The evidence base of family therapy and sistemic practice

Author/s Peter Stratton, Luigi Schepisi
Publishing Year 2017 Issue 2016/44
Language Italian Pages 34 P. 5-38 File size 264 KB
DOI 10.3280/PR2016-044001
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This review describes the basis of systemic family and couples therapies (SFCT). We report a substantial number of current meta-analyses and systematic reviews that all point to a strong positive conclusion about the general effectiveness of the approach. We identify 72 conditions for which SFTC has been researched. These reviews demonstrate efficacy and in many cases effectiveness in the conditions for which significant data have been published. However there are significant areas in which published research does not yet allow conclusions to be drawn. The research review demonstrates that SFCTs are effective, acceptable to clients, and cost effective for a sufficient range of conditions to give confidence that the wide application in current practice is justified and could usefully be extended.

Keywords: Systemic, family therapy, couple therapy, evidence, outcome.

  1. Bachler E., Frühmann A., Bachler H., Aas B., Strunk G., Nickel M. (2016). Differential effects of the working alliance in family therapeutic home-based treatment of multi-problem families. Journal of Family Therapy, 38: 120-148. DOI: 10.1111/1467-6427.12063
  2. Baldwin S.A., Christian S., Berkeljon A., Shadish W.R. (2012). The effects of family therapies for adolescent delinquency and substance abuse: A meta-analysis. Journal of Marital and Family Therapy, 38(1): 281-304.
  3. Baucom D.H., Belus J.M., Adelman C.B., Fischer M.S., Paprocki C. (2014). Couple-Based Interventions for Psychopathology: A Renewed Direction for the Field. Fam. Proc., 53: 445-461.
  4. Bertrando P., Cecchin G., Clerici M., Beltz J., Milesi A., Cazzullo C.L. (2006). Expressed emotion and Milan systemic intervention: A pilot study on families of people with a diagnosis of schizophrenia. Journal of Family Therapy, 28: 81-102.
  5. Borcsa M., Stratton P. (Eds.) (2016). Origins and Originality in Family Therapy and Systemic Practice. Springer: N.Y.
  6. Carr A. (2014a). The evidence-base for family therapy and systemic interventions for child focused problems. Journal of Family Therapy, 36: 107-157.
  7. Carr A. (2014b). The evidence-base for couple therapy, family therapy and systemic interventions for adult-focused problems. Journal of Family Therapy, 36: 158-194.
  8. Carr A. (2016). How and Why Do Family and Systemic Therapies Work? Australian and New Zealand Journal of Family Therapy, 37: 37-55.
  9. Chenail R.J., St. George S., Wulff D., Duffy M., Wilson Scott K., Tomm K. (2012). Clients’ relational conceptions of conjoint couple and family therapy quality: A grounded formal theory. Journal of Marital and Family Therapy, 38(1): 241-264.
  10. Crane D.R. (2008). The cost effectiveness of family therapy: A summary and progress report. Journal of Family Therapy, 30: 399-410.
  11. Crane D.R., Payne S.H. (2011). Individual versus family therapy in managed care: Comparing the costs of treatment by the mental health professions. Journal of Marital and Family Therapy, 37(3): 273-89.
  12. Crane D.R., Christenson J.D. (2012). A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy. Contemporary Family Therapy, 34: 204-216.
  13. Crane D.R., Christenson J.D., Dobbs S.M., Moore A.M., Pedal F.F.C., Ballard J., Marshall E.S. (2013). Costs of treating depression with individual versus family therapy. Journal of Marital and Family Therapy, 39(4): 457-469.
  14. Dakof G.A., Henderson C.E., Rowe C.L., Boustani M., Greenbaum P.E., Wang W., Hawes S., Linares C., Liddle H.A. (2015). A Randomized Clinical Trial of Family Therapy in Juvenile Drug Court. Journal of Family Psychology, 29(2): 232-241.
  15. Darwiche J., de Roten Y. (2015). Couple and Family Treatments: Study Quality and Level of Evidence. Fam. Proc., 54: 138-159.
  16. Guo X., Slesnick N. (2013). Family versus individual therapy: Impact on discrepancies between parents’ and adolescents’ perceptions over time. Journal of Marital and Family Therapy, 39: 182-194.
  17. Gurman A.S., Burton M. (2014). Individual therapy for couple problems: Perspectives and pitfalls. Journal of Marital and Family Therapy, 38: 470-483.
  18. Hamilton E., Carr A. (2016). Systematic Review of Self-Report Family Assessment Measures. Family Process, 55 (1): 16-30.
  19. Hamilton S., Moore A.M., Crane D.R., Payne S.H. (2011). Psychotherapy dropouts: Differences by modality, license, and DSM-IV diagnosis. Journal of Marital and Family Therapy, 37(3): 333-343.
  20. Hunger C., Bornhäuser A., Link L., Schweitzer J., Weinhold J. (2014). Improving Experience in Personal Social Systems through Family Constellation Seminars: Results of a Randomized Controlled Trial. Fam. Proc., 53: 288-306.
  21. Jones E., Asen E. (2000). Systemic couple therapy and depression. London & New York: Karnac Books.
  22. Keiley M.K., Zaremba-Morgan A., Datubo-Brown C., Pyle R., Cox M. (2015). Multiple-family group intervention for incarcerated male adolescents who sexually offend and their families: Change in maladaptive emotion regulation predicts adaptive change in adolescent behaviors. Journal of Marital and Family Therapy, 41: 324-339.
  23. Kissane D.W., Bloch S. (2002). Family focused grief therapy. A model of family-centred care during palliative care and bereavement. Buckingham & Philadelphia: Open University Press.
  24. Liddle H.A. (in press). Multidimensional Family Therapy: Evidence Base for Transdiagnostic Treatment Outcomes, Change Mechanisms and Implementation in Community Settings. Family Process.
  25. Liddle H., Rigter H. (2013). How developmental research and contextual theory drive clinical work with adolescents with addiction. Harvard Review of Psychiatry, 21(4): 200-204.
  26. Moore A.M., Hamilton S., Crane D.R., Fawcett, D. (2011). The Influence of Professional License Type on the Outcome of Family Therapy. The American Journal of Family Therapy, 39(2): 149-161.
  27. Parra-Cardona J.R., López-Zerón G., Domenech Rodríguez M.M., Escobar-Chew A.R., Whitehead M.R., Sullivan C.M., Bernal G. (2016). A Balancing Act: Integrating Evidence-Based Knowledge and Cultural Relevance in a Program of Prevention Parenting Research with Latino/a Immigrants. Fam. Proc., 55: 321-337.
  28. Perrino T., Pantin H., Huang S., Brincks A., Brown C.H., Prado G. (2016). Reducing the Risk of Internalizing Symptoms among High-risk Hispanic Youth through a Family Intervention: A Randomized Controlled Trial. Fam. Proc., 55: 91-106.
  29. Pilling S., Roth A.D., Stratton P. (2010). The competences required to deliver effective systemic therapies.
  30. Pinquart M., Oslejsek B., Teubert D. (2016). Efficacy of systemic therapy on adults with mental disorders: A meta-analysis, Psychotherapy Research, 26 (2): 241-257. DOI: 10.1080/10503307.2014.935830
  31. Pote H., Stratton P., Cottrell D., Shapiro D., Boston P. (2003). Systemic family therapy can be manualized: Research process and findings. Journal of Family Therapy, 25: 236-262. DOI: 10.1111/1467-6427.00247
  32. Retzlaff R., Beher S., Rotthaus W., Schweitzer J., Sydow K. (2009). Systemische Therapie mit Erwachsenen, Kindern und Jugendlichen. Zum aktuellen Stand der Wirksamkeitsforschung. Familiendynamik, 34: 284-295.
  33. Retzlaff R., Sydow K., Beher S., Haun M.W., Schweitzer J. (2013). The efficacy of systemic therapy for internalizing and other disorders of childhood and adolescence: A systematic review of 38 randomized trials. Family Process, 52(4): 619-52.
  34. Rohrbaugh M., Shoham V., Spungen C., Steinglass P. (1995). Family systems therapy in practice: A systemic couples therapy for problem drinking. In: B. Bongar & L. Beutler (Eds.), Comprehensive textbook of psychotherapy: Theory and practice (pp. 228-253). New York: Oxford University Press.
  35. Sanderson J., Kosutic I., Garcia M., Melendez T., Donoghue J., Perumbilly S., Franzen C., Anderson S.A. (2009). The measurement of outcome variables in Couple and Family Therapy research. The American Journal of Family Therapy, 37: 239-257.
  36. Sawyer A.M., Borduin C.M. (2011). Effects of multisystemic therapy through midlife: A 21.9-year follow-up to a randomized clinical trial with serious and violent offenders. Journal of Consulting and Clinical Psychology, 79(5): 643–652.
  37. Sexton T.L., Alexander J.F. (2003). Functional Family Therapy: A mature clinical model. In T. Sexton, G.Weeks, & M. Robbins (Eds.), Handbook of family therapy. New York: Brunner/Routledge.
  38. Sexton T.L., Coop Gordon K., Gurman A., Lebow J., Holtzworth-Munroe A., Johnson, S. (2011). Guidelines for classifying evidence-based treatments in couple and family therapy. Family Process, 50: 377-392.
  39. Sexton T.L. and Datchi C. (2014). The Development and Evolution of Family Therapy Research: Its Impact on Practice, Current Status, and Future Directions. Family Process, 53: 415-433.
  40. Shadish W.R., Baldwin S.A. (2003). Meta-analysis of MFT interventions. Journal of Marital and Family Therapy, 29: 547-570.
  41. Sheridan M., Peterson B.D., Rosen, K.H. (2010). The Experiences of Parents of Adolescents in Family Therapy: A Qualitative Investigation. Journal of Marital and Family Therapy, 36(2): 144-157.
  42. Simon G., Chard A (2014). Systemic Inquiry: Innovations in systemic practice research. Farnhill: Everything is Connected Press.
  43. Sprenkle D.H. (2012). Intervention Research in Couple and Family Therapy: A Methodological and Substantive Review and an Introduction to the Special Issue. Journal of Marital and Family Therapy, 38: 3-29.
  44. Stanton M.D., Todd T.C. (1982). The family therapy of drug abuse and addiction. New York: Guilford Press.
  45. Stouwe Van der T., Asscher J.J., Stams G.J.J.M., Dekovic M., van der Laan P. H. (2014). The effectiveness of multisystemic therapy (MST): A meta-analysis. Clinical Psychology Review, 34: 468-481.
  46. Stratton P. (2005). Family Therapy in Focus. Journal of Family Therapy, 27: 423-425.
  47. Stratton P. (2011). The Evidence Base of Systemic Family and Couples Therapy.
  48. Stratton P. (2013). Manuals: a secure base for playful therapy? Human Systems: The Journal of Therapy, Consultation and Training, 24: 176-187.
  49. Stratton P., Reibstein J., Lask J., Singh R., Asen E. (2011). Competences and occupational standards for systemic family and couples therapy. Journal of Family Therapy, 33: 123-143.
  50. Stratton P., Silver E., Nascimento N., McDonnell L., Powell G., Nowotny E. (2015). Couples and Family Therapy in the Previous Decade – What does the evidence tell us? Contemporary Family Therapy. 27: 1-12.
  51. Sydow K., Beher S., Schweitzer J., Retzlaff R. (2010). The Efficacy of Systemic Therapy With Adult Patients: A Meta-Content Analysis of 38 Randomized Controlled Trials. Family process, 49(4): 457-485.
  52. Sydow K., Retzlaff R., Beher S., Haun M., Schweitzer J. (2013). The Efficacy of Systemic Therapy for Childhood and Adolescent Externalizing Disorders: A Systemic Review of 47 RCTs. Family Process, 52(4): 576-618.
  53. Szapocznik J., Schwartz S.J., Muir J.A., Brown C.H. (2012). Brief Strategic Family Therapy: An intervention to reduce adolescent risk behavior. Couple and Family Psychology: Research and Practice, 1(2): 134-145.
  54. Wesselhoeft R., Sorensen M.J., Heiervang E.R., Bilenberg N. (2013). Subthreshold depression in children and adolescents. A systematic review. Journal of Affective Disorders, 151: 7-22

Peter Stratton, Luigi Schepisi, L’evidence-base della terapia familiare e della pratica sistemica in "RIVISTA DI PSICOTERAPIA RELAZIONALE " 44/2016, pp 5-38, DOI: 10.3280/PR2016-044001