{"title":"Adaptation of multi-family therapy for children and adolescents with anorexia nervosa in Japan","authors":"Rie Kuge, Kayoko Kojima, Ken Shiraishi, Daimei Sasayama, Hideo Honda, Mima Simic, Julian Baudinet","doi":"10.1111/1467-6427.12468","DOIUrl":"10.1111/1467-6427.12468","url":null,"abstract":"<p>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 at the Maudsley Hospital in the 1980s has started to be introduced at an inpatient level in Japan. MFT-AN could offer more opportunities to practice managing AN symptoms and reduce the family's anxiety. It may also act as a step-down intervention during transition from inpatient to outpatient care or a step-up in intensity if outpatient treatment is stalling. This article reports on MFT-AN's theoretical underpinnings, the current Japanese eating disorder treatment context, and the way MFT-AN may be adapted for the unique Japanese socio-cultural context.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 4","pages":"374-387"},"PeriodicalIF":1.1,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141934530","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}
Cindy H. T. Hsiang, Linda Campbell, Meredith Tavener
{"title":"Clinicians' experiences and perceptions of family therapy in the context of autism","authors":"Cindy H. T. Hsiang, Linda Campbell, Meredith Tavener","doi":"10.1111/1467-6427.12467","DOIUrl":"10.1111/1467-6427.12467","url":null,"abstract":"<p>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 of utilising family therapy in the context of autism. Study findings suggest that clinicians integrate therapeutic techniques from diverse family therapy approaches to improve family relations by bridging different ways of learning and communicating as well as facilitating multiple perspectives. Integrating therapeutic techniques across diverse approaches further encompasses working with the systems around the individual with autism. To adapt family therapy in the context of autism, it is suggested that clinicians examine their own perspectives and beliefs about autism and keep a curious stance during the process.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 4","pages":"423-441"},"PeriodicalIF":1.1,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141780326","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":"The ‘four selves’ framework for facilitating personal and professional development (PPD) in qualifying-level systemic psychotherapy training","authors":"Ursula McKeown, Stephen Coulter, Suzanne Mooney","doi":"10.1111/1467-6427.12465","DOIUrl":"10.1111/1467-6427.12465","url":null,"abstract":"<p>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 Systemic Psychotherapy training, is presented, including its diagrammatic representation, constituent elements and an illustrative example. This is followed by guidance from the PPD tutor (lead author) based on her experience of utilising the Framework to facilitate tailored PPD sessions across the two-year clinical Masters programme aimed at enhancing trainee self-reflexivity, supplemented by feedback on the ‘model-in-practice’ from a recent cohort of students. The article concludes by encouraging readers to consider the applicability of The ‘Four Selves’ PPD Framework to their own psychotherapy training contexts.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"306-321"},"PeriodicalIF":1.1,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141746044","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":"Family therapy and the ecology of parallel universes","authors":"Glenn Larner","doi":"10.1111/1467-6427.12464","DOIUrl":"10.1111/1467-6427.12464","url":null,"abstract":"<p>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 of a therapist and family forms a unique systemic entity or singularity with its own universe of by-laws peculiar to a location in time and space. We are like travellers between parallel family therapy universes where the therapist's epistemology, theory or model is less important than how therapists and clients position themselves towards each other. This ecological positioning encompasses contextual, emotional, cultural, ethical and spiritual belief systems.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"264-280"},"PeriodicalIF":1.1,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576594","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":"The ‘uncomfortable aunt’: Acts of resistance against NHS practices that contradict our values","authors":"Becky Midlane","doi":"10.1111/1467-6427.12463","DOIUrl":"10.1111/1467-6427.12463","url":null,"abstract":"<p>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 motivation to resist, and the necessity of resisting to survive in the job and ensure families' marginalised voices are heard in the wider system. The tension in balancing competing needs in the system and the energy that resisting both gives and takes are described, as well as how others in the system influence the therapists' ability to resist. Resisting emerges as a critical role of the family therapist, as well as crucial for practitioners to work in a way coherent with their sense of self.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"322-338"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141523749","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":"The association between mindfulness and couple quality: The mediating roles of self-care and engagement in shared relationship activities","authors":"Cheolwoo Park, Victor W. Harris, Jeneé C. Duncan","doi":"10.1111/1467-6427.12462","DOIUrl":"10.1111/1467-6427.12462","url":null,"abstract":"<p>Although studies have examined the association between individuals' mindfulness and romantic relationship quality, additional empirical research is necessary to specifically comprehend the potential factors influencing the association between mindfulness and couple quality. The purpose of the present study was to investigate the association between mindfulness and couple quality and the mediating roles of self-care and engagement in shared relationship activities among 1,331 participants in a southeastern region of the United States. The authors of this study conducted a multiple mediation analysis using longitudinal data to investigate the mediating effects of caring for self and engagement in shared relationship activities. The research findings in this study indicated that an individual's mindfulness had a significant direct association with couple quality in a romantic relationship. In addition, participants' couple quality was significantly mediated by self-care and engagement in shared relationship activities with a romantic partner. Implications for educators, researchers and practitioners are discussed.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"216-230"},"PeriodicalIF":1.1,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12462","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389214","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":"Reconnecting systemic family therapy: How family therapy training can attend to the ecosystem and climate emergency, recommendations from a Delphi survey","authors":"Robert Moore, Jenny Cove","doi":"10.1111/1467-6427.12461","DOIUrl":"10.1111/1467-6427.12461","url":null,"abstract":"<p>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. Participants generated ninety-six statements that were clustered into six overarching ‘topic areas’ (theories, orientations, schools, integrations/transformations, methods, and techniques). There were sixty-six statements agreed at a high level of consensus and seventeen with a moderate level of consensus, while there was no consensus over the remaining thirteen items. All participants opted to suggest references, which form a reading list to accompany these ideas.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"281-305"},"PeriodicalIF":1.1,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141099325","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":"Parenting a child with ‘Diabulimia’: A systemic interpretative phenomenological analysis","authors":"Fiona Kennon, Gary Robinson","doi":"10.1111/1467-6427.12460","DOIUrl":"10.1111/1467-6427.12460","url":null,"abstract":"<p>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 ill children. Four themes emerged from the analysis: battling, blaming, surviving and loss. These were interpreted through the lens of systemic theory. Within the framework of the results and the discussion, further research and the provision of systemic family therapy for children, parents and families in both paediatric and adolescent-to-adult transition diabetes clinics is recommended.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"245-263"},"PeriodicalIF":1.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141104989","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}
Irene G. Meijer, Luuk Stapersma, Leonieke Terpstra, Joost P. van der Mandele, Elisabeth M. W. J. Utens
{"title":"Non-violent resistance treatment for parenting stress and parent–child interaction in parents of adolescents with anorexia nervosa: A pilot study","authors":"Irene G. Meijer, Luuk Stapersma, Leonieke Terpstra, Joost P. van der Mandele, Elisabeth M. W. J. Utens","doi":"10.1111/1467-6427.12455","DOIUrl":"10.1111/1467-6427.12455","url":null,"abstract":"<p>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 behaviour and their own helplessness, by non-violent and non-escalating means. In our pilot, we examined whether NVR was helpful in reducing stress and improve parent–child interaction. In six parents, it was found that parenting stress was significantly reduced at post-assessment and at 3-month follow-up. For parent–child interaction, a non-significant trend was found for improvement. Change in body mass index of the adolescents was not associated with the decrease in parenting stress. Although preliminary, the results of this pilot suggest that NVR can be a feasible treatment alternative for families of adolescents with AN.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 3","pages":"231-244"},"PeriodicalIF":1.1,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654693","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}
Wendy O'Neill, Pieter W. Nel, Nic Horley, Lizette Nolte
{"title":"Sibling stories of parental mental distress","authors":"Wendy O'Neill, Pieter W. Nel, Nic Horley, Lizette Nolte","doi":"10.1111/1467-6427.12452","DOIUrl":"https://doi.org/10.1111/1467-6427.12452","url":null,"abstract":"<p>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 who we are because of what happened’. Results highlighted that the identity construction of each sibling and the collective identities of the sibling pairs are influenced by the parental mental health context. The findings also suggest a change in the siblings' meaning-making from childhood to adulthood. These findings are considered along with the implications for systemic practice and research.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"46 2","pages":"121-139"},"PeriodicalIF":1.6,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12452","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140556243","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}