Family Therapy: An “Emerging Field”

  • Suzanne Bartle-Haring
  • Natasha Slesnick


The purpose of this chapter is to introduce the reader to the classic systems theory framework that informed family therapy theory, review literature on the effectiveness/efficacy of couple and family therapy, and promote the use of family therapy theory as family theory. It is our contention that family therapy theory is family theory, and can be used in the study of families in general, not just couples and families who seek services. The remainder of the chapter provides a critique of the family therapy literature and provides suggestions for future research for both family therapist/researchers and family researchers in general.


Family Therapy Family System Family System Theory Family Theory Individual Cognitive Behavioral Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Ackerman, N. W. (1966). Treating the troubled family. New York: Basic Books.Google Scholar
  2. Acock, A. C., & Washburn, I. (2012). Quantitative methodology for family science. In G. W. Peterson & K. R. Bush (Eds.), Handbook of marriage and the family (3rd ed.). New York: Springer.Google Scholar
  3. Anderson, S., Sabatelli, R., & Kosutic, I. (2012). Systemic and ecological qualities of families. In G. W. Peterson & K. R. Bush (Eds.), Handbook of marriage and the family (3rd ed.). New York: Springer.Google Scholar
  4. Austin, A. M., Macgowan, M. J., & Wagner, E. F. (2005). Effective family-based interventions for adolescents with substance use problems: A systematic review. Research on Social Work Practice, 15, 67–83.CrossRefGoogle Scholar
  5. Bartle, S. E. (1993). The degree of similarity of differentiation of self between partners in dating and married couples: Preliminary evidence. Contemporary Family Therapy, 15, 467–484.CrossRefGoogle Scholar
  6. Bartle-Haring, S., Kenny, D., & Gavazzi, S. (1999). Multiple perspectives on family differentiation: Analyses by multitrait multimethod matrix and triadic social relations models. Journal of Marriage and Family, 61, 491–503.CrossRefGoogle Scholar
  7. Bartle-Haring, S., Rosen, K. H., & Stith, S. (2002). Emotional reactivity and psychological distress. Journal of Adolescent Research, 17, 568–585.CrossRefGoogle Scholar
  8. Bartle-Haring, S., & Sabatelli, R. M. (1998). Can we “see” family functioning at a system level and would it matter if we could? In Paper presented at the theory construction and research methodology workshop at the national council on family relations annual meetings, Milwaukee, WI, November 1998.Google Scholar
  9. Bateson, G. (1972). Steps to an ecology of mind. New York: Ballentine Books.Google Scholar
  10. Bernal, G., & Flores-Ortiz, Y. (1991). contextual family therapy with adolescent drug abusers. In T. C. Todd & M. D. Selekman (Eds.), Family therapy approaches with adolescent substance abusers (pp. 70–92). Needham Heights, MA: Allyn and Bacon.Google Scholar
  11. Boszormenyi-Nagy, I., & Spark, G. (1973). Invisible loyalties: Reciprocity in intergenerational family therapy. New York: Harper and Row.Google Scholar
  12. Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aaronson.Google Scholar
  13. Bressi, C., Manenti, S., Frongia, P., Porcellana, M., & Invernizzi, G. (2008). Systemic family therapy in schizophrenia: A randomized clinical trial of effectiveness. Psychotherapy and Psychosomatics, 77, 43–49.CrossRefGoogle Scholar
  14. Broderick, C. B. (1993). Understanding family process. Newbury Park, CA: Sage.Google Scholar
  15. Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17–31.CrossRefGoogle Scholar
  16. Charles, R. (2001). Is there any empirical support for Bowen’s concepts of differentiation of self, triangulation and fusion? American Journal of Family Therapy, 29, 279–292.CrossRefGoogle Scholar
  17. Christensen, A., & Arrington, A. (1987). Research issues and strategies. In T. Jacob (Ed.), Family interaction and psychopathology (pp. 259–296). New York: Plenum Press.CrossRefGoogle Scholar
  18. Christensen, A., Atkins, D. C., Berns, S., Wheeler, J., Baucom, D. H., & Simpson, L. E. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology, 72, 176–191.CrossRefGoogle Scholar
  19. Coatworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity. Family Process, 40, 313–332.CrossRefGoogle Scholar
  20. Cook, W. L. (2005). The SRM approach to family assessment. European Journal of Psychological Assessment, 2, 216–225.CrossRefGoogle Scholar
  21. Cook, W. L., & Kenny, D. A. (2004). Application of the social relations model to family assessment. Journal of Family Psychology, 18, 361–371.CrossRefGoogle Scholar
  22. Cook, W. L., & Kenny, D. A. (2006). Examining the validity of self-report assessments of family functioning: A question of the level of analysis. Journal of Family Psychology, 20, 209–216.CrossRefGoogle Scholar
  23. Corcoran, J. (2006). A comparison group study of solution-focused therapy versus “treatment-as-usual” for behavior problems in children. Journal of Social Service Research, 33, 69–81.CrossRefGoogle Scholar
  24. Crane, R., Wampler, K., Sprenkle, D., Sandberg, J., & Hovestadt, A. (2002). The scientist-practitioner model in marriage and family therapy doctoral programs: Current status. Journal of Marital and Family Therapy, 28, 75–83.CrossRefGoogle Scholar
  25. de Shazer, S. (1985). Keys to solution in brief therapy. New York: Norton.Google Scholar
  26. Diamond, G. S., Reis, B. F., Diamond, G. M., Siqueland, L., & Isaacs, L. (2002). Attachment-based family therapy for depressed adolescents: A treatment development study. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1190–1196.CrossRefGoogle Scholar
  27. Doherty, W. J., & Baptiste, D. A. (1993). Theories emerging from family therapy. In P. G. Boss, W. J. Doherty, R. LaRossa, W. R. Schumm, & S. K. Steinmetz (Eds.), Sourcebook of family theories and methods: A contextual approach (pp. 505–524). New York: Plenum Press.CrossRefGoogle Scholar
  28. DuPree, W. J., White, M. B., Meredith, W. H., Ruddick, L., & Anderson, M. P. (2009). Evaluating scholarship in COAMFTE-accredited Ph.D. programs. Journal of Marital and Family Therapy, 35, 204–219.CrossRefGoogle Scholar
  29. Eisler, I., Dare, C., Hodes, M., Russell, G., Dodge, E., & Le Grange, D. (2000). Family therapy for adolescent anorexia nervosa: The results of a controlled comparison of two family interventions. Journal of Child Psychology and Psychiatry, 41, 727–736.CrossRefGoogle Scholar
  30. Eisler, I., Dare, C., Russell, G., Szmukler, G., Le Grange, D., & Dodge, E. (1997). Family and individual therapy in anorexia nervosa: A 5-year follow-up. Archives of General Psychiatry, 54, 1025–1030.CrossRefGoogle Scholar
  31. Epstein, E. E., & McCrady, B. S. (2002). Couple therapy in the treatment of alcohol problems. In A. S. Gurman & N. S. Jacobson (Eds.), Clinical handbook of couple therapy (3rd ed., pp. 597–628). New York, NY: Guilford.Google Scholar
  32. Fisch, R., Weakland, J. H., & Segal, L. (1982). The tactics of change. San Francisco, CA: Josey-Bass.Google Scholar
  33. Gergen, K. J. (1999). An invitation to social construction. London: Sage.Google Scholar
  34. Gingerich, W. J., & Eisengart, S. (2000). Solution-focused brief therapy: A review of the outcome research. Family Process, 39, 477–498.CrossRefGoogle Scholar
  35. Gordon, D. A., Graves, K., & Arbuthnot, J. (1995). The effect of functional family therapy for delinquents on adult criminal behavior. Criminal Justice and Behavior, 22, 60–73.CrossRefGoogle Scholar
  36. Graves, K. N., Shelton, T. L., & Kaslow, N. J. (2009). Utilization of individual versus family therapy among adolescents with severe emotional disturbance. American Journal of Family Therapy, 37, 227–238.CrossRefGoogle Scholar
  37. Gurman, A. S., & Kniskern, D. P. (1981). Handbook of family therapy (Vol. I). New York: Brunner/Mazel.Google Scholar
  38. Gurman, A. S., & Kniskern, D. P. (1991). Handbook of family therapy (Vol. II). New York: Brunner/Mazel.Google Scholar
  39. Haley, J. (1976). Problem solving therapy. New York: Harper & Row.Google Scholar
  40. Halverson, C. F. (1995). Measurement beyond the individual. In J. C. Conoley & E. B. Werth (Eds.), Family assessment (pp. 3–18). Lincoln, NB: University of Nebraska-Lincoln, Buros Institute of Mental Measurements.Google Scholar
  41. Harris, M. A., & Mertlich, D. (2003). Piloting home-based behavioral family systems therapy for adolescents with poorly controlled diabetes. Children’s Health Care, 32, 65–79.CrossRefGoogle Scholar
  42. Henggeler, S. W., & Borduin, C. M. (1995). Multisystemic treatment of serious juvenile offenders and their families. In I. M. Scwartz & P. AuClaire (Eds.), Home-based services for troubled children. Lincoln: University of Nebraska Press.Google Scholar
  43. Jacobson, N. S. (1981). Behavioral marital therapy. In A. S. Gurman & D. P. Kniskern (Eds.), Handbook of family therapy (Vol. I, pp. 556–591). New York: Brunner/Mazel.Google Scholar
  44. Johnson, V. J. (2003). Linking changes in whole family functioning and children’s externalizing behavior across the elementary school years. Journal of Family Psychology, 17, 499–509.CrossRefGoogle Scholar
  45. Kenny, D. A., & La Voie, L. (1984). The social relations model. In L. Berkowitz (Ed.), Advances in experimental social psychology (Vol. 18, pp. 141–182). San Diego, CA: Academic.Google Scholar
  46. Kerhig, P. K., & Lindahl, K. M. (2001). Family observational coding systems: Resources for system research. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  47. Larson, J. H., & Wilson, S. M. (1998). Family of origin influences on young adult career decision problems: A test of Bowenian theory. American Journal of Family Therapy, 26, 39–53.CrossRefGoogle Scholar
  48. Lebow, J. (1997). Why integration is so important in couple and family therapy. Family Process, 36, 23–24.CrossRefGoogle Scholar
  49. Lee, R., & Everett, C. A. (2004). The integrative family therapy supervisor. New York: Rutledge.Google Scholar
  50. Liddle, H. A. (2004). Family-based therapies for adolescent alcohol and drug use: Research contributions and future research needs. Addiction, 99(Suppl. 2), 76–93.CrossRefGoogle Scholar
  51. Lock, J., Couturier, J., & Agras, W. S. (2006). Comparison of long-term outcomes in adolescents with anorexia nervosa treated with family therapy. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 666–672.CrossRefGoogle Scholar
  52. Lynch, D. D., Laws, K. R., & McKenna, P. J. (2010). Cognitive behavioural therapy for major psychiatric disorder: Does it really work? A meta-analytical review of well-controlled trials. Psychological Medicine, 40(1), 9–24.CrossRefGoogle Scholar
  53. Manders, W. A., Cook, W. L., Oud, J. H. L., Scholte, R. H. J., Janssens, J. M. A. M., & De Bruyn, E. E. J. (2007). Level validity of self-report whole-family measures. Journal of Family Psychology, 21, 605–613.CrossRefGoogle Scholar
  54. Melito, R. (1985). Adaptation in family systems: A developmental perspective. Family Process, 24, 89–100.CrossRefGoogle Scholar
  55. Miller, I. W., Keitner, G. I., Ryan, C. E., Solomon, D. A., Cardemil, E. V., & Beever, C. G. (2005). Treatment matching in the posthospital care of depressed patients. The American Journal of Psychiatry, 162, 2131–2138.CrossRefGoogle Scholar
  56. Miller, R. B., Anderson, S., & Keala, D. K. (2004). Is Bowen theory valid? A review of basic research. Journal of Marital and Family Therapy, 30, 453–466.CrossRefGoogle Scholar
  57. Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.Google Scholar
  58. Nichols, M. P., & Schwartz, R. C. (2006). Family therapy: Concepts and methods (7th ed.). Boston, MA: Pearson.Google Scholar
  59. Nickel, M., Luley, J., Krawczyk, J., Nickel, C., Widermann, C., Lahmann, C., et al. (2006). Bullying girls—Changes after brief strategic family therapy: A randomized, prospective, controlled trial with one-year follow-up. Psychotherapy and Psychosomatics, 75, 47–55.CrossRefGoogle Scholar
  60. Nickel, M. K., Krawczyk, J., Nickel, C., Forthuber, P., Kettler, C., Leiberich, P., et al. (2005). Anger, interpersonal relationships, and health-related quality of life in bullying boys who are treated with outpatient family therapy: A randomized, prospective, controlled trial with 1 year of follow-up. Pediatrics, 116, e247–e254.CrossRefGoogle Scholar
  61. Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22, 144–167.CrossRefGoogle Scholar
  62. Olson, D. H., Portner, J., & Lavee, Y. (1985). FACES III. St. Paul: University of Minnesota, Family Social Science.Google Scholar
  63. Palazzoli, M. S., Boscolo, L., Cecchin, G., & Prata, G. (1978). Paradox and counterparadox. Northvale, NJ: Jason Aronson.Google Scholar
  64. Powers, M. B., Vedel, E., & Emmelkamp, P. (2008). Behavioral couples therapy (BCT) for alcohol and drug use disorders: A meta-analysis. Clinical Psychology Review, 28, 952–962.CrossRefGoogle Scholar
  65. Sabatelli, R. M., & Bartle, S. E. (1995). Survey approaches to the assessment of family functioning: Conceptual, operational, and analytical issues. Journal of Marriage and Family, 57, 1025–1039.CrossRefGoogle Scholar
  66. Satir, V. (1988). The new people making. Mountain View, CA: Science and Behavior Books, Inc.Google Scholar
  67. Shadish, W. R., & Baldwin, S. A. (2005). Effects of behavioral marital therapy: A meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 73, 6–14.CrossRefGoogle Scholar
  68. Siqueland, L., Rynn, M., & Diamond, G. (2005). Cognitive behavioral and attachment based family therapy for anxious adolescents: Phase I and II studies. Anxiety Disorders, 19, 361–381.CrossRefGoogle Scholar
  69. Skowron, E. (2000). The role of differentiation of self in marital adjustment. Journal of Counseling Psychology, 47, 229–237.CrossRefGoogle Scholar
  70. Slesnick, N., & Prestopnik, J. L. (2005). Ecologically-based family therapy outcome with substance abusing runaway adolescents. Journal of Adolescence, 28, 277–298.CrossRefGoogle Scholar
  71. Slesnick, N., & Prestopnik, J. (2009). Comparison of family therapy outcome with alcohol abusing, runaway adolescents. Journal of Marital and Family Therapy, 35, 1–23.CrossRefGoogle Scholar
  72. Smith, G. L. (1998). The present state and future of symbolic-experiential family therapy: A post-modern analysis. Contemporary Family Therapy, 20, 147–161.CrossRefGoogle Scholar
  73. Solomon, D. A., Keitner, G. I., Ryan, C. E., Kelley, J., & Miller, I. W. (2008). Preventing recurrence of bipolar I mood episodes and hospitalizations: Family psychotherapy plus pharmacotherapy versus pharmacotherapy alone. Bipolar Disorders, 10, 798–805.CrossRefGoogle Scholar
  74. Stanton, M. D., & Todd, T. C. (1982). The therapy model. In S. Duncan & T. C. Todd (Eds.), The family therapy of drug abuse and addiction (pp. 109–153). New York, NY: Guilford Press.Google Scholar
  75. Stith, S. M., Rosen, K. H., & McCollum, E. E. (2004). Treating intimate partner violence within intact couple relationships: Outcomes of multi-couple versus individual couple therapy. Journal of Marital and Family Therapy, 30, 305–318.CrossRefGoogle Scholar
  76. Suchman, N., Mayes, L., Conti, J., Slade, A., & Rounsaville, B. (2004). Rethinking parenting interventions for drug-dependent mothers: From behavior management to fostering emotional bonds. Journal of Substance Abuse Treatment, 27, 179–185.CrossRefGoogle Scholar
  77. Szapocznik, J., Hervis, O., & Schwartz, S. (2003). Brief strategic family therapy for adolescent drug abuse. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse.CrossRefGoogle Scholar
  78. Trowell, J., Joffe, I., Campbell, J., Clemente, C., Almqvist, F., Soininen, M., et al. (2007). Childhood depression: A place for psychotherapy—An outcome study comparing individual psychodynamic psychotherapy and family therapy. European Child & Adolescent Psychiatry, 16, 157–167.CrossRefGoogle Scholar
  79. von Bertalanffy, L. (1968). General systems theory. New York: Braziller.Google Scholar
  80. Waldron, H. B., & Turner, C. W. (2008). Evidence-based psychosocial treatments for adolescent substance abuse. Journal of Clinical Child and Adolescent Psychology, 37, 238–261.CrossRefGoogle Scholar
  81. Wampler, K. S. (2010). Challenge and urgency in defining doctoral education in marriage and family therapy: Valuing complementary models. Journal of Marital and Family Therapy, 36(3), 291–306.Google Scholar
  82. Whitaker, C. A. (1982). The hindrance of theory in clinical work. In J. R. Neill & D. P. Kniskern (Eds.), From psyche to system: The evolving therapy of Carl Whitaker (pp. 317–329). New York: Guilford Press.Google Scholar
  83. Whitaker, C. A., & Keith, D. V. (1981). Symbolic-experiential family therapy. In A. S. Gurman & D. P. Kniskern (Eds.), Handbook of family therapy (Vol. I, pp. 187–225). New York: Brunner/Mazel.Google Scholar
  84. White, J. M. (2012). Current status of theorizing about families. In G. W. Peterson & K. R. Bush (Eds.), Handbook of marriage and the family (3rd ed.). New York: Springer.Google Scholar
  85. White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: Norton.Google Scholar

Copyright information

© Springer Science+Business Media New York  2013

Authors and Affiliations

  1. 1.Department of Human Development and Family ScienceThe Ohio State UniversityColumbusUSA

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