Relationship-Focused Therapy for Sexual and Gender Minority Individuals and Their Parents

Diamond, Gary M.; Boruchovitz‐Zamir, Rotem; Gat, Inbal; Nir-Gottlieb, Ofir

doi:10.1093/med-psych/9780190669300.003.0019

Cited by 3 publications

(5 citation statements)

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“…In contrast, those parents who showed no such increases in RF over the same timeframe reported poor agreement with such treatment goals. These findings point to the potential importance and utility of facilitating parental reflectivity before attempting to enlist parents in the attachment task, and are consistent with ABFT theory and practice (G. M. Diamond et al, 2019; G. S. Diamond et al, 2014).…”

Section: Discussionsupporting

confidence: 78%

“…One treatment specifically developed to decrease parental rejection, improve parental acceptance, and repair attachment bonds among SGM young adults and their nonaccepting parents is attachment‐based family therapy for sexual and gender minorities (ABFT‐SGM; G. M. Diamond et al, 2019). ABFT‐SGM was adapted from ABFT for depressed and suicidal adolescents (G. S. Diamond, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Parents' reflective functioning and their agreement on treatment goals in attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

Strifler

Zisenwine

Diamond

2022

J Marital Family Therapy

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This study examined the trajectories of parents' reflective functioning over the course of individual preparatory sessions with the therapist in attachment-based family therapy (ABFT) for Israeli sexual minority young adults and their nonaccepting parents, and whether such reflective functioning was associated with parents' agreement on the goals for subsequent conjoint corrective attachment sessions. Three parents with good agreement on treatment goals were compared to three parents with poor agreement on treatment goals. Parents' in-session reflectivity regarding their child's experience of nonacceptance, and regarding the quality of their relationship with their child, was observationally measured at the session level. Reflective functioning increased over time among those parents who reported good agreement with the treatment goals. There were no changes in parents' reflective functioning in the poor agreement group. Findings suggest the potential importance of

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Parents' reflective functioning and their agreement on treatment goals in attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

Strifler

Zisenwine

Diamond

2022

J Marital Family Therapy

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“…Training took place over the course of six months. During the training, therapists read the ABFT‐SGM manual (Diamond & Boruchovitz‐Zamir, in press; Diamond, Boruchovitz‐Zamir, et al, 2019), and clinical papers on working with SGM young adults and their persistently nonaccepting parents (Diamond & Shpigel, 2014). They also watched training tapes exemplifying how to complete each treatment task.…”

Section: Methodsmentioning

confidence: 99%

“…One such treatment is attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents (ABFT‐SGM; Diamond & Boruchovitz‐Zamir, in press; Diamond, Boruchovitz‐Zamir, et al, 2019). ABFT‐SGM is a manualized, time‐limited (26 weeks), empirically informed, family‐based treatment.…”

Section: Introductionmentioning

confidence: 99%

Attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

et al. 2022

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This pilot open trial examined the efficacy of attachment‐based family therapy (ABFT) for Israeli sexual and gender minority (SGM) young adults and their persistently nonaccepting parents. Thirty families received up to 26 weeks of treatment, with parental rejection, parental acceptance, and young adults' attachment avoidance and attachment anxiety assessed at baseline, 8, 16, 24, and 36 weeks (three months post‐treatment). Analyses using multilevel growth models revealed that both young adults and their mothers independently reported increases in mothers’ acceptance of their young adult's same‐sex orientation or noncisgender identity. In addition, young adults reported decreases in both parents’ levels of rejection. Also, mothers, but not fathers, reported decreases in their own level of rejection. Finally, young adults reported a decrease in attachment avoidance in their relationships with both mothers and fathers, but not a decrease in attachment anxiety. Importantly, these treatment gains were maintained three months after the end of treatment. Together, these results suggest that ABFT‐SGM, a manualized, affirmative, experiential, family‐based treatment, may be effective in reducing long‐standing parental rejection, promoting parental acceptance, and improving the quality of LGBTQ+ young adults’ relationships with their parents. These findings are encouraging in light of the urgent need for efficacious interventions to reduce family generated minority stress and promote safer, more supportive environments for sexual and gender minority people.

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“…Results from a pilot open clinical trial showed pre-to posttreatment decreases in attachment anxiety and avoidance among depressed and suicidal lesbian, gay, and bisexual (LGB) adolescents (G. M. Diamond et al, 2012). Preliminary results from a current 5-year open clinical trial suggest that ABFT is associated with significant increases in adult children's perceptions of their parents' acceptance and significant decreases in their perceptions of their parents' rejection, from pre-to posttreatment (G. M. Diamond, 2018).…”

Section: Brief Overview Of Attachment-based Family Therapymentioning

confidence: 99%

Therapist responsiveness in attachment-based family therapy for sexual and gender minority adults and their nonaccepting parents.

Diamond¹,

Boruchovitz‐Zamir²,

Nir-Gottlieb³

2021

The Responsive Psychotherapist: Attuning to Clients in the Moment.

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This chapter describes the nature and importance of therapist responsiveness in attachment-based family therapy (ABFT) for sexual and gender minority young adults and their nonaccepting parents (G. M. Diamond et al., 2019). ABFT is a family-based, manualized, experiential, and emotion-and relationship-focused treatment designed for families in which parents have difficulty accepting their adult child's sexual orientation or gender identity.Families come to us for a number of reasons. In some cases, it is the young adult who initiates treatment. They may harbor unresolved anger and hurt about how their parents reacted to their coming out years ago or because their parents are still ashamed and disappointed by them. Others come because they feel guilty about causing their parents pain and are worried about their parents' emotional and physical welfare. These young adults want to be not only heard and validated but also accepted and connected. In other cases, it is parents who initiate the therapy. Some come because, even after years, they remain stuck in their fear, shame, and grief and are looking for a way out. Others come because their relationship with their adult child has become increasingly distant or conflictual and they are afraid to lose their bond with their child.

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Relationship-Focused Therapy for Sexual and Gender Minority Individuals and Their Parents

Cited by 3 publications

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Parents' reflective functioning and their agreement on treatment goals in attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

Parents' reflective functioning and their agreement on treatment goals in attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

Attachment‐based family therapy for sexual and gender minority young adults and their nonaccepting parents

Therapist responsiveness in attachment-based family therapy for sexual and gender minority adults and their nonaccepting parents.

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