Textbooks in Accredited Marriage and Family Therapy Programs

Although choices of required textbooks are important decisions in developing a course curriculum, faculty in marriage and family therapy training programs have few convenient resources to guide curriculum development. This article presents results of a survey of textbook selections of accredited marriage and family therapy programs within a regional affiliate of AAMFT. The five programs surveyed listed 108 different titles used in their curriculum. Only 12 texts were used by two programs, and only one text was used by more than two programs. This article presents the textbook selections by the six curricular areas of COAMFTE accreditation standards. The wide variety of textbooks used by programs leads us to conclude that no consensus exists about what textbooks best represent the core knowledge of marriage and family therapy. The body of knowledge taught in accredited marriage and family training programs reflects a distinct and autonomous body of knowledge.     

Marriage and Family Counseling in Counselor Education: National Trends and Implications

The authors report the results of a survey of 274 counselor education chairpersons asked to respond to a series of questions concerning the current status of marriage and family counseling in counselor education. Respondents indicated that marriage and family programs in counselor education are continuing to grow in popularity, identified courses most frequently employed in the training of such counselors, provided information about support that AACD could give to enhance the development of marriage and family counseling, and gave their opinions about how marriage and family counseling programs should be accredited.     

Marriage and Family Counseling

This article provides an overview of marriage and family counseling, including the growth and interest of this specialty within the American Counseling Association (ACA). Areas discussed include the evolution of marriage and family counseling within ACA, standards for training, credentialing, and unique ethical considerations when counseling couples and families.     

Creating Internships in Marriage and Family Therapy: A Collaboration Between a Training Program and an Offender Reentry Facility

The literature on clinical internships in marriage and family therapy is limited in the discussion of the development of clinical sites as well as the benefits and challenges experienced by students and programs. This article focuses on the development of a marriage and family therapy internship in an offender reentry facility. The process of how students are referred and trained, the rewards and challenges of their work, and the supervision experience are described. The purpose is to inform marriage and family therapy programs about a potential resource for training students.     

The Divorce of Marriage and Parenthood

Marriage is a template for domestic life and the problems that arise in it. The patterned assumptions that traditionally defined marriage gave substance to the family. These assumptions have become less compelling over the course of a century. In this paper, I suggest how and why this has happened. I focus on the meaning of parenthood and its relationship to marriage. In the course of a century, parenthood has been redefined as a rational choice governed by calculation. As a result, childbearing, pregnancy, marriage and parenthood have been redefined. Their relationships to one another have, to varying degrees, been altered. Marriage is an institutionalized way to care for the babies that once came, inevitably, as a result of sexual intercourse. What becomes of marriage when sex no longer produces babies? The answer is that everything about marriage and the family changes. Such changes help explain the rise of professional family therapy and related fields.     

Marriage Guidance Training and the Trainee's Own Marriage: A Prospective Study

Twenty trainees and 18 partners took part in a study of the effects of a marriage guidance training programme on their own marriage. Changes were assessed in two ways: retrospectively ('perceived' changes as assessed following training) and prospectively (changes calculated by comparing scores obtained before training and those obtained after training). For most dimensions there was little correspondence between 'perceived' change and 'calculated' change. This has important methodological implications, which are discussed. The 'calculated' change indicated poorer marital adjustment following training. The trainees' scores suggested that they had become less 'abasing' and less 'nurturant' towards their partners; also that they had more disagreements about 'philosophy of life' and 'dealing with in-laws'. Their comments suggested that a number of the trainees had become more analytical of their own marriages, and that training had heightened their awareness of their own needs and individuality.     

Theoretical Purity Versus Theoretical Layering in Marriage and Family Therapy

There seem to be two competing streams of thought about the use of theory in the marriage and family therapy literature: theoretical purity versus integrationism. We examined influence of theoretical orientation on client experience in therapy. Level of academic training (masters' versus doctoral degree) was investigated as a possible confounding variable. Results suggest that therapists in private practice are less inclined to practice pure forms of therapy.     

Rural Marriage and Family Therapists: A Pilot Study

Marriage and family therapists practice in more than a third of the rural counties in the United States. However, little is known about the practice patterns of marriage and family therapists who practice in rural settings. This pilot study examined the clinical practice and community involvement of a sample of licensed marriage and family therapists in rural Texas. The results contribute to a small but developing body of research about a relatively unknown group of practitioners.     

A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

This purpose of this paper is to provide a summary of the cost-effectiveness research for the profession and practice of marriage and family therapy. Studies based on four sources of data were considered: (1) a western United States HMO covering 180,000 subscribers; (2) the Kansas State Medicaid system with over 300,000 beneficiaries; (3) Cigna, a large Unites States health insurance benefits management company with more than nine million subscribers; and (4) a marriage and family therapy training clinic in the western United States serving approximately 300 individuals and families a year. Results from the studies support the potential for a medical offset effect after couple or family therapy, with the largest reduction occurring for high utilizers of health care. The studies also show that covering family therapy as a treatment option and marriage and family therapists as a provider group is not associated with significantly higher treatment costs. An application of cost-effectiveness methodology to medical family therapy is also considered.     

Research & clinical exchange

Abstract

Question: I once heard Carl Whitaker say at a workshop that one of the greatest myths about marriage is the idea that “I didn't marry your family, I married you.” This makes me wonder when it would be appropriate to involve the families of the two people planning to get married, when the couple goes for premarital counseling.     

Family Dynamics and Attitudes Toward Marriage

To examine our hypothesis that family experiences would be associated with attitudes toward marriage, we administered the Family Environment Scale (FES; Moos & Moos, 1986) and a Marriage Attitudes Questionnaire (MAQ; adapted from Long, 1987) to 40 unmarried college students. Correlational analyses indicated that for the conflict subscale of the FES, only two of the six marital expectation questions approached significance. However, family expressiveness (another subscale of the FES) was significantly correlated with three of the marital expectation questions and approached significance with a fourth question. These results indicated that higher expressiveness in the family was significantly related to positive attitudes toward marriage. We concluded that family dynamics need to be studied from multiple perspectives to identify factors that influence marital expectations.     

The Practice of Suicide Assessment and Management by Marriage and Family Therapists

Abstract

Over 90% of mental health providers encounter suicidal clients. However, the majority of marriage and family therapists (MFTs) are not exposed to suicide-specific trainings within their clinical coursework. Due to the lack of consistent training protocols for suicide assessment and management among MFTs, this qualitative study identified common MFT responses to suicidal clients, including assessment of risk severity and intervention modalities. Responses were then compared to best practices for suicidal clients. Participants inconsistently adhered to best practices identified in the larger field of mental health, revealing the need for increased MFT training on suicide to ensure appropriate and effective care.     

From Friendship to Marriage: Revising Kant

This paper examines Kant's accounts of friendship and marriage, and argues for what can be called an ideal of "moral marriage" based on Kant's notion of moral friendship. After explaining why Kant values friendship so highly, it gives an account of the ways in which marriage falls far short, according to Kant, of what friendship has to offer. The paper then argues that many of Kant's reasons for finding marriage morally impoverished compared with friendship are wrong-headed. The paper further argues that a few of Kant's views about friendship are false. The main point is that, when we slightly revise Kant's account of friendship and jettison Kant's misguided notions about marriage, we see that marriages can aspire to much of the same moral richness as friendships. Finally, the paper argues that this friendship model of marriage does not obscure the important ways in which marriages and friendships differ.     

Marriage Between Jews and Non-Jews: Counseling Implications

This article considers the problems arising from cultural and religious differences in Jewish-non-Jewish marriage, briefly reviews the literature, and offers suggestions for assessment and treatment. Treatment requires dealing with family systems dynamics while educating the couple about the role of cultural difference in their relationship. The goal of treatment is to assist the couple to view their differences flexibly and use them to their advantage while they develop a blended culture that satisfies their individual and partnership needs, including the religious and spiritual.     

齐"巫儿婚俗"再探讨

文献所谓“襄公淫乱,姑姊妹不嫁”以及桓公“妻姑姊妹”不能够成立,齐襄公、桓公的淫乱属于婚外性关系而非兄妹血缘婚.春秋齐国社会已不承认并且谴责非婚乱伦关系,故不可能由襄、桓淫乱导致“巫儿婚俗”.齐女居家不嫁的“巫儿婚俗”不是宫廷和民间普遍存在的状况,只是部分大家庭出于迷信观念而保留经常性祭祀活动的一种特殊现象.所谓“齐俗,妇人首祭祀”,一般是以家庭生活为内容的小祭祀,古已有之,并非齐女垄断了家庭、家族的祭祀活动.     

Impact of Co-Therapy Teams on Client Outcomes and Therapist Training in Marriage and Family Therapy

This study of 33 student therapists, 402 client systems, and three supervisors tested the efficacy of using student co-therapy teams as an aspect of clinical training in a marriage and family therapy program. This study utilizes both quantitative and qualitative methodology. Two research questions were addressed: “Do different pairings of co-therapists affect client outcomes?” and “Is co-therapy a viable option for a training program?” The results indicate that client outcomes using co-therapy are at least as effective as treatment using one therapist and in some circumstances produce more positive outcomes for both clients and student therapists.     

军人婚姻关系恢复机制的探讨

随着社会的变化发展,离婚率日渐增长,军人婚姻关系也受到一定影响,离婚人数日益增多。家是社会的基础,是社会的细胞,特别是军人家庭,他们家庭的稳固与否不但对双方家庭影响巨大,同时也对国家、军队建设有比较深刻的影响。对军人婚恋关系恢复机制的探讨,加强对处于危机中的军人家庭的研究,有助于挽救其处于危机中的婚姻关系,建立和谐家庭,使其减少后顾之忧,更好地投入到部队的建设中去。     

Male Cross-Dressers in Therapy: A Solution-Focused Perspective for Marriage

This paper offers techniques on how to work with male cross-dressers using solution-focused therapy. An overview about issues crossdressers often face is addressed which shows they have many of the same concerns as other clients seeking therapy. Solution-focused therapy is discussed as a way to work with male-cross dressers and their partners. A case study of a male cross-dresser and his wife is presented and possible directions are suggested for marriage and family therapists.