{"title":"Adapting Practice to Culture in Eating Disorders of Children and Adolescents: A Literature Review","authors":"Dominique Muhumuza, Gurkiran Birdi","doi":"10.1111/1467-6427.70004","DOIUrl":"https://doi.org/10.1111/1467-6427.70004","url":null,"abstract":"<p>Research has shown that individuals from an ethnic minority background in the United Kingdom are less likely to be diagnosed with an eating disorder and therefore receive treatment. As this has been highlighted as an area that needs to be addressed to reduce the duration of untreated illness, it is important to explore the research around how best to adapt practice and services to reduce the duration of untreated illness and intervene earlier to pursue a better outcome. This literature review focused on the four eating disorders and treatments outlined in the NICE Guidelines for under 18s. The initial search offered 231; however, once filtered, 61 papers were considered. Following reading the title and abstract, 28 papers were examined. Finally, 9 explored ED interventions within our population. The findings are discussed in detail, and recommendations for services and further research are suggested, such as further research into CBT-E (a NICE recommended intervention) within different cultures, how to help clinicians consider how to respect culture and beliefs through recovery, and what cultural adaptations need to be made to therapy to provide effective support for increasingly culturally diverse populations.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systemic Approaches to Loyalty and Polarisation. Revisiting Ivan Boszormenyi-Nagy's Ideas in a Contemporary Context","authors":"Chris Ward","doi":"10.1111/1467-6427.70002","DOIUrl":"https://doi.org/10.1111/1467-6427.70002","url":null,"abstract":"<div>\u0000 \u0000 <p>When conflicted couples and families adopt polarised positions, constructive dialogue ceases. Racism, sexism, and other forms of polarisation have the same silencing effects in the public domain. This paper views polarisation through the lens of loyalty. It outlines a systemic approach to polarised defensiveness that combines constructionist perspectives, positioning, and the relational ethics of Ivan Boszormenyi-Nagy (Nagy). Loyal partisanship can be understood in terms of Valeria Ugazio's semantic polarities. Polarisation is likely in Melanie Klein's ‘paranoid-schizoid’ position, where loyalty is defensive and unquestioning. In contrast, Eve Kofosky-Sedgwick describes a reparative position that invites curiosity. Nagy suggests that curiosity about an opponent's values and loyalties will reveal relational obligations and entitlements, including the destructive sense of entitlement that may underlie aggression and violence. Curiosity is a necessary precondition for a dialogue in which each opposing party is fully ‘present’ and able to offer each other the consideration they have earned.</p>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Couple Treatment for Religious OCD/Scrupulosity: Integrating Acceptance and Commitment Therapy and Restoration Therapy","authors":"Bonnie Young, Ryan B. Seedall, W. David Robinson","doi":"10.1111/1467-6427.70001","DOIUrl":"https://doi.org/10.1111/1467-6427.70001","url":null,"abstract":"<div>\u0000 \u0000 <p>Religious obsessive-compulsive disorder (OCD), also known as scrupulosity, can be a debilitating mental health condition both for those suffering from it and their loved ones, especially romantic partners. Traditional therapies such as Acceptance and Commitment Therapy (ACT) or Exposure and Response Prevention (ERP) offer effective, evidence-based interventions for those struggling with scrupulosity. However, there are no models specifically aimed at treating scrupulosity symptoms and the resulting relational distress between romantic partners. This paper aims to first educate marriage and family therapists about OCD/scrupulosity, second outline common individual treatments for OCD/scrupulosity, and third show how these treatments can be integrated with Restoration Therapy (RT). We provide key points for integration, a case illustration and treatment considerations for clinicians treating couples where a partner is suffering from scrupulosity.</p>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145101456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krista Koivula, Hannu Kokki, Maija Korhonen, Aarno Laitila, Juho Kalapudas, Kirsi Honkalampi
{"title":"Hold Me Tight Group Intervention for Parents of Children With Cancer","authors":"Krista Koivula, Hannu Kokki, Maija Korhonen, Aarno Laitila, Juho Kalapudas, Kirsi Honkalampi","doi":"10.1111/1467-6427.70003","DOIUrl":"https://doi.org/10.1111/1467-6427.70003","url":null,"abstract":"<p>This present article reports on the experiences of parents of children with cancer who participated in an emotionally focused Hold Me Tight (HMT) group intervention. A purposive sample of 24 parents was recruited from 3-day HMT courses. Focus group conversations were conducted at the end of each course and analysed using Interpretative Phenomenological Analysis (IPA). The 3-day HMT group intervention resulted in experiences that strengthened parents' personal well-being and couple resilience. Individual, couple, and family-related meanings emerged in these conversations. The subthemes of the individual-related meanings included identifying the need for self-exploration, enabling a new form of self-observation, increasing self-understanding, and improving personal well-being and resilience. The subthemes of the couple-related meanings were identifying and processing couple relationship dynamics, increasing understanding of relationship interactions, facilitating prevention and coping with challenging situations, and strengthening the mutual emotional connection. The subtheme of the family-related meanings was increasing understanding of family interactions. These results suggest the need for further research on HMT group interventions for this target population.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145101642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practitioner Experiences of Working With Racially Marginalised Families in England Using Multisystemic Therapy","authors":"Nadia Khan, Simone Fox, Emily Glorney","doi":"10.1111/1467-6427.70000","DOIUrl":"https://doi.org/10.1111/1467-6427.70000","url":null,"abstract":"<p>Racially marginalised young people are over-represented in the criminal justice system but less likely to be referred to, access and engage with support services. Families who experience greater cultural mistrust and disadvantage are likely those who do not complete Multisystemic Therapy (MST). This study explored the experiences of MST practitioners in England to better understand racially marginalised family engagement and change using MST. Seven focus groups (<i>n</i> = 22) informed a constructivist grounded theory. Ten theoretical codes were used to build a model of MST engagement and change for racially marginalised families: <i>access to MST; the family's relationship to help; building a therapeutic alliance; family structure and functioning; acculturation and identity; the disempowered family context; working as a cultural broker; empowering families; power and language within the family; and working with interpreters</i>. Findings build on previous research with racially marginalised young people and caregivers and highlight systemic barriers associated with power, culture and language.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"So, You're Doing a Family Therapy Course……","authors":"Ged Smith","doi":"10.1111/1467-6427.12495","DOIUrl":"https://doi.org/10.1111/1467-6427.12495","url":null,"abstract":"<div>\u0000 \u0000 <p>This article is aimed at trainee family therapists on courses in the United Kingdom and beyond, and is based on the author's experiences over many years of providing placements and training in the capacity of live supervision. It contains an introduction to what trainees can expect in terms of personal learning and development and goes on to outline 16 practitioner pointers in clinical practice for the family therapist learning the skills of facilitating sessions in the room. Although it is written with trainees in mind, it can also be useful for family therapists at any stage in their careers.</p>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144299859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Starting New Dialogue: The Enduring Concepts of Virginia Satir's Human Validation Process Model","authors":"Carson Outler, Crystal G. Marroquin","doi":"10.1111/1467-6427.12493","DOIUrl":"https://doi.org/10.1111/1467-6427.12493","url":null,"abstract":"<div>\u0000 \u0000 <p>Given the breadth and depth of resources related to Virginia Satir's Human Validation Process Model (HVPM), it may be difficult for clinicians to know where to begin when learning this model. The present study aims to create a conceptual framework of this model to lay the groundwork for future effectiveness research and to help clinicians gain an initial understanding of the model. Since the study aims to refine, expand, and evaluate theory, deductive qualitative analysis was used to merge data from three sources across three phases. In the first phase, the authors reviewed primary sources and synthesised existing literature on the model. Next, videos of Virginia Satir using the model were coded. Finally, interviews with experts on the model were conducted to validate and finalise the conceptual framework. The results of this study contribute to the scarcity of empirical studies on the HVPM. Further, the conceptual framework is a resource for student clinicians and supervisors that highlights the stages of treatment, key concepts, and interventions in a clear way. Results provide a starting point for further empirical research and teaching of the model.</p>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caitlin Edwards, Jose Fusilier, Robert Allan, Sandra Taylor
{"title":"“It Was a Reminder of My Own Freedom”: Reflections on the First LGBTQ+ Centered Emotionally Focused Couple Therapy Externship","authors":"Caitlin Edwards, Jose Fusilier, Robert Allan, Sandra Taylor","doi":"10.1111/1467-6427.12494","DOIUrl":"https://doi.org/10.1111/1467-6427.12494","url":null,"abstract":"<p>This study explores the impact of the first LGBTQ + centered Emotionally Focused Couple Therapy (EFCT) Externship on participating LGBTQ + therapists. Through thematic analysis, this study found that creating a identity-based training fostered a safe and accepting environment where LGBTQ + identifying therapists felt comfortable exploring aspects of their own identities and attachment styles. This safety created a deeper understanding of EFCT which increased therapists' confidence and preparedness to work with relationships using EFCT. Overall, the findings emphasize the importance of identity-centered trainings for LGBTQ + therapists using evidence-based treatments and adds to the literature about the potential for identity centered trainings.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 2","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘Doing Risk Better’: A Relational, Transparent and Collaborative Approach","authors":"Philip Messent, Percy Aggett","doi":"10.1111/1467-6427.12492","DOIUrl":"https://doi.org/10.1111/1467-6427.12492","url":null,"abstract":"<div>\u0000 \u0000 <p>In this paper we consider and critique the way the concept of risk has come to shape practice in health and social care contexts in the UK, arguing that the approach places an undue emphasis on ‘technical’ methods of evaluating risk, allows for little inclusion of client perspectives, and how risk goes beyond the individual, and leaves individual clinicians burdened with a sense of carrying sole responsibility for ensuring clients' safety. We outline developments which draw upon more systemic and relational ideas regarding risk, drawing upon practices of transparency and collaboration, going on to describe a series of 5 service development initiatives making use of an appreciative inquiry approach to encourage teams to develop their practice in relation to risk, drawing upon these ideas and practices. While the evidence of the impact of these interventions is limited, we argue that it is sufficient to warrant further work in this area.</p>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 2","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Phenomenological mixed methods research on trainees' experience of a family therapy and systemic practice training programme at VID Specialized University of Oslo","authors":"Nicoletta Businaro, Siv Merete Myra","doi":"10.1111/1467-6427.12491","DOIUrl":"https://doi.org/10.1111/1467-6427.12491","url":null,"abstract":"<p>This study aims to explore trainees' experience of a training programme in family therapy and systemic practice at VID Specialized University of Oslo. A phenomenological mixed methods approach was used. Thirty-one trainees completed a questionnaire after their first and second years, and focus groups were conducted with 7–10 participants on both occasions. The results show significant correlations between the applicability of the programme, trainees' sense of competence, personal development, likelihood to recommend the programme and general satisfaction. After the first year, the trainees were mainly focused on their new knowledge about the systemic perspective, while after the second year, they experienced the complexity of being family therapists and systemic practitioners, integrating their new knowledge with their job and life. Findings highlight that theoretical knowledge, trainees' reflections on professional and personal experiences, supervision and peer learning are closely intertwined key elements for a systemic family therapy training.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"47 2","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}