The impact on the family therapist of a focus on death, dying, and bereavement

Recognizing the growing numbers of family therapists who are choosing a focus on death, dying, and bereavement, this article addresses the nature of the commitment required--as well as the gifts and challenges presented by work in this area. Particular attention is given to therapists' vulnerability to compassion fatigue and/or vicarious traumatization, both of which are described and discussed. A variety of strategies for individuals and institutions, aimed at supporting professionals and preventing problems, are considered. It is concluded that as family therapists focus on self-care as well as client care, they have the potential to increase not only their effectiveness but also to enhance their own well-being. Implications for training and for research on this topic also are considered.     

The relationship between marriage and family therapists and complementary and alternative medicine approaches: a qualitative study

In this article, we delineate the qualitative phase of a mixed-method research study focused on understanding the relationship between Clinical Members of the American Association for Marriage and Family Therapy (MFT) and complementary alternative medicine (CAM). Based on an analysis of the data derived from telephone interviews with 54 respondents, we describe four themes: definitional issues, depth of awareness of CAM, fit with MFT, and ethical considerations. Our discussion focuses on the findings of this phase, considerations from the quantitative phase, and reflections on the research study as a whole. While acknowledging the limitations of the study, we conclude that the growing awareness of and involvement with CAM approaches and practitioners among MFTs suggest a need for further education for both professionals and clients. We also note the importance of additional research support for the use of CAM practices.     

The relationship between marriage and family therapists and complementary and alternative medicine approaches: a national survey

Respondents to a mail survey of a random sample (N = 424) of Clinical Members of the American Association for Marriage and Family Therapy provided information about their contexts of practice, use of complementary and alternative medicine (CAM), and relationships with CAM providers. Consistent with both national trends and the experience of psychologists as reported in a similar survey, the results of this survey suggest that marriage and family therapists have been affected significantly by and have a growing awareness of CAM practices. Limitations of the study and implications for the field are discussed.     

LET US FIRST DO NO HARM

This article offers the hypothesis that an increasing effort to help families and marriages may inadvertently contribute to their dysfunction. By examining the institutions of family and marriage in the broader societal perspective as well as the theories we use to assign the labels "functional" or "dysfunctional" to families and marriages, we may render a more useful service to the health of these systems. In our enthusiasm to do good, let us first do no harm.     

REVIEWS

Boss, P. (2006). Loss, trauma and resilience: Therapeutic work with ambiguous loss .
Lebow, J. L. (Ed.). (2005). Handbook of clinical family therapy.
Selekman, M. (2005). Pathways to change: Brief therapy with difficult adolescents .     

Professional Perception and Expert Action: Scaffolding Embodied Practices in Professional Education

From vocational education to neurosurgery residencies, apprenticeship training is characteristic of how people are acculturated to a profession. One of the primary goals of professional education is to develop skillful performance. Expert skill includes an integrated set of perceptual and motor abilities. During practical teaching, instructors deploy a set of discursive practices that nurture skilled performance in trainees. These practices scaffold particular patterns of movement, patterns that students can assimilate and subsequently use to guide or govern tool-based actions. We conducted in-depth ethnographic research in a dental hygiene program to gain a deeper understanding of the hands-on training environment: the activities in which participants engage, the circumstances they typically encounter, and the tools and technologies they rely upon in accomplishing their work. The primary data are video recordings of naturally occurring instructional interactions, chosen to be representative of broad classes of interactions observed. This article documents three practices used to entrain students with professional perception and scaffold expert action: guidance, demonstration and modeling, and embodied conceptual metaphor.