Strifler Yotam, Zisenwine Tamar, Diamond Gary M
Department of Psychology, Ben-Gurion University, Beer-Sheva, Israel.
J Marital Fam Ther. 2022 Oct;48(4):982-997. doi: 10.1111/jmft.12581. Epub 2022 Jan 12.
This study examined the trajectories of parents' reflective functioning over the course of individual preparatory sessions with the therapist in attachment-based family therapy (ABFT) for Israeli sexual minority young adults and their nonaccepting parents, and whether such reflective functioning was associated with parents' agreement on the goals for subsequent conjoint corrective attachment sessions. Three parents with good agreement on treatment goals were compared to three parents with poor agreement on treatment goals. Parents' in-session reflectivity regarding their child's experience of nonacceptance, and regarding the quality of their relationship with their child, was observationally measured at the session level. Reflective functioning increased over time among those parents who reported good agreement with the treatment goals. There were no changes in parents' reflective functioning in the poor agreement group. Findings suggest the potential importance of facilitating parents' reflective functioning in ABFT, before conducting conjoint corrective attachment sessions. Research and clinical implications are discussed.
本研究考察了在基于依恋的家庭治疗（ABFT）中，以色列性少数年轻成年人及其不接受他们的父母与治疗师进行个体预备治疗期间，父母反思功能的轨迹，以及这种反思功能是否与父母对后续联合矫正依恋治疗目标的认同相关。将三名对治疗目标认同度高的父母与三名对治疗目标认同度低的父母进行比较。在治疗过程中，通过观察测量父母在治疗过程中对孩子不被接受经历的反思以及他们与孩子关系质量的反思。在那些报告对治疗目标认同度高的父母中，反思功能随时间增加。在认同度低的组中，父母的反思功能没有变化。研究结果表明，在进行联合矫正依恋治疗之前，促进父母在ABFT中的反思功能具有潜在重要性。文中讨论了研究和临床意义。
