Couple and Family Therapy Within the Current Pan-Canadian Context
Canadians take numerous approaches to couple and family therapy due in part to Canada’s diversity of people and geography, as well as the influence of the health care context, a central facet of our national identity. Tracing back to Nathan Epstein, the founder of family therapy in Canada, there continues to be a strong tradition of couple and family therapy within Canada which has international reach. Formal training in family therapy, as well as couple/marital therapy occurs largely outside of the scope of degree granting programs and university settings. The American Association for Marriage and Family Therapy has a strong presence in Canada, with six divisions across the country. Popular models of practice for Canada’s couple and family therapists include cognitive-behavioral therapy, solution-focused therapy, narrative therapy, emotionally-focused therapy, and Bowenian/intergenerational therapy. A growing number of training opportunities are becoming available across Canada, and the practice of couple and family therapy is becoming institutionalized as one of the core competencies for professions such as psychiatry. In this article, we examine the context of family therapy in Canada by examining its history, the unique accreditation standards, qualifications and organizations associated with family therapy, the relationship between couple and family therapy, and future directions for this field of practice.
KeywordsCouple therapy Marital therapy Family therapy Canada
- Avis, J. M. (2006a). Escaping narratives of domination: Ideas for clinical practice with women oppressed by relationship violence. In R. Alaggia & C. Vine (Eds.), Cruel but not unusual: Violence in Canadian families. A sourcebook of history, theory and practice (pp. 397–422). Waterloo, ON: Wilfrid Laurier Press.Google Scholar
- Baines, D. (2011). Doing anti-oppressive practice: Social justice social work (2nd ed.). Halifax, NS: Fernwood Publishing.Google Scholar
- Canadian Academy of Child & Adolescent Psychiatry (2013). Message from the President. Retrieved from http://www.cacapacpea.org/en/cacap/Message_from_the_President_p813.html.
- 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(6), 727–736. doi:10.1111/1469-7610.00660.PubMedCrossRefGoogle Scholar
- Epstein, N. B., Bishop, D. S., & Baldwin, L. M. (1981). McMaster model of family functioning in normal family problems. In F. Walsh (Ed.), Normal family processes. New York, NY: Guilford Press.Google Scholar
- Fook, J. (2012). Social work: A critical approach to practice theory and practice social work. London, England: SAGE Publications.Google Scholar
- Froggatt, D., Fadden, G., Johnson, D. L., Leggatt, M., & Shankar, R. (2007). Families as partners in mental health care: A guidebook for implementing family work. Toronto, ON: World Fellowship for Schizophrenia.Google Scholar
- Greenberg, L. (2003). Emotion-focused therapy: Coaching clients to work through their feelings. Washington, DC: American Psychological Association.Google Scholar
- Johnson, S. M. (1996). The practice of emotionally focused marital therapy: Creating connection. New York, NY: Brunner/Mazel.Google Scholar
- Johnson, S. M. (1998). Listening to the music: Emotion as a natural part of systems theory. Journal of Systemic Therapies, 17(2), 1–17.Google Scholar
- Johnson, S. M. (2008). Hold me tight: Seven conversations for a lifetime of love. New York, NY: Little Brown.Google Scholar
- Kutcher, S., & McLuckie, A. for the Child and Youth Advisory Committee, Mental Health Commission of Canada (2010). Evergreen: A child and youth mental health framework for Canada. Retrieved from http://www.mentalhealthcommission.ca/SiteCollectionDocuments/family/Evergreen_Framework_English_July2010_final.pdf.
- Lock, J., Le Grange, D., Agras, W. S., & Dare, C. (2001). Treatment manual for anorexia nervosa: A family-based approach. New York, NY: Guildford Publications, Inc.Google Scholar
- Lock, J., Le Grange, D., Agras, W. S., Moye, A., Bryson, S. W., & Jo, B. (2010). Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of General Psychiatry, 67(10), 1025–1032. doi:10.1001/archgenpsychiatry.2010.128.PubMedCrossRefGoogle Scholar
- Madigan, S. (2011). Narrative therapy. Washington, DC: American Psychological Association.Google Scholar
- Mental Health Commission of Canada. (2010). Recovery and well being: A framework for a mental health strategy for Canada. Calgary, AB: Mental Health Commission of Canada.Google Scholar
- Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB: Mental Health Commission of Canada.Google Scholar
- Skinner, H.A., Steinhauer, P.D. & Santa-Barbara, J. (1995). Family Assessment Measure-III Manual. Scarborough, ON: Multi-health Systems. http://www.mhs.com/product.aspx?gr=edu&id=overview&prod=famiii#description.
- Slive, A., & Bobele, M. (Eds.). (2011). When one hour is all you have: Effective therapy for walk-in clients. Phoenix, AZ: Zeig, Tucker & Theisen.Google Scholar
- Slive, A., MacLaurin, B., Oakander, M., & Amundson, J. (1995). Walk-in single sessions: A new paradigm in clinical service delivery. Journal of Systemic Therapies, 14(1), 3–11.Google Scholar
- Slive, A., McElheran, N., & Lawson, A. (2001). Family therapy in walk-in mental health clinics. In M. MacFarlane (Ed.), Family therapy and mental health: Innovations in theory and practice (pp. 261–285). New York, NY: Hawthorn.Google Scholar
- Tomm, K. (1988). Interventive interviewing: Part 111. Intending to ask lineal, circular, strategic, or reflexive questions? Family Process, 27(1), 1–15. doi:10.1111/j.1545-5300.19888.oooo1.x/pdf.
- Tomm, K. (1991). Beginning of a “HIPs and PIPs” approach to psychiatric assessment. Calgary Participator, 21–24. Retrieved from http://www.familytherapy.org/documents/HIPsPIPs.PDF.
- Ungar, M. (2011). Counseling in challenging contexts: Working with individuals and families across clinical and community settings. Belmont, CA: Brooks/Cole.Google Scholar
- Ungar, M. (2012). The Social Ecological Approach (S.E.A.) to counseling in challenging contexts: Clinicians manual. Unpublished manuscript.Google Scholar
- Walsh, F. (2006). Strengthening family resilience. New York, NY: Guilford Press.Google Scholar
- Wesley, W., & Epstein, N. (1969). The silent majority. San Francisco, CA: Jossey-Bass.Google Scholar
- White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York, NY: W.W. Norton.Google Scholar