Journal of Family Therapy最新文献

{"title":"Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting","authors":"Bartłomiej Taurogiński,&nbsp;Antonina Bryniarska,&nbsp;Barbara Józefik","doi":"10.1111/1467-6427.12420","DOIUrl":"10.1111/1467-6427.12420","url":null,"abstract":"<p>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 regarding the context of the referral, and goal and problem formulation for the therapy. The data were analysed via the consensual qualitative research-modified (CQR-M) method, and comparisons between groups were performed. The obtained results show a diversity of perspectives. Of interest was the predominance of medical language in describing the problem and relational language in describing the goal of therapy. An analysis of differences between mothers, fathers, adolescent patient and their siblings was also performed. The findings highlight the complexity of notions that families start family therapy with and may help therapists navigate through the therapeutic contract formulation process.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45010498","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":"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","authors":"Lauren Burton,&nbsp;Claudine Fox","doi":"10.1111/1467-6427.12419","DOIUrl":"10.1111/1467-6427.12419","url":null,"abstract":"<p>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 (<i>n</i> = 144; 9.5–19.3 years) were FT referrals between 2019–2020. Autism diagnostic status and the support families received from FT, from the neurodevelopmental (ND) service which specialises in autism, and for co-occurring conditions [e.g., cognitive behavioural therapy (CBT)] was extracted retrospectively from routine data. Forty FT referrals met autism criteria: several families did not receive FT; few were provided with support from the ND service; and if CBT was offered, no adaptations for autism were noted. Families received insufficient support following a diagnosis through this Trust. Implications include improving post-diagnostic support for families in practice.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43537790","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":"Looking inwards whilst looking outwards","authors":"Philip Messent,&nbsp;Sarah Helps","doi":"10.1111/1467-6427.12418","DOIUrl":"10.1111/1467-6427.12418","url":null,"abstract":"","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47545547","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":"Family functioning in the Mozambican context: Results of a psychometric study of the SCORE-15 scale","authors":"Domingos Bié,&nbsp;Isabel Narciso,&nbsp;Carla Crespo,&nbsp;Magda Roberto","doi":"10.1111/1467-6427.12417","DOIUrl":"10.1111/1467-6427.12417","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>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 the depression, anxiety and hostility subscales of the Brief Symptom Inventory (BSI). The confirmatory factor analysis supported a three-factor structure that presented adequate model fit and reliability indexes. Poorer family functioning was correlated with psychopathological symptoms, except for the association between depression and disrupted communication. Women revealed higher levels of disrupted communication, while being single was associated with lower levels of being overwhelmed by difficulties and disrupted communication. Age was positively associated with being overwhelmed by difficulties and disrupted communication. The Mozambican version of the SCORE-15 showed good factorial validity and reliability and can be used in this national diverse socio-cultural context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <div>\u0000 \u0000 <div>\u0000 \u0000 <h3>Practitioner points</h3>\u0000 <p>\u0000 \u0000 </p><ul>\u0000 \u0000 \u0000 <li>SCORE-15 is a systemic self-report measure for routine clinical use and research on family relationships.</li>\u0000 \u0000 \u0000 <li>In this study, SCORE-15 showed evidence of reliability and validity in Mozambique.</li>\u0000 </ul>\u0000 \u0000 </div>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49572692","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":"Foster carers' perceptions of the long-term effectiveness of the Fostering Changes programme","authors":"Loren Whitehead,&nbsp;Shanee Barraclough,&nbsp;Michael Tarren-Sweeney","doi":"10.1111/1467-6427.12416","DOIUrl":"10.1111/1467-6427.12416","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>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 analysis (IPA) informed both data collection and analysis. Five superordinate themes were identified: (1) FC is perceived to be an effective training programme that provides sustained benefits; (2) foster carer training is crucially important; (3) the challenges of fostering continue, irrespective of training; (4) caregiver confidence gained from training wanes over time in the face of persistent challenges; (5) foster carers require ongoing therapeutic interventions and support because of their children's persistent behavioural and relational difficulties. The findings suggest that, while FC provides effective and relevant training, carers simultaneously require ongoing clinical services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <div>\u0000 \u0000 <div>\u0000 \u0000 <h3>Practitioner points</h3>\u0000 <p>\u0000 \u0000 </p><ul>\u0000 \u0000 \u0000 <li>Children in out-of-home care who have persistent relational and mental health difficulties require ongoing specialised therapeutic support</li>\u0000 \u0000 \u0000 <li>Foster carer group training (such as Fostering Changes) may help to stabilise children's placements and mental health recovery but does not replace the need for personalised, systemic interventions with caregivers</li>\u0000 \u0000 \u0000 <li>Foster carer group therapeutic training is preferably integrated within ongoing, systemic, multi-component interventions, rather than offered as discrete, stand-alone interventions</li>\u0000 </ul>\u0000 \u0000 </div>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48439457","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 changing face of telesupervision and digital training in response to COVID-19","authors":"Heath Grames,&nbsp;Pat Sims,&nbsp;Chelsey Holden,&nbsp;Pam Rollins,&nbsp;Michelle Jeanfreau,&nbsp;Michael Fitzgerald","doi":"10.1111/1467-6427.12415","DOIUrl":"10.1111/1467-6427.12415","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>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 to telesupervision relationships in an evolving world. As emergency protocols begin to give way to more routine procedures, it is important for supervisors to engage in meaningful conversations around the benefits, the challenges, and the future of telesupervision. This article discusses the various facets of telesupervision, including ethical implications, supervision modalities, the virtual supervisory alliance, the impact of telesupervision upon self-of-the-therapist work, and the potential benefits of telesupervision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practitioner points</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>Establishing effective telesupervision requires increased intentionality on part of the supervisor. Authenticity and transparency become more critical in establishing connections and trust with supervisees in an online format.</li>\u0000 \u0000 \u0000 <li>Supervisors should collaborate with supervisees to establish processes for the times technology-related problems occur.</li>\u0000 \u0000 \u0000 <li>Supervisors must also understand the unique ethical issues that are presented with providing supervision through an online format.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9538278/pdf/JOFT-9999-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33516526","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 involvement in psychiatry: Beyond implementing family interventions","authors":"Kim G. P. De Corte,&nbsp;Hanna Van Parys,&nbsp;Greet Pauwels,&nbsp;Veerle Aendekerk,&nbsp;Kim Steeman,&nbsp;Elke Van Lierde,&nbsp;Ine Jespers,&nbsp;Hanne Vandewiele,&nbsp;Gilbert M. D. Lemmens","doi":"10.1111/1467-6427.12414","DOIUrl":"10.1111/1467-6427.12414","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 \u0000 <p>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 pre-existing practices and collaborations. Phase 2 initiates a change management process and multi-party dialogue. Phase 3 is future work. A shift in culture re-focuses attention towards family caregivers on all levels of the ‘Family Reflex’, which refers to a multidisciplinary family policy with clear guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practitioner points</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>Services should go beyond specialised systemic family interventions to create family-friendly psychiatry.</li>\u0000 \u0000 \u0000 <li>Initiating change management processes should involve a collaboration between stakeholders – in this case, inpatients, family caregivers, professional caregivers and family organisations.</li>\u0000 \u0000 \u0000 <li>We describe change management processes towards a more family-friendly psychiatric care model.</li>\u0000 \u0000 \u0000 <li>We reflect upon the implications for systemic therapists and mental healthcare services.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44523528","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":"My mother, my mirror? Three generations encounter family therapy","authors":"Anne Grasaasen","doi":"10.1111/1467-6427.12413","DOIUrl":"10.1111/1467-6427.12413","url":null,"abstract":"<p>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 in relation to family therapeutic practice using an insider perspective. The results indicate that shame has been prominent for all of us. A common thread through our stories is how shame can be seen in the ways we each experienced the distribution of power through the exercise of family therapy, in which practice appears to be strongly shaped by social discourses. The method of autoethnography can be useful to expand the concept of knowledge as well as produce detailed research into family life through elevation of intimate stories often suppressed by larger meta-narratives.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45652664","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":"Working with denial in families dealing with child abuse: A scoping review of the resolutions approach","authors":"Annemariek J. W. Sepers,&nbsp;Marija Maric,&nbsp;Paul A. Boelen,&nbsp;Trudy T. M. Mooren","doi":"10.1111/1467-6427.12412","DOIUrl":"10.1111/1467-6427.12412","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 \u0000 <p>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 on the effectiveness and other clinical benefits of the RA are presented. Finally, we provide suggestions for future research. Our search identified two published articles and one dissertation. Findings indicate that the RA might be useful in stopping child abuse and in improving cooperation between families and professionals. Parents experienced more control over their situation, and guardians perceived the method to be transparent. The RA is a well-described method that respectfully deals with families in which a lack of safety is observed. Future empirical research on the RA is necessary.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practitioner points</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>The Resolutions Approach aims to stop and prevent child abuse in families when there are different perspectives on the abuse.</li>\u0000 \u0000 \u0000 <li>Our study reveals that there are signs of a clinical benefit of the RA in establishing a safe family environment for the child.</li>\u0000 \u0000 \u0000 <li>Families experienced more control over their situation, while guardians perceived the method to be transparent.</li>\u0000 \u0000 \u0000 <li>For most families participating in the RA, a supportive social network could be established.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45834159","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":"Improving family engagement in an adult inpatient mental health service using an action research framework","authors":"Sarah Muddle,&nbsp;Claudia Kustner,&nbsp;Rohan Cook,&nbsp;Megan Wilkinson-Tough","doi":"10.1111/1467-6427.12410","DOIUrl":"10.1111/1467-6427.12410","url":null,"abstract":"<p>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 four healthcare professionals to discuss their experiences of family involvement and develop initial ideas. A problem-solving group, involving service users, family members and professionals, was used to develop the solutions. The project identified context-specific solutions to improve family engagement, which included specific training for professionals working on the inpatient wards, questionnaires to facilitate conversations with families, and sharing information about mental health and the inpatient mental health service with families. These may be helpful for other adult inpatient services.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48860799","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}