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.     

What's disclosed in self‐disclosures? Gender,sexuality, and the analyst's subjectivity commentary on paper by Samuel Gerson

It seems it would be helpful for all impasses to be “recollected in tranquility.” In the thick of impasses, however, when we are experiencing pressure, defensiveness, vulnerability, and the responsibility to come up with a quick solution, it can be nearly impossible to think clearly.

Time may take us to a place of greater calm and fresh awareness. But it may also provide an illusory calm, leaving us stuck circling in old familiar grooves, grooves rimmed by our own unconscious vulnerabilities and limitations. At such times, we may operate in a perceived state of calm, but with a set of powerful, yet ineffective, unseen or outgrown, concretized beliefs and perceptions, creating a perception of calmness. Some of these may even silence or damage the cooperative or struggling patient, who remains or dares to return (out of a longing to connect or make things “right”).

I wondered whether what Dr. Pizer's patient said at the end of Rebecca's second therapy with him was true (that she no longer needed a hug from him, finding it more mature to proceed without one), or if this was merely what she felt she should say in order to leave a key relationship she valued—also in peace and tranquillity.     

Living in the Past,Present, and Future: Measuring Temporal Orientation With Language

Temporal orientation refers to individual differences in the relative emphasis one places on the past, present, or future, and it is related to academic, financial, and health outcomes. We propose and evaluate a method for automatically measuring temporal orientation through language expressed on social media. Judges rated the temporal orientation of 4,302 social media messages. We trained a classifier based on these ratings, which could accurately predict the temporal orientation of new messages in a separate validation set (accuracy/mean sensitivity = .72; mean specificity = .77). We used the classifier to automatically classify 1.3 million messages written by 5,372 participants (50% female; ages 13–48). Finally, we tested whether individual differences in past, present, and future orientation differentially related to gender, age, Big Five personality, satisfaction with life, and depressive symptoms. Temporal orientations exhibit several expected correlations with age, gender, and Big Five personality. More future‐oriented people were older, more likely to be female, more conscientious, less impulsive, less depressed, and more satisfied with life; present orientation showed the opposite pattern. Language‐based assessments can complement and extend existing measures of temporal orientation, providing an alternative approach and additional insights into language and personality relationships.     

Stress versus discrete negative emotions in the prediction of physical complaints: does predictive utility vary across ethnic groups?

Reports of stress and negative emotion are important predictors of health. However, whether discrete emotions or stress measures are more useful, whether they contribute independently to outcome, and whether they relate to health equally across ethnic groups remain unclear. In the current study, 207 US-born European American, US-born African American, Black English-speaking Caribbean, and Dominican men aged 40 years and older completed measures of somatic symptoms, trait emotions, and stress. Sadness and stress independently predicted symptom reports, even when examined concurrently, and with demographics controlled; trait anger did not predict symptoms. Moreover, the relations between trait emotions and symptoms varied across groups. Levels of sadness were associated with greater symptoms among US-born European American and Dominican men, but negatively associated among Black English-speaking Caribbean men, and the relations for anger also differed marginally across groups. The results underscore the importance of differentiating among discrete emotions and stress and considering ethnic interactions when examining reports of somatic symptomology. We suggest that the impact of psychological characteristics on health must be considered within cultural and ethnic contexts to be fully understood.     

Issues in Professional Training to Implement Evidence‐based Parenting Programs: The Preferences of Indigenous Practitioners

Indigenous children have elevated risk for poor health, behavioural, emotional, and social outcomes. Significant evidence exists that parenting programs can reduce family risk factors and improve outcomes for children and families; however, mainstream programs have had slower uptake in Indigenous communities than other communities. Culturally sensitive delivery of evidence‐based programs can enhance engagement of parents, yet the development of a workforce to deliver programs to Indigenous parents faces many obstacles. This project seeks to identify professional training processes that enhance Indigenous practitioners’ skills and confidence in delivering an evidence‐based parenting program. A survey of trained parenting practitioners via an online practitioner network assessed their views of the training and post‐training support processes they had experienced. Respondents were 57 Indigenous and 720 non‐Indigenous practitioners from 15 countries. Most training processes were rated equally helpful by Indigenous and non‐Indigenous practitioners. However, several training processes were identified as important for the delivery of culturally competent training, such as tailoring the pace of training and simplifying the language in teaching resources. Practitioners with higher ratings of the helpfulness of peer support following training reported higher program uptake and implementation. Qualitative themes also focused on the helpfulness of program resources, and having a peer support network and mentoring. Increasing access to appropriate, flexibly delivered training and post‐training support for Indigenous professionals will support the development of a skilled workforce with local knowledge and connections, and further increase the reach of evidence‐based services in Indigenous communities.     

The myth of peer pressure

The construct of peer pressure was examined as part of a qualitative study of the determinants of mental health for 41 high-risk adolescents. While the concept of peer pressure enables adults to explain youths' troubling behaviors, content analysis of the participants' accounts of their lives revealed peer pressure to be a myth. The youths indicated that adoption of the behavior and appearance of peers was a consciously employed strategy to enhance personal and social power. Association with peers was used to construct and maintain health-promoting identities that challenged the stigmatizing labels given to them by others. Three developmental stages to this process of identity construction were identified. During stage one, vulnerable youths learn to maintain a singular self-definition through interaction with peers. In stage two, youths purposefully use their peer relations to experiment with multiple identities. During stage three, youths collaborate with peers as equal partners in the construction of one or more identities for which they find acceptance.     

Adolescent Mental Health Resilience and Combinations of Caregiver Monitoring and Warmth: A Person-centred Perspective

Journal of Child and Family Studies - Caregiver monitoring and warmth have protective mental health effects for adolescents, including vulnerable adolescents. However, combinations of the aforesaid...     

Overprotective Parenting: Helping Parents Provide Children the Right Amount of Risk and Responsibility

Overprotective parenting in low-risk environments may have negative consequences for the psychosocial development of children and youth. Though not well studied, a number of different bodies of literature can be used to speculate on the reasons for overprotective parenting and the impact it has on children. In this article, the social and familial dynamics leading to overprotection are discussed. It is shown that overprotection among middle-class families may result from poorly informed parents regarding the psychosocial developmental needs of their children for risk and responsibility and a lack of familiarity with population-wide data which shows that many of today's youth are safer that at any previous time in history. Focusing on the “risk-taker's advantage,” this article uses a case example to illustrate a three-part model of intervention to help challenge overprotective parenting while opening up safe opportunities for youth to experience manageable amounts of risk and responsibility.     

Child refugee's social skills and resilience: Moderating effects of time in refugee camp,parental education,and preschool attendance

In this cross-sectional study, we examine the relationship between social skills and resilience and the moderating effects of time spent in a refugee camp, parental education, and schooling on Syrian children who have been forcibly displaced to Turkey. Five hundred and twenty-six preschool-aged children (56.3% female, M_age = 5.79) were recruited to participate in this research. The Turkish version of the Child and Youth Resilience Measure-Revised (CYRM-R) and the Early Childhood Social Skills Measure (ECSSM) were used to assess refugee children's social skills and resilience, respectively. Results show that the children's social skills were positively related to resilience with length of time spent in a refugee camp, the parental education level, and preschool attendance moderating this association. These results highlight the role of social skills as a possible means of enhancing refugee children's resilience.