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Competing attachment is defined as a relational dynamic where one partner in a romantic relationship turns to someone or something outside of the relationship for comfort, soothing, or other attachment needs. We used path analysis to analyze whether competing attachment predicted relationship satisfaction and whether this relationship was mediated by relational attachment security in adult romantic relationships. We also demonstrated the reliability and validity of the Competing Attachment Scale, which was developed for this study. Participants (N = 151) completed the Competing Attachment Scale (CAS;), the State Adult Attachment Measure, and the Couples Satisfaction Index-16. Competing attachment was found to negatively correlate with relationship satisfaction and state specific attachment security. Additionally, state specific attachment security was found to mediate the relationship between competing attachments and relationship satisfaction. Implications for clinical practice and future research are discussed. [ABSTRACT FROM AUTHOR]

Through the application of a discovery‐oriented task analysis, this research delineated specific therapist behaviors that resulted in a successful caregiver openness event in emotionally focused family therapy (EFFT). EFFT experts were recruited via email and asked to submit family therapy recordings where they believed a caregiver openness event occurred. Ten family therapy recordings were submitted by three experts. Within these recordings, 12 caregiver openness events were discovered and critically analyzed. Nine themes were identified and interventions therapists applied to accomplish these themes were delineated using the emotionally focused therapy‐coding scheme (EFT‐CS). These themes included: (1) validating and reframing the child's protected stance, (2) processing the impact of the child's unmet attachment longings, (3) validating the caregiver's blocked relational stance, (4) expanding caregiving intentions, (5) enacting the caregiver's intentions to meet the child's attachment longings, (6) processing the enactment, (7) processing and promoting caregiver accessibility to the child's response, (8) heightening the caregiver's accessible stance, and (9) enhancing shifting family dynamics. Additional findings, implications for clinical practice, training, and future research are discussed. [ABSTRACT FROM AUTHOR]

The first session in brief strategic therapy is the most critical phase of treatment. More than a mere "assessment phase," the first session in a true intervention sets the stage for all subsequent therapeutic maneuvers. This article presents a supervisory observation tool, the Brief Strategic Therapy Scale-1 (BSTS-1), a fidelity measure proposed as a more formal method of analyzing performance and competency of the therapist for the first session. During scale development, a narrow group of expert judges defined the core skills of therapists and determined the structure/phases of a brief strategic therapy first session. In addition, expert collaborators gave feedback on the scale's usability. This article concludes with the BSTS-1.

Doctoral education in marital and family therapy (MFT) plays a crucial role in the future of the field. In this article, I write about the purposes, diversities, and futures of MFT doctoral education from the perspective of having hired 18 full-time MFT faculty over the last 13 years. I argue that the field needs well-rounded doctoral-level academics and clinicians who have a solid understanding of the foundations of the field and have mastery around theory, clinical practice, and scholarship in order to advance the profession of Marriage and Family Therapy.

Explores marriage and family therapy student's inclusion of gender in conceptualization of a clinical case by viewing an intake interview conducted by a sex therapist to identify the couple's central issue. Results revealed that trained students who considered gender might have analyzed gender issues more extensively. Discusses how these biases can lead to inadequacies in treatment of couples in therapy. (Author/JDM)

Using cross‐sectional and longitudinal data, our study looks at the effectiveness of the Emotionally Focused Therapy (EFT) Externship and Core Skills trainings. It is the first study to evaluate EFT Core Skills trainings and the first to evaluate change longitudinally throughout the standardized EFT training program. We used the Hungarian EFT Knowledge and Competency Scale (Hungarian EFT‐KACS) to examine self‐perceived knowledge, competency, and alliance over three 4‐day training blocks (Externship, Core Skills Modules 1&2, Core Skills Modules 3&4). Results indicate that each training block significantly increased self‐perceived knowledge, competency, and alliance. During the Externship, participants' knowledge increased the most and remained at this level after each training block. Competency showed a more modest but significant increase during the Externship. However, by the end of the Core Skills training, competency showed a significant increase compared to post‐Externship results, demonstrating the unique role of Core Skills training in developing competency in EFT. [ABSTRACT FROM AUTHOR]

Marriage and family therapy training programs aim to provide students with research-based knowledge about marriage and divorce, a group of 223 California-based clinical members of the American Association for Marital and Family Therapy (AAMFT) was surveyed on their endorsement of 21 myths about marriage. Therapists provided correct responses to an average of 9.4 of these items. Endorsement of specific myths correlated with varying demographic, professional and family of origin variables. Implications for therapist training, practice, and future research are discussed.

In response to repeated calls for process research on couple and family therapy, three different process research methodologies - grounded theory, change events analysis, and experimental manipulation - are presented and evaluated. A process research conceptual framework outlining some of the important issues in process research is presented. To illustrate each methodology, three completed process studies are briefly described, and a sample of results is provided. The strengths and weaknesses of each methodology are discussed, along with their role in generating and testing clinically relevant change theories. It is argued that each of these methodologies can provide researchers with important tools for unraveling the processes of change in couple and family therapy and should be used more frequently.

In spite of the fact that gender issues have played an important role in many family therapy training programs, little research has been developed to explore the effects of gender and gender biases in therapists' conceptualizations of client problems. This study explores beginning and advanced marriage and family therapy (MFT) student's inclusion of gender in the conceptualization of a clinical case. To examine clinician's thinking, 32 therapists (18 beginning MFT students and 14 advanced MFT students) were asked to 1) view the first 20 minutes of an intake interview conducted by a sex therapist, and 2) identify the couple's central issues. Qualitative and quantitative analyses were used to explore constructs associated with therapists considerations and inclusion of gender and cultural issues in their conceptualizations of marital difficulties. Results revealed that trained MFT students who considered gender may have analyzed gender issues more extensively than untrained MFT students. In addition, results of qualitative analysis of participant critiques revealed subtle forms of gender and cultural biases. Discussion focuses on how these biases, some of which are linked to clinical theory, can lead to differential expectations and inequality in the treatment of men and women in couple therapy. Implications for clinical training, curriculum development, and future research are also discussed.

Our study adds to the rising field of dissemination and implementation research on Emotionally Focused Therapy. We evaluated the psychometric characteristics of the Hungarian EFT-KACS, examined the impact of the EFT Externship training done through translation on Hungarian therapists, and we investigated how therapist background characteristics related to outcomes. A total of 340 Hungarian professionals completed the questionnaires (N = 152 in 2016; and N = 188 in 2018) at three data collecting points-prior to (N = 329), after the training (N = 254), and 6 months later (N = 101). Results suggest the Hungarian EFT-KACS has similar psychometric properties as the original English version and shows high internal consistency. The 4-day EFT Externship trainings done through translation provided significant, lasting increases in perceived EFT-specific knowledge and competency, and in alliance, similar to findings in English- and Spanish-speaking countries. Externship outcomes were also found to be related to specific therapist experience and background characteristics. [ABSTRACT FROM AUTHOR]

Extradyadic involvement (EDI) is one of the greatest challenges that couples and couples therapists face. Many clinicians and researchers attempt to understand motivations for EDI; however, there is a lack of theory-driven research to support claims of infidelity typologies. The current study explored the relationship between adult attachment dimensions of avoidance and anxiety and the attachment-based typology proposed by Woolley (2010). Results indicate significant differences in attachment anxiety in high anxiety affair types versus low anxiety affair types. Results confirmed significant differences in mean attachment anxiety for participants endorsing multiple affairs. [ABSTRACT FROM AUTHOR]

The purpose of this constructivist grounded theory study was to develop a deeper understanding of the relational system of married couples and God. We interviewed nine marital couples from Christian denominations that reported having a strong relationship with each other and with God together. We used constructivist grounded theory techniques presented by Charmaz (2006) and analyzed emergent categories of behaviors, emotions, and cognitions to construct a theory and model of Christian marital couples and their shared relationship with God. We then compared and contrasted the results and theory to existing literature on attachment theory and theorized a shared attachment to God. We applied the theological concept of kinship covenant to the results in order to organize and situate the theory into a Christian framework. Finally, we discuss clinical, pastoral, and future research implications. [ABSTRACT FROM AUTHOR]