Now showing 1 - 10 of 40
  • Publication
    The psychology of divorce: A synthesis of the literature
    (Irish Society for the Prevention of Cruelty to Children, 1995-11)
    In this synthesis of the international literature on psychological aspects of divorce, the causes and consequences of divorce for parents and children are summarized. The majority of parents and children show no major long-term adverse psychological consequences to divorce. Personal and contextual factors that mediate the impact of divorce on parents and children and that may account of the negative impact of divorce on a minority of parents and children are also examined. The impact of mediation and of post-divorce therapy are described and priorities for research and service development identified.
  • Publication
    Putting families first: An evaluation of Functional Family Therapy in an Irish context
    (Archways Families First, 2014-11) ; ; ;
    Current evidence suggests that up to 20% of Irish adolescents have significant behavioural problems, a figure consistent with results of epidemiological studies of youth mental health problems in other countries.Functional Family Therapy (FFT) has consistently been identified in authoritative international reviews as a family-therapy programme for treating adolescents at risk for juvenile delinquency with a particularly strong evidence-base including many controlled trials, and a well developed training and monitoring system for implementing FFT in new community-based sites.Between 2010 and 2014, a research programme to evaluate the effectiveness and implementation of FFT at Archways Families First was conducted by a research team at University College Dublin, in collaboration with Indiana University, and the team of FFT therapists at Archways Families First. The results of this programme, described in this summary report, provide strong support for the effectiveness of FFT as practiced at Archways Families First in reducing behaviour problems and the risk of juvenile delinquency.
  • Publication
    Therapeutic dilemmas and crisis phonecalls in family therapy: Guidelines for positive practice
    (Family Therapy Association of Ireland, 1996)
    When clients believe that they have not got the personal resources to cope with the demands of either living with their problems or taking steps towards their resolution, stating their therapuetic dilemma may precipitate a therapeutic crisis. A therapeutic dilemma is a concise statement of the disadvantages and difficulties associated with leaving the presenting problem unresolved and the disadvantages and risks entailed by solving the problem. In this paper, a framework for conceptualizing therapeutic crises and guidelines for theri management are described. These guidelines allow the therapist to avoid becoming involved in problem maintenance and to retain a position from whcih to promote problem resolution. The framework and guidelines evolved within the context of a brief integrative approach to consultation with families who require help with child-focused psychosocial difficulties.
  • Publication
    Research on the therapeutic alliance in family therapy
    (Karnac, 2005)
    The chapter opens with a brief description of therapeutic alliance assessment scales that may routinely be used in clinical practice and then research which highlights the strong relationship between the therapeutic alliance and outcome in marital and family therapy is discussed. The remainder of the chapter is a selective review of process research which points to specific practices that therapists may incorporate into their own styles to improve the quality of therapeutic relationships.
  • Publication
    Gender and conversational behaviour in family therapy and live supervision
    The association between supervisors' and therapists' gender and the conversational behaviour of 4 supervisors, 19 trainee family therapists and 20 clients before, during and after 88 live supervisory phone-in events were examined in this study. Clients' co-operation was not directly related to the genders of therapists and supervisors. The quality of supervisors' collaborative behaviour was highest for events in systems where male supervisors were supervising male therapists and lowest for events in systems where male supervisors were supervising female therapists. In systems containing female supervisors and male therapists, therapists engaged in frequent collaborative behaviour and less frequent teaching behaviour with their clients. The quality of therapists’ collaborative and supportive behaviour was highest in these systems. The unexpected results of this study suggest the way supervisors interact with therapists and therapists interact with clients does not conform to gender stereotypic conversational behaviour in which males are directive and females affiliative. It may be that individuals whose conversational behaviour does not conform to gender stereotypes decide to become family therapists or that family therapy training helps people develop alternatives to gender-stereotypical conversational behaviour.
      450Scopus© Citations 8
  • Publication
    Narratives of hope
    (Routledge, 2005-07-28)
    This chapter will begin with a case example which illustrates an integrative approach to the practice of family therapy. In the remainder of the chapter the broad principles of practice which underpin the case study will be sketched. I will also illustrate how this approach helps clients develop hopeful narratives about themselves and their lives. This approach to practice, particularly the formulation of exceptions, has been informed by developments within the positive psychology movement.
  • Publication
    History of family therapy in Ireland. 1. A bird's-eye view
    (Family Therapy Association of Ireland, 2013-01)
    This paper presents an overview of the history of family therapy in Ireland. Profiles of key figures in the development of family therapy in Ireland are contained in a companion paper. In Ireland family therapy is a small profession, with under 200 registered therapists. The Irish family therapy movement began in the mid-1970s. By 1980 the Family Therapy Network of Ireland in the Republic of Ireland and the Northern Ireland Branch of the UK Association Family therapy had been founded. At present there are three main family therapy training centres in Ireland: two in the south (the Mater Hospital, affiliated to University College Dublin and Clanwilliam Institute) and one in the north (at Queen’s University Belfast). These centres run professional family therapy training programmes accredited by national and European psychotherapy associations, with which family therapists register. Accredited professional family therapy programmes in Ireland are 4-year part-time courses culminating in masters level qualifications. A primary degree in medicine, nursing, psychology, social science or education is a prerequisite for entry. The curriculum includes academic tuition and research, clinical practice, and personal development. Family therapists in Ireland work in both private practice and the public health service. Most family therapists in the public sector are employed as social workers, psychologists, psychiatrists or nurses, and conduct family therapy as part of their broader professional roles. Couple therapy in Ireland is provided by family therapists, and also by voluntary couple counsellors based in networks of local centres, some of which were established by religiously affiliated organizations, without a formal connection to national family therapy associations. The three major future challenges for Irish family therapy are creating a research infrastructure, developing a career structure in the public health service, and introducing statutory registration.
  • Publication
    A study of the differential effects of Tomm's questioning styles on therapeutic alliance
    (Edwin Mellen Press, 2001) ;
    This study examined the impact of Tomm’s (1988) four questioning styles on the therapeutic alliance in family therapy using an analogue method devised by Dozier in which families viewed videotaped scenes from simulated family therapy sessions portraying each of Tomm’s questioning styles and rated the alliance between the therapist and family.
  • Publication
    Positive Systemic Practice for Families of Adolescents with Emotional and Behavioural Problems
    Positive Systemic Practice (PSP) is an approach to family therapy for addressing adolescent emotional and behavioural problems. It was developed at Crosscare Teen Counselling, which operates from 6 centres in socially disadvantaged areas of Dublin. The practice of PSP is guided by 10 general principles and 47 specific therapeutic stances which are used to put the principles of PSP into practice. PSP involves adopting a positive, systemic, preventative and normal developmental perspective. Therapy is viewed as involving three distinct phases, in all of which the therapeutic alliance is central, and therapeutic problem-solving is research-informed. Counsellors actively work with resistance to change, operate in two-person teams and evaluate their work. An archival study showed that families of adolescents with significant behavioural and emotional problems, most of whom were self-referred, engaged with PSP for an average of 15 sessions over 4 months. For a subsample of cases where pre- and post-treatment data were available, there was evidence for statistically and clinically significant improvement.
  • Publication
    Fathers in family therapy: Lessons from research
    (Family Therapy Association of Ireland, 1998)
    Treatment outcome research has shown that for 2/3 to 3/4 of cases family therapy is an effective intervention f or child focused problems (Shadish et al, 1993; Pinsof & Wynne, 1995; Carr, 1997). One factor that has consistently been shown to enhance the effectiveness of family therapy is father involvement. Where fathers do not attend at least some therapy sessions , it is more likely that the family will drop out of treatment or that therapy will not lead to problem resolution (Gurman & Kniskern, 1978; Frielander et al, 1994; Bischoff & Sprenkle, 1993). An important question arising from this finding is how best t o engage fathers in family therapy and how to create opportunities within therapy for fathers to contribute to resolving presenting problems (Berg & Rosenblum, 1977; Hecker, 1991). In this paper the implications for clinical practice of research on the rol e of fathers in families and family therapy will be explored.