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Journal of Marital and Family Therapy

Nikki Kennedy, Susan M Johnson, Stephanie A Wiebe, John B Willett, Giorgio A Tasca
The Hold Me Tight (HMT) program is a new approach to relationship education based on Emotionally-Focused Therapy (Johnson, ), an evidence-based approach to couple therapy. In this exploratory longitudinal research, we examined individual growth in relationship satisfaction and trust for partners in 95 couples in 16 HMT groups across four occasions of measurement: Baseline, Pre-Program, Post-Program and at either 3- or 6-month Follow-Up. We found that relationship satisfaction and trust increased during program participation, and declined during follow-up...
September 23, 2018: Journal of Marital and Family Therapy
Martiño Rodríguez-González, Maria Schweer-Collins, Elizabeth A Skowron, Rafael Jódar, Virginia Cagigal, Sofia O Major
The pathways between differentiation of self and health remain only partly elucidated. This cross-cultural study sought to test Bowen's hypothesis about the associations between differentiation, stressful life events, and physical and psychological health, in a sample of 466 Spanish adults. Results show that people with higher levels of differentiation were less prone to physical ailments (e.g., heart disease, cancer, or blood disorders) and psychological symptoms (e.g., depression or anxiety). Further, differentiation mediated the association between stress (i...
September 21, 2018: Journal of Marital and Family Therapy
Daniel Z Q Gan, Yiwei Zhou, Eric Hoo, Dominic Chong, Chi Meng Chu
Family functioning is predictive of youth recidivism in Singapore. However, there is a lack of family based interventions for youth offenders on community probation. Evidence-based family interventions developed in Western populations, such as Functional Family Therapy (FFT), have been found to be effective in mitigating subsequent youth criminal behavior. However, no study has examined whether such interventions can be implemented and adapted for use in Eastern cultures. Thus, this paper sought to detail the implementation of FFT in Singapore...
September 7, 2018: Journal of Marital and Family Therapy
Angela B Bradford, Stella Dobry, Jonathan G Sandberg, Sarah M Coyne
We examined whether time together as a problem mediates the link between frequency of video game use and relational outcomes (relationship quality, relational aggression, physical aggression) among 431 married couples. We also examined the moderating effect of couple attachment behaviors on the association between time together as a problem and outcomes. There was no support for a direct or indirect relationship between gaming and outcomes; however, time together as a problem was consistently related to outcomes...
September 5, 2018: Journal of Marital and Family Therapy
Alyssa Banford Witting, Dean Busby
Traumatic experiences within and outside the family of origin in childhood may disrupt couple functioning later in life. Using a sample of 3,958 couples assessed through the Relationship Evaluation Questionnaire (RELATE), an actor-partner independence model was fit to test direct and indirect associations between negative impact from one's family of origin (accounting for physical violence and sexual abuse) and resources in couple relationships. Resources were defined using intervention principles derived from the Conservation of Resources (COR) theory...
August 31, 2018: Journal of Marital and Family Therapy
Gunnur Karakurt, Kathleen Whiting, Alyssa Banford Witting
This study aims to understand the associations between adult attachment security and different types of intimate partner violence victimization including that of emotional abuse, physical violence, and sexual coercion among heterosexual couples. Participants included 87 couples with the mean age 22.3 years. An actor-partner interdependence model was fit to the data. Findings indicated that adult attachment security accounted for 15% of the variance in the emotional abuse victimization of females, 9% of the variance in the sexual coercion victimization of females, and 7% of the variance in minor physical victimization of males...
August 20, 2018: Journal of Marital and Family Therapy
Mirisse Foroughe, Amanda Stillar, Laura Goldstein, Joanne Dolhanty, Eric T Goodcase, Adele Lafrance
This study evaluated the 2-day intensive modality of Emotion Focused Family Therapy (EFFT). The intervention attempts to prepare parents to take a primary role in their child's recovery from a range of mental health issues. One hundred and twenty-four parents completed the intervention and provided data a week prior to intervention, post-intervention and at 4-month follow-up. Results include significantly reduced parent blocks and increased parental self-efficacy in relation to involvement in their child's recovery, as well as significant improvement in child symptomatology...
August 13, 2018: Journal of Marital and Family Therapy
Andrea K Wittenborn, Ting Liu, Ty A Ridenour, E Megan Lachmar, Erica A Mitchell, Ryan B Seedall
This randomized controlled trial examined the effectiveness of Emotionally Focused Therapy (EFT) for depression and relationship satisfaction versus usual care (i.e., couple therapy other than EFT), and explored mechanisms of change. Mixed model trajectory analyses of 16 couples indicated EFT was associated with greater improvement in relationship satisfaction among men and women. Men receiving EFT reported greater improvements in depressive symptoms compared to usual care. Unified structural equation modeling revealed changes in relationship satisfaction preceded changes in depressive symptoms in one cluster of partners, while changes in depression preceded changes in relationship satisfaction in a second cluster...
August 13, 2018: Journal of Marital and Family Therapy
Senem Zeytinoglu-Saydam, Alba Niño
Emotionally Focused Couple Therapy (EFT) was developed based on the premise that couples get stuck in negative cycles fueled by their underlying primary emotions and unmet attachment needs (Johnson [2004], Creating connection: The practice of Emotionally Focused Couple Therapy). EFT therapists need to stay in touch with and regulate their own emotions when the tension rises in the sessions, while still staying open and vulnerable to their clients. Person-of-the-Therapist Training model (Aponte & Kissil [2016], The person of the therapist training model: Mastering the use of self) aims to increase therapists' understanding, awareness, and acceptance of their own personal issues to create a more empathic connection with their clients...
August 13, 2018: Journal of Marital and Family Therapy
Tea Trillingsgaard, Trine K Sørensen, Hanne N Fentz
Empirically supported couple interventions often transfer from the US to several other parts of the world yet we have little data on their final reach. This study investigated relationship help-seeking in a random population sample of 1,371 individuals living with a partner in Denmark, a European high income - high divorce country. Only a small fraction of respondents had ever sought couple education (3%) or counseling/therapy (7%) with their partner. Among respondents experiencing a severe relationship crisis, individual types of help-seeking were the most prevalent...
August 6, 2018: Journal of Marital and Family Therapy
Heather A Love, Chelsey N Torgerson
The vast majority of adults in the United States experience at least one traumatic event during childhood. According to the self-medication hypothesis of substance use disorders, adult survivors of childhood trauma may cope with trauma-related symptoms via alcohol or drug use. The purpose of this study is to identify through which specific PTSD symptom clusters childhood trauma exposure are associated with adult substance use. Participants of this study (N = 627) were not recruited based on substance use or traumatic exposure...
July 15, 2018: Journal of Marital and Family Therapy
Adam C Jones, Natalie C Johnson, Sydney Wenglein, Sara T Elshershaby
The ability to conceptualize and treat sexual problems has been widely accepted as a crucial skill to master the MFT training. However, clients' sexual relationships are often ignored by clinicians because of a lack of experience or training, or personal discomfort. In this content analysis, we review sex and sex therapy research within MFT and family studies journals since the turn of the century. Of the 13,919 articles published within the 15 journals, 137 focused on sexuality or sex therapy. The articles were divided into five themes: sexual and relational health, sexual diversity, treatment and contributors of sexual dysfunction, sex therapy practices, and sexual education and development...
July 15, 2018: Journal of Marital and Family Therapy
Laurence de Montigny Gauthier, Marie-Pier Vaillancourt-Morel, Alessandra Rellini, Natacha Godbout, Véronique Charbonneau-Lefebvre, Frédérique Desjardins, Sophie Bergeron
Among 70 community couples who reported childhood sexual abuse (CSA) and disclosure to their partner, this study examined associations between survivors' perception of partner responses to their disclosure, and both partners' sexual and relationship satisfaction. Participants completed self-report questionnaires online. Results of path analyses within an actor-partner interdependence model indicated that survivors' perceived partner responses of emotional support to disclosure were associated with their own and their partners' higher sexual satisfaction...
July 13, 2018: Journal of Marital and Family Therapy
Mark H Butler, Travis J Spencer
We propose a circumplex model and typology of patterns of couple engagement to help therapists assess and shape positive couple engagement, prerequisite to successful resolution of relational trauma. View or value of self in relation to other (VSIRO) is conceived as a primary engine organizing couple relationships and patterns of engagement. VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self-aggrandizing) versus collapsed (self-negating) VSIRO, with a balanced (egalitarian) VSIRO as the target position, consisting of self and other mutuality, respect, and equality...
July 13, 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...
July 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...
July 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...
July 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...
July 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...
July 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...
July 2018: Journal of Marital and Family Therapy
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