Family Therapy in France: A Brief Overview

The major issues in contemporary family therapy in France are described: Difficult beginnings, the practice of family therapy today, training and professionalisation, organization for family therapy, journals and publishing, and perspectives for family therapy in France.A psychiatrist, Head of Hospital Psychiatric and Mental Health Center near Paris (Ville Evrard. France 93330) and a family therapist     

Multiple Family Group Therapy: A Review of the Literature

This review focuses upon multiple family group therapy, its origin in the intersection of family and group therapies, its use in a variety of settings, its specific techniques and group development in individual and ongoing meetings, its goals and dominant themes, its parallels in family and group work. Also discussed are evaluation of outcome of this therapy modality and those dynamics thought to contribute to family change. Areas for further investigation are outlined.     

A Case Study of Solution-Focused Brief Family Therapy

Abstract

Solution-focused brief therapy (SFBT) was developed as a form of family therapy. Recently, these features have blurred. This case study explores how Insoo Kim Berg interacts with multiple family members in SFBT. The results indicate that she used a circular procedure to ensure that all the family members were involved in the process. The analysis demonstrates the importance of purposeful use of language and the influence of systems theory in SFBT. SFBT provides a useful framework that enables a family therapist to work together with families to help them make the changes they want with their own strengths and resources.     

Family Therapy Training: Program and Outcome

A family therapy training program has been conducted for staff of mental health agencies located throughout Pennsylvania. This paper is a report on the content and results of the four-year-old training program. Three hundred practitioners have been trained in family therapy. The program has also led to the development of a core group of 64 family therapy trainers. There has been an associated delivery of more family-oriented mental health services throughout the Commonwealth.     

Family Therapy Training: The Institutional Base

The papers that follow present the findings of three surveys of the institutional base for training in family therapy. ¹ 1 Names and addresses of all facilities known to provide education in this field as of 1980 are available at a charge of U.S. $10.00; checks are to be made out to Family Process.
The surveys were initiated and conducted independently. To some extent they overlap. This is particularly true of the Bloch and Weiss effort in that it does not limit itself to a sector of the training process bounded by a single discipline, as do the other two papers. Despite some overlap, each paper stands independently; of particular interest are the varied analyses and special emphases each provides. We hope that their publication will stimulate similar studies in the years to come, so that family therapy can take advantage of the observation of its own growth and development. We are accustomed to including ourselves in the field of observation, so far as the family system is concerned; it seems reasonable to extend these perspectives to the more macroscopic field of the institutional development of family therapy. Of particular importance to us, and I believe to science generally, is the opportunity to observe a paradigmatic shift taking place with the development of this new field and the adoption of its associated epistemology by the senior professions of social work, psychology, and psychiatry. Family systems theory and practice have implications that extend beyond their own borders; they can make a significant contribution to the systems revolution that is taking place in science generally. These studies should be of use to practitioners, teachers, and students alike. It seems to me that their implications are clear: that training in family therapy at a sophisticated level is now to be a regular part of the future training of psychiatrists (possibly all physicians), psychologists, social workers, and psychiatric nurses and that, in addition, as a second distinctive career line, there is the new profession of family therapist, with its own entry point and academic pathway. My view is that society will support both lines of career development as far into the future as one can reasonably hope to see. The only logical ending to this will be a shift in the medical model from its present linear definitions of illness and treatment to an ecosystemic, biopsychosocial definition. These describe a historical crosssection through that process.     

A Cross-National Study of Family Therapy Training: A Collaborative Pilot Project

We examine family therapy training from the perspective of a sample of 99 family therapists from the United States and another 101 from a total of six countries (Colombia, India, Iran, Indonesia, the Philippines, and two regions of China, mainland China and Taiwan). We compared the responses of the United States sample to that of the other countries, both individually (for trends) and as a combined group. We found differences in training experiences both within and between countries, and discuss the implications of our findings for the continued development of family therapy training and the professionalization of the field in the countries studied.     

Practice and Training in Family Therapy: A Known Group Study

The present study reports on a comparative survey of the belief and action systems of graduates who had been intensively trained in one of three of the major models of family therapy: Bowenian, communications, and strategic. An analysis of the factor-analyzed assumptions (belief system) and style (action system) items showed consistently greater divergence among the three models than convergence, as well as a remarkable synchronicity between the respective literature on these three models and their implementation, as represented by family therapists intensively trained in each model. A comparison of the present study's findings with previous research strongly supports the potency of formal and intensive training for developing adherents of a particular model and suggests that the distinctiveness of each model needs to be more fully developed in preference to premature attempts to develop generic or inclusive models that may become internally inconsistent and therefore difficult to operationalize in practice.     

The Results of Family Therapy: A Critical Review of the Literature

A search was conducted in the family therapy literature for studied which reported on the outcome of family therapy. It was difficult to find any consensus on a definition of family therapy. Therefore an arbitrary definition, involving the predominant use of joint and family interviews, was stipulated. A total of eighteen studies met minimal standards for inclusion and were summarized and discussed in this paper. Only two of these studies could be considered adequate in their research design; the remainder of the studies were (with one borderline exception) considered inadequate. The clinical evaluations of family therapy were summarized and possible methods and goals for future research into the outcome of family therapy are discussed.     

Evaluating Training Needs for Home-Based Family Therapy: A Focus Group Approach

Therapists and supervisors engaged in the delivery of home-based services participated in two rounds of focus groups. Participants discussed the challenges they face doing home-based therapy, and how an accredited family therapy program could modify its curriculum to better prepare trainees to meet these demands. Eight topic areas considered necessary for home-based practice were identified and the implications for training reviewed. The focus group methodology is described in detail and is recommended as a useful tool to assess training needs and as a way of promoting improved collaboration among training sites.     

Family Therapy Training and Workforce Planning

There is a strong argument for further developing family therapy as a profession within the NHS, using the mechanisms for workforce planning at regional and national levels. Family therapy can be a full-time occupation, as a profession and a secondary activity, as systemic practice. There is ambivalence about professionalism within the field and at different levels of society. This article outlines areas of tension between family therapy and government policies which focus on evidence-based practice. Full integration into the NHS is possible through the career structure which links family therapy with clinical psychology, adult and child psychotherapy, and provides a model for linking workforce planning with education. There are risks of family therapy becoming marginalized in the future, as a profession or as systemic practice, unless it connects better with workforce planning.     

Team Family Therapy Training: Conceptual and Pragmatic Considerations

This paper presents a family therapy training model that can be used to teach conceptual and executive skills to beginning therapists in community and academic settings. The model is based on the organization and philosophy of family therapy teams and the methods of live supervision. The goals, structure, and leadership of traditional family therapy teams are discussed and contrasted with the proposed team training model. Pragmatic details of the training program are described and advantages and disadvantages explored. Team leadership skills are categorized by context and future directions proposed.     

Family Therapy Training: An Evaluation of a Workshop

This article describes the methodology and results of an evaluation of family therapy training workshops. Cognitive skills were measured by written answers about a case history and intervention skills by the rating of videotaped interviews. Improvement was found on both variables, but cognitive and intervention skill levels and development were not related. These results have implications for training and job selection procedures.     

Entre Nosotros: Exploring Latino Diversity in Family Therapy Literature

The term Latino is often used to describe a largely diverse group of individuals living in the United States. This very broad term minimizes within-group differences due to race, ethnicity, class, country of origin and impact of immigration. We conducted a content analysis of 78 articles from peer reviewed journals in the fields of family therapy and family studies focused on Latinos, published from 2000 to May 2010, to challenge the Theoretical Myth of Sameness. We describe our evaluation and offer a culturally sensitive clinical and research approach with Latinos.     

Aging and Family Therapy: Exploring The Training and Knowledge of Family Therapists

The present study examined therapists' training in aging issues, and their knowledge and attitudes about aging. One hundred and ninety-one clinicians completed a web-based questionnaire. The majority of respondents reported to have some training in aging issues, although they did not believe it prepared them well to work with older clients. Clinicians reported feeling comfortable working with older adults, yet they also agreed that special training could benefit their work. Knowledge scores were significantly correlated with interest in aging issues, perceived importance of training, perceived competence, and perceived effectiveness in treating older adults. Research and clinical implications are discussed.     

The Empirical Evaluation of Family Therapy Training

This paper presents the results of the first comprehensive and empirical evaluation of a family therapy training program. Focusing on the first year of a two-year training program, the study found significant changes in the clinical conceptualizations and in-therapy verbal behaviors of a group of trainees. Additionally, this study involved the development and/or first use of various research instruments and procedures that can be used to facilitate further research on family therapy training.     

Training Facilities in Marital and Family Therapy

This survey reports the results of a national survey of training programs in family therapy. Two hundred and forty-five programs responded to the survey questionnaire providing data for the development of a master list of training programs and a general assessment of the nature and magnitude of training efforts in the field. The survey included programs housed in diverse institutional settings. The data indicate the extent of growth and the increasing formalization of professional training in family therapy. A classification system is proposed for distinguishing among the major types of facilities providing family therapy training. Programs are compared in terms of the type, duration, and intensity of the training offered and the number of students enrolled.