{"title":"Discrimination and Mental Health: Influence of Structural Racism","authors":"Suzanne Bartle-Haring, Julius Jofferion","doi":"10.1111/jmft.70171","DOIUrl":"10.1111/jmft.70171","url":null,"abstract":"<div>\u0000 \u0000 <p>There is substantial research regarding the association between everyday experiences of discrimination and poor mental health outcomes. However, there appear to be variations in this association. Some authors use individual characteristics as moderators of this association with the hope of highlighting the deleterious effect of discrimination and other forms of racism on individuals. These findings may inadvertently be interpreted as placing the onus on the individual to change. The purpose of this study was to investigate how the broader social context might moderate the association between experiences of discrimination and mental health by using structural racism indices at the state level. Our findings suggest that higher levels of structural racism are associated with more poor mental health days in general, and moderate the association between experiences of discrimination and poor mental health days in expected and unexpected ways. The results are discussed with clinical implications in mind.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Human Touch vs. Tech Talk: Mental Health Clinicians' Perspectives on Artificial Intelligence in Systemic Practice","authors":"Merranda Marin, Marcel Montanez, Kourtney Vaillancourt","doi":"10.1111/jmft.70172","DOIUrl":"https://doi.org/10.1111/jmft.70172","url":null,"abstract":"<div>\u0000 \u0000 <p>As artificial intelligence (AI) based tools increasingly enter mental health care, clinicians face new possibilities alongside significant ethical, relational, and professional concerns. Yet limited empirical research has examined clinicians' perspectives on AI within systemic practice. This convergent mixed-methods study examined familiarity, use, perceived benefits and risks, ethical and relational concerns, and training needs among 89 practicing mental health professionals in the United States. Approximately half of respondents reported using AI professionally, with notetaking and transcription representing the most frequently reported applications. Findings reflect conditional acceptance of AI with greater perceived value for clinician support and greater concern when AI might compromise professional judgment, confidentiality, contextual understanding, or human connection. Findings also underscore the need for ethically grounded, relationally informed, and systematically responsive AI integration.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are You Qualified, ChatGPT? Examining Clinical Skills and Competencies of ChatGPT in Delivering Systemic Interventions","authors":"Gizem Erdem, Nilüfer Kafescioğlu, Gökçenay Başer","doi":"10.1111/jmft.70168","DOIUrl":"10.1111/jmft.70168","url":null,"abstract":"<p>Large language model agents such as ChatGPT are increasingly used for relationship advice and mental health support, with many users describing these interactions as therapeutic. This study assessed the clinical and cultural competence of a GPT-based model trained to provide systemic interventions aligned with the AAMFT Code of Ethics and core skills. A volunteer client discussed a relational concern with the model, and the resulting transcript was evaluated by 12 experienced supervisors using standardized measures. Supervisors, unaware of the study's purpose and the therapist being an AI, rated the model as moderately competent in maintaining a systemic perspective and delivering systemic interventions. Supervisors identified weaknesses in pacing, joining, and attending to cultural and contextual factors, and inferred that the therapist resembled an early-career clinician with less than 500 h of experience. Findings indicate limitations of AI therapy and underscore the value of human judgment, attunement, and intuition in clinical practice.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo S. S. Durães, Zila Elizabeth Pulache Vargas, Ana Cristina Garcia Dias, Francisco Lotufo-Neto, Renato T. Ramos, Antonio de Pádua Serafim
{"title":"Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low-Income Couples: A Pilot Randomized Clinical Trial","authors":"Ricardo S. S. Durães, Zila Elizabeth Pulache Vargas, Ana Cristina Garcia Dias, Francisco Lotufo-Neto, Renato T. Ramos, Antonio de Pádua Serafim","doi":"10.1111/jmft.70169","DOIUrl":"10.1111/jmft.70169","url":null,"abstract":"<p>Psychosocial distress can exacerbate marital conflict, maladjustment, and mental health vulnerability. This pilot randomized clinical trial examined cognitive-behavioral couple therapy (CBCT) integrated with mindfulness in low-income Brazilian couples (per-capita household income up to one minimum wage). Thirty-four participants (17 heterosexual couples) were randomized (independent computer-generated sequence) to an experimental (<i>n</i> = 16) or waitlist control group (<i>n</i> = 18). We assessed dyadic adjustment, mindful attention, marital social skills, and depressive symptoms (R-DAS, MAAS, IHSC, BDI-II) at baseline, post-treatment, and 3-month follow-up. The intervention was eight 80-min conjoint sessions plus daily home exercises. Time × group effects favored the experimental group for dyadic adjustment, mindful attention, and depressive symptoms (all <i>p</i> < 0.001, <span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 \u0000 <mrow>\u0000 <msubsup>\u0000 <mi>η</mi>\u0000 \u0000 <mi>p</mi>\u0000 \u0000 <mn>2</mn>\u0000 </msubsup>\u0000 </mrow>\u0000 </mrow>\u0000 <annotation> ${eta }_{p}^{2}$</annotation>\u0000 </semantics></math> = 0.20–0.37), but not marital social skills (<i>p</i> = 0.14). Because two outcomes differed at baseline, effects were confirmed with baseline- and dependence-adjusted sensitivity analyses. These findings provide preliminary evidence that CBCT with mindfulness may benefit disadvantaged couples.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eman Tadros, Thita Lamsam, Chandni Anandha Krishnan
{"title":"Relational Therapy in Post-Incarceration Reentry: A Scoping Review","authors":"Eman Tadros, Thita Lamsam, Chandni Anandha Krishnan","doi":"10.1111/jmft.70167","DOIUrl":"https://doi.org/10.1111/jmft.70167","url":null,"abstract":"<p>An estimated 600,000 individuals returning home after incarceration each year face significant challenges that constrain their reentry and reintegration into society. A scoping review was conducted on how relational therapy is discussed in the literature on post-incarceration. Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, 19 out of 304 articles met the inclusion criteria for full review. Our findings highlight the limited empirical evidence on relational therapy interventions for post-incarceration. The review also emphasizes that there is a lack of evidence-based therapeutic models or interventions that marriage and family therapists can utilize when working with this population. The paper sheds light on this issue and calls for more research on relational therapy geared towards those post- carceral release in the United States.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmft.70167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yike Tang, Shayne R. Anderson, Lee N. Johnson, Steven M. Harris, Anita Kateregga
{"title":"Portraying Mixed-Agenda Couples: Insights From Large-Scale Data Sets","authors":"Yike Tang, Shayne R. Anderson, Lee N. Johnson, Steven M. Harris, Anita Kateregga","doi":"10.1111/jmft.70165","DOIUrl":"https://doi.org/10.1111/jmft.70165","url":null,"abstract":"<p>This study investigates “mixed-agenda” couples characterized by significant discrepancies in commitment and therapy goals, using both clinical and non-clinical data sets. While theoretical frameworks suggest these couples present unique challenges for treatment planning and therapy outcomes, empirical data on their prevalence have remained limited. We analyzed data from the National Couples' Health and Time Study (NCHAT) and the Marriage and Family Therapy Practice Research Network (MFT-PRN) to identify groups of couples that might practically be classified as mixed-agenda couples. Findings reveal that mixed-agenda dynamics are prevalent, occurring in approximately 10% of the non-clinical sample and nearly 40% of the clinical sample. This exceeds prior clinical estimates and confirms that a substantial portion of couples seeking therapy do so with conflicting motivations. These results validate the mixed-agenda construct beyond anecdotal evidence, suggesting a need for tailored clinical interventions that address dyadic ambivalence to improve therapeutic efficacy and relationship stability.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmft.70165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ouyang Hanlai, Sufang Peng, Jue Chen, See Heng Yim
{"title":"Multi-Family Therapy in East and Southeast Asia—A Systematic Review and Meta-Synthesis","authors":"Ouyang Hanlai, Sufang Peng, Jue Chen, See Heng Yim","doi":"10.1111/jmft.70166","DOIUrl":"https://doi.org/10.1111/jmft.70166","url":null,"abstract":"<p>This systematic review examined the characteristics, cultural adaptations, and effectiveness of multi-family therapy in studies conducted in the Chinese Mainland, Hong Kong, and Singapore. Eighteen reports from 17 studies were included, covering quantitative, qualitative, and mixed-methods designs. Quantitative findings showed that multi-family therapy was more consistently associated with improvements in individual-level outcomes (e.g., symptom severity, psychological distress, functioning), whereas effects on family-system outcomes were more mixed. Thematic synthesis of qualitative and mixed-methods studies identified four interrelated themes: multi-family therapy creates a non-problem-saturated space for families to come together; engages them in fun activities; fosters inter- and intra-family connection; and supports relational understanding. Overall, individual-level benefits are more readily captured by quantitative measures, while relational and process-level changes may be less well-reflected. Future research should strengthen methodological rigor and extend multi-family therapy to presenting problems, such as eating disorders, to better evaluate its family-system mechanisms and effects</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmft.70166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148783918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffrey B. Jackson, Luca Codecá, Richard B. Miller, Jessica E. Simpson, Abigail M. O'Leary, Samantha M. Renner
{"title":"Empirically Supported Couple Therapy Models for Couple Relationship Distress: A Replication and Update","authors":"Jeffrey B. Jackson, Luca Codecá, Richard B. Miller, Jessica E. Simpson, Abigail M. O'Leary, Samantha M. Renner","doi":"10.1111/jmft.70162","DOIUrl":"https://doi.org/10.1111/jmft.70162","url":null,"abstract":"<div>\u0000 \u0000 <p>This systematic review replicated and updated Baucom and colleagues' (1998) evaluation of empirically supported treatments (ESTs) for couple relationship distress using the Chambless criteria, the primary framework used by the American Psychological Association to classify ESTs. Applying these criteria to 40 eligible studies, we found that, in contrast to Baucom and colleagues, no couple therapy models met the standards for strong empirical support; insufficient sample size and lack of independent replication were the most frequent limitations. Seven models demonstrated modest support: behavioral, cognitive-behavioral, emotionally focused, Gottman, integrative behavioral, insight-oriented, and strategic couple therapies. Findings highlight the need for rigorous large-scale studies with more diverse couples to strengthen the empirical foundation and generalizability of couple therapies. Limitations of the Chambless criteria underscore the importance of evaluating couple therapy models with the recently adopted Tolin criteria, which synthesize a broader base of evidence via meta‑analysis and emphasize clinical significance to improve treatment recommendations.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148753945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence as Companionship: A Systemic and Relational Examination Using Empirical Data From Psyhelp","authors":"Afarin Rajaei","doi":"10.1111/jmft.70164","DOIUrl":"10.1111/jmft.70164","url":null,"abstract":"<div>\u0000 \u0000 <p>Artificial intelligence (AI) is increasingly used as a source of emotional support, reflection, and perceived companionship. Despite growing public and clinical interest in AI companionship, little research has examined how individuals construct these experiences within broader relational systems. Drawing on systemic, attachment, and social constructionist perspectives, this study examines AI companionship using anonymized data from Psyhelp, an AI-assisted mental health platform. A qualitative-dominant mixed methods design integrated thematic analysis of user narratives with engagement patterns and self-reported emotional indicators. Findings suggest that users primarily experienced AI companionship as a relational supplement characterized by availability, responsiveness, and psychological safety. Four themes emerged: AI as a relational supplement, a transitional emotional regulator, a psychologically safe disclosure space, and a facilitator of human relationships. Findings suggest that AI companionship reflects broader relational needs and has implications for systemic assessment, case conceptualization, and clinical training.</p>\u0000 </div>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shaping the Therapist, Shaping the Field: A Narrative Review of the Person-of-the-Therapist Training (POTT) Approach","authors":"Sezercan Ucar, Jody Russon, Alba Niño","doi":"10.1111/jmft.70161","DOIUrl":"10.1111/jmft.70161","url":null,"abstract":"<p>The Person-of-the-Therapist Training approach is a relational framework that supports therapists in intentionally integrating personal experience into clinical work. Despite its growing presence in couple/marriage and family therapy training, no comprehensive synthesis has traced POTT's historical development, empirical foundations, and contemporary relevance. This narrative review employed a structured literature search and thematic synthesis of 30 sources published between 1987 and 2024. Three developmental periods are described: philosophical foundations emphasizing therapist personhood, institutionalized training with emerging qualitative evidence, and recent global, sociocultural, and supervisory expansions. Across three periods, the literature reflects increasing conceptual clarity, pedagogical structure, and attention to ethical and embodied therapeutic presence. Implications include the need for increasing the transportability of POTT, expanding its empirical base, and employing it in diverse supervision contexts. In an era of technological mediation and artificial relationality, POTT clarifies the importance of the embodied, ethical, and human-centered psychotherapy dimensions.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":"52 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}