Demonstrated Efficacy of Models of Marriage and Family Therapy: an update of Gurman, Kniskern, and pinsof's Chart (original) (raw)
Related papers
Springer eBooks, 2014
A follow-up study was conducted using data collected from graduates of the Marriage and Family Therapy Program at the University of Wisconsin-Stout. A survey was sent to former students who graduated the program between the years 1996 and 2006. The purpose of the survey was to gauge the effectiveness of the MFT program at UW-Stout as a part of COAMFTE accreditation requirements. The University of Wisconsin Stout Marriage and Family Therapy Program graduates reported significantly positive responses for all survey items measuring AAMFT core competency proficiency and additional program specific components. For example, in regard to licensure, 100% ofUW-Stout MFT graduates who have attempted the National Exam have passed the National Exam.
Couple and Family Therapy Outcome Research in the Previous Decade: What Does the Evidence Tell Us?
Contemporary Family Therapy, 2014
Meta-analyses of randomized control trials include only a small proportion of the published outcome research of Couple and Family Therapy. This paper surveys the ranges of published research through a systematic review of the outcome studies of family, couple, and systemic therapies published in English language peer reviewed journals in years 2000 through 2009. After application of criteria of relevance to Couple and Family Therapy and systemic practice, 225 studies were identified, summarized, and coded under 14 broad headings giving 125 potential classifications for each article. Analyses of these codings found consistent conclusions of effectiveness; differential availability and quality of research for different conditions; and quite frequent absence of important methodological information. The findings are interpreted as showing that this body of recent research supports claims of effectiveness. Although the journals included many of good quality there are substantial areas of weakness in reporting. It is concluded that there are significant influences on the body of published research that arise both from funding policies and journal practices as well as perhaps author bias. The consequences are to reduce the value of research to practitioners, to favour randomized control trials with positive evidence of the effectiveness of therapy, and to exclude publication of negative findings.
The Evidence Base of Systemic Family and Couples Therapies
2017
Systemic family and couples therapy (SFCT) has evolved into a variety of forms to meet the needs of the people who come for therapy. Our clients differ not only by bringing the full range of psychological and relationship difficulties and the variety that our society has imaginatively created in family structures and relationships, but they also occupy the full life span and the great range of ethnic and other cultural variation that communities now contain. This review starts with an account of the basis of SFCT and explains why it offers a very different resource from all the other therapies, which strive to bring about change within individuals. The survey of systematic reviews of the range of applications of SFCT finds that all point to a strong positive conclusion about the general effectiveness of the approach. Substantial reviews report on each of the extensive range of conditions, for children and adults, for which SFTC has been researched. These reviews demonstrate efficacy and in many cases effectiveness in the conditions for which significant amounts of comparative research data have been published. However there are significant areas in which published research does not yet allow conclusions to be drawn. Major programmes for well developed and documented forms of family therapy are reviewed. They demonstrate high levels of effectiveness and cost-effectiveness. Most involve therapies for adolescent substance abuse and conduct disorder. So funding, and thereby evidence, follows political priorities and neglects other areas of need in the population.
Review of family, couples and systemic therapy outcome research 2000-2009.
Association of Family Therapy and Systemic Practice, 2011
These tables present the result of a systematic collation of empirical studies of outcomes over 10 years of English language publication in refereed journals. The Review is intended to be a resource for practitioners and researchers, as a readily available source of recent research publications on specific conditions. For this purpose a description of the main aspects of each study has been provided in a standard form. A full alphabetical listing of references is provided from page 98. A substantial further study, primarily by Emma Silver and Natasha Nascimento, involves a detailed coding of each article so that we can report trends and patterns in the research. This project is currently being written up for journal submission. An account of the methodology will be provided in that publication. In summary: The listing does not include review articles that did not report original data. We have taken a broad definition of family, couple and systemic therapy, and most of the articles were identified by searching electronic data-bases with a variety of keywords, then reviewing every publication to select those that fitted our criteria.
Common Factors of Change in Couple Therapy
Behavior Therapy, 2012
Though it is clear from meta-analytic research that couple therapy works well, it is less clear how couple therapy works. Efforts to attribute change to the unique ingredients of a particular model have consistently turned up short, leading many researchers to suggest that change is due to common factors that run through different treatment approaches and settings. The purpose of this article is to provide an empirically based case for several common factors in couple therapy, and discuss clinical, training, and research implications for a common factors couple therapy paradigm. Critical distinctions between model-driven and common factors paradigms are also discussed, and a moderate common factors approach is proposed as a more useful alternative to an extreme common factors approach.
2009
Many studies have examined pretreatment predictors of immediate posttreatment outcome, but few studies have examined prediction of long-term treatment response to couple therapies. Four groups of predictors (demographic, intrapersonal, communication, and other interpersonal) and 2 moderators (pretreatment severity and type of therapy) were explored as predictors of clinically significant change measured 2 years after treatment termination. Results demonstrated that power processes and expressed emotional arousal were the strongest predictors of 2-year response to treatment. Moderation analyses showed that these variables predicted differential treatment response to traditional versus integrative behavioral couple therapy and that more variables predicted 2-year response for couples who were less distressed when beginning treatment. Findings are discussed with regard to existing work on prediction of treatment response, and directions for further study are offered.
Current Status and Future Directions in Couple Therapy
Annual Review of Psychology, 2006
■ Abstract Couple therapy research affirms that various approaches to couple treatment produce statistically and clinically significant improvement for a substantial proportion of couples in reducing overall relationship distress. Recent studies have extended these findings in indicating the effectiveness of couple-based interventions for a broad range of coexisting emotional, behavioral, or physical health problems in one or both partners. In contrast to these encouraging results, research also indicates that a sizeable percentage of couples fail to achieve significant gains from couple therapy or show significant deterioration afterward. Research on processes of change and predictors of treatment outcome in couple therapy provides preliminary evidence regarding factors potentially contributing to variable treatment response. The chapter concludes with 12 recommendations regarding future directions in couple therapy research and clinical training.
The history of couple therapy: A millennial review
Family Process, 2002
Parenthetically, but significantly, we think Broderick and Schrader (1981, p. 30) erred in identifying the early contributions of behavioral marriage therapists in the 1970s (e.g., Jacobson & Martin, 1976; Stuart, 1969) as having any connection to the "marriage counseling area." At that time, Stuart was a university-based Professor of Social Work, and Jacobson was affiliated with an academic program in clinical psychology. They both came from, and were leaders in, the field of behavior therapy. With this in mind, we have amended Broderick and Schrader's Phase IV to end, not in 1981 when their chapter was published, but in 1978, when the term "marriage counseling" was officially terminated as the AAMFC became the AAMFT.