Training experiences of international doctoral students in marriage and family therapy

Recognizing mental health needs of diverse populations, emphasizing cultural diversity, and recruiting ethnic minority students are important foci of current of marriage and family therapy training programs. However, the profession has made little progress in identifying the needs and experiences of its international students and practitioners. This research examines the experiences of doctoral-level international students across the areas of theory, clinical training, supervision, practice, and research. A qualitative methodological approach was used to explore the research questions. Thirteen in-depth interviews were conducted. Findings revealed that most respondents experienced some adjustment problems, want more academic and career support, and need increased recognition for their cultural differences. Recommendations for training international students are included.     

Towards a Multicultural Society: Family Therapy with Greek Families†

Language and cultural differences can pose barriers to effective intervention in migrant families in conflict. Family therapy approaches can provide some useful strategies for overcoming these obstacles. A family therapy approach can (1) emphasise the value of utilizing natural network support systems; (2) provide a model which helps clarify communication problems arising in the relay of information through a third person acting as an interpreter; (3) underline the importance of non-verbal and process aspects of family communication; (4) suggest techniques for negotiating, joining, and finding commonalities of family experience between a therapist and family of different ethnic background. The therapist needs to develop sensitivity to both the universal and specific ethno-cultural structures, norms and problems of families; when this sensitivity is achieved powerful and culturally syntonic healing forces can be released. Examples of successful family therapy interventions in some Greek families in conflict are given.     

Family Therapy Training in Israel*

In Israel the difficulties met with in training social workers in family therapy arise from inherent resistance to change in social and other professional agencies and from insufficient experience in the methodology of training. The family in Israel—a developing country—is undergoing wide-reaching social and cultural changes, which make for additional difficulty in using training models developed in other countries. Nevertheless, graduates of the family therapy program of the Institute for Training and Continued Education of Social Workers in Tel-Aviv, Israel, have shown substantial improvement in several areas of working with problem families.     

Cultural diversity competencies in child and youth care services in Portugal: Development of two measures and a brief training program

Few researchers have examined the training of child care workers in cultural diversity competencies, despite the growing number of ethnic minority children and youth in residential care. The present paper reports two studies. In study 1, we aimed to adapt and develop two measures of cultural diversity competencies—a self-report questionnaire and an objective measure based on a case vignette (n = 51). In study 2, we proposed a brief training program. A quasi-experimental design (n = 30) was used, with cultural competencies being evaluated before and after the training. Results revealed that (1) child care workers tended to over-estimate their self-perceived competence and that (2) the experimental group was more capable of including cultural elements in their definition of strategies and relational aspects of intervention after a brief training than the group that received no training (control). Implications of this study are discussed for further development of cultural diversity competencies in professionals working in residential child care.     

Bridges to the past: a Lemko family history explored through letters. An ethnographic case study

The paper is a case study of one Lemko (Ukrainian) family whose members experienced emigration to Canada, ethnic discrimination, war, ethnic cleansing, dispersals, and assimilation. It is based on the analysis of almost 80 letters that were sent to Canada from Poland and the Soviet Union between 1945 and 1975. The author presents the impact of great historical events on the lives of the members of one family. She explains the content of the letters with reference to the wider cultural and historical context, and the narrative told by the owner of the letters, the son of the addressees, a Lemko of Ukrainian identity born in Canada. The analysis reveals the problematic role of family letters in the evolution of family relationships in circumstances where the correspondents live in mutually “untranslatable” realities. This is territory for the cultural anthropologist, whose work it is to translate cultures. In this case, the anthropologist tries to translate distant cultural and historical contexts for the use of the letters’ owner.     

Integrating Family Therapy Training in a Clinical Psychology Course

Teaching family therapy to clinical psychology trainees is not common practice in Australian clinical psychology training programs. There is sparse discussion in the literature. Family therapy is an evidence based intervention that complements a diversity of established theories and psychotherapies and would complement the intervention skills of trainee clinical psychologists. The aim of this paper is to illustrate how family therapy training may be integrated into a postgraduate clinical psychology course. The literature on core family therapy knowledge, skills and training methods will form the backdrop to a review of specific family therapy training courses for clinical psychology trainees. This will then be mapped against a consideration of accreditation requirements of clinical psychology courses in Australia and suggestions made for integrating family therapy into their training curriculum. Anecdotal feedback from students provides an initial step toward evaluation.     

Getting Comfortable as “Fish Out of Water”: Using Qualitative Research Methods Training to Enhance the Technical Capacity of Family Therapy Trainees

This article describes a qualitative research methods training project undertaken in a COAMFTE‐accredited family therapy master’s‐level program. Graduate students were trained to collect research data for a qualitative study on the resilience of families displaced to the United States because of war and politically motivated violence in their country of origin. By involving trainees in a research project with refugees, the project was intended to address a gap in clinicians’ training, specific to the refugee population (Miller, Muzurovic, Worthington, Tipping, and Goldman, American Journal of Orthopsychiatry 2002; 72 : 341). However, the training process was also a way to increase the students’ skills at interviewing in complex situations, develop their cultural sensitivity beyond awareness, enhance their capacity for routine self‐reflection, and introduce them to basic practices of qualitative research methodology. In this article, we focus on the students’ experience of the training and discuss the potential implications of their feedback for family therapy training.     

Enrichment Role-Playing as a Step in the Training of Family Therapists

In recent years increasing attention has been devoted to the training of family therapists. This paper focuses on the difficulties inherent in such training, and the benefits provided by an alternative model based on enrichment role-playing. This technique provides a much needed step in the systemization of family therapy training. Specific benefits include: (a) an optimal environment for teaching basic relationship skills, (b) security for the student and clarity of perceptions for the supervisor, and (c) an opportunity for the trainee to learn family diagnostics. A brief review of family therapy training, marital and family enrichment, and role-playing precedes discussion of the enrichment role-playing technique. Case material is presented to illustrate the trainee's experience.     

Making space for racial dialogue: our experience in a marriage and family therapy training program

Marriage and family therapy (MFT) training programs need to create opportunities for all students to develop cultural competency by raising their racial awareness and sensitivity. Likewise, therapists of color need to be offered space in MFT programs to voice their experiences and venues for their voices to be heard. This article reports on the efforts within a master's level, accredited MFT training program to create space, through participatory action research, for the unique experiences of therapists of color and White therapists who are deeply committed to racial sensitivity.     

Psychological Testing in Child Custody Evaluations With Ethnically Diverse Families: Ethical Concerns and Practice Recommendations

Given increasing ethnic diversity of divorcing families, it is more important than ever for family court evaluators to understand the ethical concerns and principles underlying the use of psychological testing with ethnic family members. Major professional organizations have promulgated the guidelines of child custody evaluation with an imperative to consider cultural factors in the evaluation. However, there is a paucity of literature that addresses ethnicity and psychological testing in child custody evaluations. This article addresses three major ethical domains: (a) competence, (b) test fairness, and (c) test interpretation when psychological tests are used. Practice recommendations provide guidelines to ensure ethical standards and competence in using psychological testing with ethnically diverse families in child custody and other family court evaluations.     

Getting to Know the Piece of Fluff in Our Ears: Expanding Practitioners' Cultural Self-Awareness

Israel being a multicultural society with a variety of ethnic groups, the delivery of culturally competent services is a crucial issue in social work practice. This paper describes the outcomes of a training model for cultural competence applied with social work graduate students in Israel. The model, based on work with immigrants' narratives, increased the cultural self-awareness of the trainees. Presented are conceptual and technical aspects of the training model as well as outcomes of an evaluation study. Fifty-one trainees submitted a short account of their personal experiences following the training. The reports indicated expansion in the trainees' cultural self-awareness: awareness of their own and their families' immigration experiences as well as of other transitions in their lives. Training elements that made this outcome possible are discussed.     

Integrative Family Therapy for Child Behavioural Problems in a Parenting Support Agency

This paper describes family therapy for behavioural problems in a parenting support agency. It discusses the literature on the effectiveness of family therapy with child behaviour problems within a community support environment. The paper presents a detailed family case study, which is discussed from an integrative family therapy framework. Narrative therapy is used as an overarching framework for integrating systemic therapy and parenting skills to help a family with a mixed cultural Aboriginal and Australian background. This allows sessions that are meaningful for the family and encourages a connection to their own resources and to their community, besides creating a safe space for a dialogue that hears and values all voices.     

The treatment needs of victims/survivors of child sexual abuse (CSA) from ethnic minority communities: A literature review and suggestions for practice

One significant finding from an exhaustive literature review on child sexual abuse (CSA) and ethnic minority communities is that victims appear to be at higher risk for suicidality. This may be due to the many barriers to professional help-seeking in this group, most commonly associated with protecting the family's name. This makes their treatment needs particularly critical, after the barriers have finally been crossed. Of all their treatment needs, cultural competency is identified as essential. It asks for non-racist attitudes and practice, self-reflection and awareness, a ‘multicultural framework’ which recognises differences in power between mainstream and minority groups and respects the right to cultural differences, the provision of an interpreter trained in matters to do with sexual assault, choice about having an ethnically matched or non-matched service provider (and thus employment of workers from diverse backgrounds), the routine provision of training in cultural competency by management in service organisations, and mandatory data collection on variables related to ethnicity. A ‘multicultural framework’ is seen to be the most important of these elements, else it could lead to the vilification of collectivist and patriarchal cultures (which ethnic minority communities tend to be), threatening cultural safety. This adds trauma to the victim who has already suffered an abuse of power, and further alienates clients in critical need of clinical intervention.     

From Filial Piety to Religious Piety: Evangelical Christianity Reconstructing Taiwanese Immigrant Families in the United States1

While current scholarship suggests that immigrant religion reproduces ethnic traditions, this article suggests that religion can also challenge and transform ethnic traditions. Like other immigrants from Confucian cultures, Taiwanese immigrants find that their Confucian family traditions are difficult to maintain in the United States. The immigrant church is an important community institution that offers new models of parenting and family life. This article discusses how through the influence of evangelical Christianity, the immigrant church reconstructs Taiwanese immigrant families by (i) shifting the moral vocabulary of the family from one of filial duty to religious discipleship; (ii) democratizing relationships between parents and children; and (iii) consecrating the individuality and autonomy of children. These new models of family life both reproduce and alter Taiwanese traditions in the United States. Religion mediates and shapes immigrant cultural assimilation to the United States.     

Family Influences on Intermarriage Attitudes: A Sibling Analysis in the Netherlands

This study examined the influence of the family on native Dutch attitudes toward having ethnic minority members as kin through marriage using multiactor data from the Netherlands Kinship Panel Study (N = 1,652). Results from multilevel models showed that 28% of the variation in ethnic attitudes can be ascribed to the family. We investigated different pathways through which the family affects these attitudes; 60% of the family influence was explained. Results revealed that the intergenerational congruence of attitudes and the transmission of attitudes and structural and cultural positions are important mechanisms. Furthermore, family characteristics in adulthood—strength and warmth of family relationships—related to intermarriage attitudes, and the strength of family relationships moderated attitude congruence within families.     

Ethnic validity: A model for families on uncharted seas

This paper provides an ethnic validity framework as a model for conceptualizing and understanding the lives of ethnic minority families and the individuals in them. It outlines the ecological context of minorities (nonculture- defining groups) in a culture defined and dominated by a culture- defining group majority. Cross- ethnic/racial and cross- cultural studies organized around themes of acculturation and psychosocial competence are cited to substantiate the utility of this model. Their findings also provide a basis for outlining individual, family, and societal intervention approaches which can facilitate each group's ethnic validity and lead to a culturally diverse society which is more equitable for all of its members.     

Youth–Family,Youth–School Relationship,and Depression

This study sought to examine the association between adolescents’ relationship with family and school and depressive symptoms across ethnic/racial groups (White, Black, Hispanic, and Asian), and to test potentially unique explanatory power in youth–family relationship versus youth–school relationship, in a sample of 4,783 adolescents. Depressive symptoms were assessed with a 19-item, modified Center for Epidemiologic Studies-Depression Scale (CES-D). The results indicated that youth–family relationship and youth–school relationship were significant predictors of adolescent depression. However, the findings of the study indicated that unique contributions by youth–family relationship and youth–school relationship were different by racial/ethnic groups. These findings elucidate protective factors for adolescent depression and highlight the importance of cultural context of each racial/ethnic group.     

Sociocultural and epidemiological issues in the assessment of domestic violence

This paper presents alternative models for the integration of multicultural issues in research on domestic violence. Issues are discussed that illustrate ethnic specific strengths, concerns, and weaknesses of ethnic families and communities. These issues need to be incorporated in future research that more thoroughly examines ethnic and cultural issues in violence research. Alternative strategies for future research are also suggested which call for the incorporation of ethnic and cultural issues on an ongoing basis, so that commonalities across studies can emerge and we can begin to understand the cultural context of domestic violence.     

Kinship Care: A Cultural Resource of African American and Latino Families Coping with Parental Substance Abuse

SUMMARY

This paper examines kinship care as a cultural resource used by African American and Latino families coping with substance abuse by a family member. Although there is a growing body of literature on kinship care, there are no conceptual or empirical studies that have drawn or built on cultural similarities between these two groups of ethnic minority families. A framework that prioritizes cultural assessment and relevance in using familial and cultural resources is proposed to assist practitioners confronted with the demographic realities of working with social, clinical and ethnocultural complexities when serving ethnic minority families. The framework is based on practice implications raised by recent studies on kinship care and from the perspective of pertinent cross-cultural and anthropological literature.     

A MODEL FOR TRAINING PRACTICING PROFESSIONALS IN FAMILY THERAPY*

This paper offers a model for high quality training in family therapy. The unique aspects of the Family Consortium's model are that it: (a) is aimed at practicing professionals; (b) emphasizes structural family therapy principles with strategic and experiential elements; (c) is geared secondarily toward training members as effective peer consultants and trainers; and (d) uses an awareness of the isomorphic nature of training, therapy and family transactions. Part I describes the practical organization structure of the Consortium. Part II discusses the current theoretical philosophy and training approach of this evolving group. Examples are given of how the Consortium has dealt with specific training issues.