Attachment insecurities and heightened negative emotions during conflict are significant risk factors for intimate partner violence (IPV). Previous research mainly examined each partner's attachment separately and overlooked negative emotions as a mechanism in the attachment-IPV link. This dyadic observational study conducted among 178 young adult couples examined (1) the interplay between both partners' attachment (i.e., pairings) in association with their IPV perpetration and (2) the contribution of negative emotions during a conflict discussion in these associations. Results revealed that one's avoidance was positively linked with their IPV only when their partner showed low levels of avoidance. One's avoidance was also indirectly associated with their own IPV through their own negative emotions, and to their partner's IPV via their partner's negative emotions. Finally, one's anxiety was indirectly linked with their own IPV through their own negative emotions. Findings support prevention and intervention strategies for IPV that target attachment and negative emotions.

Although coercive control has been studied in unhealthy relationships, all couples navigate some amount of control and freedom as they interact. Varied prevalence estimates and definitions of control suggest a need to better define the continuum of control in mild and extreme forms, including non-physically violent forms of control. The purpose of this qualitative study was to expand knowledge of control in relationships by examining the whole continuum of partners' experiences of control and freedom. Using constructivist grounded theory methods, data on control and freedom from 66 semi-structured interviews were analyzed to examine how partners describe control and freedom in their relationships. Findings highlighted nuanced forms of emotional abuse within the continuum of control and the value of openness and support in developing freedom. Clearer conceptions of milder and non-physical forms of control may aid clinicians in identifying elusive processes of control and helping partners support each other's freedom.

Cumulative childhood trauma (CCT) increases the risk of relationship difficulties in adulthood. Couples welcoming a new child are particularly prone to relationship distress, and CCT survivors may be especially vulnerable during this period. This study examined the association between CCT and relationship satisfaction and tested the role of parental alliance in this association. A random sample of 1136 different-gender parental couples completed online self-report questionnaires. Path analyses guided by the Actor-Partner Interdependence Model revealed that parents' CCT was associated with their own lower relationship satisfaction through their own and their partner's parental alliance in both mothers and fathers. Results also revealed dyadic associations between one parent's CCT and their partner's relationship satisfaction through their own and their partner's parental alliance. These findings support the relevance of couple interventions focusing on the parental alliance to improve relational well-being in parental couples where one or both partners have experienced CCT.

This paper explores the concept of "affordances" for relational healing that clients implicitly bring with them to therapy. It highlights the therapist's perception of such affordances as a first step toward conceiving of opportunities to take certain initiatives to enable relational wellness. As therapists become increasingly aware of the multiple possibilities that clients afford them to intervene, they are more liable to utilize such opportunities when doing therapy. By sharpening their observational skills to perceive these affordances, therapists may more readily conceive of associated therapeutic opportunities and initiate relevant interventions. We start with some background theory and then present a few vignettes of clinical work to illustrate the application of these concepts in the course of family therapy.

Scholars from counseling fields have long urged therapists to recognize the moral imperative of promoting justice and co-creating a more equitable society. Because of their systemic lens, couple, and family therapists (CFTs) are uniquely poised to create systemic change. Scholars in the CFT field have underscored the importance of social justice for decades. However, little empirical evidence exists in the CFT field on how social justice is being prioritized. Using Freire's critical consciousness, this study explores CFT's social justice practices utilizing a national sample of CFTs (n = 22). This study investigates how participants define social justice, develop critical consciousness, address oppression, and practice advocacy. Clinical implications for CFTs to provide culturally responsive services and improve advocacy are discussed.

Family rituals are meaningful interactions with benefits for individuals and families. Previous research has linked family ritual meaning with quality of life (QoL), yet the mechanisms that explain this association are not fully known. The present research examined parental burnout, an exhaustion disorder related to parenting, as a mediator in the association between family ritual meaning and QoL. Participants were 109 Portuguese married couples with at least one child up to 18. Partners individually completed the Family Ritual Questionnaire, the Parental Burnout Assessment, and the EUROHIS-QOL-8. The results showed that women attributed more meaning to family rituals and reported higher levels of parental burnout than men. Family ritual meaning was negatively associated with parental burnout and positively associated with QoL, for both partners. The mediation analysis showed that family ritual meaning was associated with QoL, directly and indirectly via parental burnout. Findings can contribute to strengthening evidence-based interventions with families.

Relational teaching emphasizes the development of the student in the context of the teacher-student relationship. Given that the field of marriage and family therapy (MFT) emphasizes relationships as central to the discipline, relational teaching practices provide an approach for MFT educators to train relationally attuned, socially just clinicians. We conducted a narrative review of published research from 2003 to 2023 on the conceptualization and application of a relational teaching framework in mental health clinical education programs. After screening, a total of 25 articles were identified for analysis. Four themes were identified within the literature: (1) using isomorphism to teach relational skills, (2) addressing power, (3) course application, and (4) obstacles to implementation. The findings of this study suggest that applying a relational framework to MFT education capitalizes on systemic concepts of isomorphism and social justice, conceptualizing the teacher-student relationship as a means to train students in relational processes that are essential in therapeutic relationships.

This study investigates the complex relationships among myths of romantic love, satisfaction, jealousy, infidelity, and involvement in romantic relationships using both undirected and directed network analyses. A Gaussian Graphical Model and a Directed Acyclic Graph were employed to explore these interconnections in a sample of young Peruvian individuals in romantic relationships (n = 386). Results indicate that satisfaction emerges as a key starting point in the directed network, influencing involvement, infidelity, and jealousy. Satisfaction and involvement are central nodes in the undirected network, shaping overall relationship dynamics. The study also reveals that unrealistic beliefs about love and idealized expectations are associated with negative interactions and lower satisfaction, which in turn relates to higher infidelity and jealousy. These findings suggest that strengthening satisfaction may play a crucial role in mitigating negative interaction patterns and fostering healthier relationships.

Providing therapy to families of separation and divorce can be a challenging area of practice for marriage and family therapists, particularly when a child refuses contact with a parent. Several forms of "reunification therapy" designed to overcome resist/refuse dynamics between a child and parent have been proposed, with significant variation across the conceptualization of factors contributing to parent-child contact problems and the resulting treatment models that have been described. In an effort to design an overarching integrative framework for conducting family reunification therapy that is informed by available evidence, a review of the current literature is conducted. Following this review, an integrative single-therapist framework for resolving parent-child contact problems is presented. Over the course of three successive treatment "stages," this framework permits a marriage and family therapist to conduct reunification therapy in an evidence-informed manner along general systemic therapeutic principles while permitting flexibility with respect to the specific interventions selected.

Tracking therapeutic processes and outcomes session to session, known as feedback-informed treatment (FIT), has shown many significant benefits for systemic family therapists. However, more clinically useful FIT measures are needed in our field. In response, we conceptualize core dimensions of the therapeutic change process and propose a measure-the Change Process Questionnaire (CPQ)-based on some of those dimensions to provide a clinically useful FIT measure. Developed as a 25-item measure, this study evaluated the measure's psychometric properties, resulting in a refined version with 18 items organized into four subscales (client relationships, client well-being, therapist regard, and therapeutic effect) that demonstrate some alignment with core dimensions of the change process. In this article, we provide a preliminary overview of the CPQ's psychometric validity and potential to contribute to the therapeutic change process and its accompanying scholarly literature.

Despite collective conversations about the need for more racial diversity, the field of couple/marriage and family therapy (C/MFT) continues to be occupied predominantly by White individuals. Within the C/MFT literature, several scholar-practitioners have highlighted what the lack of racial representation means for our profession and, more importantly, our clients. C/MFT scholars have also shed light on the distinctive experiences of racially minoritized students and therapists traversing a racially homogeneous discipline. However, a smaller, and often overlooked, demographic in these conversations is supervisors of color. This modified Delphi study enlisted the expert perspectives of eight supervisors of color who each have at least a decade of supervisory experience. Consensus among the panelists emphasized the unique, but often inadequate training needs for supervisors of color and the sociocultural factors that often affect the supervisory relationship. This study provides implications that are critical to fostering the professional development of systemic supervisors of color.

Latine couples, particularly those who are low-income and immigrant, often face significant challenges in relationship and financial functioning, areas in which they are frequently underserved by existing programs. This article aimed to test Juntos en Pareja (JEP), a linguistic and cultural adaptation of the TOGETHER program for Latine couples. JEP is a 20-h, evidence-based psychoeducational curriculum integrating relationship and financial education. This study assessed its acceptability, appropriateness, feasibility, and preliminary effectiveness. Self-report data from 23 Latine low-income, immigrant, heterosexual, Spanish-speaking couples in the Washington, D.C., area were collected in 2019-2020 before (T1) and after program participation (T2) and at 3-month follow-up (T3). Repeated measures analysis of variance (ANOVAs) were used to analyze changes across time in relationship and financial functioning using self-report instruments and observable data from three 8-min discussions. Results indicate that the JEP program is successful in reducing Latine partners' financial stress and emotional dysregulation and improving their financial management abilities, relationship satisfaction, and dyadic coping, but with some important gender differences. JEP is a beneficial program for Latine couples, improving relationship and financial functioning and ultimately fostering greater equity and stability in areas where this population is often underserved.

Role blurring has been associated with negative outcomes, such as anxiety and stress. Paulin et al.'s study found that role blurring is linked to lower relationship satisfaction through higher psychological distress. However, this link has not been explored from a dyadic perspective, neglecting the interrelation between partners in a couple. The current study aimed to address this limitation by examining the explanatory role of psychological distress in the link between role blurring and relationship satisfaction from a dyadic perspective. The sample comprised 382 Canadian participants (191 couples) over 18 years old who answered online questionnaires through the SurveyMonkey platform. The results showed that women's life-work role blurring is negatively associated with their own and their partner's relationship satisfaction through their own more significant psychological distress. These findings underscore the importance of researchers further investigating life-work role blurring in the future from a dyadic perspective.

This meta-analysis synthesized randomized and non-randomized controlled trials of solution-focused brief therapy (SFBT) in Iranian populations, examining the effectiveness and the applications of SFBT in all Iranian settings and evaluated if the various outcomes being studied, research intervention modality, or therapy delivery format made statistical differences in outcomes. A comprehensive search strategy across three Iranian and four US databases, one Iranian conference website, and three professional websites resulted in the inclusion of 34 included studies for meta-analytic analysis. The outcomes reported an overall large significant treatment effect size (d = 0.977, 95% CI: 0.591, 1.37, p < 0.001), with subgroup analysis revealing large effects for interventions for psychosocial and mental health (g = 1.24, p < 0.001) and self-wellness (g = 0.903, p = 0.00274). SFBT was also shown to be effective in group settings (d = 1.04, p < 0.001). Results indicated that SFBT was an effective intervention for Iranian populations.

Healthy sexuality includes relational, emotional, and physical elements as noted in the sexual wholeness model. Genital acceptance (emotional comfort with reactions to genitalia) and physical sexual knowledge (knowledge of the physical aspects of sex) are two areas of physical relationships that may be associated with sexual satisfaction. Attachment is a factor that has been associated with sexual relationships and may be an intervening variable between the physical aspects of sex and sexual satisfaction. Data from a dyadic sample of 515 couples were analyzed. Structural equation modeling was used to estimate the direct and indirect actor and partner effects of physical sexual knowledge and genital acceptance on sexual satisfaction, working through mechanisms of anxious and avoidant attachment. Findings revealed that genital acceptance and physical sexual knowledge, particularly knowledge about the female body, were associated with lower levels of insecure attachment and greater satisfaction with sexual relationships.

This study investigated the prevalence of suicidal risk and associated trajectories of relational satisfaction in couples presenting for therapy using a national clinical data set, the Marriage and Family Therapy Practice Research Network (MFT-PRN). The sample assessed 296 different-sex couples attending couple therapy at sessions one, four, and eight. Nearly a quarter of couples indicated suicidal risk at session one. Dyadic latent growth models revealed that higher suicidal risk had a small but significant association with lower initial relationship satisfaction for men; thus, while the suicidal risk is associated with men's lower relationship satisfaction at intake, it may not continue to have impacts later in treatment. Alternative analyses of 27 same-sex couples revealed a quarter of couples with suicidal risk at session one and that suicidal risk was not associated with relationship satisfaction. Although suicide risk was not associated with changes in relational satisfaction over time, suicidal risk should be assessed for couples presenting to therapy.

Despite the popularity of Solution-Focused Brief Therapy (SFBT) in Iran, the existing literature synthesis has limitations due to the reliance on studies published primarily in Farsi. This systematic review addresses these gaps by synthesizing and evaluating the effectiveness of SFBT on the marital outcomes of couples in Iran, incorporating both Farsi and English sources. The search for this review yielded 1523 records, from which 26 randomized controlled trials were included. The participants across the included studies (n = 1110) were predominantly married women and couples experiencing marital discord, from varied educational backgrounds across multiple Iranian cities. SFBT, primarily delivered in a group format, demonstrated medium to large effect sizes in improving marital outcomes such as dyadic adjustment, satisfaction, and intimacy. However, the presence of bias in study design and reporting necessitates caution in interpreting findings. This review highlights the potential of SFBT to improve marital relationships within the Iranian context.

In the United States, socioeconomic disparities are a reality that shapes the challenges many communities of color experience. Throughout the globe, community-based initiatives have been explored as a way to reduce several barriers that contribute to social inequalities. One in particular, the Promotora framework, has been widely used to improve health outcomes. However, it has yet to be explored to maximize socioeconomic opportunities. The Launch Program, a pre-COVID-19 pilot study, aimed to investigate the experiences of LatinX people in one of the first community programs designed to offer a Promotora-led intervention supporting socioeconomic goals. Researchers collected qualitative data via focus groups from 25 LatinX participants who completed the program. Using narrative thematic analysis, the study explored the potential of a liberatory framework to address employment barriers. Results from this study highlight the benefits of adopting a culturally responsive intervention as a valuable tool in reducing socioeconomic disparities within LatinX populations.

Persistent ethnic-racial discrimination in the lives of minoritized clients requires a better understanding of effective practices for family therapists working with Latino families. Ethnic-racial socialization (ERS) can help mitigate the adverse effects of discrimination; however, ERS practices are less known as a therapeutic tool, resulting in a critical gap in the existing literature and limiting the support that family therapists can provide to Latino families. In response, the current study investigated family therapists' lived experiences facilitating ERS practices with Latino parents in therapy. Semi-structured interviews with family therapists (n = 20) from 10 US states were conducted. A rigorous thematic analysis revealed two key themes related to the approaches used by family therapists for explicitly naming and navigating ERS-related conversations when working with Latino parents and families. The results can inform recommendations for promoting conversations related to race, ethnicity, culture, ethnic-racial discrimination, and immigration with Latino parents in family therapy.

For several decades, to enhance relationship quality, marriage and relationship education (MRE) programs have focused on teaching communication skills and conflict management. However, new explanations reveal that the effectiveness of communication skills in MRE programs may largely depend on virtues. Through a randomized controlled trial (RCT), the present study examined the effectiveness of the Getting Our Hearts Right Program (GOHR; a virtue-based approach) and the Prevention and Relationship Enhancement Program (PREP; a skill-based approach). Forty-five eligible couples (i.e., 90 individuals) were randomly assigned to (a) GOHR intervention condition, (b) PREP intervention condition, or (c) wait-list control condition. The couples filled out the Revised Dyadic Adjustment Scale at baseline, postintervention, and 3-month follow-up phases. The results of both postintervention and 3-month follow-up showed that GOHR was more effective than PREP in improving the spouses' perceived marital adjustment. The findings of this study emphasized the potential value of short-term virtue-based interventions.

This qualitative study explores the lived experiences of parent-child dyads to understand the occurrence of parentification in Chinese families affected by parental depression. Utilizing purposive sampling, families were recruited from community mental health services in Hong Kong, focusing on parents with major depressive disorder and their adolescent children. Data were collected from 14 families through in-depth, semistructured interviews with adolescents (n = 8) and parents (n = 12), as well as dyadic interviews (n = 8), and analyzed utilizing thematic analysis. The central theme, "Complementary Dynamic Interaction: Rippled Relationship," captures the mutual, circular, and reciprocal interactions within parent-adolescent dyads in the context of parental depression. These findings highlight the unique dynamics of parentification in Chinese families affected by parental depression.

This study explored the structural relationships among family of origin health, self-differentiation, mentalization, and marital satisfaction, focusing on indirect effects and gender differences. Data from 400 married Korean adults aged 30-49 were analyzed using structural equation modeling and multigroup analysis. Results revealed that all paths were significant except the direct impact of family-of-origin health on marital satisfaction. Indirect effects analyses confirmed significant individual and sequential indirect effects of self-differentiation and mentalization. Gender differences emerged: mentalization significantly influenced marital satisfaction in men but not in women, while family of origin health directly impacted marital satisfaction in women but not in men. These findings highlight the importance of incorporating self-differentiation and mentalization into couple counseling and suggest the need for gender-sensitive interventions to address marital satisfaction effectively.

Intergenerational family conflict is a commonly identified issue in the Asian diaspora; however, there are limited interventions designed to address this concern. Given this gap in the literature, the authors present a practice article outlining the conceptualization, development, and delivery of a dyadic life review intervention called (Re)Cultivating Family Stories (RFS). RFS is a clinician-facilitated family intervention designed to promote connection and foster successive communication through the joint activity of developing a family story. Life review is a structured approach for reminiscing and evaluating one's life experiences and includes dyadic variants. RFS builds on dyadic life review by facilitating collaborative dialogs between a parent and adult offspring, incorporating culturally responsive elements, and focusing on developing family stories. This article provides an overview of the intervention and its theoretical foundations, along with formative feedback from a field test. Considerations for future implementation and research directions are described.

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth who experience family rejection are at increased risk for depression and suicide. Attachment-Based Family Therapy (ABFT) demonstrates promising results for reducing this risk with LGBTQ youth. This community-participatory, mixed-method study piloted the use of ABFT with LGBTQ youth. Fourteen families completed treatment with adolescent youth, pre- and post-individual and family interviews, and a measure of youth mental health. Post-therapy, 80% of youth showed a significant reduction in psychological distress. The qualitative thematic analysis constructed four themes describing how families present to therapy with emotional distress, caregiver support needed during ABFT, how caregivers acquired new listening and communication skills, and LGBTQ youth experiences of finding freedom to explore and talk about sexual and gender identities. Implications from the study suggest the need to challenge heteronormative emotional structures of families for increasing emotional support of fathers with their LGBTQ children.

Telehealth is a promising means for expanding access to mental health treatment. Yet, more research is needed to ensure that telehealth service delivery is no less effective than in-person treatment in real-world service delivery contexts. In the current study, we compared telehealth delivery of the GenerationPMTO parenting intervention to in-person delivery in the context of the public mental health system. Using a noninferiority approach with a sample of n = 1452 caregivers, we found telehealth delivery to be noninferior to in-person delivery on all caregiver outcomes: parenting practices, parenting confidence, and caregiver depressive symptoms. We were unable to conclude that telehealth delivery was noninferior to in-person delivery for child behavior problems. Our findings add to the literature suggesting the utility of using telehealth to provide services to families-particularly for delivering evidence-based parenting interventions to enhance caregiver outcomes. Implications for couple and family therapy are discussed.

Parental separation itself may be painful for both divorcing parents and children; however, this may not be the only stressful event in family structure among postdivorce families. Most divorced parents may start seeking a new romantic relationship before, during, and/or soon after their divorce or separation is finalized. Given that postdivorce dating may develop as a meaningful, stable, and supportive family tie, such as a stepparent-stepchild relationship, parents must communicate their new relationship with children if this relationship trajectory is anticipated. However, few guidelines based on empirical evidence are available regarding how to appropriately share their postdivorce dating. An overview of the literature on divorced parents' new dating and their communication about this topic with children is provided. Best practices and innovative therapeutic approaches are discussed that are grounded in processes to foster family resilience that practitioners can utilize to better facilitate healthy and positive parent-child communication and family relationships.

Chapman's claim that the key to marital happiness is "speaking" your partner's primary "love language" has been highly influential in pop culture and incorporated into therapeutic practice. However, the theory has not yet been empirically validated. The current study tests his theory, examining the hypothesis that satisfaction with one's partner's primary love language behavior predicts relationship satisfaction better than satisfaction with one's partner's nonprimary love language behavior. We recruited a sample (n = 696, M = 43.8 years, 70% married, 97.3% cohabitating) through Amazon CloudResearch. Chapman's hypothesis was not supported. Participants' satisfaction with their partners' primary love language behavior no better-predicted relationship satisfaction or perceived love than the lower-ranked love languages. Words of Affirmation and Quality Time better predicted perceived love and relationship satisfaction than participants' primary love language. These results replicate previous research and suggest that these should remain targets of intervention for relationship therapists.

The OurRelationship Program is an 8-h web-based program for distressed couples adapted from Integrative Behavioral Couple Therapy. In this pilot randomized controlled trial, we aimed to replicate results from the founders and test feasibility criteria for program implementation across cultures. We randomized 39 Danish, opposite-sex, distressed, parenting couples to either the OurRelationship program or self-guided bibliotherapy (a self-help book with a reading guide). Results showed significant within-group changes in couple and individual functioning; for the OurRelationship, small-to-large effect sizes (d = 0.46-1.35 for relationship functioning, d = 0.29-0.80 for individual functioning), and for Bibliotherapy, small-to-moderate changes (d = 0.49-0.75 for relationship functioning, d = 0.28-0.45 for individual functioning). Differences between conditions were insignificant, except for moderate differences in reductions of communication conflict (d = 0.79) and relationship negatives (d = 0.43) in favor of OurRelationship. While feasibility results were positive, a sustainable implementation requires a resourceful organization and large-scale delivery.

This study explores whether marital quality mediates the effects of a parenting intervention on preschoolers' conduct problems and effortful control. Using data from 209 children in a two-wave randomized controlled trial of the Hitkashrut program, participants were assigned to either a 14-session co-parent training group or a minimal intervention control group. Intent-to-treat analysis revealed that improvements in marital quality significantly mediated the intervention's impact on both conduct problems and effortful control. An alternative model, which hypothesized that changes in child behavior would lead to improvements in marital quality, was not supported, reinforcing the importance of targeting marital dynamics to achieve better child outcomes. These findings highlight the potential of marital-focused strategies within parenting interventions to foster healthier family environments and improve long-term developmental trajectories in children.

The present study utilized a sample of 374 distressed couples seeking therapy to investigate: (1) how partners' adverse childhood experiences (ACEs) and shared religious/spiritual (R/S) practices are associated with their relationship satisfaction at intake and (2) the rate and shape of change in relationship satisfaction over the first six sessions. The results from multilevel modeling (MLM) demonstrated that males' ACEs were negatively associated with both their own and their partners' relationship satisfaction at intake, whereas females' ACEs were negatively associated only with their own satisfaction, not their partners'. Regarding shared R/S practices, only females' reports were positively associated with both their own and their partners' satisfaction at intake; no effects were observed for males' reports. Lastly, changes in relationship satisfaction from sessions one through six were found to be curvilinear, with more rapid change occurring initially, followed by a slowdown as therapy progressed.