Family Therapy in China

This paper aims to provide an overview of the family therapy in mainland China, by analyzing its development, current situation and future directions. The authors argue that the history of family therapy can be understood as three stages: introductory stage from 1985 to 1994, “blossoming” stage from 1995 to 2004, and “fast growing” stage from 2005 to present. In every stage, we can see clear differences in each of the following fields: training (including training programs in universities and workshops held by companies or institutes), academics (including research articles, professional books and conferences), and general public environment (including media and policies). We also outline the development of China’s first university system family therapy training program as an example and evidence of family therapy’s significant present and future development in mainland China. Based on this, we highlight some points for future improvement in family therapy in mainland China, including developing indigenous theories and practice models, reinforcing training and research programs in university systems, and improving accreditation standard for all family therapists.     

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.     

It was the best of times, it was the worst of times: doctoral students' experiences of family therapy research training through alternative forms of data representation

In this study, we interviewed 14 doctoral students from 10 COAMFTE-accredited doctoral programs to learn more about how they experienced their research training and what they might suggest to strengthen the research culture in their training programs. We solicited somewhat unconventional data--metaphors, poetry, free associations, critical experiences--to (a) tap into our participants' underlying thought processes, (b) capture the multifaceted nature of their doctoral research training, and (c) represent the richness of our participants' subjective experiences. The themes we identified reflect both positive and negative research training experiences and suggest several ways that family therapy program faculty might improve their programs' research training and culture.     

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.     

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In a national questionnaire survey of clinical psychology internship sites, the status of family therapy training was investigated. With a 65 per cent response rate (182 sites), the study found that 11 per cent of all psychology Ph.D.'s, 9 per cent of all M.S.W.'s and 2 per cent of all M.D.'s on internship faculties considered themselves to be primarily family therapy oriented. Nationwide, 39 per cent of 177 internships indicated that some family therapy training was a requirement of the program; for the remaining 61 per cent, family therapy training was either optional or unavailable entirely. Of the five areas of adult, child, group, and family therapy, and psychodiagnostics, interns were viewed by most programs as being least prepared at the start of the internship to do family therapy. In terms of internship training philosophy, family therapy was rated fourth in overall importance as an essential component of an intern's experience. The family training importance rating was found to be correlated positively with the number of family courses and seminars offered, family supervision received, and family clinical work performed.     

Families-at-risk and home-based intervention: A therapist training model

Home-based family therapy programs are designed to provide intensive family intervention for at-risk children and adolescents. However, examination of the literature reveals limited publications about training therapists for this difficult task. The purpose of this paper is to describe a therapist training model based upon a family-as-context approach to crisis intervention. Specific units covered during the course include: family-as-a-system, structural family therapy, family crisis intervention, family assessment and simulation. It is concluded that the effective prevention of placement for at-risk children and adolescents requires both a home-based family treatment program and a specific therapist training model for family intervention.John J. Zarski, PhD, is a professor in the marriage and family therapy training program at the University of Akron. Carol A. Pastore is program coordinator for the T.I.E.S. program in Canton, OH. A. Lynette Way and Richard N. Shepler are home-based therapists with T.I.E.S. The authors would like to express their appreciation to Professor John West for his helpful comments on drafts of this article.     

Introducing Novice Therapists to “Go-Between” Techniques of Family Therapy

The training of family therapists requires that learning objectives and expectations be specified in empirical terms so that the trainer and trainee can achieve clear goals, identify areas of progress, and meet the special needs of the trainee. This paper articulates the competencies, objectives, and criteria for evaluation used during a time-limited training program for therapists involved in family therapy research conducted at Centennial School of Lehigh University.     

Brief strategic family therapy: lessons learned in efficacy research and challenges to blending research and practice

In this article, we present key lessons that we have learned from (1) a long program of research on an empirically supported treatment, brief strategic family therapy (BSFT), and (2) our ongoing research and training efforts related to transporting BSFT to the front lines of practice. After briefly presenting the rationale for working with the family when addressing behavior problems and substance abuse in adolescent populations, particularly among Hispanic adolescents, we summarize key findings from our 30-year program of research. The article closes by identifying barriers to the widespread adoption of empirically supported treatments and by presenting current work within the National Institute on Drug Abuse's Clinical Trials Network that attempts to address these barriers and obstacles.     

The reentry female student in marriage and family training

The challenges of feminist family therapists of gender bias in family therapy training and practice models need to be considered in relation to the predominance of reentry women in masters degree programs in marriage and family therapy. This article describes a developmental training model that incorporates feminist-informed values into curriculum, program policies, instructional strategies, and program structure. The model builds on the assumption that gender-associated behaviors of both sexes have contextually determined value. Training for the appropriate application of gender-associated behaviors rather than for their inclusion or exclusion can increase female reentry student flexibility and self-confidence.     

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.     

Training Family Therapists to Work with Children: Competence,Relevance, and Interest Ratings in the Field of Family Therapy

The main purpose of this investigation was to conduct a preliminary needs assessment in the field of marriage and family therapy regarding perceived training needs for working with children in family therapy. Data for the needs assessment was collected using a survey methodology. The needs assessment gathered information on the level of competence, level of relevance, and level of training interest in the field of marriage and family therapy for specific child-related content areas. The implications of these findings on clinical practice and training programs are discussed. The limitations of the study and recommendations for future research are provided.     

The Pathway Toward Clinical Self Confidence

This study was designed to determine the most common pathway toward the development of clinical self-confidence for therapists during the first year of client contact. Telephone interviews were conducted with 39 recent graduates of a master's level marriage and family therapy program. Subjects were asked to graph their development of clinical self-confidence over the first 12 months of their clinical experience. Results reveal a three-stage model of therapist development. The implications for training within each stage of development are identified with an emphasis on the role of the supervisor.     

Co-constructing a cross-cultural course: resisting and replicating colonizing practices

This article examines the cross-cultural complexities of teaching and learning processes at different levels in a family therapy training program delivered in a different country. It presents two interlinked narratives of an advanced family therapy training program delivered in Slovenia by a U.K-based family therapy training institute. The context in which the training was negotiated and planned is discussed, highlighting issues at the macrosystemic level. Dilemmas that arose in relation to differing beliefs about teaching and learning are elaborated. We examine power relationships, ways that we positioned ourselves and each other, and how we tried and sometimes failed to take these into account. We question how the issue of spoken language and its meanings creates its own constraints and power structures, and how we respond to the impossibilities of translation. We argue that it is through the examination of uncomfortable processes that we develop self-reflexivity and work toward more equitable relationships.     

The state of the art of training in systemic family therapy in Switzerland

This article presents a training program in systemic therapy with families and couples. Our training institute was founded by an interdisciplinary group of psychologists, psychiatrists, sociologists, and social workers in 1987 in Meilen (Zürich), Switzerland, and has from the beginning been connected to the field of family therapy in Europe and the United States. The specific organization of our institute, our training program, and the theoretical base of the training concept are highlighted. Our multidimensional treatment and training model is grounded in a variety of conceptual frameworks and inspired by the tradition of Enlightenment in European philosophy. We pay special attention to the personal and professional development of the emerging family therapist.     

Thematic review of family therapy journals 2011

In this article the contents of the principal English‐language family therapy journals published in 2011 are reviewed under these headings: child‐focused problems, adult‐focused problems, couples therapy, medical family therapy, military family therapy, theory, research, training, the new Journal of Couple and Family Psychology and Human Systems twenty‐first anniversary.     

Family therapy research: Comment on “research as a family therapy intervention technique”

Wright's emphasis on and illustration of the use of family therapy research as a unique intervention technique for therapy is an important contribution to the practice literature. Equally important, however, is the isomorphic shift in focus of the family therapy researcher. Rather than focusing only on process or outcome research, family therapists should become more interested in their clients as research subjects. Though rarely discussed in the family therapy literature, the competencies of family therapists as researchers and the utility of research in a family therapy context is critical to being a well-rounded professional. Examples are provided of how this emphasis is being introduced in a PhD family therapy program.     

Family therapy training research: systems model and review

This paper proposes that a systems approach to the organization of family therapy training courses would be advantageous to trainers and researchers alike. A family therapy training programme development model is outlined. Using the stages of this model as a framework, the research into family therapy training is reviewed. The field still remains in its infancy and the quantity of research is relatively sparse. Developments have, however, been made and these auger well for the future.     

Do Better Trainees Make Worse Family Therapists? A Followup Study of Client Families

This study was designed to evaluate the effects of training on family therapy outcome and to validate measures of cognitive/perceptual and executive skills. Followup data on family satisfaction were obtained from 176 individuals (73 families) treated by 12 trainee family therapists in their first or second year of training. The prediction that clients' scores on a scale of family satisfaction with therapy (FSS) would increase with training was not confirmed. Instead, there was a tendency for FSS scores to decrease with training. However, trainees' ratings of outcome did increase significantly as training progressed. Cognitive/perceptual and executive skill measures were not validated by the FSS, but negative associations indicated a tendency for trainees with high course-skills to receive poor FSS scores. The results suggest that trainees became more confident as they acquired technical skills, but that they put aside their nonspecific therapist skills as training progressed, to the dissatisfaction of families.     

Family therapy for continuing professional education

This is a report on a program of family therapy instruction intended as a continuing professional education service to mental health personnel. The rapid expansion of the program since its inception in late 1971 is due to increasing demand from human service agencies in and around the Greater Philadelphia area. By the end of 1978 more than 550 had participated. Approximately 15% went on to higher levels of family therapy training available at the Department of Family Psychiatry of Eastern Pennsylvania Psychiatric Institute. Some characteristics of participants are described: most are master's level personnel representing a wide variety of human service agencies within a 100-mile radius of Philadelphia; most had a positive response to the training; most did not intend to become family therapists but wanted an exposure to theory and methods. Comments are included by selected category of how participants use what they learn.     

Family Therapy Training in Selected General Psychiatry Residency Programs

This paper describes the current state of family therapy training in general psychiatry residency programs (GPRP) in the United States. Based on a national survey of 80 GPRP training directors, current practices and attitudes toward family therapy training are assessed. The principal finding is that there has been a significant increase in the amount of required family therapy training in GPRP over previous years and many of the programs would like to expand their current curriculum. Issues concerning course content, definition of family therapy employed, and the meshing of different theoretical paradigms are considered. Recommendations for further research and for the initiation of intradisciplinary and interdisciplinary dialogue are presented.