This study examined the effectiveness of a systemic cybernetic counselling approach with 3 females with bulimia nervosa. Bulimia nervosa is a relatively recent diagnosed condition (1980). Thus, little is known about the efficacy of different treatment approaches. The systemic cybernetic counselling approach (White; de Shazer) which informs family therapy represents a potentially powerful form of treatment in that it allows a complex construction of the problem. The research design employed a multiple (3) single case study approach with embedded units of analyses. The 3 women, aged 17 to 27, were seen over a 2-3 month period for 4-8 one hour sessions. Predicted patterns of non-equivalent dependent variables were compared with empirically based patterns over time. Continuous (including pre-, post-treatment and long-term follow up) assessment of frequency of bingeing/purging was established as well as ratings on other dependent variables - psychometric measures (Eating Disorders Inventory, Beck Depression Inventory, Coopersmith Self Esteem Inventory), affective self reports and reports by others. Results show that all three clients eliminated bingeing/purging by post-treatment. Two clients maintained this improvement on all dependent measures at long-term follow up. The most marked improvements were associated with the least severe pre-treatment scores. In the case where the whole family attended counselling sessions, the number of sessions was reduced. On the basis of the results, systemic cybernetic counselling procedures hold promise for the successful treatment of bulimia nervosa.

Because of its political and philosophical launching ground (Arredondo & Perez, 2006), cultural competence did not begin as an empirical research program, and as a result, there remains disagreement about how to define and measure cultural competence. Although the application of cultural competence remains unclear to some psychologists (Fuertes et al., 2006), it is now common knowledge that the therapeutic alliance is a statistically and clinically significant contributor to effective therapy. This pilot study merges two prominent bodies of literature, cultural competence and therapeutic alliance, with the underlying assumption that a culturally competent counselor will be able to provide effective service through the therapeutic relationship (Pope-Davis et al., 2002). This pilot study was designed to provide information about the relationship between therapists' self-reports and their observed behaviors regarding cultural competence (CC), examine how therapists' CC facilitates the formation of working alliances, and examine the role of CC in predicting parent-child discrepancy in alliance. Participants were family therapists and family members involved in a multi-site clinical trial study (Parent Study) evaluating Brief Strategic Family Therapy (BSFT™; Szapocznik, Hervis, & Schwartz, 2003). A total of 14 therapists from 8 community treatment programs from across the country were included in the rating portion of the study. The Parent Study included African American and Hispanic families with adolescents ages 12-17, mostly referred from the juvenile justice system. Scores from Roysircar's Multicultural Counseling Inventory (MCI; 1994) and Cultural Diversity Observer Rating Scale (CDORS; 2005) were compared. Observed therapeutic alliance was evaluated using the Vanderbilt Therapeutic Alliance Scale-Revised. The associations were evaluated with 3 multilevel univariate linear models using HLM software. Since 6 of 14 therapists (43%) completed the MCI, the pilot study was completed without self-reported competence as a predictor of therapeutic alliance (only CDORS was used). The results of this study failed to provide support for the hypothesized relationships between cultural competence and therapeutic alliance. These results are discussed in light of the methodological limitations of this study and suggestions are made to improve future investigations in this area.

Thesis PlanB (M.S.)--University of Wisconsin--Stout, 2007. / Includes bibliographical references.

Text in Afrikaans / The development of the person of the therapist is increasingly being highlighted in systemic therapeutic training. This emphasis on the person of the therapist can be traced back to the rise of constructivism. Constructivism represents the viewpoint that reality is created rather than discovered. As a result the therapist's contribution to the therapeutic process is considered cardinal. The personal style of the therapist is once more placed under the limelight. Exactly how this variable must be handled to ensure optimal efficiency is still unclear. Suggestions in this regard are mostly related to some therapeutic model. The objective of this study, on the contrary, is to determine the value of a more general approach. A procedure developed by the University of South Africa, accentuating the person of the therapist, has been evaluated. / Opleiding in sistemiese terapie word al hoe meer gekenmerk deur die ontwikkeling van die persoon van die terapeut. Die beklemtoning van die persoon van die terapeut kan veral na die opkoms van die onstruktivisme teruggevoer word. Hierdie denkrigting verteenwoordig die standpunt dat die werklikheid eerder geskep as ontdek word. Gevolglik word die terapeut se bydrae tot die terapeutiese proses as van deurslaggewend beskou. Die persoonlike styl van die terapeut word dus opnuut onder die soeklig geplaas. Hoedat hierdie veranderlike egter hanteer moet word om optimale effektiwiteit te verseker, is egter nie duidelik nie. Meeste voorstelle hou direk verband met een of ander terapeutiese model. Met hierdie studie is daar egter gepoog om die waarde van 'n meer algemene benadering te peil. 'n Prosedure wat met verloop van tyd aan die Universiteit van Suid-Afrika ontwikkel is, is gevolglik verder - en wei vanuit die gesigshoek van die terapeut - ondersoek. / M.A. (Voorligtingsielkunde)

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There are 5.7 million people in India who are living with HIV/AIDS and many more are indirectly affected by the epidemic (families, children). Since HIV/AIDS is a growing problem, further research for prevention and treatment is needed. Family therapists possess an important role in the AIDS crisis given that some family therapy models have been shown to work well with HIV issues. Although there is a need for family therapy in India, the profession of family therapy is in its infancy. This study attempts to understand what marriage and family therapy interventions work best with Indian clients especially those who are HIV positive. Psychoeducation, directive therapy, addressing the presenting problem and systems therapy (particularly focusing on the couple husband-wife system) are interventions found in this study to be most utilized by Indian therapists with their clients. / Ph. D.

In this study, I explore the ways in which feminist family therapists encourage exploration of, resistance to, and collusion with, oppression. I explore qualitatively the critical dialogues, both inner, and with others, that feminist family therapists employ to address oppressive systems. My research questions are: a. How do family therapists who identify as feminist describe how their feminist identities and ideas about feminism have evolved over time? b. How do feminist family therapists report stories of their own resistance to gender-based oppression? c. How do feminist family therapists report stories of their own collusion with the oppression of others? And d. How do feminist family therapists encourage clients to examine oppression and collusion of oppression of others? I use tape-recorded, one-on-one interviews with a theoretical sample of self-identified feminist participants who have demonstrated rigorous attention to feminist inquiry and practice in the field of family therapy. Consistent with a contemporary grounded theory methodology, generation of theory is based on constructivist methods, which recognize that there are multiple coexisting realities and not one objective truth (Charmaz, 2000). By way of constructivist grounded theory analysis the following four categories emerged: (a) Actions and Strategies of a Feminist Family Therapist, (b) It's a Sensibility: The Development of a Feminist Identity, (c) Recognizing Oppression and Injustice: A Quest for Liberation and (d) Resisting: Exploring Why, How, and at the Risk of Which Consequences. / Ph. D.

Mental health professionals place value on education in the hopeful expectation that ethics instruction will provide the knowledge and awareness required to empower therapists to make ethical clinical decisions. This study examined the current status of ethics education in accredited and non accredited marriage and family therapy graduate programs in the United States and Canada. Surveys were sent to ethics instructors in 123 graduate programs, 72 of which have full or provisional accreditation by the AAMFT Commission on Accreditation for Marriage and Family Therapy Education. A total of 65 surveys were returned, resulting in an overall response rate of 53%. Information was gathered using a modified version of a survey designed by Vanek (1990) that examined eight areas of ethics training: 1) professional and educational characteristics of the instructor, 2) structure of ethics education, 3) instructional methods, 4) goals for ethics education, 5) specific content areas, 6) evaluation indices, 7) instructional materials, and 8) rationale for ethics education. Particular attention was placed on ethical content areas that are unique to a systemic approach to therapy. The future direction of ethics instruction was examined to determine whether instructors would significantly alter ethics education in the future. A series of paired t tests for within-group comparisons was used to determine if significant differences existed between the current and desired emphasis placed on 16 educational goals and 34 content areas. With the exception of four goals, there were statistically significant differences (p<.05) between the current and future emphasis placed on all other goals by ethics instructors. There were also statistically significant differences (p<.05) between the current and future emphasis placed on 22 of the 34 content areas by ethics instructors. These results indicated that the majority of ethics instructors place emphasis on these goals and content areas, but acknowledge a desire to place greater emphasis on them in the future. A series of t tests for independent groups determined that there were no significant differences (p<.05) between accredited and non accredited programs in the degree of emphasis currently placed on any of the specified goals or content areas. / Ph. D.

The purpose of this study was to contribute an increased understanding of therapists' experiences working with therapy dogs in couple and family therapy. This qualitative study sought to describe the overall experience of therapists who work with therapy dogs in couple and family therapy, including managing the therapy dog's presence with more than one client and the benefits and challenges of doing so. Eight individuals participated in semi-structured interviews and areas of inquiry included how therapists made the decision to work with a therapy dog, how the therapy dog was managed in session, the impact of the therapy dog's presence (e.g. benefits and challenges), and recommendations for therapists who aspire to work with Canine-Assisted Psychotherapy (CAP) in their practices. The data was analyzed using transcendental phenomenology. Findings from the data analysis suggest that the majority of therapists who use CAP with couples and families find it to be beneficial for the therapists, the couples and families, and the therapy dog, with only a few challenges. Participants focused more on being flexible and observing the system's dynamics surrounding the therapy dog, whereas in individual therapy it appears that therapy dogs are included to fulfill a treatment goal or enhance a therapy model. Additionally, the majority of participants reported on the therapy dog's ability to help the therapist better understand their couple and family clients and overcome particular challenges when working with more than one client. The findings contribute to the CAP literature, have clinical implications, and provide areas for further exploration. / Master of Science / The purpose of this study was to contribute an increased understanding of therapists’ experiences working with therapy dogs in couple and family therapy. This qualitative study sought to describe the overall experience of therapists who work with therapy dogs in couple and family therapy, including managing the therapy dog’s presence with more than one client and the benefits and challenges of doing so. Eight individuals participated in semi-structured interviews and areas of inquiry included how therapists made the decision to work with a therapy dog, how the therapy dog was managed in session, the impact of the therapy dog’s presence (e.g. benefits and challenges), and recommendations for therapists who aspire to work with Canine-Assisted Psychotherapy (CAP) in their practices. The data was analyzed using transcendental phenomenology. Findings from the data analysis suggest that the majority of therapists who use CAP with couples and families find it to be beneficial for the therapists, the couples and families, and the therapy dog, with only a few challenges. Participants focused more on being flexible and observing the system’s dynamics surrounding the therapy dog, whereas in individual therapy it appears that therapy dogs are included to fulfill a treatment goal or enhance a therapy model. Additionally, the majority of participants reported on the therapy dog’s ability to help the therapist better understand their couple and family clients and overcome particular challenges when working with more than one client. The findings contribute to the CAP literature, have clinical implications, and provide areas for further exploration.