Journal of Family Therapy最新文献

{"title":"‘When it comes to relational trauma, you need people at the table’","authors":"Aletta Simons,&nbsp;Martine Noordegraaf,&nbsp;Tine Van Regenmortel","doi":"10.1111/1467-6427.12397","DOIUrl":"10.1111/1467-6427.12397","url":null,"abstract":"<p>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 Dutch therapists reported no acute worries about their clients’ sexual safety during the pandemic lockdowns. Nonetheless, the switch to online therapy for the SSA families created concern regarding victim safety in speaking out freely at home. Second, while the sudden switch to online therapy enabled SSA therapists to stay connected with their SSA families, therapists experienced a decline in therapy quality and in their own well-being. In the therapists’ experience, it was almost impossible to conduct their most fundamental interventions online, such as intervening in family relationships.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 4","pages":"490-503"},"PeriodicalIF":1.6,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44177997","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":"A systemic supervisory methodology and approach used during COVID times: Collective cut-outs – a gift from the left hand","authors":"Joanne Adams,&nbsp;Melissa Baxter","doi":"10.1111/1467-6427.12391","DOIUrl":"10.1111/1467-6427.12391","url":null,"abstract":"<p>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 supervisory groups. We also aim to give voice to the experiences of “frontline” Black Asian Minority Ethnic (BAME) clinicians in an inner-city mental health team during the COVID-19 pandemic. The Collective Cut-Out exercise and its methodology provide a framework to help facilitate reflexive spaces that promote mindful group exercise and the subsequent expression of personal and professional resonance. The subjects of clinical challenge and collective resilience are also brought forth. We offer a case study in the second part of the paper, outlining the use of the exercise in a reflexive group supervisory context. The team in focus have kindly given us, the authors, permission to use their experiences and “cut-outs”. We have either adapted or removed identifiable information from the writing to protect and respect the identity of the team and individuals involved.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 4","pages":"474-489"},"PeriodicalIF":1.6,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46779708","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 systemic value of integrating an adolescent day service into an inpatient service: A qualitative case study","authors":"Rory Robinson,&nbsp;Ioanna Bakopoulou","doi":"10.1111/1467-6427.12379","DOIUrl":"10.1111/1467-6427.12379","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>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 of ten clinicians working at a DS integrated with an inpatient service (IPS). Thematic analysis highlighted the systemic value of accessing intensive support whilst still living with family, with participants perceiving that day patients better consolidated therapeutic skills when compared with inpatients. Importantly, the DS was perceived to enhance the overall therapeutic impact of the wider IPS. The implications of these findings for the use and funding of DS are discussed, highlighting the need to further explore the efficacy of integrated services incorporating day and inpatient care.</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>The DS was perceived to provide young people with high-intensity support, whilst maintaining key systemic connections to their homes and communities.</li>\u0000 \u0000 \u0000 <li>The DS was perceived to positively influence the systemic dynamics of the inpatient service, improving the efficacy of inpatient care.</li>\u0000 \u0000 \u0000 <li>Findings indicate a mutually beneficial relationship between day and inpatient services, strengthening the case for the integration of both services.</li>\u0000 </ul>\u0000 \u0000 </div>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"45 4","pages":"428-443"},"PeriodicalIF":1.6,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41780538","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":"An autoethnographic exploration of a lone-mother trainee systemic therapist","authors":"Pippa Beazley","doi":"10.1111/1467-6427.12394","DOIUrl":"10.1111/1467-6427.12394","url":null,"abstract":"<p>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 <i>inward</i> at my self and back <i>outward</i> at social-cultural context in response to my observations, within systemic practice and training, of possible privileging of a dominant social discourse of family—a father, a mother and children—that positions lone-mothers as <i>other</i>. My experiences in vignettes, my data, are analysed using a daisy model. Emergent salient themes are discussed. The findings hopefully prompt an elicitation of responses and resonances that will act as impetus for necessary future dialogue within systemic practice and inquiry.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 4","pages":"445-461"},"PeriodicalIF":1.6,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41972510","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":"Training in systems theory using a contextual pedagogical approach during the October revolution in Lebanon: Reflections from a clinical psychology program","authors":"Tania Bosqui,&nbsp;Estefania Hanna","doi":"10.1111/1467-6427.12395","DOIUrl":"10.1111/1467-6427.12395","url":null,"abstract":"<p>The October 2019 <i>thawra</i> (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, and their overwhelming experiences at the collective national level. A contextual pedagogical approach was used to apply systems theory to observations of societal level processes during the revolution. Students reported positive feedback about the approach, particularly for being responsive and flexible to student needs, and demonstrating the relevance of systems theory at the community level and not just the family level. Lessons learned, such as sensitivity to both divided and multiple perspectives on national events, are also presented.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 3","pages":"434-442"},"PeriodicalIF":1.6,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43842935","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":"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","authors":"Sarah Jane Coles,&nbsp;Shona Reed-Purvis","doi":"10.1111/1467-6427.12393","DOIUrl":"10.1111/1467-6427.12393","url":null,"abstract":"<p>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 research in this area, we designed a qualitative process, utilising individual interviews with four team members aged 30–59 years. Interview data were analysed using thematic analysis. Thematic analysis yielded seven themes, which enabled understanding of our team’s experiences of separating talking and listening. It has also led to wider changes in our teams functioning and our communication with other parts of the organisation in which we work. The results are very limited due to the small sample size, but further research in this area is warranted.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 3","pages":"422-433"},"PeriodicalIF":1.6,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45580892","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":"What can families really do? A scoping review of family directed services aimed at preventing violent extremism","authors":"Håvard Haugstvedt","doi":"10.1111/1467-6427.12392","DOIUrl":"10.1111/1467-6427.12392","url":null,"abstract":"<p>Abstract The activities of extremist groups are perceived as a key threat to modern democracies. However, much remains unknown about the role families can play in prevention or disengagement from such groups. A scoping review identified seven studies that were eligible for inclusion. The findings suggest that there is limited, yet some, support for family-directed services to directly prevent engagement in extremist groups. Rather, family directed services may indirectly influence this by strengthening family members' resilience and thus their ability to engage with the family member. Additionally, professionals working with families where a member is on a path to developing extremist ideology should continuously reflect upon their professional conduct and develop a narrative approach to reduce resistance. An important limitation to these findings is the different contexts and countries they have been conducted in, spanning from East Africa to Northern Europe.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 3","pages":"408-421"},"PeriodicalIF":1.6,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49053222","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":"Positional responsibility in systemic-dialogical therapy","authors":"Claudia Lini,&nbsp;Paolo Bertrando","doi":"10.1111/1467-6427.12390","DOIUrl":"10.1111/1467-6427.12390","url":null,"abstract":"<p>Responsibility is a dimension often overlooked in systemic and family therapy, possibly because of its connection with blame, especially toward victims of violence or abuse. Systemic-dialogical therapy, however, gives relevance to responsibility, in the form of positional responsibility; that is, the responsibility one may take regarding one’s position in the relevant systems and contexts one is embedded in, and the ability to find one’s place within them. To help clients in such efforts, therapists must, in turn, take responsibility for the development of the therapeutic process. The process of taking responsibility in therapy, therefore, is twofold: it concerns clients, of course, but it also involves the therapist. This article proposes a method for working on positional responsibility in clinical work, illustrating it with clinical examples.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 3","pages":"339-350"},"PeriodicalIF":1.6,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46650513","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":"Directing from the shadows: Women’s experiences of male relative suicide bereavement","authors":"Evelyn Gordon,&nbsp;Rosaleen McElvaney","doi":"10.1111/1467-6427.12388","DOIUrl":"10.1111/1467-6427.12388","url":null,"abstract":"<p>Suicide bereavement evokes particular emotions that can hamper recovery processes, if neglected. This Interpretative Phenomenological Analysis (IPA) study explored five women’s experiences of bereavement following the death by suicide of a male relative. One superordinate theme, directing from the shadows, and three interrelated subordinate themes: roller coasting, speaking the unspeakable, and finding meaning and living with suicide were identified. This study highlights that women bereaved by suicide may occupy a complex position in the family when trying to balance caring for themselves and others, sometimes leading them to negate their own support and therapeutic needs. However, women in this study felt supported by timely, flexible and sensitive professional responses and found a proactive outreach approach, peer support groups and counselling helpful at different stages in their bereavement process.</p>","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 3","pages":"396-407"},"PeriodicalIF":1.6,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1467-6427.12388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44138233","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 handbook of systemic family therapy, volume 3: Systemic family therapy with couples , Karen S. Wampler , Adrian J. Blow, Hoboken, NJ: Wiley, 2020, 570pp. ISBN 9781119438557","authors":"Gilbert Lemmens","doi":"10.1111/1467-6427.12389","DOIUrl":"10.1111/1467-6427.12389","url":null,"abstract":"","PeriodicalId":51575,"journal":{"name":"Journal of Family Therapy","volume":"44 2","pages":"330-332"},"PeriodicalIF":1.6,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62594518","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}