Human Sexuality Education in Marriage and Family Therapy Graduate Programs

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty‐nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.     

Strengthening Clinical Research in Marriage and Family Therapy: Challenges and Multilevel Solutions

There is a critical need for high‐quality and accessible treatments to improve mental health. Yet, there are indications that the research being conducted by contemporary marriage and family therapy (MFT) scholars focuses less on advancing and disseminating clinical interventions than in previous decades. In this article, we describe challenges to increasing rigorous clinical research in MFT. We use systems mapping and the intervention‐level framework to identify strategic goals designed to drive innovation in clinical research in the field. It is our hope this article encourages dialog and action among MFT stakeholder groups to support clinical science that will improve the health and functioning of families.     

The Doctoral Education of Professional Marriage and Family Therapists

The professional practice of marriage and family therapy (MFT) scholarship is regulated at the master’s level in the United States. Consequently, contemporary curricular issues have largely been focused on what is to be achieved within the master’s degree, with an emphasis on clinical practice. We consider here what value may and should be added through the doctoral degree in marriage and family therapy. Doctoral programs are the developmental stage wherein we should seek to transmit the specialized knowledge and skills germane to MFT scholarship and practice in diverse settings, e.g., clinical and research intensive university, family law, health care, child development and education, child welfare, juvenile justice, faith based, and business. However, underlying this specialty education are three transcendental goals: sophistication of family systems scholarship, socialization into the profession of MFT, and cultivation of professional maturity.     

Strengthening the Systemic Ties that Bind: Integrating Common Factors into Marriage and Family Therapy Curricula

Specific models guide the training of marriage and family therapists (MFTs) as they offer both structure and organization for both therapists and clients. Learning models may also benefit therapists‐in‐training by instilling confidence and preventing atheoretical eclecticism. The moderate common factors perspective argues that models are essential, but should not be taught as “the absolute truth,” given there is no evidence for relative efficacy of one empirically validated model versus another, and no single model works in all instances. The following article provides a blueprint for infusing a common factors perspective into MFT programmes by reviewing innovations in course design, outlining specific teaching strategies, and highlighting potential implementation challenges.     

Marriage Promotion Policy and Family Inequality

In 1996, Congress overhauled welfare policy to promote marriage and work as ways to lift American families out of poverty. Almost all of the funding for governmental marriage promotion has been devoted to relationship skills programs intended to help couples strengthen their relationships, encourage them to marry, and thereby prevent poverty. Marriage promotion policy has sparked intense debate, especially over the connection between marriage and family inequality. While advocates of the policy argue the government should promote marriage because it fosters social and economic well‐being, critics challenge the assumption that marriage itself causes these benefits or will help lift poor families out of poverty. Recent sociological research on why poor and low‐income couples marry less finds that they tend not to marry if they cannot meet a specific economic threshold. This suggests that rather than promoting the view that relationship skills en route to marriage can help prevent poverty, marriage promotion policy could likely better serve disadvantaged families by acknowledging and addressing the socioeconomic roots of family inequality.     

Marriage and State-level Economic Outcomes

Past research has examined various state-level measures that predict state economic growth and other economic and social indicators. This research has largely ignored the potential role of family structure in contributing to state-level outcomes, despite the extensive literature on links between family structure and economic outcomes at the individual level. We estimated a state-level panel model and found that both the proportion of adults and the proportion of parents who are married are strongly related to important state-level economic outcomes, including economic growth, median household income, median personal income, and poverty.     

The Regulation of Marriage and Family Therapy1: An Update

Regulations concerning the practice of marriage and family therapy are reviewed. The current status of efforts to license and certify are presented, based on data from AAMFT state and multi-state division Presidents. Materials should be of significance to individuals and organizations attempting to modify current or promote new legislation.     

The Marriage and Family Therapist's Use of Media for Public Education*

This article addresses itself to the opportunity and responsibility the marriage and family therapist has to educate the public through the media. The nature of our profession and the value of the individual practitioner are emphasized. Techniques for improving modeling and suggestions for developing useful contacts in media arenas are offered. The thrust is on the practical and basic uses of media in all ethically appropriate channels.     

The Power and Limits of Marriage: Married Gay Men's Family Relationships

Same‐sex marriage has received much scholarly attention in the United States in the past decade. Yet we know little about how same‐sex couples experience marriage. In this article, I present findings from in‐depth interviews with 32 legally married gay men in Iowa. I focus on their experiences with families of origin and investigate the legitimating potential of same‐sex marriage. The men had high expectations about the power of marriage to help them gain recognition and support, but their experiences with family members were more varied and complex than they expected. Although marriage often led to positive family outcomes, it also commonly had negative consequences, including new and renewed experiences of family rejection. This study complicates ideas about the legitimating potential of marriage for same‐sex couples by illuminating both its power and limits in helping gay men gain status and support from their families of origin.     

Counselor Involvement in Marriage and Family Counseling*

Using a communications framework, a rationale is suggested for determining when a counselor's use of four basic communication styles is likely to be helpful, neutral, or harmful. High disclosure counselor styles are generally seen to be less harmful than may have been previously supposed. Counselor involvement in the style of the high disclosure speech, which conveys an attitude of openness to the clients' reality, is seen as the most. effective form of confrontation. Withholding self by failing to use high disclosure styles, especially in the presence of high rapport, is considered less than satisfactory counselor activity     

Resiliency in the Practicing Marriage and Family Therapist

Although burnout in the helping professions is well documented, few studies have examined the phenomenon of the resilient therapist. This study used a grounded theory methodology to construct a theory of therapist resilience. The participants were eight licensed marital and family therapists: five females, three males, all Caucasian, with an average age of 58.9 and an average of 22.6 years of experience who reported feeling energized by the practice of therapy. The theory that was constructed included a central category (Integration of Self with Practice), a paradigm (Trust in Self), and two main categories (Career Development and Practice of Therapy). The process involved an initial calling, a positive agency experience, career corrections, the influence of relationships, and a move to a more flexible environment.     

Strengthening Senior Tax Credit Programs in Massachusetts

Summary

In the last decade, property taxes have increased, creating a financial burden on senior homeowners. In Massachusetts, senior property tax credit programs have arisen to address this problem, as well as to provide cost-effective volunteer assistance for municipal departments, offer seniors meaningful work that otherwise would not have been attempted, and foster involvement in municipal government among seniors. The success of the programs in retaining senior homeowners in the community remains to be evaluated. Program specifics are detailed, policy options are considered, and recommendations are made to strengthen existing programs and assist replication.     

Licensing Marriage and Family Counselors: A Model Act

The author presents a model bill for the licensing of marriage and family counselors and describes some of the historical context in which it developed within the Conciliation Court movement. The model bill is similar to the one proposed by the American Association of Marriage and Family Counselors. Editor.     

Marriage and Family Therapy Trainees' Reports of Explicit Weight Bias

Discrimination based on an individual's weight has been observed in health care, education, retail, and other public sectors (Puhl & Huer, Obesity, 17, 941, 2007). Such inequity, known as “weight bias,” generates negative short‐term and long‐term consequences for the individuals that experience it (Puhl & Brownell, Weight bias in health care settings, 2007). Past research has shown that healthcare trainees exhibit weight bias (Phelan et al., Obesity, 22, 1201, 2014; Wigton & McGaghie, Journal of General Internal Medicine, 16, 262, 2001), yet little focus is given to weight bias in marriage and family therapy (MFT) education. The purpose of this study was to survey MFT students (N = 162) to explore weight bias and how contextual factors associate with weight bias. Participants in MFT programs reported explicit weight bias, with specific contextual factors associating with more bias. Female participants reported more fear of gaining weight, and individuals who identified as overweight had higher rates of explicit weight bias. Contextual differences and implications for training programs are discussed.     

Assessment in Marriage and Family Therapy: A Review of Clinical Updates for Family Therapists

This article presents information from an integrative literature review that examined assessment processes presented to marriage and family therapists in Clinical Updates for Family Therapists, Volumes 1 (2005), 2 (2006), and 3 (2007). The study was based on the concern that marriage and family therapy is losing its systemic relational focus as practitioners must comply with diagnosis models using the Diagnostic and Statistical Manual of Mental Disorders. Using integrative literature review methods, similar to qualitative research, 54 articles were deconstructed to identify assessment tools and diagnostic processes being presented as best practice. Of the 54 articles, 96% identified the importance of having a family or couple relational perspective for working with individuals with mental disorders; however, only 54% provided any explanation to how this could be accomplished. These findings suggest a need to increase the identification of unique, relational assessment practices in articles that offer best practice techniques in marriage and family therapy.     

A National Survey of Family Physicians: Perspectives on Collaboration With Marriage and Family Therapists

Recognizing the fit between family medicine and marriage and family therapy (MFT), members of both fields have made significant advances in collaborative health research and practice. To add to this work, we surveyed a nationwide random sample of 240 family physicians (FPs) and asked about their perspectives and experiences of collaboration with MFTs. We found that FPs frequently perceive a need for their patients to receive MFT-related care, but their referral to and collaboration with MFTs were limited. Through responses to an open-ended question, we gained valuable information as to how MFTs could more effectively initiate collaboration with FPs.     

Learning from Experience in Family Support Programs

ABSTRACT

The paper describes three related California family support program initiatives representing field experiments in program development and policy related to reducing adverse outcomes for vulnerable families through replicating known “best practices” models. The ways in which the three initiatives were affected by the context of implementation are used to demonstrate the difficulty both of identifying the “best” program models and the need for leadership at all levels in order to develop programs and policies, which achieve the intended effects.