Australian and New Zealand Journal of Family Therapy最新文献

{"title":"‘How I wonder what you are?’: what infant observation offers family therapy","authors":"Wendy Bunston,&nbsp;Sarah J. Jones","doi":"10.1002/anzf.1565","DOIUrl":"10.1002/anzf.1565","url":null,"abstract":"<p>Training in infant observation, highly valuable in the infant mental health (IMH) field, has an enormous amount to offer family therapists. These two fields of practice, both hold working with the relational world of their clients as central. As two senior family therapists who are also IMH practitioners, we invite those reading this paper to explore the possibilities inherent in undertaking infant observation training as a pathway to enriching and expanding their practice. We provide an overview of infant observation training, how this approach was conceived, and explore the benefits of honouring the subjectivity of the infant, that of bringing the infant's experience alive in the therapeutic space. We provide direct examples from our own practice. We conclude with how infant observation might be incorporated into family therapy training and practice.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"440-454"},"PeriodicalIF":0.7,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506263","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":"Including the infant in family therapy and systemic practice: charting a new frontier","authors":"Jessica E. Opie,&nbsp;James P. McHale,&nbsp;Peter Fonagy,&nbsp;Alicia Lieberman,&nbsp;Robbie Duschinsky,&nbsp;Miri Keren,&nbsp;Campbell Paul","doi":"10.1002/anzf.1567","DOIUrl":"10.1002/anzf.1567","url":null,"abstract":"<p>This position paper from a core group of infant mental health academics and clinicians addresses the conspicuous underrepresentation of the infant in mainstream family therapy. Despite infants' social capacities and clear contributions to family dynamics, they remain largely overlooked within this therapeutic context. We suggest that family therapists have moral and professional responsibilities to support the participation, protection, and well-being of all family members, including the infant. Here, we emphasise the importance of including the infant in the family therapy setting. By highlighting their frequent omission, we aim to amplify infants' often unheard ‘voice,’ role, and contributions to family development, especially recovery from distress. A shift towards infant inclusion as the rule rather than the exception represents a new frontier of integration. We first highlight the relational nature of infant development with a focus on the infants' psychosocial capacities and vulnerabilities. We then consider reasons why the infant may be overlooked in family and systemic therapies and offer a rationale for inviting the infant into these settings, illustrated through the use of a clinical case vignette. To facilitate infant inclusion, we propose a series of guidelines to meaningfully incorporate infants into family therapy practices. We conclude by encouraging shifts in family therapy research, training, and practice to better incorporate and understand the unique contributions of the infant to family life.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"554-564"},"PeriodicalIF":0.7,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506275","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":"Virtual care delivery of whole family assessment and intervention with infants and preschoolers: a thematic analysis of clinician and family experiences","authors":"Diane A. Philipp,&nbsp;Klaudia Szczech,&nbsp;Nick L. Hanson,&nbsp;Gabrielle O'Hara,&nbsp;Janai Puckett","doi":"10.1002/anzf.1557","DOIUrl":"10.1002/anzf.1557","url":null,"abstract":"<p>In this study, we explore family and clinician experiences with virtual care delivery of whole family assessment and therapy developed for infant and preschool-aged children and adapted during the COVID-19 pandemic. A clinical case study is also presented. Between September and November 2020, semi-structured interviews were conducted with four clinicians working with families with children in the 0 to 5 population and with four caregivers with children aged 4–6 years (<i>M</i> = 5.3) involved in whole family assessment and intervention (i.e., Lausanne Trilogue Play [LTP]; Reflective Family Play [RFP]) at a community mental health facility. Clinicians represented various mental health disciplines. Qualitative data were analysed using inductive thematic analysis with intercoder reliability established. Analysis of interviews generated nine themes organised within two conceptual frameworks, accessibility and efficacy. Accessibility included the themes: (1) flexibility, (2) privacy, and (3) resources. Efficacy comprised: (4) effects of technology, (5) home environment, (6) feasibility of therapy tasks, (7) parent alliance, (8) clinician fatigue, and (9) overall evaluation. Home environment was further divided into three subthemes: (5.1) disruptions, (5.2) boundaries, and (5.3) naturalistic observation. While participants reported benefits and challenges uniquely related to virtual care, both caregivers and clinicians expressed overall satisfaction with virtual whole family assessment and therapy. This study provides a rich exploration of the perspectives of caregivers and clinicians engaged in virtual whole family mental health care during the COVID-19 pandemic. With adequate technology and privacy, whole family assessment and therapy, such as the LTP and RFP, provided via video teleconferencing facilitated accessible and effective care for families of young children with moderate to severe mental health challenges. Evidence suggests in-person and hybrid approaches to whole family assessment and therapy could be further tailored to meet the needs of families with young children and infants.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"521-536"},"PeriodicalIF":0.7,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506262","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 missing father: why can't infant mental health services keep dads in mind?","authors":"Izaak Lim,&nbsp;Hannah McMillan,&nbsp;Paul Robertson,&nbsp;Richard Fletcher","doi":"10.1002/anzf.1560","DOIUrl":"10.1002/anzf.1560","url":null,"abstract":"<p>Despite the weight of scientific evidence demonstrating the importance of fathers in the social and emotional development and well-being of infants, infant mental health services struggle to engage fathers. Commonly, fathers are assumed to be unavailable, uninterested, unnecessary, or even unsafe in relation to infant mental health work. These outdated perspectives perpetuate the myth that this work pertains exclusively to the infant–mother dyad. This paper aims to explore some of the reasons for and barriers to involving fathers in infant mental health services. We present an imagined conversation between three mental health professionals working in a child and adolescent mental health service. Presented as a script, the various arguments, counterarguments, and reflections made by the three characters aim to bring the subject matter to life and capture something akin to an actual discussion between colleagues working in a child mental health service. A junior clinician notices that an infant case presented at the multidisciplinary team meeting did not mention the child's father. A senior clinician explains that the team's work usually focuses on the infant–mother relationship, as this is considered of primary importance clinically. A psychiatrist, who has only recently joined the team, explores some of the aspects of team culture that might exclude fathers from participating in the service. Several plausible objections to involving fathers are explored as the discussion unfolds between the three professionals. Infant mental health services should consider how their culture and processes influence whether fathers and/or other adult caregivers engage in these services. For clinicians, thinking about the infant's immediate interpersonal context from their unique development perspective can reveal opportunities and resources within the family that may lead to effective systemic treatment approaches.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"467-476"},"PeriodicalIF":0.7,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506273","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":"First Nations perspectives and approaches to engagement in infant-family work: attending to cultural safety and service engagement","authors":"Alison Elliott,&nbsp;Clarisse Slater,&nbsp;Jessica E. Opie,&nbsp;Jennifer E. McIntosh","doi":"10.1002/anzf.1562","DOIUrl":"10.1002/anzf.1562","url":null,"abstract":"<p>First Nations child and family practitioners, Alison Elliott and Clarisse Slater, yarn here with Jenn McIntosh about the cultural fit and importance of including infants in family therapy. They bring years of experience from the ‘Workin’ With the Mob' clinical program at The Bouverie Centre to bear on building safe and respectful engagement with First Nations peoples and families. They share a First Nations view of the call of the infant and their ancestry and their power to join in bringing healing to parent and family systems. They discuss safe engagement in attempting to build safety in the present, especially for new parents who carry childhood wounds. The baby's capacity to help reframe these conversations into opportunity for new hope and healing becomes central to systemic safety, rather than something to be avoided.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"477-484"},"PeriodicalIF":0.7,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506274","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 Lausanne Trilogue Play: bringing together developmental and systemic perspectives in clinical settings","authors":"Hervé Tissot,&nbsp;Nicolas Favez","doi":"10.1002/anzf.1559","DOIUrl":"10.1002/anzf.1559","url":null,"abstract":"<p>Developmentalists have demonstrated that the quality of relationships established by infants with their proximal social environment is crucial for lifecourse development. However, studies of parent–infant relationships have mostly centred on the mother–child dyad. Stemming from family systems theory that considers interactions within the whole family as critical for an individual's personal development, a group of family therapists and researchers in Lausanne (Switzerland) tried to bridge the gap between systemic and developmental thinking by stressing the need to establish the mother–father–infant triad as a collective unit of study. In response, they created the Lausanne Trilogue Play (LTP), a method to systematically assess the quality of mother–father–infant interactions. The LTP is an observational situation during which parents are asked to play with their infant in four parts: (i) one parent plays with the infant, while the other parent is ‘simply present’; (ii) the parents switch roles; (iii) all three play together; (iv) the parents discuss in front of the infant. The theoretical model underpinning the LTP is the family alliance model, which postulates that the quality of the coordination demonstrated by the triad to achieve this task can be assessed mainly through careful observation of non-verbal behaviours as indicators of the achievement of four interactive functions (i.e., participation, organisation, focalisation, affect sharing); fulfilment of these functions determines the quality of relational functioning within the system. This article introduces the clinical, theoretical, and empirical foundations of using the LTP method with the family alliance model; its use in clinical and research contexts; and the most recent advances in the field of research on mother–father–infant interactions based on the LTP situation.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"511-520"},"PeriodicalIF":0.7,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506279","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":"Thinking three, revisited: infants, coparents, gender roles, and cultural contexts","authors":"James P. McHale,&nbsp;Kacey L. Jenkins","doi":"10.1002/anzf.1566","DOIUrl":"10.1002/anzf.1566","url":null,"abstract":"<p>Tracing its beginnings to the mid-1990s, coparenting theory and research, guided greatly by Minuchin's structural family theory, have deepened socialisation perspectives in the field of developmental psychology. Coparenting theory has perhaps had its largest impact in the field of infant-family mental health, where empirical investigations of coparenting and family-level dynamics have dovetailed with studies of family alliances and triangles and inspired creative interventions to support families of infants and toddlers. In this article, the authors retrace some of the early accounts of coparenting and triangular interactions during infancy, highlighting symmetries with analogue conceptualisations discovered in the field of family therapy. Emphasising key concepts and lessons divined from the infant-family mental health literature holding value for the practice of family therapy, the article also recognises the dominant Euro-Western bias that has shaped much of the extant literature to date. A closing section addresses two important areas calling for more concerted attention by infant-family mental health experts and family therapists alike – under-appreciated and misunderstood elements of men's psychology connected to their core self-definition, and cultural distinctions in normal family processes. In both cases, if misread or misunderstood by the helping professional, the recipients of therapeutic services may experience failures of empathy.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"44 4","pages":"495-510"},"PeriodicalIF":0.7,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506260","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":"Black Rain: a kaupapa Māori (a Māori approach) to addressing family violence and intergenerational trauma","authors":"Fay Pouesi,&nbsp;Rosemary Dewerse","doi":"10.1002/anzf.1556","DOIUrl":"10.1002/anzf.1556","url":null,"abstract":"<p>In working with Māori to address family violence and the trauma that arises when it is occurring across generations, three elements are essential. The first is helping whānau (family members) to recognise and reconnect with the impact of the violence they are caught up in. The second is to do so in a way that contextualises this because it never involves and affects individuals alone. And third is to do so by being conscious of the whole of a person's being and being aware that the spiritual realm is the entry point. For 30 years, Fay Pouesi has been working with Māori whānau, initiating kaupapa (approaches) that include these three elements. This article details one kaupapa, known as Black Rain, which has been successfully helping men and women to break the cycles of intergenerational violence within their whānau since 2010. To do this, we will draw upon Fay's work and that of two colleagues who now work with her.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"45 1","pages":"23-30"},"PeriodicalIF":0.7,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135895068","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":"Workforce training in family therapy and systemic practices: An evaluation framework and case study","authors":"Mohajer A. Hameed, J. McIntosh, S. McLean, An Vuong, Ellen Welsh, Brendan O'Hanlon","doi":"10.1002/anzf.1536","DOIUrl":"https://doi.org/10.1002/anzf.1536","url":null,"abstract":"","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"60 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50834429","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":"Special Issue: Working with Family Violence","authors":"Amanda O'Connor,&nbsp;Glenn Larner","doi":"10.1002/anzf.1518","DOIUrl":"10.1002/anzf.1518","url":null,"abstract":"","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":"43 4","pages":"395-397"},"PeriodicalIF":0.7,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45396045","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}