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‘I feel like they understand me a bit more’: The experiences of young people with borderline personality disorder following their parents taking part in a mentalisation‐based intervention for parents and carers (MBT‐FACTS) J. Fam. Ther. (IF 1.1) Pub Date : 2024-08-24 Celeste Benetti, Richard Whitehead, Liza Hopkins
Borderline Personality Disorder (BPD) is a distressing mental illness that is overrepresented in adolescents and youth and which was previously thought difficult to treat. Families and carers of those with BPD can also experience high levels of distress and burden and can struggle in their support of those with BPD. The Families and Carers Training and Support (FACTS) program is an innovative skills
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Social GRRRAAACCCEEESSS in intercultural couple therapy: A semantic analysis J. Fam. Ther. (IF 1.1) Pub Date : 2024-08-13 Julia Kalaydjian, Valentina Lugli, Reenee Singh
Social GGRRAAACCEEESSS must be addressed by the therapist, as they can easily and unintentionally be missed. The present article is based on a qualitative analysis of two case examples to draw out extracts of conversations around such biases. The purpose of the article is to bridge the heuristic of the Social GGRRAAACCEEESSS with the concept of semantic polarities and to illustrate the complex positioning
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Adaptation of multi‐family therapy for children and adolescents with anorexia nervosa in Japan J. Fam. Ther. (IF 1.1) Pub Date : 2024-08-07 Rie Kuge, Kayoko Kojima, Ken Shiraishi, Daimei Sasayama, Hideo Honda, Mima Simic, Julian Baudinet
Multi‐family therapy for children and adolescents with anorexia nervosa (MFT‐AN) draws on the same principles as family therapy for AN (FT‐AN), but is delivered in a more intensive format to help families overcome a sense of isolation and stigmatisation and to maximise their own resources. In Japan, the main treatment for AN is inpatient care, and family‐based treatment that is based on the practice
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Clinicians' experiences and perceptions of family therapy in the context of autism J. Fam. Ther. (IF 1.1) Pub Date : 2024-07-23 Cindy H. T. Hsiang, Linda Campbell, Meredith Tavener
There is a paradoxical paradigm operating in neurodiverse families with autistic children, indicating increased stress alongside enrichment of family life. An emerging body of research has shown that the use of family therapy can improve family functioning and relationships in neurodiverse families. The current study uses constructivist grounded theory to explore clinicians' experiences and perceptions
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The ‘four selves’ framework for facilitating personal and professional development (PPD) in qualifying‐level systemic psychotherapy training J. Fam. Ther. (IF 1.1) Pub Date : 2024-07-19 Ursula McKeown, Stephen Coulter, Suzanne Mooney
Personal and Professional Development (PPD) has been long considered a central component of counselling and psychotherapy training. Key literature in respect of PPD approaches for psychotherapy training is reviewed, and the scant literature specifically relating to systemic psychotherapy noted. The ‘Four Selves’ PPD Framework, developed in Northern Ireland by the lead author as part of qualifying‐level
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Family therapy and the ecology of parallel universes J. Fam. Ther. (IF 1.1) Pub Date : 2024-07-05 Glenn Larner
Astrophysicists and cosmologists seriously propose that our universe, with its three dimensions and local physical bylaws, is one of an infinite number of parallel universes. This paper discusses the relevance of these ideas for contemporary systemic family therapy, such as thinking about the therapist's positioning in relation to the family. Ideas such as the anthropic principle suggest each meeting
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The ‘uncomfortable aunt’: Acts of resistance against NHS practices that contradict our values J. Fam. Ther. (IF 1.1) Pub Date : 2024-07-02 Becky Midlane
This study explores the experience of family therapists performing ‘everyday’ acts of resistance against practices within the National Health Service (NHS) that contradict their values. Interpretative phenomenological analysis (IPA) was used to analyse semi‐structured interviews with five family therapists working in the NHS. Themes explored include the influence of the self of the therapist on their
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Reconnecting systemic family therapy: How family therapy training can attend to the ecosystem and climate emergency, recommendations from a Delphi survey J. Fam. Ther. (IF 1.1) Pub Date : 2024-05-24 Robert Moore, Jenny Cove
We are facing devastating effects of the climate emergency and systemic environmental breakdown. These impact on mental health and wellbeing. Family therapy has only marginally engaged with these crises and the relationship between people and ecosystem. This Delphi survey identifies key elements to include in family therapy training to attend to the ecosystem and the climate and ecological emergencies
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Parenting a child with ‘Diabulimia’: A systemic interpretative phenomenological analysis J. Fam. Ther. (IF 1.1) Pub Date : 2024-05-24 Fiona Kennon, Gary Robinson
The aim of this paper is to examine the experiences and views of parents whose child lived with type 1 diabetes (T1DM) and eating disorder (ED), specifically ‘diabulimia’ and the professional support offered to them. Interpretative phenomenological analysis (IPA) was employed as a methodology to explore the experience of three parents (mothers) living in the United Kingdom, regarding their chronically
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Non‐violent resistance treatment for parenting stress and parent–child interaction in parents of adolescents with anorexia nervosa: A pilot study J. Fam. Ther. (IF 1.1) Pub Date : 2024-04-25 Irene G. Meijer, Luuk Stapersma, Leonieke Terpstra, Joost P. van der Mandele, Elisabeth M. W. J. Utens
Parenting a child with anorexia nervosa (AN) is highly stressful, and the struggles around eating have a large impact on family functioning. Parents get involved in conflicts with their child and/or accommodate to the eating disorder symptoms. Non‐violent resistance (NVR) offers an additional treatment option for these families. NVR aims at helping parents effectively deal with their child's (self‐)destructive
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Sibling stories of parental mental distress J. Fam. Ther. (IF 1.1) Pub Date : 2024-04-07 Wendy O'Neill, Pieter W. Nel, Nic Horley, Lizette Nolte
This paper reports on the results of a study exploring sibling stories of parental mental distress and the societal discourses that may have contributed to the adult siblings' sense-making. Four sibling pairs were purposively recruited and interviewed, using a narrative inquiry approach. Two main plots were constructed through analysis of the participants' narratives: ‘The story of us’ and ‘We are
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Systemic family therapists and dementia: A constructivist grounded theory study J. Fam. Ther. (IF 1.1) Pub Date : 2024-03-29 Peter Lloyd Ball
This article presents research that explored the ways that systemic and family therapists might approach the support of families living with dementia. A constructivist grounded theory methodology was used to interpret interviews with four systemic family therapists working in the United Kingdom. All participants had professional and/or lived experience of dementia. Transcript analysis and theoretical
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KidsTime: A multifamily prevention approach for parents with a mental illness and their children and relatives J. Fam. Ther. (IF 1.1) Pub Date : 2024-03-21 E. Tapias, R. Vila-Badia, M. Cárdenas, I. Ardévol, F. Lacasa, T. Ribalta, O. Pérez, M. Fuentes, M. J. Fumanal, M. Vidal, C. Saltó, A. García, C. Serrano, E. Ortiz, N. Grases, , M. Coromina
A total of 32% of children whose parents have some mental health problems are estimated to be diagnosed with some mental disorder later in life. As a consequence, a need arises to offer preventive psychological interventions aimed at these children. The aims were to investigate whether there are significant changes before and after the KidsTime program. In total, 101 people participated in the program
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It brought us closer: How couples in the United States with children diagnosed with ASC create and maintain relationship functioning J. Fam. Ther. (IF 1.1) Pub Date : 2024-02-18 Justin S. Romney, Kelsey L. Austin, Stephen T. Fife, Allison L. Montgomery
Couples raising a child diagnosed with autism spectrum condition (ASC) experience unique challenges that can affect their relationship. This grounded theory study explores how couples maintain functioning in their relationship despite ongoing stressors related to raising a child on the spectrum. The presented model shows what couples can do to create and maintain their relationship functioning. It
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Piloting a narrative-mantra multi-clinician group for mental health clinicians at a child and adolescent mental health service in London, UK J. Fam. Ther. (IF 1.1) Pub Date : 2024-01-10 Yang Yang Teh
This study presents a mixed-methodology pilot study of a narrative-mantra multi-clinician group, which is an integrative systemic and mindfulness-based intervention, to promote the well-being of mental health clinicians working at a local child and adolescent mental health service in London, UK. The study also served as a nonclinical sample pilot for a narrative-mantra multi-family group trial for
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Problematic alcohol use: A relational illness J. Fam. Ther. (IF 1.1) Pub Date : 2024-01-03 Roxana Carlisle
Problematic alcohol use (PAU) has been a marginalised subject within the systemic field. The present article brings PAU into focus and discusses the conceptualisation of PAU. Reflected in the dominance of individually orientated treatment approaches, PAU is widely seen as an individual condition with aetiology and maintenance attributed to individual pathology and behaviour. Pathologising and stigmatising
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Taking empirical evidence seriously v.2.01 J. Fam. Ther. (IF 1.1) Pub Date : 2024-01-02 Terje Tilden, May-Britt Solem, Frode Thuen, Lennart Lorås, Jan Stokkebekk, Kristoffer Whittaker
This article discusses the status and challenges related to the basic perspective of knowledge and science in systemic practice. This article points out that some parts of the field (i.e. collaborative dialogical practice) have a preference for knowledge obtained through qualitative rather than quantitative studies. This is problematised, partly based on methodology and partly on the bias this entails
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To what extent are early alliance perceptions a function of romantic partners' initial expectations for couple therapy? J. Fam. Ther. (IF 1.1) Pub Date : 2023-12-07 Edmund W. Orlowski, Myrna L. Friedlander, Shayne R. Anderson, Lee N. Johnson
In this study, we investigated the association between clients' initial outcome expectations and their subsequent perceptions of the expanded therapeutic alliance. Romantic partners (N = 252) who received at least four sessions of systemic couple therapy from thirty-one therapists from the Marriage and Family Therapy Practice Research Network (Johnson et al., 2017; www.mft-prn.net) completed an outcome
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Listening as activism: Re-thinking resilience and justice-doing as a response to trauma J. Fam. Ther. (IF 1.1) Pub Date : 2023-10-31 Carol Halliwell, Ben Shannahan
Just as language is political, so too is the way we listen to people. Our listening shapes the way we witness and respond to others and the stories of life that are co-constructed in the process. Co-constructing resiliences includes returning the gaze on the political and social contexts in which harm to people takes place. In the process, we explore listening practices associated with therapeutic
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‘Treating this place like home’: An exploration of the notions of home within an adolescent inpatient unit with subsequent implications for staff training J. Fam. Ther. (IF 1.1) Pub Date : 2023-10-30 Hannah Sherbersky, Arlene Vetere, Janet Smithson
Notions of home are deeply rooted in how we understand our interrelational selves and where we fit in to the world around us. This qualitative research explored how young people, their families and staff on a United Kingdom (UK) psychiatric adolescent inpatient unit constructed meaning around the notion of home within the unit. Admissions on such units can range from a few days to many months, and
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Family domains: A conceptual framework with practical application for adolescent inpatient services J. Fam. Ther. (IF 1.1) Pub Date : 2023-10-13 Jonathan Hill, Simon Cornwell, Anthony James, Heather Lee, Steven Riley, Paul Tranter, Fran Tutty
According to the Family Domains Framework (FDF), family life consists of a movement of parents and children across four domains: exploratory, attachment, discipline/expectation and safety. Each has its own typical behaviours, ways of speaking and pacing, and each serves distinct and equally important functions for the growing child. On admission to an adolescent psychiatric unit, staff become temporary
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Narrative psychiatry and family collaborationsBy Nina Tejs Jørring with June Alexander and David Epston (Eds), London and New York: Routledge, 2022, pp. 232. ISBN: 978-0-367-77486-8. https://doi.org/10.4324/9781003171621 J. Fam. Ther. (IF 1.1) Pub Date : 2023-10-13 Gilbert Lemmens
CONFLICT OF INTEREST STATEMENT No conflicts of interest to disclose.
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Multi-family therapy for adult outpatients with obsessive-compulsive disorder and their family members, targeting family accommodation J. Fam. Ther. (IF 1.1) Pub Date : 2023-08-21 Hannelore L. N. Tandt, Lemke Leyman, Chris Baeken, Christine Purdon, Gilbert M. D. Lemmens
This paper describes a multi-family therapy (MFT) group for adult outpatients with obsessive-compulsive disorder and their family members. Since family accommodation (FA) is known to maintain OCD symptoms by preventing exposure and response prevention (ERP), reduction of FA is a major focus of the treatment. Furthermore, psychoeducation, conjoint ERP and (re)discovering resources and strengths of families
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Honey, let's read a story together; mothers' lived experiences of joint story-reading with their child: Insights from an interpretative phenomenological analysis (IPA) J. Fam. Ther. (IF 1.1) Pub Date : 2023-08-18 Seyed Omid Hosseini, Samaneh Najarpourian, Abdolvahab Samavi, Yaser Rastegar
Mother–child dyads were invited via Instagram to read 10 children's short stories together over the course of 10 weeks. Stories were read to/with the child on a self-paced, once-weekly basis in the mother's presence, on WhatsApp and Skype. Children were elementary school age, that is, 7–11 years. Analysis of interview transcriptions with mothers indicated three major themes: empathy, improved filial
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Do they cross the bridge when they come to it? Young adult's engagement in attachment-based family therapy as part of inpatient care J. Fam. Ther. (IF 1.1) Pub Date : 2023-08-01 Ilse Devacht, Evelien Carlier
Although attachment seems to be ‘in fashion’ when it comes to discussing mental health issues, there are few evidence-based therapy models treating attachment issues related to psychopathology. In this paper, we will briefly introduce Attachment-Based Family Therapy (ABFT) as an evidence-based intervention for depressed and suicidal adolescents, and its first-time large-scale application and implementation
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Cultural reflexivity and the referral problem: A discourse analysis of three initial sessions of intercultural couple therapy J. Fam. Ther. (IF 1.1) Pub Date : 2023-06-07 Raphael A. Cadenhead, Lisa Chiara Fellin
Using a combination of macro- and micro-analytic approaches in discourse analysis, this article examines transcripts from three initial sessions of DVD-recorded conjoint couple therapy with an intercultural couple. We analyse the strategies of power employed by therapy participants to promote their preferred construction of the referral problem. Focusing on the intersections of gender, psychopathology
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Intensive specialised multi-family therapy for multi-stressed families: Therapeutic alliance as predictor for effectiveness J. Fam. Ther. (IF 1.1) Pub Date : 2023-05-31 Yolanda van Beek, David Hessen, Lisa Levelt, Daniëla Beijer, Corine Rijnberk, Athanasios Maras, Mathilde M. Overbeek
The effectiveness of intense specialised multi-family therapy (ISMFT) for 111 multi-stressed families, and the therapeutic alliance as a possible predictor of outcome, were examined. A repeated measures design was used, where changes in all ISMFT phases (preparation, multi-family therapy and follow-up) were assessed and compared for both mothers and fathers. Evidence was found for improved family functioning
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A systemic-oriented child and adolescent psychiatric unit in Piraeus, Greece: Sailing in troubled waters J. Fam. Ther. (IF 1.1) Pub Date : 2023-01-20 Dimitra Kottorou, Maria Karantoni, Athena Georgitsi, Fotini Rigizou, Ariadni Margaroni, Valeria Pomini
A systemic approach to child and adolescent psychiatry involves not only the immediate family but also the wider environment in which the subject lives. Despite growing evidence confirming the effectiveness of systemic family therapy in child and adolescent psychiatry, this approach is not well represented in inpatient services in Greece. We present systemic principles as practiced at a child and adolescent
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Parental views regarding violence in adolescence J. Fam. Ther. (IF 1.1) Pub Date : 2023-01-17 Suat Kiliçarslan, Hatice Deniz Günaydin
The aim of this paper is to examine parents' views and experiences regarding their adolescent children's violent and aggressive behaviours within the framework of the Non-Violent Resistance approach in Turkish culture. The study group consisted of 40 volunteer married parents (35 females, 5 males) between the ages of 30 and 56 who resided in Central Anatolia. We conducted a descriptive study using
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Multifamily interventions in the context of inherited genetic conditions: A scoping review J. Fam. Ther. (IF 1.1) Pub Date : 2022-12-12 Sara Guerra, Carla Oliveira, Catarina Seidi, Liliana Sousa, Álvaro Mendes
This scoping review sought to examine the existing literature on multifamily interventions with families dealing with inherited genetic conditions. It also seeks to identify gaps in the evidence to help guide future research and intervention development. Four databases (PubMed, Web of Sciences, Scopus and PsycInfo) were systematically searched and analysed, resulting in five publications for inclusion
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Staff experiences of using non-violent resistance in a residential care home for young people with high-risk behaviours J. Fam. Ther. (IF 1.1) Pub Date : 2022-12-01 Jessica Mackinnon, Peter Jakob, Claudia Kustner
Non-violent resistance (NVR) is a systemic approach to working with young people presenting with aggression and other harmful behaviours. The work draws on the use of personal presence in resistance movements of the twentieth century, focusing on the role of the caregiver to increase their presence through acts of resistance and care. This paper investigates the experiences of professionals using NVR
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Clinicians and supervisors' experiences with developing practices of open dialogue in network meetings in public mental health services J. Fam. Ther. (IF 1.1) Pub Date : 2022-11-23 Ritva Kyrrø Jacobsen, Bengt Karlsson, Ellen Karine Grov
Open Dialogue is a dialogical approach focusing on the perspectives of patients and their social networks on treatment and recovery processes. As part of a larger research project, this prospective cohort study explores what promotes and hinders the development of Open Dialogue in network meetings (ODNM) based on the experiences of thirty-seven clinicians and seven supervisors. Multistage focus group
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Keeping connected: Family therapists' experiences of working online during the COVID-19 pandemic J. Fam. Ther. (IF 1.1) Pub Date : 2022-11-20 Naomi Beet, Temitope Ademosu
For this qualitative study, eight family therapists were interviewed about their experiences of practising online during the pandemic. Findings are organised using a framework of problems, possibilities, resources and restraints (PPRR, Neden & Burnham, 2007). Despite variation in therapist confidence in online practice, all participants found new possibilities in this way of working, including connecting
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Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting J. Fam. Ther. (IF 1.1) Pub Date : 2022-11-04 Bartłomiej Taurogiński, Antonina Bryniarska, Barbara Józefik
The constructionist view assumes that therapy participants' maps of understanding depend on the institutional context and their personal perspectives. The purpose of this study was to investigate the initial maps of difficulties reported by family members starting family therapy. 106 families that were referred to a psychiatric institution for outpatient family therapy were asked open-ended questions
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Are families supported to come to terms with an autism diagnosis? A service evaluation of referrals to family therapy for young people with autism in one NHS trust J. Fam. Ther. (IF 1.1) Pub Date : 2022-10-20 Lauren Burton, Claudine Fox
Young people with autism are increasingly being referred for family therapy (FT) owing to impaired family functioning, but few studies have investigated the support families receive following a diagnosis through specific NHS Trusts. This study examined (1) the proportion of autism cases referred for FT in one Trust and (2) the post-diagnostic support families received. Participants (n = 144; 9.5–19
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Family functioning in the Mozambican context: Results of a psychometric study of the SCORE-15 scale J. Fam. Ther. (IF 1.1) Pub Date : 2022-09-15 Domingos Bié, Isabel Narciso, Carla Crespo, Magda Roberto
The Systemic Clinical Outcome and Routine Evaluation (SCORE)-15 scale is a widely used tool for measuring family functioning across three dimensions: strengths and adaptability, overwhelmed by difficulties, and disrupted communication. This study assessed the factorial validity and reliability of the SCORE-15 in the Mozambican context. Four-hundred university students completed the SCORE-15 scale and
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Foster carers' perceptions of the long-term effectiveness of the Fostering Changes programme J. Fam. Ther. (IF 1.1) Pub Date : 2022-09-12 Loren Whitehead, Shanee Barraclough, Michael Tarren-Sweeney
The present article reports foster carer perceptions of the long-term effectiveness of a carer-focussed training intervention – the Fostering Changes (FC) programme. Five foster carers who completed FC at a not-for-profit child and family agency in New Zealand were interviewed 13–15 months post-training about their experiences and perceptions of FC and its subsequent effectiveness. Interpretative phenomenological
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The changing face of telesupervision and digital training in response to COVID-19 J. Fam. Ther. (IF 1.1) Pub Date : 2022-08-25 Heath Grames, Pat Sims, Chelsey Holden, Pam Rollins, Michelle Jeanfreau, Michael Fitzgerald
The COVID-19 pandemic has rapidly changed the ways in which marriage and family therapists (MFTs)/couple and family therapists (CFTs) engage in clinical supervision. Traditional face-to-face supervisory relationships have transitioned to telesupervision, which refers to supervisors using the internet as a training medium for their supervisees. Supervisors and supervisees alike are necessarily adapting
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Family involvement in psychiatry: Beyond implementing family interventions J. Fam. Ther. (IF 1.1) Pub Date : 2022-08-04 Kim G. P. De Corte, Hanna Van Parys, Greet Pauwels, Veerle Aendekerk, Kim Steeman, Elke Van Lierde, Ine Jespers, Hanne Vandewiele, Gilbert M. D. Lemmens
Enhancing family involvement in a department of psychiatry, requires more than guidelines or interventions implemented by professional caregivers. This paper describes the development of multi-party dialogue between inpatients, family caregivers, professional caregivers and family organisations and applied change management strategies evolving to an effective family participation model. Phase 1 considers
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My mother, my mirror? Three generations encounter family therapy J. Fam. Ther. (IF 1.1) Pub Date : 2022-07-30 Anne Grasaasen
This article tells the story of the encounters of my mother, my daughter and myself with family therapy during divorce. The narrative employs evocative autoethnography, a research method in which my voice is viewed as a continuance of other voices emanating from the culture. I am researcher and informant both, and thereby, my own source. Events from the marital break-ups of three generations are explored
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Working with denial in families dealing with child abuse: A scoping review of the resolutions approach J. Fam. Ther. (IF 1.1) Pub Date : 2022-07-25 Annemariek J. W. Sepers, Marija Maric, Paul A. Boelen, Trudy T. M. Mooren
The Resolutions Approach (RA) is a solution-based intervention that has a unique way of dealing with parental denial of child abuse occurrences. The aim of this scoping review is to summarise knowledge about the benefits of the RA and identify areas for future research. After describing the theoretical background, the intervention steps are illustrated. Next, results of a systematic literature search
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Improving family engagement in an adult inpatient mental health service using an action research framework J. Fam. Ther. (IF 1.1) Pub Date : 2022-07-23 Sarah Muddle, Claudia Kustner, Rohan Cook, Megan Wilkinson-Tough
Family involvement in mental health treatment has been shown to improve outcomes for service users. This project used a whole system-focused action research framework and involved service users, family members and healthcare professionals to develop ways to improve family engagement in an adult inpatient mental health service. Focus groups were conducted with two service users, two family members and
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What are the relationship experiences of in which one member identifies as transgender? A systematic review and meta-ethnography J. Fam. Ther. (IF 1.1) Pub Date : 2022-06-29 Nicola Gunby, Catherine Butler
Transgender individuals and their partners may face unique challenges that other couples do not. These unique challenges merit investigation, understanding and consideration by systemic practitioners in order to provide a culturally attuned service for transgender clients. A systematic review of the literature into the experiences of couples in which one member is transgender identified 22 qualitative
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Conceptualising, designing and drafting a monthly multi-family therapy programme and manual for adolescents with anorexia nervosa J. Fam. Ther. (IF 1.1) Pub Date : 2022-05-26 Lisa Minier, Benjamin Carrot, Solange Cook-Darzens, Sophie Criquillion-Doublet, France Boyer, Vesper Barton-Clegg, Mima Simic, Stamatoula Voulgari, Nathalie Godart, Jeanne Duclos
The written transmission of therapists' expertise in manuals is an important issue which is highlighted in the literature. Manuals are essential for research, training and therapeutic guidance. However, the conceptualisation, design and drafting of therapy manuals have received little attention. Our team conceptualised and designed a 10-monthly session multi-family therapy programme for adolescents
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Children's version of the systemic clinical outcome and routine evaluation (C-SCORE): Exploring the psychometric qualities in the Portuguese context J. Fam. Ther. (IF 1.1) Pub Date : 2022-05-25 Margarida Vilaça, Bruna Veloso, Peter Stratton, Ana Paula Relvas
Current literature presents a gap in family functioning assessment instruments directed to children. The Child Systemic Clinical Outcome and Routine Evaluation (C-SCORE) is a self-report instrument, based on the original SCORE-15, that measures different aspects of family functioning from the child's perspective. This study aims to explore the psychometric qualities of the Portuguese version of C-SCORE
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Adult offspring's experiences of living with a parent with an alcohol misuse problem J. Fam. Ther. (IF 1.1) Pub Date : 2022-05-18 Annaliza Bugeja, Michael Galea
Studies on the effects of parental alcoholism on adult children of alcoholics (ACOAs) have been mostly quantitative. To acquire a richer and better understanding of this realm in Malta, while outlining concrete recommendations to further contain this problem, a qualitative study was thus employed. Six participants were selected after meeting all inclusion criteria. Data were analysed following interpretative
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Narrative therapy and continuing bonds enquiry with refugees and asylum seekers: Bridging the past and the future J. Fam. Ther. (IF 1.1) Pub Date : 2022-04-17 Ana Draper, Elisa Marcellino, Comfort Ogbonnaya
Refugees and asylum seekers experience throughout their lives numerous losses of various nature. Treating mental health among these communities is challenging owing to language and cultural barriers. In addition, there are specific stressors associated with migration and settlement to be considered. This paper explores the use of the model ‘continuing bonds’ (CB) in two case studies as a form of enquiry
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Therapist and supervisor experiences of the application of standard Multisystemic therapy to young people with suspected or diagnosed level 1 autistic Spectrum disorder J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-31 Sanu Pattni, Simone Fox, Emily Glorney
Multisystemic Therapy (MST) is an intervention offered to young people presenting with antisocial and aggressive behaviour and is currently being adapted for use with the autism spectrum disorder (ASD) population. This qualitative study aimed to provide the first consideration of the experiences of MST therapists and supervisors of delivering standard MST to young people with suspected or diagnosed
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Use of nature in a multi-family therapy for Chinese families of adolescents with attention deficit hyperactivity disorder: A photo-elicitation study J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-30 Julia Wing Ka Lo, Joyce Lai Chong Ma
This article reports the therapeutic resources in the natural outdoors that were conducive to the therapeutic process in a multi-family therapy (MFT) for enhancing the self-efficacy and collective family efficacy of Chinese families of adolescents with attention deficit hyperactivity disorder (ADHD) in Hong Kong. Photo-elicited interviews with adolescents with ADHD and parent focus groups were employed
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‘When it comes to relational trauma, you need people at the table’ J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-24 Aletta Simons, Martine Noordegraaf, Tine Van Regenmortel
This study aims to contribute to the evaluation of online therapy during Covid-19 pandemic lockdowns, by exploring family therapists’ experiences of therapy for twelve Sibling Sexual Abuse (SSA) families in the Netherlands. Seven transcripts of interviews with highly specialised Dutch family therapists were analysed using thematic analysis (TA). Two main findings emerged from this study. First, the
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A systemic supervisory methodology and approach used during COVID times: Collective cut-outs – a gift from the left hand J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-21 Joanne Adams, Melissa Baxter
This paper sets out to explore the use of a systemic reflexive exercise called “Collective Cut-Outs”, detailing its methodology and usefulness with “frontline” mental health practitioners within supervision and teaching contexts. We draw on the use of storytelling, image, creativity and the usefulness of the left hand (right brain) in clinical mental health contexts and focus on its value in reflexive
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The systemic value of integrating an adolescent day service into an inpatient service: A qualitative case study J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-15 Rory Robinson, Ioanna Bakopoulou
In 2019, the NHS established a taskforce to review inpatient care for young people, exploring ways to reduce inappropriate admissions and lengthy stays. This paper indicates that day services (DSs) could play a role in resolving these issues. Qualitative research investigating whether DSs are considered valuable to key stakeholders is scarce. Therefore, this qualitative case study sought the perspectives
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An autoethnographic exploration of a lone-mother trainee systemic therapist J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-12 Pippa Beazley
In the UK, in 2019, there were 2.9 million lone-parent families, a family with children that is headed by one parent; ~90% of lone-parents are mothers. I am one of them. Using a social constructionist approach, I look inward at my self and back outward at social-cultural context in response to my observations, within systemic practice and training, of possible privileging of a dominant social discourse
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Training in systems theory using a contextual pedagogical approach during the October revolution in Lebanon: Reflections from a clinical psychology program J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-11 Tania Bosqui, Estefania Hanna
The October 2019 thawra (revolution) in Lebanon saw unprecedented mass protests across the country in response to governmental corruption, mismanagement and a looming economic disaster. Students learning family systems theory as part of the Clinical Psychology Program at the American University of Beirut faced, at this time, a disconnect between applying systems theory at the individual family level
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Reflecting Team Practices outside the therapy room: A thematic analysis of a Child and Adolescent Mental Health Service (CAMHS) away-day process with a team undergoing change J. Fam. Ther. (IF 1.1) Pub Date : 2022-03-09 Sarah Jane Coles, Shona Reed-Purvis
This paper evaluates whether Reflecting Team Practices (RTP) are a helpful tool to a team (i) undergoing change and (ii) to facilitate staff being heard across the hierarchy. We hypothesised that RTP would enable staff to speak and be listened to, in relation to their experiences of organisational restructuring. We offered three team away-day and follow-up processes. Due to the paucity of systematic