This paper presents a review of the research literature from 1980 to present on the premarital predictors of remarital satisfaction and stability (quality). The predictive factors are organized with an ecosystemic theoretical model using three general predictor categories: background and context factors (e.g., stepchildren), individual traits and behaviors (e.g., attachment to an ex-spouse), and couple interactional processes (e.g., couple consensus). Major factors related to lower remarriage quality include the roles of stepchildren, stepfamily complexity, emotional attachment to an ex-spouse, serial marriage, and economic strain. Predictors related to higher remarital quality include couple consensus on important topics, social support from family and friends, and financial stability. Implications for couple therapy before remarriage are discussed. Keywords Remarriage Á Marital quality Á Premarital predictorsDivorce rates continue to be high in the United States as nearly 50% of first marriages end in divorce and 27% of couple households in the US include at least one partner who has been previously married. The divorce rate for remarrieds is even higher-about 60% (Bramlett & Mosher, 2001), especially when remarried couples have stepchildren (Booth & Edwards, 1992). This makes it important for marriage and family therapists to understand the premarital factors that support a successful remarriage. The most recent reviews of remarriage focus more on general stepfamily dynamics rather than on the remarital dyad Stephanie Falke, M.S. is a doctoral student in marital and family therapy at

Participant supervision is a unique application of live supervision in which a supervisor and supervisee see clients conjointly. Although minimally discussed in the family therapy literature, it has notable advantages, chief among them being a shared clinical experience that increases attunement to supervisee skill and development, the modeling of skillful intervention, and a higher degree of collegiality. However, it is not without its challenges, including supervisee vulnerability and anxiety, diffusion of responsibility, and limited time for case discussion. This article highlights the experience of one supervisor and three doctoral-level supervisees engaging in participant supervision over the course of a 2-year period. Using illustrative examples, we discuss our experience of the advantages and challenges of participant supervision, and provide recommendations for establishing a collaborative relational context within which supervisory benefits can be maximized.

Medical family therapy (MedFT) is a growing area of interest within the field of marriage and family therapy. Its practice necessitates a shift from conventional family therapy practices to include diverse ways of providing care. Literature highlights approaches for patients with specific illnesses and for particular healthcare contexts. Less is understood about frameworks for treating patients with different illnesses across settings. Contributing to the growing discourse surrounding MedFT, we present a role-based practice framework that identifies six consistent roles, Therapist, Brief Interventionist, Health Coach, Patient Advocate, Consultant to Health Professionals, and Trainer specific tasks associated with each. We describe the skills needed to perform each role and describe how we move fluidly between roles to provide comprehensive care.

Background A collaborative health-care relationship is considered critical in managing chronic illness like diabetes. Poorly controlled diabetes can greatly diminish one's quality of life and lead to severe complications or even death.

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