of knowledge on the efficacy of these two therapy methods by focusing on randomized controlled trials only. A literature search revealed 33 suitable primary studies (2,730 participants in total), all of them measuring relationship satisfaction. Robust-variance random-effects meta-analysis revealed medium effect sizes at post-test (overall: g = 0...
May 20, 2018: Journal of Marital and Family Therapy
Jennifer J Lambert-Shute, Hoa N Nguyen, Paul W Peterson, Annisa B Pirasteh
In this content analysis, researchers examine articles published from 2000 to 2015 in three family therapy journals, yielding a total of 948 empirical articles. The purpose is to provide an overview of the research being published, assess who is publishing, and investigate the current state of clinical effectiveness research in marriage and family therapy (MFT). Most first authors were affiliated with MFT programs and primarily included diversity and couples in their research. There was a significant increase of research on clinical process-though the number of clinical outcome studies held steady...
May 15, 2018: Journal of Marital and Family Therapy
Stephen T Fife, Carissa D'Aniello, Sarah Scott, Erin Sullivan
With the increased empirical and theoretical support for common factors in the psychotherapy literature, marriage and family therapy (MFT) scholars have begun discussing the inclusion of common factors in MFT training. However, there is very little empirical research on common factors training or how to include common factors in MFT curricula. The purpose of this phenomenological study was to investigate MFT students' experience with common factors training. Seventeen master's degree students who received training in common factors participated in the study...
April 27, 2018: Journal of Marital and Family Therapy
Nathan R Hardy, Matthew W Brosi, Kami L Gallus
The field of couple, marital, and family therapy (CMFT) is at an important juncture of identity development and synthesis. Integrative Systemic Therapy (IST) is a problem-centered metaframeworks approach that meets the growing needs of family therapists working with diverse and complex family systems and restores the field to its original focus on collaboration. This paper describes the process by which IST developed featuring anecdotes from live interviews with the founders. We briefly outline IST's theoretical pillars and the essential way IST practitioners deliver treatment including a blueprint for therapy...
April 22, 2018: Journal of Marital and Family Therapy
Gene Combs
Privilege is the freedom to ignore things that other people are forced to confront; dramatic things like being gunned down by a vigilante on the way home from a convenience store or less urban and visible things like having to live on secluded parcels of land that no one else wants. Most family therapists enjoy the freedom not to experience such events. Many of the people who come to us for help don't have that freedom. My intent here is to increase felt awareness of the injustice of institutional racism and to suggest some actions that White family therapists can take to bring forth a more just society in terms of education, housing, access to wealth, and basic safety...
April 22, 2018: Journal of Marital and Family Therapy
Codina Kawar, Jennifer Coppola, Rashmi Gangamma
This study's aim was to apply a Contextual theory lens on exploring whether knowledge of parental infidelity affects the Relational Ethics (RE) of adult children. The Relational Ethics Scale (RES) was used to capture horizontal (partner) and vertical (family of origin) relational ethics in a clinical sample of 195 participants. A repeated measures ANOVA tested the differences in RES scores among the participants who reported knowledge of parental infidelity and the participants who did not. Results showed that knowledge of parental infidelity is significantly associated with lower scores on the RES, which indicates problematic relationships, both in partners and with family of origin...
April 16, 2018: Journal of Marital and Family Therapy
McKenzie K Roddy, Karen Rothman, Larisa N Cicila, Brian D Doss
Couples are increasingly utilizing newly developed online adaptations of couple therapy; however, different presenting problems could drive couples to seek either online or in-person services. This study compared the presenting problems of 151 couples seeking an online couple intervention for relationship distress (OurRelationship) with responses from 147 couples seeking in-person couple therapy. Presenting problems were generally consistent across gender and whether or not the respondent was the initial help-seeker...
April 2, 2018: Journal of Marital and Family Therapy
Katherine Péloquin, E Sandra Byers, Melissa Callaci, Nadine Tremblay
This study sought to provide information about the sexual well-being of 298 mixed-sex couples seeking relationship therapy and determined the extent to which problems with sexual functioning and dyadic adjustment of both partners are associated with sexual satisfaction. Partners completed measures of dyadic adjustment, sexual satisfaction, and sexual functioning. Thirty percent of couples reported a clinically significant sexual problem. Compared to their male partners, the women were more likely to report a sexual problem as well as lower dyadic adjustment, sexual satisfaction, and overall sexual functioning...
March 26, 2018: Journal of Marital and Family Therapy
Suzanne Bartle-Haring, Megan Ferriby, Randal Day
The purpose of this investigation was to determine whether differentiation at the couple level would act as a moderator or a mediator in the association between marital satisfaction and depressive symptoms over time. In a sample of 412 couples, a latent profile analysis was performed to determine how couple differentiation scores were clustered. An Actor/Partner Interdependence Model was then estimated via a group comparison procedure in structural equation modeling. There was no evidence of a moderating effect of differentiation...
March 9, 2018: Journal of Marital and Family Therapy
Eleftheria Tseliou, Maria Borcsa
In this article, we aim to introduce the special JMFT section on discursive research methodologies for couple and family therapy research. These are qualitative research methodologies which resonate with the systemic emphasis on the semantics and the pragmatics of therapy discourse. First, we provide a brief overview of such methodologies and their use in the family therapy field. We then introduce the context and the content of the special section, where four approaches, including conversation analysis, discursive psychology type of discourse analysis, poststructurally informed discourse analysis (subject positioning analysis), and semantic analysis, are introduced by means of analyzed extracts from a Tom Andersen consultation session with a couple in distress and their therapist...
March 8, 2018: Journal of Marital and Family Therapy
Diane R Gehart
Tom Andersen and his pioneering work with reflecting conservations has had a lasting influence on the field of family therapy and mental health more broadly. Most family therapists are familiar with his contributions related to reflecting teams; however, fewer are familiar with his conceptualization of reflecting processes, which offer practical ways to approach therapeutic conversations to address challenging problems. This article provides a brief history of Andersen's career and reviews four key elements of his approach, including: (a) his way of being in relationship, (b) appropriately unusual comments, (c) inner and outer dialogs, and (d) ethics of dialogical relating...
March 8, 2018: Journal of Marital and Family Therapy
Michelle O'Reilly, Nikki Kiyimba, Jessica N Lester
The field of couple and family therapy has benefitted from evidence generated from qualitative approaches. Evidence developed from approaches relying on language and social interaction using naturally occurring recordings of real-world practice has the benefit of facilitating practice-based recommendations and informing practice. The aim of this article is to provide an overview of one approach to discourse analysis, Discursive Psychology (DP), demonstrating how a social constructionist framework and focus on discourse can provide an important contribution to the field of therapy...
March 8, 2018: Journal of Marital and Family Therapy
Olga Smoliak, Amanda Le Couteur, Christopher Quinn-Nilas
Tom Andersen is considered one of the key contributors to the development of postmodern practice. Little is known, however, about the ways in which his ideas and practices are routinely carried out in situ. We used Conversation Analysis (CA) to investigate a session of couple therapy facilitated by Andersen. We show how Andersen and client participants oriented to and addressed problems of understanding that occurred between them. The source of this trouble was Andersen's use of unusual question formulations...
March 8, 2018: Journal of Marital and Family Therapy
Michael Guilfoyle
The notion of subject positions is a useful tool in thinking through therapeutic interactions. In this article, I discuss positioning as an everyday phenomenon, and highlight the relational and social power dynamics that shape the subject positions persons may inhabit. Analysis is presented of the positional dynamics that play out in the couple's therapy session facilitated by Tom Andersen. Analysis suggests that Andersen adopts a not-knowing, uncertain, and curious position, while constructing the couple as competent, unfinalizable persons able to negotiate the choice-points that arise in front of them...
March 8, 2018: Journal of Marital and Family Therapy
Valeria Ugazio, Stella Guarnieri
The article presents a semantic analysis inspired by the theory of family semantic polarities developed by Ugazio (, ) applying two versions of a coding system, the Family Semantic Grid (FSG), to a couple session with Tom Andersen as a consultant. One version (FSG II) detects the narrated semantic polarities (NSPs) emerging during the session from the transcript, whereas the other (FSG III) identifies the interactive semantic polarities (ISPs) from the video recording. Both the NSPs and the ISPs are classified according to four sets of meaning called the semantic of freedom, goodness, power, and belonging...
March 7, 2018: Journal of Marital and Family Therapy
Paolo Bertrando
The comparison of four discursive and conversational analysis studies performed on the same couple consultation session, held by Tom Andersen, show a diversity of results. It can be argued the results are so varied that they constitute different realities, often incompatible with each other. This, far from being a shortcoming of these studies, can be seen as the true richness they can offer to the practicing therapist, who can use research to investigate the different perspectives we can adopt in viewing our clinical activity...
March 7, 2018: Journal of Marital and Family Therapy
Harlene Anderson
No abstract text is available yet for this article.
March 7, 2018: Journal of Marital and Family Therapy
Jay L Lebow
No abstract text is available yet for this article.
March 7, 2018: Journal of Marital and Family Therapy
Jenene Case Pease
No abstract text is available yet for this article.
April 2018: Journal of Marital and Family Therapy
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