Evidence-based systemic family therapy

 

Below is a list of references. This list only covers some areas (e.g. I have largely omitted child based problems - there is a considerable literature on a variety of family interventions in conduct disorder, and the like see the review by Alan Carr in the latest issue of JFT (spring 2000). There is also a good general review by Pinsoff & Wynne in the Journal of Marital and Family Therapy in 1995.

 

Pinsoff, W. M., & Wynne, L. C. (1995).  The efficacy of marital and family therapy: An overview, conclusions, and recommendations.  Journal of Marital and Family Therapy, 21, 585-613.

 

Another, older book which talks about research in MFT is: Wynne, L. C. (1988).  An overview of the sate of the art: What should be expected in current family therapy research.  New York: Family Process Press.

 

These two references, especially the first one, should provide a general overview of how things stand in terms of Family Therapy research.  In the (1995) special issue of JMFT, each article discusses the efficacy of different systemic therapies for different disorders, compared to individual or behavioural therapies, as well as discussions of cost effectiveness.


Additional resources include:

 

Bohart, A. C., O'Hara, M., Leitner, L. M. (1998). Empirically violated treatments: Disenfranchisement of humanistic and other psychotherapies. Psychotherapy Research, 8, 2, 141-157.

 

Crits-Christoph, P., & Mintz, J. (1991). Implications of therapist effects for the design and analysis of comparative studies of psychotherapies. Journal of Consulting and Clinical Psychology, 59, 20-26.

 

Elliott, R. (1998). Editor's introduction: A guide to empirically supported treatments controversy. Psychotherapy Research, 8, 2, 115-125.

 

Gale, J. & Kogan, S. (Winter, 1996-1997).  The local accomplishment of power: Dialogic selves in participation. AFTA Newsletter, 67, 19-20.

 

Henry, W. P. (1998). Science, politics, and the politics of science: The use and misuses of empirically validated treatment research. Psychotherapy Research, 8, 2, 126-140.

 

Lambert, M. J. (1989) The individual therapist's contribution to psychotherapy process and outcome. Clinical Psychology Review, 9, 469-485.

 

Lambert, M. J., & Bergin, A. E. (1994). The effectiveness of psychotherapy. In A. E. Bergin & S. L. Garfield (Eds.) Handbook of psychotherapy and behaviour change (4th edition). (pp. 143-189). New York: Wiley.

 

Shapiro, D. A. et al (1994). The high-water mark of the drug metaphor: A meta-analytic critique of process-outcome research. (pp. 1-35). In R. L. Russell's (Ed.). Reassessing psychotherapy research. New York: Guildford Press.

 

Stiles, W. B., & Shapiro, D. A. (1989). Abuse of drug metaphor in psychotherapy process-outcome research.  Clinical Psychology Review, 9, 521-543.

 

There is also the extensive evidence base for the 'psycho-educational' approaches. Grainne Fadden, one of the leading UK advocates, published a  review in the Journal of Family Therapy vol. 20 (1998) 293-309. 

 

Incidentally, when talking to folk from psychiatry in the UK, you might like to refer to a very comprehensive and well-organised text, "The Family in Clinical Psychiatry".  It's co-authored by an eminent group of psychiatrists.  Published by Oxford Uni. Press in 1994.  (May well be in your local Medical library.)

 
Specific diagnostic areas within family therapy have also been researched.

  

Schizophrenia

Nugter A, et al (1997) Family treatment, expressed emotion and relapse in recent onset schizophrenia. Psychiatry Research. 29, 23-31

 

De Giacomo P, et al (1997) Schizophrenia: a study comparing a family therapy group following a paradoxical model plus psycho drugs and a group treated by the conventional clinical approach. Acta Psychiatr Scand. 95,183-8

 

Schooler NR, et al (1997) Relapse and re-hospitalisation during maintenance treatment of schizophrenia. The effects of dose reduction and family treatment. Arch Gen psychiatry, 54, 453-63

 

McFarlane WR, et al (1996) A comparison of two levels of family aided assertive community treatment.  Psychiatric Services. 47, 744-50

 

Penn DL, Mueser KT (1996) Research update on the psychosocial treatment of schizophrenia. Am J Psychiatry. 153, 607-17

 

Mari JJ, Streiner DL (1994) An overview of family interventions and relapse on schizophrenia: meta analysis of research findings. Psychol Medicine,24, 565-78

 

Leff J et al(1989) A trial of family therapy v. a relatives group for schizophrenia Br J Psychiatry, 154, 58-66

 

Leff J, et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. Br J Psychiatry, 141,121-34

 

Goldstein MJ, et al (1978) Drug and family therapy in the aftercare of acute schizophrenics. Arch Gen Psychiatry, 35, 1169-77

 

Depression:

Leff, J.,et al (2000) The London Depression Intervention Trial: An RCT of antidepressants versus couple therapy in the treatment and maintenance of depressed people with a partner: clinical outcome and costs. British Journal of Psychiatry, (in press).

 

Beach SRH and O'Leary K. (1992) Treating Depression in the Context of Marital Discord: Outcome and Predictors of Response of Marital Therapy Versus Cognitive Therapy. Behaviour Therapy, 23, 507-528.

 

Beach SRH, Fincham FD & Katz J (1998) Marital therapy in the treatment of depression: Toward a third generation of therapy research. Clinical Psychology Review, 18, 635-661.

 

Emanuels-Zuurveen L & Emmelkamp PMG (1996) Individual behavioural-cognitive therapy v marital therapy for depression in maritally distressed couples. British Journal of Psychiatry, 169, 181-188.

 

Jacobson NS, et al (1991) Marital therapy as a treatment for depression, Journal of Consulting and Clinical Psychology, 59, 547-557.

 

O'Leary K. and Beach S. (1990) Marital Therapy: A Viable Treatment for Depression and Marital Discord. American Journal of Psychiatry 147,183-186.

 

Teichman Y, et al (1995) A comparison of two modalities of cognitive therapy (individual and marital) in treating depression. Psychiatry: Interpersonal & Biological Processes, 58, 136-148.

 

Eating Disorders

Russell GFM,  et al (1987). An evaluation of family therapy in anorexia nervosa. Archives of General Psychiatry , 44, 1047-1056.

 

Robin, AL et al (1994) Family therapy versus individual therapy for adolescent females with anorexia nervosa. Journal of Developmental & Behavioural Paediatrics, 15, 111116.

 

Dodge E, et al (1995) Family therapy for bulimia nervosa in adolescents: an exploratory study. Journal of Family Therapy, 17, 59-78.

 

Eisler I, et al (1997) Family and individual therapy for anorexia nervosa: A 5-year follow-up.  Archives of General Psychiatry, 54, 1025-1030.

 

Robin, AL et al (1999) A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 14821489.

 

Eisler I,  et al (2000) Family therapy for adolescent anorexia  nervosa: The results of a controlled comparison of two family interventions. Journal of Child Psychology and Psychiatry. (In press)

 

Dare C, et al (2000) Psychological therapies for adult patients with Anorexia nervosa: A randomised controlled trial of outpatient treatments.

(Submitted for publication)

 

Drug and alcohol

Stanton, MD & Shadish, WR (1997) Outcome, attrition, and family couples treatment for drug abuse: A meta analysis and review of the controlled, comparative studies. Psychological Bulletin, 122, 170-191.

 

Liddle, HA. (1996) Family based treatment for adolescent problem behaviours: Overview of contemporary developments and introduction to the special section. Journal of Family Psychology; 10, 3-11.

 

Liddle, HA & Dakof, GA. (1995) Efficacy of family therapy for drug abuse: Promising but not definitive. Special Issue: The effectiveness of marital and family therapy. Journal of Marital and Family Therapy; 21, 511-543

 

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