Therapists' confidence in their theory of change and outcomes
AbstractPrevious research has sought to understand what therapist characteristics contribute to positive outcomes for clients. It is widely accepted knowledge that the alliance between the therapist and client is a significant contributing factor to client outcomes. With that said, few studies have examined specific characteristics within the therapist themselves that may contribute to client success, regardless of the therapeutic model being used. Using data from a sample of therapist-trainees at a large, midwestern institution, this study sought to explore therapist confidence in their theory of choice and its potential ...
Source: Journal of Marital and Family Therapy - April 11, 2022 Category: Psychiatry & Psychology Authors: Suzanne Bartle ‐Haring, Alessandra Bryant, Riley Whiting Tags: ORIGINAL ARTICLE Source Type: research

Understanding barriers to couples therapy
AbstractWhat prevents couples from entering therapy? Given that the rate of couple help-seeking is low, we need a better understanding of barriers to couple help-seeking. To expand our understanding of these barriers, we asked almost 300 people who expressed an interest in couples therapy, to clarify what kept them from seeking help. A content analysis of participant's responses found six distinctive categories: cost of treatment, logistics, the modality of treatment, trustworthiness, relational factors, and a clear therapeutic process. Additionally, some responses suggested that stigma and concerns around the emotional wo...
Source: Journal of Marital and Family Therapy - March 22, 2022 Category: Psychiatry & Psychology Authors: Aimee K. Hubbard, Jared R. Anderson Tags: ORIGINAL ARTICLE Source Type: research

Thematic analysis of therapists' experiences integrating EMDR and EFT in couple therapy: Theoretical and clinical complementarity, and benefits to client couples
AbstractIn this article, we present partial findings from a thematic analysis study that examined integrating emotionally focused therapy (EFT) and eye-movement desensitization and reprocessing (EMDR) as clinical frameworks in couple therapy. The purpose of the study is to better understand how therapists integrate EFT and EMDR therapy in their clinical work. Thirteen licensed therapists (n = 13) trained in EFT and EMDR were interviewed about their experiences integrating these two models in their couple therapy practice. The findings included in this article are related to how these models complement each other as wel...
Source: Journal of Marital and Family Therapy - March 15, 2022 Category: Psychiatry & Psychology Authors: Jason N. Linder, Alba Ni ño, Sesen Negash, Sandra Espinoza Tags: ORIGINAL ARTICLE Source Type: research

The future of divorce support: Is “digital” enough in presence of conflict?
AbstractDivorce conflict is the main driver of adverse postdivorce health adjustments among divorcing families. Despite the growing potential of online divorce support programs, there is concern that such solutions might not be sufficient to impact health-related disparities among high-conflict divorcees. The present study examined the effectiveness of the digital “Cooperation after Divorce” intervention as a function of conflict among 1856 recently divorced Danish residents. Linear mixed-effect regression modeling suggested that, although higher levels of divorce conflict at judicial divorce predicted worse health out...
Source: Journal of Marital and Family Therapy - March 15, 2022 Category: Psychiatry & Psychology Authors: Ana Cipri ć, Gert Martin Hald, Jenna Marie Strizzi, Theis Lange, David Austin, Søren Sander, Camilla Stine Øverup Tags: ORIGINAL ARTICLE Source Type: research

A new way to measure partner burden in depression: Construction, validation, and sensitivity to change of the partner burden in depression questionnaire
AbstractDepression occurs in an interpersonal dynamic and living with a depressed person can lead to a significant burden on the partner. Instruments measuring burden do not address couples and often measure caregiving for individuals with schizophrenic disorders. The partner burden in depression  (PBD) questionnaire is a new instrument measuring PBD by asking individuals, (1) which symptoms they can observe in their depressed partners and (2) to which degree this burdens them. Hence, PBD combines measuring the awareness of observed depressive symptoms and the resulting burden. Additionally , it addresses aspects unique t...
Source: Journal of Marital and Family Therapy - March 8, 2022 Category: Psychiatry & Psychology Authors: Friederike Winter, Marc N. Jarczok, Marco Warth, Susanne Hembd ‐Peuse, Beate Ditzen, Corina Aguilar‐Raab Tags: ORIGINAL ARTICLE Source Type: research

Effects of adding video feedback to emotionally focused therapy supervision: A concurrent multiple ‐baseline across subjects design
This study examined whether incorporating video feedback (VF) software into EFT supervision would improve therapists' level of development compared to traditional EFT supervision in a university training clinic. A concurrent multiple-baseline across subjects design, along with a thematic analysis of qualitative data, were used in this proof-of-concept study of the new supervision component. Overall, quantitative findings suggested that using VF in EFT supervision resulted in some improvement to therapists' development, while qualitative findings showed that all participants supported the incorporation of VF into EFT superv...
Source: Journal of Marital and Family Therapy - March 7, 2022 Category: Psychiatry & Psychology Authors: Andrea K. Wittenborn, Sailaja Subramaniam, Preston C. Morgan, Chi ‐Fang Tseng Tags: ORIGINAL ARTICLE Source Type: research

Understanding the emotional landscape in the withdrawer re ‐engagement and blamer softening EFCT change events
This study tracked in-session emotional states and sequences in each of these change events. Findings highlight the importance of primary and softer emotional expressions. Specific emotional states characterize the two EFCT change events with adaptive grief/hurt being unique to withdrawer re-engagement and rejecting anger distinguishing blamer softening. Sequential patterns of emotional states were identified particularly for withdrawer re-engagement where grief/hurt was followed by acceptance and agency. Clinical implications consider the role of emotional transformation and emotional expansion in the EFCT change process....
Source: Journal of Marital and Family Therapy - February 22, 2022 Category: Psychiatry & Psychology Authors: Hannah S. Myung, James L. Furrow, Nicholas A. Lee Tags: ORIGINAL ARTICLE Source Type: research

Science catching up: Experiential family therapy and neuroscience
This article highlights t he neurobiological mechanisms that explain why classic experiential family therapy was so powerful. The main tenets of both Carl Whitaker's symbolic experiential family therapy as well as Virginia Satir's model for peoplemaking are illuminated through the postulates and scientific findings of interp ersonal neurobiology. (Source: Journal of Marital and Family Therapy)
Source: Journal of Marital and Family Therapy - February 9, 2022 Category: Psychiatry & Psychology Authors: Molly E. Bailey Tags: ORIGINAL ARTICLE Source Type: research

Issue Information
(Source: Journal of Marital and Family Therapy)
Source: Journal of Marital and Family Therapy - January 15, 2022 Category: Psychiatry & Psychology Tags: ISSUE INFORMATION Source Type: research

Parents' reflective functioning and their agreement on treatment goals in attachment ‐based family for sexual and gender minority young adults and their nonaccepting parents
This study examined the trajectories of parents' reflective functioning over the course of individual preparatory sessions with the therapist in attachment-based family therapy (ABFT) for Israeli sexual minority young adults and their nonaccepting parents, and whether such reflective functioning was associated with parents' agreement on the goals for subsequent conjoint corrective attachment sessions.  Three parents with good agreement on treatment goals were compared to three parents with poor agreement on treatment goals. Parents' in-session reflectivity regarding their child's experience of nonacceptance, and regarding...
Source: Journal of Marital and Family Therapy - January 12, 2022 Category: Psychiatry & Psychology Authors: Yotam Strifler, Tamar Zisenwine, Gary M. Diamond Tags: ORIGINAL ARTICLE Source Type: research

Processes and outcomes of an emotion ‐focused family therapy two‐chair intervention for transforming problematic parenting patterns
AbstractEmotion-focused family therapy (EFFT) is a therapy model which includes a two-chair intervention aimed at facilitating awareness and an interruption of problematic patterns of parenting as well as a reconnection to healthy caregiving instincts. The present study employed a task analysis to examine the process of this intervention with parents in a therapeutic setting and report on preliminary outcomes. Four trained EFFT therapists conducted chair work interventions with four parents (total of 16) and parents completed questionnaires directly following the intervention. Results indicated that most parents experience...
Source: Journal of Marital and Family Therapy - December 22, 2021 Category: Psychiatry & Psychology Authors: Allen K. Sabey, Amanda Stillar, Adele Lafrance Tags: ORIGINAL ARTICLE Source Type: research

Introduction to the special issue on the efficacy and effectiveness of couple and family interventions: Evidence base update 2010 –2019
AbstractThis is the fourthJournal of Marital and Family Therapy (JMFT) special issue on the efficacy and effectiveness of couple and family therapy. Articles in this issue review studies published from 2010 to 2019 on couple and family interventions for prevalent mental and behavioral disorders and health conditions. The final article on mental health disparities tracks progress in the field and emphasizes the need for additional attention. In the current article, we provide a description of our methodological approach for the special issue and an overview of the state of the evidence for couple and family interventions ac...
Source: Journal of Marital and Family Therapy - December 14, 2021 Category: Psychiatry & Psychology Authors: Andrea K. Wittenborn, Kendal Holtrop Tags: INVITED REVIEW Source Type: research

A review of the research during 2010 –2019 on evidence‐based treatments for couple relationship distress
AbstractThe current article presents a review of the published research from 2010 to 2019 on the treatment of couple relationship distress; 37  studies met all criteria for inclusion. Behavioral Couple Therapy, Cognitive Behavioral Couple Therapy, Emotionally Focused Therapy, and Integrative Behavioral Couple Therapy meet criteria as “well-established” approaches, Insight-Oriented Couple Therapy is a “possibly efficacious” approac h, and several other others are “experimental” treatments for treating couple relationship distress (Southam-Gerow& Prinstein, 2014). Furthermore, several less-intensive intervention...
Source: Journal of Marital and Family Therapy - December 7, 2021 Category: Psychiatry & Psychology Authors: Brian D. Doss, McKenzie K. Roddy, Stephanie A. Wiebe, Susan M. Johnson Tags: INVITED REVIEW Source Type: research

The effects of gender identity change efforts on Black, Latinx, and White transgender and gender nonbinary adults: Implications for ethical clinical practice
This study explored the impact of religious and nonreligious GICE on the mental health of transgender and nonbinary adults through a secondary data analysis of the U.S. Transgender Survey. Results found that both nonreligious and religious GICE were associated with increased odds of suicidal ideation and attempts. Only nonreligious GICE was associated with severe psychological distress. Black individuals showed increased odds of binge alcohol consumption when exposed to nonreligious change efforts, while White individuals showed decreased odds with both nonreligious and religious GICE. This study supports ethical and legal...
Source: Journal of Marital and Family Therapy - December 6, 2021 Category: Psychiatry & Psychology Authors: Katie Heiden ‐Rootes, Christi R. McGeorge, Joanne Salas, Samantha Levine Tags: ORIGINAL ARTICLE Source Type: research

Reducing mental health disparities among racially and ethnically diverse populations: A review of couple and family intervention research methods (2010 –2019)
AbstractRacially and ethnically diverse and globally underserved populations continue to experience mental health disparities. The goal of this review was to examine the extent to which diverse populations were included in couple and family intervention research over the past decade and whether these studies were conducted with attention to issues of diversity. We performed a review of 271 articles reviewed in the current special issue on the efficacy and effectiveness of couple and family interventions across 11  mental health topics. Overall, only 68 of the 271 (25%) articles included predominately racial/ethnic minorit...
Source: Journal of Marital and Family Therapy - December 3, 2021 Category: Psychiatry & Psychology Authors: Lekie Dwanyen, Kendal Holtrop, Ruben Parra ‐Cardona Tags: ORIGINAL ARTICLE Source Type: research