{"title":"The distress of one-dimensional fertility in an African family","authors":"Augustine Nwoye","doi":"10.1002/anzf.1576","DOIUrl":"10.1002/anzf.1576","url":null,"abstract":"<p>Several Euro-American approaches to couple and family therapy have been instrumental in promoting successful practice of couple and family therapy in continental Africa. This article, however, describes one instance in which an African couple's distress of one-dimensional fertility could not be resolved by drawing solely from the Euro-American family therapy tradition. One-dimensional fertility is defined as a crisis that arises in conditions of sonlessness or daughterlessness in a marriage, that is, in situations where there are only male or female children born to the marriage. The use of medical intervention through the prescription of drugs often worsens rather than enhances the psychological well-being of couples who suffer from the distress of one-dimensional fertility. Therefore, it is considered beneficial to encourage the development and recognition of psychological literature that suggests what to be done to control such a distress without recourse to the use of medication or the complicated and sensitive procedure of in vitro fertilisation. The article suggests that the leading intervention package for attending to the challenge of couples with the distress of one-dimensional fertility entails the exercise of inducting them into the principles and practice of the fertility awareness-based method of family planning known as the billings ovulation method that is in harmony with the African cultural perspective.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"80-92"},"PeriodicalIF":0.7,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139949335","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":"‘No one believed us: no one came to help’: caregivers' experiences of violence and abuse involving children with fetal alcohol spectrum disorder","authors":"Anita Gibbs","doi":"10.1002/anzf.1575","DOIUrl":"10.1002/anzf.1575","url":null,"abstract":"<p>Child and adolescent-to-parent violence and abuse (CAPVA) refers to abusive and violent behaviours by children towards their parents or primary caregivers. The abuse and harmful behaviours can include a full range of physical, emotional, verbal, financial, and material actions over prolonged periods of time, from childhood to young adulthood. Parents and caregivers of children with neuro-developmental conditions are vulnerable to CAPVA, and little research has been undertaken exploring the experiences of caregivers of children with fetal alcohol spectrum disorder (FASD). In Aotearoa New Zealand, 56 caregivers were interviewed using semi-structured interviews, and over half identified significant levels and impacts of CAPVA, including dealing with physical violence and frequent emotional abuse. Health and stress issues were present in all caregivers interviewed. Caregivers also identified how systemic ignorance and a lack of understanding from caring professionals led to parent blaming, a sense of shame and isolation. Yet, caregivers also showed resilience and implemented strategies of de-escalation and distraction. More specialised practice is needed in this emerging field of family violence and in how to support families with children who have FASD.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"67-79"},"PeriodicalIF":0.7,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139926041","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":"Co-research interview—collaborative way to learn from experience","authors":"Eija-Liisa Rautiainen, Aino Maija Rautkallio","doi":"10.1002/anzf.1574","DOIUrl":"10.1002/anzf.1574","url":null,"abstract":"<p>Co-research interview developed by Tom Andersen and colleagues is a collaborative way of evaluating therapeutic processes that value the experiences of both clients and professionals. This article describes our experiences and thoughts on this interview method. We present the interview structure and give suggestions on how to conduct the interview. We also present applications of the interview method and engage in a dialogue among ourselves about our experiences with these interviews.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"31-40"},"PeriodicalIF":0.7,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139766422","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}
Sarah E. George, Chelsey Catchpole, Rosemary Skinner, Parma Barbaro, Nathan G. Adey, Simon Davies
{"title":"Therapeutic crisis intervention for families: an investigation of caregiver perceptions and experiences","authors":"Sarah E. George, Chelsey Catchpole, Rosemary Skinner, Parma Barbaro, Nathan G. Adey, Simon Davies","doi":"10.1002/anzf.1573","DOIUrl":"10.1002/anzf.1573","url":null,"abstract":"<p>The Therapeutic Crisis Intervention for Families (TCI-F) program aims to equip caregivers with the knowledge, skills, and confidence to deal with crisis situations involving their children. Despite the program's global dissemination, its influence on predictors of intervention uptake and caregiver experience is not understood. We therefore sought to investigate the changes in determinants of implementation behaviour from pre- to post-TCI-F. These include <i>knowledge</i>, <i>confidence</i>, and <i>intention</i> to implement new strategies, beliefs <i>about consequences</i> that implementation would be beneficial, beliefs that change was part of one's <i>social role</i>, and a sense of having sufficient <i>resources and support</i>. In addition, we sought to understand the experiences of program participation. Caregivers who participated in TCI-F were invited to complete questionnaires about determinants of implementation behaviour before and after the program. They were also invited to complete a questionnaire about their experiences attending TCI-F. One hundred fifty-five participants completed questionnaires. Significant improvements were found in all determinants of implementation behaviour. Caregivers reported improved <i>knowledge</i> about program strategies, a belief that this was part of their <i>role</i>, confidence and <i>capability</i> in managing crises, <i>beliefs</i> that implementation will be beneficial, <i>intentions</i> to implement learned strategies, and a sense of being provided with sufficient <i>resources and support</i>. Additionally, participants reported high levels of satisfaction, hope for the future, improved coping, and overall well-being following the program. Qualitative responses supported these findings and revealed that many participants expressed a wish that the program was available sooner and that additional maintenance support was available. Findings support the use of TCI-F and indicate that this is a promising intervention for caregivers who are struggling to cope with the crisis behaviours of their children. As this is the first published empirical investigation of TCI-F, avenues for further research are identified.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"41-54"},"PeriodicalIF":0.7,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139423690","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":"A relational understanding of the needs of siblings of children who have been sexually abused","authors":"Maeve Dwan","doi":"10.1002/anzf.1572","DOIUrl":"10.1002/anzf.1572","url":null,"abstract":"<p>This participatory research project highlighted the views and experiences of young people who are the brothers and sisters of children and young people who have experienced child sexual abuse. By working with young people who had experienced sexual abuse and their siblings, this practitioner research sought to give these young people a voice. The research involved a group process with young people who have experienced sexual abuse and have siblings, and one-to-one online consultations with the brothers and sisters of young people who have experienced abuse. All the young people spoke of their sibling and family relationships as unique and requiring unique responses to these relationships by services and health-care professionals. Siblings’ needs in the aftermath of a child sexual abuse discovery are often overlooked. This research describes how just as children who have experienced sexual abuse may feel anger, fear, guilt, shame, anxiety, and confusion, so do their siblings. Brothers and sisters of young people who have experienced sexual abuse describe significant relational trauma with intense emotional experiences of isolation, confusion, sadness, and anger. There is a real need to support young people and families to find words and develop capacities to talk about child sexual abuse -- a need to find supportive ways to speak about what has occurred and understand its impact on all. The study clearly demonstrated the significant level of need and impact on brothers and sisters of young people who have experienced sexual abuse.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"55-66"},"PeriodicalIF":0.7,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139067107","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 infant mental health: exploring the potential space","authors":"Jessica E. Opie, Jennifer E. McIntosh","doi":"10.1002/anzf.1570","DOIUrl":"https://doi.org/10.1002/anzf.1570","url":null,"abstract":"<p>For this special issue, we sought perspectives on the contributions of the infant to their family's development, including recovery from intergenerational trauma and the contribution of the family to the infant's relational security. This special issue features a series of 12 invited papers from a diverse group of professionals, including infant mental health specialists, Indigenous and non-Indigenous family therapists, academic family therapy teaching staff, and developmental psychology and systemic researchers. The contributions span several methodologies – ranging from curated conversations and qualitative research to conceptual insights, theoretical discussions, intervention reports, and new intergenerational empirical data. Through this editorial, we provide a brief overview of the collective works, spotlighting the invaluable synergistic contributions that infant mental health and family therapy approaches provide, while highlighting the untapped potential at their intersection.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"407-411"},"PeriodicalIF":0.7,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139047537","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":"In conversation: transgenerational attachment trauma, the infant, and the family therapist","authors":"Jennifer McIntosh, Louise Newman, Carol George","doi":"10.1002/anzf.1563","DOIUrl":"10.1002/anzf.1563","url":null,"abstract":"<p>This paper shares a far-ranging set of conversations between professors Jennifer McIntosh, Louise Newman, and Carol George, all child and family practitioners, and infant mental health (IMH) and attachment specialists. They explore the domain of infant–family work with high-risk populations experiencing complex relational and intergenerational trauma. George and McIntosh discuss the intersection between family therapy and IMH from an attachment perspective. They explore what family therapy can offer to supporting coherence in caregiving states of mind, beyond the offerings of traditional dyadic mother–baby models of intervention. They highlight the infant's contribution to family work, and the application of attachment theory in a family therapy context. Newman and McIntosh discuss a sensitive and graded approach to high-risk family work with an infant. Newman reflects on when and whom to invite to a family session and the power of enabling the family to speak the unspeakable in the presence of the baby, supporting a future focused path for trauma integration and recovery. For family therapists who may be new to IMH work, there are some important offerings about integrating these fields, bringing into play the family therapist's deep grasp of curiosity, circularity, and capacity to reconceptualise with an IMH perspective on early relational trauma.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"455-466"},"PeriodicalIF":0.7,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138945098","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":"Broadening the life course framework: the implications of the Charter for the Rights of Children yet to be Conceived proposed by First 1000 Days Australia","authors":"Kerry Arabena","doi":"10.1002/anzf.1571","DOIUrl":"10.1002/anzf.1571","url":null,"abstract":"<p>This article examines the unique propositions within the ‘Charter for the Rights of Children yet to be Conceived’ posited by First 1000 Days Australia. It argues that the Charter's pioneering focus on preconception conditions significantly broadens the life-course framework for early childhood, challenging traditional rights frameworks that typically commence at birth. The Charter's tenets, their implications, and their relation to international rights frameworks are also discussed. The Charter for the Rights of Children yet to be Conceived expands the landscape within which family therapists can explore not just cultural inclusivity, but an inclusion of imagining what sort of world, future, and family we want for children yet to be conceived; and what we imagine these children would want from us for this to be achieved.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"549-553"},"PeriodicalIF":0.7,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1571","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138537353","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}
Catherine M. Olsson, Christopher J. Greenwood, Primrose Letcher, Evelyn Tan, Jessica E. Opie, Anna Booth, Jennifer McIntosh, Craig A. Olsson
{"title":"Adverse experiences in early intimate relationships and next-generation infant–mother attachment: findings from the ATP Generation 3 Study","authors":"Catherine M. Olsson, Christopher J. Greenwood, Primrose Letcher, Evelyn Tan, Jessica E. Opie, Anna Booth, Jennifer McIntosh, Craig A. Olsson","doi":"10.1002/anzf.1564","DOIUrl":"10.1002/anzf.1564","url":null,"abstract":"<p>Chronic insecurities that emerge from adverse experiences in early intimate partner relationships in adolescence and emerging adulthood can have profound impacts on mental health and well-being. Less clear is the extent to which these experiences for parents impact subsequent relationships within and across generations. We examine the extent to which secure, dismissing, pre-occupied, and fearful intimate partner relationships in adolescence and emerging adulthood, well before becoming a parent, are associated with next-generation patterns of attachment between mothers and infant offspring. Data were drawn from a nested study of infant–mother attachment (<i>n</i> = 220) within the Australian Temperament Project Generation 3 Study (<i>N</i> = 1167, est. 1983). Intimate partner relationships in adolescence and young adulthood were assessed by self-report at 23–24 years of age. Over a decade later, infant–mother attachment security was assessed at 12 months post-partum. Young adult intimate partner relationships defined by high levels of fearful, pre-occupied, and dismissing attachment styles were reported in 11%, 17%, and 38% of young mothers, respectively. Increases in fear of intimacy in relationships were associated with an increase in the odds, by around 50%, of infant–mother insecure attachments (vs secure; OR = 1.56, 95% CI = 1.07, 2.28) and disorganised attachments (vs organised; OR = 1.49, 95% CI = 1.00, 2.22). A mother's self-reported history of fear of intimacy within young adult relationships predicts later insecure and disorganised mother–infant attachments. Guidance and greater support for young people navigating their earliest intimate relationships may not only prevent adverse relational experiences at the time but also on becoming a parent. Findings have relevance for family and infant mental health therapies. Translating these findings into supported conversations may help prevent infant–mother attachment difficulties, or later repair them, through validation of the lingering effects of early fear of intimacy and empowerment of parents to prevent next-generation infant experiences of distrust.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"537-548"},"PeriodicalIF":0.7,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1564","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506267","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}
Jessica E. Opie, Anna T. Booth, Larissa Rossen, Elisabeth Fivaz-Depeursinge, Robbie Duschinsky, Louise Newman, Jennifer E. McIntosh, Eliza Hartley, Felicity Painter, David Oppenheim, Campbell Paul, Antoinette Corboz-Warnery, Alan Carr, Diane A. Philipp, James P. McHale
{"title":"Initiating the dialogue between infant mental health and family therapy: a qualitative inquiry and recommendations","authors":"Jessica E. Opie, Anna T. Booth, Larissa Rossen, Elisabeth Fivaz-Depeursinge, Robbie Duschinsky, Louise Newman, Jennifer E. McIntosh, Eliza Hartley, Felicity Painter, David Oppenheim, Campbell Paul, Antoinette Corboz-Warnery, Alan Carr, Diane A. Philipp, James P. McHale","doi":"10.1002/anzf.1569","DOIUrl":"10.1002/anzf.1569","url":null,"abstract":"<p>This qualitative study explores infant-family mental health experts' perspectives and experiences regarding the inclusion of infants in the family therapy setting. Infant socioemotional development is relational in nature and evolves in the context of both dyadic attachment relationships and broader multi-person co-parenting systems. Given this, we sought to understand why family therapy interventions involving families with infants rarely include the infant in a triangular or family systemic approach. Interviews were completed by clinical and/or research experts whose work integrates tenets of both infant mental health (IMH) and family theory and therapy. All interviewees brought at least 5 years of expertise and were actively engaged in the field. Interviewees expressed consistent beliefs that infants have a rightful and helpful place in family therapy approaches. They maintained that infants' innate social drive and communicative capacities position them to make meaningful and clinically significant contributions within family and systemic psychotherapy contexts. Noting that infants have remained on the periphery of these practices, experts advocated expansion and greater integration between IMH and family therapy, while preserving each field's distinctive identity. Experts reported that the interplay between IMH and family therapy fields has been uni-directional as family systems concepts are embedded within IMH approaches, but few IMH premises are incorporated in mainstream family therapy practices. The disconnect was attributed to multiple factors, including graduate and professional training and theoretical, clinical, research, and sociocultural barriers, which were mutually reinforcing. Experts also identified clinical gains for both infants and family members when infants were meaningfully included in family interventions. Common ground was identified between the disciplines, with a belief that relationally distressed young children and parents are best served by clinical engagement with their network of relationships. Results call for greater collaboration between disciplines to challenge existing traditions and to more fully include infants in mainstream family therapy. Recommendations for integration of family therapy and IMH in clinical, theoretical, research, training, and sociocultural domains are offered.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"412-439"},"PeriodicalIF":0.7,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138537365","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}