Family Therapy: Concepts and Methods

Brock, Gregory W.; Nichols, Michael P.; Schwartz, Richard C.

doi:10.2307/585510

Cited by 174 publications

(42 citation statements)

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“…Additionally, clinicians are encouraged to further recognize the importance of perceived (family) support for well-being. Understanding this information can be used to facilitate exploration of family dynamics within individual therapy sessions and incorporate the family in family therapy to help increase perceived support [49]. Indeed, evidence shows that social support interventions can be useful [50].…”

Section: Discussionmentioning

confidence: 99%

Buffering against Depressive Symptoms: Associations between Self-Compassion, Perceived Family Support and Age for Transgender and Nonbinary Individuals

Samrock

Kline

Randall

2021

IJERPH

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Transgender and gender nonbinary (TGNB) individuals often report higher levels of depression compared to cisgender individuals. Higher levels of depression in TGNB populations may be partially attributed to a lack of family support, which may be particularly salient for younger individuals. However, two possible protective factors that may mitigate depressive symptoms are self-compassion, defined as an attitude of kindness and understanding towards one’s own imperfections, and perceived support, especially from family. The present study aimed to explore whether self-compassion was negatively associated with self-reported depressive symptoms, and whether perceived family support moderated this association, especially for younger individuals. Participants who were (1) at least 18 years of age, (2) identified as TGNB, and (3) experienced gender dysphoria were eligible for this study. Cross-sectional data from 148 individuals were collected online during May 2020. In support of the hypotheses, self-compassion was negatively associated with depressive symptoms, and perceived family support furthered this association. Additionally, results showed that younger participants (ages 18–24) with lower family support reported the highest levels of depressive symptoms. Taken together, these results suggest that self-compassion and perceived family support may be significant protective factors against depressive symptoms for TGNB individuals, although longitudinal research is needed. Taking a strengths-based perspective, mental health clinicians working with TGNB individuals may consider interventions geared toward increasing self-compassion in daily life and working with clients’ families to increase support.

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Section: Discussionmentioning

confidence: 99%

Buffering against Depressive Symptoms: Associations between Self-Compassion, Perceived Family Support and Age for Transgender and Nonbinary Individuals

Samrock

Kline

Randall

2021

IJERPH

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“…Black populations are evidenced to experience profound levels of complex traumas over a lifespan leading to high emotional reactivity and exacerbation of anxiety symptoms (Beckerman & Sarracco, 2019). Consequently, Bowenian Family Systems Theory aims to (a) differentiate self from one's emotional unit (b) increase awareness of one's automatic emotional and reactive responses to triggers and (c) encourage autonomy, resulting in less emotional reactivity and decreased levels of anxiety (Nichols & Davis, 2017).…”

Section: Methodsmentioning

confidence: 99%

Addressing systemic racism and intergenerational transmission of anxiety using Bowenian family therapy with African American populations: A Discursive paper

Josiah

Shoola

Rodney

et al. 2023

Journal of Advanced Nursing

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Aim: To examine the intergenerational impact of systemic racism on mental health, depicting the evolution and patterns of anxiety symptoms and the application of the Bowenian family therapy to understand the interrelatedness and long-standing impact of intergenerational trauma in African American families. This article highlights interventions that increase awareness of and promotes physical and mental health for African American populations. Design: Discursive Paper. Method: Searching literature published between 2012 and 2022 in PubMed, SCOPUS, EBSCO Host and Google Scholar, we explored factors associated with systemic racism and generational anxiety. Discussion: Evidence-based literature supports the application of the Bowenian family therapy theoretical framework to understand the intergenerational impact of systemic racism and to address the transmission of anxiety symptoms in African American populations. Conclusion: Culturally appropriate interventions are needed to decrease anxiety symptoms in an attempt to heal intergenerational trauma and to improve family dynamics in African American populations.Impact to Nursing Practice: Nurses play an integral role in providing holistic quality patientcentred care for African American populations who have experienced racial trauma. It is critical for nurses to implement culturally responsive and racially informed care with patients that focuses on self-awareness, health promotion, prevention and healing in efforts to address racial trauma. Application of Bowenian family therapy can aid in the reduction of both intergenerational transmission of racial trauma and generational anxiety.

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“…Congruence couple therapy (CCT) is a manualized humanistic, systemic couple therapy conceptualized and developed by Lee (2009). It provides conceptualization, integration, and extension of the growth "vehicles" of Satir et al (1991), eminent family therapy pioneer whose work has not previously been theorized and structured into a clinical model for specific disorders amenable to research (Brubacher, 2006;Nichols & Schwartz, 2012;Wretman, 2015). Through an iterative process between theory (Lee, 2002a) and application (Lee, 2002b(Lee, , 2002c(Lee, , 2015, the four-dimensional structure of CCT was developed to promote congruence as the core concept of therapeutic change (Lee, 2009(Lee, , 2015.…”

Section: Congruence Couple Therapymentioning

confidence: 99%

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

et al. 2022

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A nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual‐based treatment‐as‐usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post‐traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow‐up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co‐addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between‐group comparison favored CCT in primary outcomes with medium‐to‐large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within‐group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within‐group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within‐group effects were detected for CCT both clinically and statistically and between‐group difference favored CCT. Future trials are required to validate these promising findings.

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Family Therapy: Concepts and Methods

Cited by 174 publications

References 0 publications

Buffering against Depressive Symptoms: Associations between Self-Compassion, Perceived Family Support and Age for Transgender and Nonbinary Individuals

Buffering against Depressive Symptoms: Associations between Self-Compassion, Perceived Family Support and Age for Transgender and Nonbinary Individuals

Addressing systemic racism and intergenerational transmission of anxiety using Bowenian family therapy with African American populations: A Discursive paper

Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

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