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Technology use in the practice of couple and family therapy has many advantages. The use of online and technology-based modes of communication for therapy, however, presents several valid ethical concerns. In a survey of 226 licensed Marriage and Family Counselors, students, and supervisors, participants were asked to identify ethical concerns and drawbacks of online therapy. Five themes related to this topic emerged: (a) confidentiality, (b) impact to the therapeutic relationship, (c) licensing and liability issues, (d) issues related to crises and risky clinical situations, and (e) training and education. Implications for practice, training, and research are discussed.

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In the fifteen years since the explosion of the Internet, using cyber technology for work and social functions has exponentially increased. Yet, questions around how to manage such changes remain elusive in family therapy literature. In this investigation, we conducted a content analysis to determine to what extent marriage/couple and family therapy (M/CFT) journals have responded to the integration of the Internet in couple and family life. We found 79 of 13,274 articles across seventeen journals focused on the Internet in some capacity. Implications for clinical practice, training, and future research are discussed.

What is the extent to which marriage/couple and family therapy (M/CFT) journals address transgender issues and how many of them say they are inclusive of transgender persons when they are not? To answer these queries, a content analysis was conducted on articles published in M/CFT literature from 1997 through 2009. Of the 10,739 articles examined in 17 journals, only nine (0.0008%) focused on transgender issues or used gender variance as a variable. Findings support the assertion that transgender issues are ignored and marginalized by M/CFT scholars and researchers alike.