Public Participation: Moving Beyond the Four Walls of Therapy

Family therapists have an ethical responsibility for public participation, to work toward creating a better society. Serving the public interest and developing laws to promote the profession and the public good can be achieved through policy advocacy and political participation. Political and policy work are important but overlooked aspects of family therapy, which is significant given the consequences differing policies have for clients and the profession. This paper reports on results from a random, national survey of licensed family therapists’ (N = 174) advocacy actions. Findings indicate family therapists have overarching policy concerns yet lack proactive legislative and activist engagement. The exploration of therapists’ actions and beliefs presented in this paper, serves as a springboard for therapists’ movement into the public arena. Video abstract accessible by clicking here .     

Clients’ perceptions of marriage and family therapists’ way‐of‐being: a phenomenological analysis

Previous research highlights the influence of therapist factors on treatment outcomes. One therapist factor proposed as fundamental to the process of therapy is the therapist's way‐of‐being, a relational concept that refers to how the therapist regards a client—either as a person or object (Fife et al., [2014] Journal of Marital and Family Therapy, 40, 20–33). Although this case has been made conceptually, there is little empirical research on therapists’ way‐of‐being with clients. The primary purpose of this research is to investigate clients’ perceptions of their therapists’ way‐of‐being. Utilizing a common factors perspective, the study seeks to explore: (a) how clients experience their therapists’ way‐of‐being and (b) the influence therapists’ way‐of‐being has on clients’ engagement. Phenomenological methods were used to gain a nuanced understanding of the phenomenon. Qualitative data were collected through semi‐structured face‐to‐face interviews with clients (N = 10) who received individual therapy from a marriage and family therapist. Results were organized into two main themes: core tenets (attunement, congruency, and aligning with clients) and operational tenets (providing affirmation and validation, balancing flexibility and structure, and accomplishing goals). Findings are used to make a case for adding the concept of way‐of‐being as an overarching construct for several well‐established therapist factors. Clinical and training implications are discussed.     

“Mental Health” Power and Its Effects: A Commentary on Battling Against Inter‐Faith Relations in Israel

Hakak ( 2016 ) provides an opportunity to examine how mental health and therapy systems in the United States operate to maintain current social and political structures. This commentary suggests that practitioners, including family therapists, participate in and support practices that do not serve the interests of marginalized social groups, despite our best intentions. Discourse theory offers a lens through which such practices become visible and thus open to revision.     

Therapists’ Assessments in Treating “Sex Addiction” and Their Relationship to Clients’ Gender,Relationship Status,and Exclusivity Status

A total of 208 therapists and therapists‐in‐training were surveyed to better understand if clinical assessments and recommendations regarding “sex addiction” changed based upon a client's gender, relationship status, or exclusivity status. Using clinical vignettes, this study examined the clinical assessment and recommendations of licensed mental health providers (n = 92) and mental health providers in‐training (n = 116). Results indicated that professional ratings differed based on relationship exclusivity and gender; specifically, female nonmonogamous behavior was rated more negatively than male nonmonogamous behavior, while male monogamous behavior was rated more negatively than female monogamous behavior. Recommendations for treatment varied, with higher addiction ratings leading to greater odds of recommending individual, group, and community support over relational therapy. Clinical and training implications are discussed. Video abstract accessible by clicking here .     

“We're Supposed to Look Like Girls,But Act Like Boys”: Adolescent Girls’ Adherence to Masculinity Norms

In the ecological systems perspective, gender ideologies are part of the macrosystem that shapes human development. A growing literature indicates that youth accommodate and resist such ideologies, with adherence to masculinity norms being linked with negative adjustment. Most masculinity research focuses on boys’ adherence to masculinity, but girls are also pressured to uphold masculinity norms. Using mixed modeling, we examined girls’ adherence to masculinity and psychological (self‐esteem, depressive symptoms) and social (peer support and conflict) well‐being in the United States (N = 407; M_age = 12.28) and China (N = 356; M_age = 12.41). In both countries, adherence to masculinity was negatively associated with psychosocial well‐being. Chinese girls reported greater masculinity adherence, but associations with psychosocial well‐being were not moderated by nationality.     

User Involvement in Therapy: Couples' and Family Therapists’ Lived Experiences with the Inclusion of a Feedback Procedure in Clinical Practice

User involvement in therapy includes some form of feedback from the clients. The feedback guides the therapist and the clients toward a best possible result through a best possible therapy process. In recent years many different procedures for collecting feedback have been developed. In a previous study presented in this journal we explored the expectations therapists had before including the comprehensive clinical feedback procedure, Systemic Therapy Inventory of Change (STIC), in their clinical practices. Our aim with this present study is to explore couples' and family therapists’ experiences with STIC from the perspective of user involvement. We found that the term ‘using STIC’ represented many different variations both between therapists and between the families each therapist worked with. Likewise user involvement, combined with a feedback procedure like STIC, was also a many faceted area. We discuss how therapists’ experiences may relate to the different aspects of user involvement in therapy.     

“When the money's low”: Economic participation among disadvantaged young Australians

As a generational group, children and young people are rarely independent financial actors but are nonetheless active consumers of goods and services related to their social identities and enduring orientations to learning, work and community. Many young Australians, however, do not have adequate access to the financial resources that permit their engagement with youth cultures constructed around commodity consumption nor with services and activities that support their future workforce and civic participation. Furthermore, they negotiate this lack of provision in an overarching political climate that individualises responsibility for disadvantage and its outcomes. This paper draws on stories from over 70 young Australians (11-17) to illustrate how they experience and manage the economic demands of family, schooling and peer cultures. Their accounts add to the growing literature that demonstrates how young people mobilise material and discursive resources but also points to the need for social policy that addresses the multiple material, social, discursive and institutional barriers to their full social inclusion.     

Founding the New‘Family Studies’

By developing the concept of Multidimensional Developmental Pathways, the potential social policy consequences of such theorising are explored. In moving towards conceptualising the actual needs of people and the unity of their lives we can consciously (rather than unconsciously) contribute proposals for rebuilding social policy. With a view to generating further interest in alternative theoretical approaches to the analysis of ‘family life’, three theorems are then proposed. These three theorems constitute the first step in founding the New‘Family Studies’.     

Non-Sexist “Marital” Therapy*

Certain factors limit marital therapists in dealing with individuals conflicted over and disenchanted about “traditional” marriage: 1) the therapist's gender, 2) the presence of sex-role stereotyped behaviors and expectations, and 3) the therapists own marital experience. Specific helpful experiences (working with a co-therapist of the opposite sex, examining attitudes and biases toward divorce) and therapeutic techniques (working out a schedule for sharing household tasks and childcare, restructuring the marital contract, and dealing with open companionship) are discussed. The general therapeutic goal is working toward an equal sharing of overt power, with social, economic, and political considerations and intrapsychic forces given comparable consideration.     

The Divide Between “Evidenced‐Based” Approaches and Practitioners of Traditional Theories of Family Therapy

Evidenced‐based approaches continue to grow in the field of family therapy. However, practicing family therapists do not always embrace these approaches. In this article, we explore factors contributing to practitioners' concerns with evidence‐based treatments and suggest a broader, more clinically palatable view of evidenced‐based treatment. We also suggest how family therapy researchers, practitioners, and educators might begin to close the researcher–clinician divide in the best interest of all concerned.     

Social Work Student Learning Experiences of Family Therapy: Improving Competency in Pedagogy Through Qualitative Research

The purpose of this qualitative study is to evaluate graduate social work student experiences of pedagogy intended to improve competency in family therapy practice. Students from two classes (N = 37) completed open‐ended surveys assessing: perceptions of most helpful pedagogical practices; understanding of needed competencies; and perceived opportunities offered to them during their graduate training for learning about work with couples and families. Results, analysed using grounded theory methodology, revealed that students: (1) believed that experiential activities were especially critical for learning how to do clinical practice with couples and families; (2) understood important competencies related to professional development, therapeutic engagement with the family, and how to approach family practice; and (3) believed they were ‘somewhat prepared’ for practice. Implications include improving understanding of abstract skills in practice with couples and families, and emphasising relationship dynamics more in graduate social work education and training.     

The Experiences of Couple/Marriage and Family Therapists of color: A Survey Analysis

The family therapy literature documenting the experiences of couple/marriage and family therapists (C/MFTs) of color as a group is limited. The purpose of this study was to assess the status of C/MFTs of color in their clinical training programs, clinical work, and related areas of professional challenges and opportunities. Participants (N = 113) completed a one‐time, anonymous electronic survey on SurveyMonkey consisting of demographic questions, closed‐ and open‐ended questions about their experiences. Key findings are reported related to C/MFTs of color experiences in training programs, areas of professional need, and working with racial and/or ethnic minority clients. These findings shed light on how social justice principles and practices upheld in our field are experienced from the emic perspectives of C/MFTs of color. These voices help to broaden our understanding of how we might move forward in advocating for and advancing a more culturally responsive agenda within our profession.     

Art,Science and Curiosity: Research and Research Methodologies in Australian Family Therapy 1979–2000

This article presents an historical analysis of the development of research and research methodologies in an Australian context. The Australian and New Zealand Journal of Family Therapy was chosen as the site of the analysis. The first section of data consists of the articles that represent themselves as ‘research’ in the period from 1979 (the journal's inception) to 2000. These texts have been analysed using bibliometric analysis. The second section of data consists of commentary articles about research in family therapy. This data has been analysed using discourse analysis. Overall, I have been interested in how family therapists have defined ‘research’; how family therapists have chosen to inquire; representations of the researcher in Australian family therapy; associations between theoretical or clinical developments and the methodologies that have been chosen for inquiries. Findings from the study reveal very limited representations of research in the journal for the period under review, and an apparent struggle for family therapists to undertake a discussion about what research actually is. Questions are raised around how this has occurred, and some ideas are presented as to how research knowledges can be included in debates around theory diversity in family therapy.     

Career‐Related Parental Processes and Career Adaptability and Ambivalence Among Chinese Adolescents: A Person‐Centered Approach

Using latent profile analyses and based on two‐wave data from 5,388 Chinese adolescents (M_age = 15.79, SD = 0.66; 51.99% females), this study examined the variety of ways in which adolescents’ perceived career‐related parental processes (i.e., parental expectations, support, interference, barriers to engagement, and parent–child congruence) may be configured within families and how such configurations may be associated with adolescents’ career adaptability and ambivalence one year later. Three meaningful profiles were identified: the “Supportive but not Intrusive” (SNI) profile, the “Unsupportive but not Permissive” (UNP) profile, and the “Ambivalent and Controlling” (AC) profile. Adolescents in the UNP profile reported higher levels of career ambivalence and lower levels of career adaptability than did those in either the SNI or the AC profiles. Implications for career development among Chinese adolescents were discussed.     

The Impact of Family Therapists’ Adult Attachment Styles on Their Career Choice and Approach to Therapy: An Interpretive Phenomenological Analysis

Attachment theorists have highlighted the role of the therapist in providing a ‘secure base’ for therapy. This raises the question of how therapists with insecure as well as secure attachment styles manage the integration of their personal experience and their therapeutic work. This study explored the relationship between family therapists’ adult attachment styles, influences on their career choice and their approach to therapy. Participants’ (n = 11) attachment styles were previously assessed using the self-report Experiences in Close Relationship questionnaire. Three participants were assessed as having a ‘secure’ attachment style; three were ‘preoccupied’, three ‘fearful’ and two ‘dismissing’. They were interviewed about their practice and the impact of past or current relationships on their development as therapists. Interpretive Phenomenological Analysis was used to analyse the verbatim accounts into cluster of master themes and subthemes. The analysis identified two master themes: understanding one’s self and the impact of family of origin experiences, and the integration between personal experiences and therapeutic work. There were differences in responses relating to the therapists’ attachment styles. Therapists with ‘secure’ adult attachment styles were aware of their challenges and able to utilise their experiences in their practice and respond sensitively to their clients. Conversely, those with ‘insecure’ styles have difficulties in mentalisation and in using counter-transference responses in their practice. We suggest that family therapists, social workers and others engaged in therapeutic work with families should undertake an exploration of the ‘self’ of the therapist in the context of their own family relationships and adult attachment styles as part of their training and continuing professional development.     

Barriers and facilitators to evaluation of health policies and programs: Policymaker and researcher perspectives

Our research sought to identify the barriers and facilitators experienced by policymakers and evaluation researchers in the critical early stages of establishing an evaluation of a policy or program. We sought to determine the immediate barriers experienced at the point of initiating or commissioning evaluations and how these relate to broader system factors previously identified in the literature.We undertook 17 semi-structured interviews with a purposive sample of senior policymakers (n = 9) and senior evaluation researchers (n = 8) in Australia.Six themes were consistently raised by participants: political influence, funding, timeframes, a ‘culture of evaluation’, caution over anticipated results, and skills of policy agency staff. Participants also reflected on the dynamics of policy-researcher relationships including different motivations, physical and conceptual separation of the policy and researcher worlds, intellectual property concerns, and trust.We found that political and system factors act as macro level barriers to good evaluation practice that are manifested as time and funding constraints and contribute to organisational cultures that can come to fear evaluation. These factors then fed into meso and micro level factors. The dynamics of policy-researcher relationship provide a further challenge to evaluating government policies and programs.     

What Options Do We Have? Exploring Routes for Social Workers` Policy Engagement

For social workers, engagement in policy processes aimed at furthering social justice is a professional obligation. Nonetheless, the literature on social workers’ policy engagement has yet to clearly explicate the range of options open to social workers seeking to realize this obligation. This article discusses six policy routes through which social workers in democratic societies can affect the policy process: voluntary political participation, holding elected office, policy practice, policy involvement by and through professional organizations, academic policy involvement, and street-level policy involvement. This conceptualization of policy routes can serve as map of options for social workers and as a heuristic tool for students.     

Domain Specificity in Adolescents’ Concepts of Laws: Associations Among Beliefs and Behavior

Using detailed vignettes and scale measures, concepts of laws regulating domain‐specific issues and engagement in delinquency were assessed among 340 9th through 12th graders (M_age = 16.64, SD = 1.37). Adolescents distinguished between laws that regulate moral, drug‐related prudential, conventional, personal, and multifaceted issues in their criterion judgments and justifications. Youths’ ratings of the importance of laws, obligation to obey laws, and deserved punishment for breaking different laws also followed domain‐consistent patterns. Adolescents’ engagement in moral, drug‐related prudential, and multifaceted forms of delinquency was associated with less supportive judgments about laws within the same domain. Findings contribute to civic development research by demonstrating domain specificity in adolescents’ beliefs about laws and suggest that these beliefs are linked with engagement in similar types of delinquency.     

Describing Australian Families to Themselves: An interview with Don Edgar

As family therapists we focus on specific families and their ways of living together, but what of the broader social patterns of family life? Don Edgar has spent the last ten years as Director of The Australian Institute of Family Studies. He left his position as a University lecturer and researcher in Sociology to establish an Institute devoted entirely to research on factors affecting marital and family stability in Australia. Don Edgar's list of publications and conference papers is extensive. His audiences include social scientists, school children, lawyers, judges, social and political policy makers, parents, teachers and anyone who has any access to the media. Under Don Edgar's direction, the Institute of Family Studies has become a hub of family research in Australia.