Second-Order Change in Marriage and Family Therapy: A Web-Based Modified Delphi Study |
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| Authors: | Maureen Davey Tracey Duncan Karni Kissil Adam Davey Linda Stone Fish |
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| Institution: | 1. Department of Couple and Family Therapy , Drexel University , Philadelphia, Pennsylvania, USA;2. Department of Public Health , Temple University , Philadelphia, Pennsylvania, USA;3. College of Human Ecology , Syracuse University , Syracuse, New York, USA |
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| Abstract: | Second-order change is a central concept in Marriage and Family Therapy, but still remains poorly operationalized. We conducted a web-based modified Delphi study with 31 established faculty members currently teaching in COAMFTE-accredited Master's and Doctoral programs in the United States and in Canada to identify consensus regarding second-order change concepts, clinical operationalization, evaluation, and teaching principles. Numerous exemplars of first and second-order change were generated, but consensus on most items was low. Consensus was highest for pedagogy and low regarding concepts and clinical examples of first-order change and evaluation of second-order change. Results suggest clearer definitions and better measurement of systemic change are needed. |
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