Gender Biases and Therapists’ Conceptualization of Couple Difficulties

In spite of the fact that gender issues have played an important role in many family therapy training programs, little research has been developed to explore the effects of gender and gender biases in therapists’ conceptualizations of client problems. This study explores beginning and advanced marriage and family therapy (MFT) student’s inclusion of gender in the conceptualization of a clinical case. To examine clinician’s thinking, 32 therapists (18 beginning MFT students and 14 advanced MFT students) were asked to 1) view the first 20 minutes of an intake interview conducted by a sex therapist, and 2) identify the couple’s central issues. Qualitative and quantitative analyses were used to explore constructs associated with therapists considerations and inclusion of gender and cultural issues in their conceptualizations of marital difficulties. Results revealed that trained MFT students who considered gender may have analyzed gender issues more extensively than untrained MFT students. In addition, results of qualitative analysis of participant critiques revealed subtle forms of gender and cultural biases. Discussion focuses on how these biases, some of which are linked to clinical theory, can lead to differential expectations and inequality in the treatment of men and women in couple therapy. Implications for clinical training, curriculum development, and future research are also discussed.     

Reentry Experiences and Professional Developments of International Marriage and Family Therapy Graduates in Taiwan

Reentry research has received much less attention than research on cultural adjustment in a foreign country, especially in the marriage and family therapy (MFT) field in the United States. Lack of research on international students’ job experiences and professional developments during reentry does not provide further information to evaluate the quality of MFT education in the United States. This study was intended to extend the reentry literature and specifically to understand personal and professional reentry experiences and cross-cultural transformation of MFT returnees in Taiwan. Thirteen participants were interviewed, and the resulting data was analyzed using constructivist grounded theory. Analyses results demonstrated macro contextual factors that situated unique personal and professional reentry phenomena for international MFT graduate in Taiwan. The returnees strived to explore their MFT identity and interpret cross-cultural differences by developing four coping strategies (e.g., not wanting to fit in, doing what you were supposed to do or could do, processing with others, and therapists’ multicultural awareness) that were associated with three conditions, such as personal networks linking to professional networks, supervision, and training in MFT. Findings suggested that reentry adaption was varied and fitting into Taiwanese society might not be the final goal for the returnees. Training implications in the MFT field were provided based on the findings.     

Integrating Spirituality into Family Therapy Training: An Exploration of Faculty Members’ Beliefs

The purpose of this study was to explore the beliefs and attitudes of marriage and family therapy (MFT) faculty as they relate to the appropriateness of addressing spirituality in the context of therapy and training of future MFTs. Ninety-three MFT faculty members at masters and doctoral level programs accredited by the Commission on Accreditation of Marriage and Family Therapy Education completed the electronic survey for this study. The results indicate that the majority of MFT faculty members believe that spirituality is important in their personal lives, in their clinical work, and in MFT training. The findings of the current study are similar to previous studies of clinical and student members of the American Association for Marriage and Family Therapy.     

Valuing Ideas of Social Justice in MFT Curricula

Training programs committed to the development of culturally sensitive family therapists must support dialogue that creates awareness of social structures promoting inequity and oppression. In order to facilitate meaningful conversations about issues of social justice educators have to critically examine their own philosophies and teaching methods to create a learning environment that promotes this dialogue for all students. This article outlines our philosophy of teaching and presents two core MFT graduate courses as examples of how issues of social justice can be valued in the didactic component of marital and family therapy (MFT) training.     

Training Considerations for MFTs in Couple and Financial Counseling

Evidence suggests that many couples attending marital therapy report that financial concerns have a significant impact on their distress. Despite the complaint, many Marriage and Family Therapy (MFT) training programs do not offer courses that teach therapists how to properly address financial concerns as a part of their training or curriculum, leaving many practitioners unaware of the processes associated with remediating the distress. The authors address the concepts of financial literacy and financial problems, and suggest a training curriculum to guide therapists in decisions about treating financial concerns for couples. Suggestions of future research and core competencies are discussed.     

How Do Master's Level Marriage and Family Therapy Students View Their Basic Therapy Skills? An Examination of Generic and Theory Specific Clinical Approaches to Family Therapy

This study examined the similarities and differences between marital and family therapy (MFT) students' beliefs about the importance of specific MFT skills, and the perceptions of experienced therapists in practice about the same skills. The data suggest overlap but not complete agreement between the perceptions of novice and experienced therapists regarding both generic and theory specific skills. Similarities and differences between these findings and earlier research about common factors in family therapy are addressed. Recommendations about clinical training that is not organized around traditional family therapy theories, but rather based on two trans-theoretical approaches to therapy labeled expert and collaborative are explored.     

Values in Family Therapy Practice and Research: An Invitation for Reflection

Values have been shown to be a pervasive part of both marriage and family therapy (MFT) clinical practice and research. Yet, many therapists and researchers remain unclear about how values affect their work. This article examines the influence of Western philosophical assumptions and therapy traditions in light of current understandings of values in therapy. The influence of values in MFT research processes is similarly examined. Implications for how family therapy professionals can be more reflective and sophisticated in their understanding of values in clinical practice and scientific inquiry are discussed. Suggestions for addressing values in MFT training also are given.     

The role of personal practice in therapist skill development: a model to guide therapists,educators, supervisors and researchers

Prior to 2000, personal practice (PP) for therapists mostly meant personal therapy. Recently a new landscape of PPs has emerged, with meditation-based programs and therapy self-practice/self-reflection (SP/SR) programs playing an increasing role in training and personal/professional development. The challenge now for practitioners and researchers is to refocus on the role of PPs in training and professional development. Are PPs of value - or not? Do they have a role in therapist development? How might PPs enhance therapist skilfulness? Do different PPs act in similar or different ways? Currently, the PP literature lacks a theoretical framework to guide practitioners in their choice of PPs or researchers in their choice of research questions and measures. The purpose of this article is to provide such a framework, the Personal Practice (PP) model. The PP model proposes primary impacts of PPs in four domains: personal development/wellbeing, self-awareness, interpersonal beliefs/attitudes/skills and reflective skills. The model also suggests a secondary impact on therapists’ conceptual/technical skills when therapists use reflection to consider the implications of their PP for their “therapist self”. We offer some suggestions to enhance the quality of future research, and conclude that PPs may play an important and perhaps unique role in therapist training.     

The Shaping of Family Therapy Education: An Update

The preparation and credentialing of marital and family therapists in the United States and Canada continues to be significantly affected by the role of accreditation in MFT graduate education. This report on a study of Commission on Accreditation for Marriage and Family Therapy Education accredited degree programs and non-accredited programs shows some significant differences between the two paths to preparation and credentialing. Accredited programs tend to have more faculty, lower faculty-student ratios, more Approved Supervisors, more financial aid, more programs requiring practica and internships, and more emphasis on professional identification with marital and family therapy. Nonaccredited programs provide more emphasis on psychopathology, psychodiagnostic testing, and cognitive behavioral therapy.     

Electronic Communication in Supervisory Relationships: A Mixed Data Survey

Much has been written about online communication between therapists and clients, particularly regarding the feasibility, ethics, and frequency of such practices. Little, however, has been published with regard to electronic communication patterns between therapists and their supervisors. The purpose of this study was to understand if and how electronic communication is used between marriage and family therapy (MFT) supervisees and supervisors. To accomplish this, we administered a mixed data survey to MFT supervisors and supervisees across the United States regarding frequency of interaction via electronic methods. We also assessed comfort level with online supervision, how supervisory participants make determinations when to use online supervision, and when online communication is believed to be most appropriate within MFT supervision. We report both qualitative and quantitative findings regarding the use of online technologies in supervision. Implications for research, training, and supervision are discussed.     

Honoring and Privileging Personal Experience and Knowledge: Ideas for a Narrative Therapy Approach to the Training and Supervision of New Therapists

This article discusses an approach for the training and supervision of new therapists built around social constructionist and poststructuralist ideas from a narrative therapy perspective. We briefly discuss some of the pitfalls of current training/supervision in marriage and family therapy (MFT) that are deficit based and/or that disproportionately grant privilege to expert knowledge. We articulate this emerging training approach which utilizes the rite of passage metaphor, centers relationalism, and incorporates the honoring and privileging of new therapists' lived experience, knowledges, skills, talents, ideas, morals, personal ethics, values, beliefs. Concrete practices of experience privileging, re-membering, and creating communities of concern are detailed, and illustrative examples from our supervision work are given.     

Creating a Safety Net: Transferring to a New Therapist in a Training Setting

Transferring clients to new therapists is a common necessity in training settings, agencies, and private practices. However, there is a paucity of empirical studies that examine the process of client transfer and its impact on the client. This qualitative study explored the experience of clients who had successfully transferred from graduating practicum students to incoming practicum students in a COAMFTE accredited MFT master program in the southeastern region of the US. The resultant grounded theory consisted of a central category (Creating a Safety Net), a paradigm (Professionalism), and two main categories (Structure and Trust). Clients described an overall process of initial disclosure of the pending transfer, their affective response, the therapist’s response, a period of co-therapy with incoming and outgoing therapists, and continuation of therapy with the new therapist.     

Transparency and self-disclosure in family therapy: dangers and possibilities

Therapy is a paid intimate relationship that thrusts clients and therapists into navigating personal and professional boundaries. When, where, why, and how is it appropriate and ethical for family therapists to be transparent, and when is it damaging? Theorists take varied stances from Haley's position of tight boundaries around therapist disclosure—whether in treatment or training—to the narrative viewpoint that therapists should be transparent about models of therapy, personal values, and life experiences that inform their practice and beliefs. However, these positions are not research based, and theorists who support disclosure offer few guidelines other than general statements. This article examines the history of ideas about disclosure in six major family therapy models, and the dangers and possibilities of transparency. It looks at the research on self‐disclosure in individual therapy and whether and how it could apply to family therapy. Guidelines are proposed that take into account the multiple social identities of therapists and clients, and issues of safety and transparency.     

Qualified therapists’ experience of personal therapy

Recent work shows that the majority of therapists strongly value personal therapy for what it can bring to their professional practice, and for personal development. The aim of this study was to explore qualified therapists’ experiences of personal therapy. Of the 220 qualified therapists who were contacted via post and asked to take part in a questionnaire study, 48 returned the completed questionnaire, which consisted of a series of closed and open questions. Two‐thirds of respondents had engaged in personal therapy. The two most frequently cited reasons for engaging in personal therapy were personal growth and personal distress. Interpretative phenomenological analysis (IPA) identified two broad domains: impact on the person and impact on the professional. Results show that those surveyed recognised the value of personal therapy to themselves as a form of self‐care and personal development. Personal therapy was valued in professional practice as a form of experiential learning from being in the client role. The limitations of this research included a relatively low response rate, raising the question of whether those most likely to have had positive experiences of personal therapy were more likely to participate. Future research might deliberately seek to understand negative experiences of personal therapy. Other avenues for future research include the need to understand how experiences of therapy relate to gender, profession, and therapeutic orientation.     

Use of religious and spiritual interventions by trainees in APA-accredited Christian clinical psychology programs

Little is known about the effectiveness of Christian clinical programs accredited by the American Psychological Association in training students to use religious and spiritual interventions in therapy. We surveyed 162 student therapists from three such programs regarding their training experiences and use of religious and spiritual interventions. Self-reported competency and use of religious and spiritual interventions correlated with a number of training components. However, none of the training components predicted unique variance in regression equations above and beyond that of general professional training, personal religiousness, and intervention-specific training. Suggestions are offered regarding intervention-specific training in both Christian and secular programs, the role of personal therapy in training, and the development of guidelines for competency in using religious and spiritual interventions.     

Socializing Undergraduates to the MFT Field

In this article we outline the facilitation of a marriage and family therapy (MFT) course that introduces undergraduates to MFT theory, research, and professional development. We also examine students’ reports on the influence of the course relative to their development of graduate training aspirations and desired pursuit of MFT as a potential career. Additionally, students offered reflections about what most inspired their learning and attention towards MFT as a potential profession. Results indicate that the course aided students in career path discernment, preparation for MFT graduate program entrance, and socialization to develop future professional relationships with MFTs.     

Family Therapy Education and Higher Education Administration Policy: Facing New Challenges

Marriage and Family Therapy (MFT) education programs are not immune to the financial pressures associated with providing quality educational programs. In this article, the author discusses the current higher education economic environment, explores contemporary trends in higher education management, and considers their effect on MFT educational programs, an area that is virtually unaddressed in the literature. Finally, the author describes how one MFT training program is responding to the challenges brought forth by the fiscal complexities embedded in the contemporary higher education economic environment. The discussion offers useful and practical administrative policy information to MFT educational programs and their leaders.     

"It's led me astray": How Cognitive Behavioural Therapists experience personal therapy in clinical practice

Personal therapy is considered to be an essential component of most psychotherapeutic training programmes. However, it remains peripheral to cognitive behavioural therapy (CBT) training courses. We present a subsection of results from a qualitative study that examines how CBT therapists use personal therapy in their clinical practice. Seven CBT therapists who have undergone personal therapy were interviewed. Participants were asked about how they used personal therapy in their clinical practice and their accounts were analysed using interpretative phenomenological analysis (IPA) to identify common themes. This article presents the results of the first master theme, “Personal therapy creates conflict”, which explores a paradox that arises between personal therapy and CBT clinical practice; participants suggest that personal therapy equips them with therapeutic tools that paradoxically hinder their capacity to practice a standardised protocol‐led CBT. Results show that participants found personal therapy created considerable internal conflict, where their use of technical evidence‐based treatment protocols as practitioners was experienced in tension with the relationally oriented therapy they had received as clients. We discuss results in the context of Gabriel Marcel's philosophical insights on the dehumanising effects of technology on human relationships. We conclude with a brief consideration of the current political climate that increasingly privileges short‐term technical solutions to psychological distress.