Development of Family Therapy and Systemic Therapy in Germany

The roots of systemic therapy in Germany date back to the sixties. Systemic therapy is one of the most widely applied forms of psychotherapy and counseling in Germany. The majority of therapists and counselors in child guidance centers, couples therapy counseling centers and youth protective services have been trained in systemic therapy. A high number of clinical psychologists, social workers and medical doctors have received training in this model of therapy. In the beginning, multigenerational, experiential, as well as structural-strategic and Milan systemic approaches were popular. Today, the post-modern systems concepts, solution-oriented and narrative approaches and self-organization theory appear to be predominant. Some centers provide research and training in behavioral and psychodynamic family and couples therapy. However, systemic approaches are clearly leading the field with over 10,000 people who have received systemic training and about 150 training institutes across the country. The critical attitude shared by many leading figures towards empirical research has limited its success in university programs. In addition, training is usually provided in the form of post-graduate courses rather than at academic institutions. Currently, three journals and one online-journal publish articles on various systemic topics. Many publishing houses have a series of books on systemic therapy and one publishing house specializes exclusively on systems oriented books. In 2008, systemic therapy gained recognition as an evidence-based treatment. Four years later, the appropriate authorities have not initiated the process of assessing it as a treatment paid for by public health insurances. In consequence, systemic therapy is not available on a large scale in the public outpatient psychotherapy system. Some additional remarks are provided on the history and current situation of systemic therapy in Austria and Switzerland.     

Family Therapy in Outdoor Behavioral Healthcare: Current Practices and Future Possibilities

This paper highlights the role of the family in the treatment of youth who attend Outdoor Behavioral Healthcare (OBH) programs. It discusses the history of OBH, provides a critical overview of the research on the impact of OBH programs on family functioning, and discusses the importance of increased intentional integration of family therapy into OBH settings. To show this integration, this study presents a case study that highlights the role of the family, as well as the home family therapist throughout the phase of OBH treatment. Areas for future esearch are provided as well as suggestions for the increased utilization of adventure activities with families.     

Development of Family Therapy in Ireland

In Ireland family therapy is a small profession, with under 200 registered therapists. The Irish family therapy movement began in the mid-1970s. By 1980 the Family Therapy Network of Ireland in the Republic of Ireland and the Northern Ireland Branch of the UK Association Family therapy had been founded. At present there are three main family therapy training centers in Ireland: two in the south (the Mater University Hospital, affiliated to University College Dublin and Clanwilliam Institute) and one in the north (at Queen’s University Belfast). There is no statutory registration and licensing of family therapists in Ireland. Accredited professional family therapy programs in Ireland are 4-year part-time courses culminating in masters level qualifications. A primary degree in medicine, nursing, psychology, social science or education is a prerequisite for entry. Family therapists in Ireland work in both private practice and the public health service. Most family therapists in the public sector are employed as social workers, psychologists, psychiatrists or nurses, and conduct family therapy as part of their broader professional roles. Couple therapy in Ireland is provided by family therapists, and also by voluntary couple counselors based in networks of local centers, some of which were originally religiously affiliated, without a formal connection to national family therapy associations. The three major future challenges for Irish family therapy are creating a research infrastructure, developing a career structure in the public health service, and introducing statutory registration.     

Couple and Family Therapy Within the Current Pan-Canadian Context

Canadians take numerous approaches to couple and family therapy due in part to Canada’s diversity of people and geography, as well as the influence of the health care context, a central facet of our national identity. Tracing back to Nathan Epstein, the founder of family therapy in Canada, there continues to be a strong tradition of couple and family therapy within Canada which has international reach. Formal training in family therapy, as well as couple/marital therapy occurs largely outside of the scope of degree granting programs and university settings. The American Association for Marriage and Family Therapy has a strong presence in Canada, with six divisions across the country. Popular models of practice for Canada’s couple and family therapists include cognitive-behavioral therapy, solution-focused therapy, narrative therapy, emotionally-focused therapy, and Bowenian/intergenerational therapy. A growing number of training opportunities are becoming available across Canada, and the practice of couple and family therapy is becoming institutionalized as one of the core competencies for professions such as psychiatry. In this article, we examine the context of family therapy in Canada by examining its history, the unique accreditation standards, qualifications and organizations associated with family therapy, the relationship between couple and family therapy, and future directions for this field of practice.     

Development of Family Therapy in Hong Kong

This paper provides an insight into the development and growth of family therapy in Hong Kong. Family therapy was introduced in Hong Kong in the early 1980s and is now gaining ground. The authors give a historical account of the development of family therapy in Hong Kong, and report on its progress and achievement for the past three decades there. The field has gone through several stages of development. The 1980s were marked by an importation of Western family therapy models, during which overseas expertise was tapped to promote family therapy. The 1990s were characterized by a blossoming of different schools of family therapy on the local scene. Most schools established their own practice centers, and training packages were tailor-made for local use. The 2000s were an important era of family therapy development in Hong Kong. The field has nurtured a new generation of leaders (both academics and front-line practitioners and trainers) who play an essential role in advancing its development. The paper concludes by identifying problems in clinical practice, professional training, and research and knowledge development, and proposes ways of overcoming these difficulties.     

Current Issues in the Practice of Integrative Couple and Family Therapy

This paper provides an overview of current issues in integration in couple and family therapy. It summarizes the evolution of integration in couple and family therapy, the various traditions in integration, the strengths of integrative approach, and the possible pitfalls involved. It highlights the extent to which most couple and family therapy is now integrative practice. It concludes with a consideration of an emerging trend toward methods of practice centered on modules of intervention that have been identified as effective with certain presenting phenomena. The example of therapy for high conflict divorce is utilized to illustrate how various components can be brought together to create a maximally effective intervention.     

The Profession of Family Therapy in South Korea: Current Status and Future Directions

The authors present a brief overview of the family therapy field in South Korea. Since its introduction in the late 1970s, family therapy has been developing into a professional field with education and training institutions, practice settings, credentials, and practitioners holding memberships in various professional organizations. While such issues as family values and types, filial piety, violence, interethnic marriage, and social polarization have resulted in an increased demand for family therapy, such services are not readily accessible to Korean families in need. Efforts should be made in increasing number of competent family therapists by strengthening both academic and clinical requirements for credentialing. Efforts are also needed in increasing accessibility of family therapy services by making them more available within a variety of human service contexts.     

Towards Multi-positioned Live Supervision in Family Therapy: Combining Treatment and Observation Teams with First- and Second-order Perspectives

This article describes a process of live supervision that has been designed to encourage trainees to experience competing theoretical perspectives. It involves the use of separate T (treatment) and O (observation) teams who conceptualise the same case from two broadly defined theoretical perspectives, variously called first and second order, modern and postmodern, or family systems and social constructionist. The process requires trainees to adopt multiple positions rather than identify with one perspective, and provides a basis for comparing and potentially integrating them. We provide examples of the approach, discuss important contextual issues for supervisors to consider when implementing it, and examine ways of adapting it to a wide range of training contexts.     

Family Resilience: Israeli Mothers' Perspectives

This qualitative study reveals the components underlying the concept "family resilience" based on the perception of Israeli women in families who underwent a crisis in the past year. The study is based on the analysis of 15 semi-structured interviews using grounded theory methods. Five main components were identified as family resilience was perceived in terms of (a) interpersonal relations; (b) the ability to share painful feelings, (c) flexibility among family members; (d) connectedness; and (e) family's values. These components have practical implications for professionals working with families that are encountering stressful life situations.     

Evaluating Trainees' Skill Development: The Family Therapy Skills Checklist

Training competent therapists is the fundamental goal of supervisors. Supervisors and academic programs need to increase efforts to identify and operationalize therapeutic skills required for trainees. This study examines the Family Therapy Skills Checklist (FTSC) designed to assess therapists' conceptual, behavioral, and professionalism skills. The 315 separate evaluations by therapists-in-training and their supervisors' indicated a high level of inter-rater consistency and the ability to discriminate between advanced, struggling, and beginning therapists. Recommendations for further research are suggested.     

A Re-Examination of the Current Status and Future of Family Therapy in India

Marital and family counseling has existed in India for many decades. However, the formalized discipline of marital and family counseling/therapy has its theoretical foundation in the West. The purpose of this paper is to present an overview of the need for and the current status of the practice of marriage and family therapy (MFT) in India. Based on our limited experiences we have attempted to prognosticate the future of the profession of family therapy in India by proposing a number of salient issues that we think would be useful discussion points as the development and advancement of family therapy in India is considered.     

Family Policy in South Korea: Development, Current Status, and Challenges

We provide a comprehensive review of family policy in South Korea (Korea hereafter) for international readers. Alarmed by recent social and demographic changes, the Korean government has started to establish explicit family policies from the mid 2000s. These policies have signified a symbolic attention shift to family matters in the history of social policy in Korea. In this paper, we focus on three areas of family policy: (a) work-family policies, (b) a healthy family policy, and (c) a policy for multi-cultural families. Work-family policies aim to help working families with young children balance work responsibilities and family caregiving through multiple leave options and child care support. The Framework Act on Healthy Families, the first explicit family policy in Korea, requires local governments to provide family services through Healthy Family Support Centers. The Multi-Cultural Family Support Act also established a formal support system for multi-cultural families with immigrant spouses, a population group that has recently increased in Korea. We further discuss the domestic and comparative contexts of Korean family policy and provide suggestions for the remaining challenges.