ONE BIG HAPPY FAMILY: A MANUAL FOR NEW FAMILY COUNSELLORS by Byron Finkelstein B.Sc., University of Northern British Columbia, 2021 THIS PROJECT IS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF EDUCATION IN COUNSELLING UNIVERSITY OF NORTHERN BRITISH COLUMBIA MAY 2025 © Byron Finkelstein, 2025 ii Abstract This project presents a comprehensive facilitator manual designed to support new counsellors entering the field of family counselling. Grounded in systemic theory, ethical practice, and cultural humility, the manual bridges the gap between academic preparation and the complex realities of clinical work with families. Drawing on an extensive literature review, the manual offers practical tools, theoretical frameworks, and reflective prompts to help emerging practitioners navigate common challenges such as family dynamics, communication breakdowns, dual relationships, and therapeutic impasses. Particular attention is given to the role of counsellor positionality, cultural responsiveness, and the unique demands faced by new family counsellors. Developed through a self-directed and iterative process informed by the author’s clinical and academic experience, the manual serves as both a practical resource and a reflective guide, aiming to foster confidence, competence, and ethical engagement in early-career family counsellors. iii Table of Contents Abstract ........................................................................................................................................... ii Acknowledgements .........................................................................................................................vi Chapter 1: Introduction ................................................................................................................. 1 Purpose ....................................................................................................................................... 3 Significance ................................................................................................................................ 5 Personal Location ...................................................................................................................... 7 Chapter 2: Literature Review ......................................................................................................... 9 Defining Family Counselling and its Scope ............................................................................. 9 Historical Development........................................................................................................... 10 Positionality.............................................................................................................................. 11 What is Positionality? ............................................................................................................ 11 Why Does Positionality Matter in Counselling? ................................................................... 11 Furthering Our Understanding, A Vignette........................................................................... 13 Parallels Between Bracketing in Research and Self-Awareness in Counselling................... 14 Developing Reflexivity in Counselling Practice ................................................................... 15 Theoretical Frameworks......................................................................................................... 16 Bowenian Family Therapy. ................................................................................................... 17 Structural Family Therapy (SFT) .......................................................................................... 17 Narrative Therapy. ................................................................................................................ 18 Strategic Family Therapy ...................................................................................................... 19 Emotionally Focused Therapy (EFT) .................................................................................... 19 Integrating Theoretical Frameworks in Family Counselling .............................................. 20 The Need for Integration. ...................................................................................................... 20 Examples of Integration .......................................................................................................... 21 Bowenian and EFT Integration. ............................................................................................ 21 Structural and Narrative Integration. ..................................................................................... 21 Strategic Interventions with Broader Frameworks. ............................................................... 21 Considerations in Integration. ............................................................................................... 22 Family Dynamics ..................................................................................................................... 22 Roles and Relationships. ....................................................................................................... 23 Communication Patterns. ...................................................................................................... 23 iv Conflict Resolution. ...............................................................................................................24 Impact of Family Counselling .................................................................................................24 Social Outcomes. ....................................................................................................................25 Long-term Effects. .................................................................................................................25 Cultural Considerations in Family Counselling ....................................................................26 Adaptation of Therapeutic Models. ........................................................................................27 Ethical Considerations .............................................................................................................28 Dual Relationships....................................................................................................................29 Impasses ....................................................................................................................................31 Understanding Impasses in Therapy. .....................................................................................31 Strategies for Overcoming Impasses ......................................................................................31 Addressing the Resistance Directly........................................................................................31 Shifting Perspectives Through Reframing. ............................................................................32 Utilizing the Family’s Strengths ............................................................................................32 Examining the Role of the Counsellor. ..................................................................................32 Increasing Emotional Engagement. ........................................................................................33 Taking a Break or Changing the Format. ...............................................................................33 Revisiting Goals and Expectations .........................................................................................33 Final Thoughts on Impasses. ..................................................................................................34 Common Pitfalls in Family Counselling .................................................................................34 Alignment with Specific Family Members. ...........................................................................34 Confidentiality and Ethical Considerations. ...........................................................................35 Transference and Countertransference ...................................................................................35 Resistance and Hostility from Families..................................................................................36 The Challenge of Cultural Competence and Ethnocultural Transference ..............................36 Self-Care and Burnout Prevention. ........................................................................................37 Training Programs for Family Counsellors in Canada ........................................................38 What They Offer. ...................................................................................................................38 What Students Get from Training Programs. .........................................................................39 Marriage and Family Therapy Programs................................................................................40 What Is Still Missing? ............................................................................................................40 What Is Not Offered. ..............................................................................................................41 Chapter Summary ....................................................................................................................41 Chapter 3: Project Description .....................................................................................................42 Target Audience .......................................................................................................................42 v Goals and Objectives ................................................................................................................42 Development Process ...............................................................................................................43 Outcome ....................................................................................................................................43 Contribution to the Field. .......................................................................................................44 Summary ...................................................................................................................................44 Chapter Summary ....................................................................................................................45 References ......................................................................................................................................46 Chapter 4: A MANUAL FOR NEW FAMILY COUNSELLORS .............................................. 54 vi Acknowledgements The completion of this project included the input and support of a number of people whom I am deeply grateful for and would like to acknowledge. My project supervisor, Dr. John Sherry, has been supportive and accommodating throughout this journey. He encouraged me along the way and provided invaluable insight into this process. His guidance has been enriching beyond the scope of this project. My project committee members, Dr. Linda O’Neill and Christine Kullmann-Taylor, were instrumental in providing thoughtful feedback that strengthened both the academic writing and the practical application aspects of this project. Their time and expertise elevated my work. My practicum supervisor Jenny DeReis as well as my colleagues at Validity Counselling for their unconditional support, guidance, and encouragement, I would not be here without you. My family and God for always being there to lend an ear and provide perspective when I was on the verge of giving up. Mom, Dad, Bron, Ryan, and Chelsea, thank you all. Finally, my partner Laura, your endless love and support throughout the highs and the lows of this program, as well as this project, will never go unrecognized. I am forever grateful to have such a loving life partner like you, especially one so knowledgeable not only in the realms of Civil Engineering, but in Microsoft Word as well. My love and gratitude is immeasurable. 1 Chapter 1: Introduction Family counselling is often also referred to as “family therapy”, “couple and family therapy”, and “marriage and family therapy”. It plays a crucial role in fostering healthy relationships through improving Intrafamilial relationships and behaviours while also addressing the complexities that arise within family dynamics. According to the Association for Family Therapy and Systemic Practice (2024) family counselling assists people in a close relationship to help each other, enabling family members, couples, and others who care about each other to safely express and explore difficult thoughts and feelings, to understand each other’s experiences and perspectives, appreciate each other’s needs, to capitalize on strengths, and make valuable changes in their lives and relationships. In today’s rapidly changing world, families face a range of stressors, from shifting societal expectations to internal conflicts that strain familial bonds. Modern life has increased pressures on families, whether due to financial burdens, parenting challenges, or the blending of cultures in increasingly diverse societies (Walsh, 2016). These factors can disrupt communication, deepen misunderstandings, and leave family members feeling disconnected. When these issues are left unaddressed, they can lead to long-term emotional and psychological effects on individual members and the family system as a whole. The goal of therapy is to offer a structured approach to help families navigate these challenges by providing a safe space for members to express themselves, resolve conflicts, and rebuild trust. Through therapeutic intervention, family members can improve their communication patterns, resolve interpersonal conflicts, and learn strategies to cope with the emotional and relational stressors they face (Goldenberg & Goldenberg, 2017). Family therapy attends to underlying systemic dynamics, operating on the premise that psychological distress is often rooted not in individual, but in 2 maladaptive patterns of interaction within the family system. By shifting focus from the individual to the family unit, counsellors can help families create healthier dynamics that foster emotional closeness and long-term well-being (Nichols & Davis, 2017). Research consistently supports the effectiveness of family counselling in improving relationship satisfaction and enhancing overall family functioning (Kim, 2008; Leichsenring, 2005; Magliano et al., 2005). Studies indicate that families who engage in therapy significantly improve emotional regulation, conflict resolution, and problem-solving abilities (Kazdin, 2010; Kolko & Swenson, 2002). This not only benefits the individuals involved but also strengthens the family system as a whole, creating a ripple effect that promotes better mental health and emotional stability across generations (Sharf, 2015). Understanding the complexities of family dynamics and the unique challenges different families face is crucial for counsellors entering this field. Whether it’s helping parents and children rebuild trust after conflict, guiding families through transitions like divorce or remarriage, or addressing more specific concerns such as behavioural issues in children or mental health conditions like ADHD, the family counsellor's role is diverse and essential. The work requires not only a deep understanding of therapeutic approaches but also a sensitivity to the cultural, emotional, and relational nuances that shape each family’s experience (Gehart, 2018). Recognizing the complexity, diversity, and profound impact family counselling highlights the importance of thoughtful preparation for new practitioners. To bridge the gap between theoretical understanding and real-world application, it is essential to equip emerging counsellors with practical guidance, structured tools, and a strong foundational framework. In response to this need, the following manual has been developed to provide clear direction and support for counsellors beginning their work with families. 3 Purpose The purpose of this facilitator manual is to serve as a foundational resource for new counsellors entering the field of family counselling. It provides a structured framework to navigate the complexities of working with families. Family systems often involve intricate dynamics such as shifting alliances, implicit power structures, and unspoken emotional contracts. These multi-layered relationships and culturally embedded challenges can be particularly difficult for practitioners who are still solidifying their professional identity, therapeutic boundaries, and capacity to manage multiple relational perspectives simultaneously. By offering a comprehensive combination of theoretical context, practical tools, and reflective prompts, this manual aims to facilitate the transition from training to practice, ensuring that counsellors can engage confidently and competently with their clients. One of the primary objectives of this manual is to address the gap that frequently exists between academic preparation and the realities of counselling practice. While graduate courses provide a solid foundation in knowledge and emphasize skill development, many new practitioners report feeling unprepared when confronted with the multifaceted nature of family counselling. This is supported by Starling (2024), who found that among master’s level counselling trainees, “their greatest desires were more practice and more guidance” (p. 125). Unlike individual counselling, family work necessitates simultaneous attention to multiple perspectives, interrelationships, and communication patterns within the family unit. For new counsellors, the absence of a structured resource can contribute to feelings of uncertainty, a lack of confidence, and even premature professional burnout (Starling, 2024). This manual seeks to mitigate these challenges by providing a straightforward, tangible resource grounded in research and clinical experience. 4 Additionally, the manual is designed to serve as a reflective tool that fosters selfawareness, self-advocacy, and self-efficacy among new practitioners. Self-awareness is paramount in family counselling, where counsellors must frequently navigate their responses to intricate family dynamics and mitigate countertransference. By incorporating reflective questions and prompts, this manual encourages counsellors to critically evaluate their biases, strengths, and areas for improvement. This reflective process enhances counsellor competence and cultivates a sense of self-advocacy by empowering new practitioners to seek appropriate supervision, resources, and support as necessary. Starling (2024) states that in their study, “most participants who expressed higher perceived preparedness were heavily supported by factors outside the master’s-level counseling program curriculum or faculty support itself” (p. 121). This manual aims to instill a sense of self-efficacy by providing practical tools and techniques that new counsellors can immediately apply in their work. For instance, structured guidance on conducting intake sessions and navigating initial meetings with families can assist practitioners in building rapport, clarifying objectives, and establishing a collaborative therapeutic alliance. By segmenting these early steps into manageable components, the manual aims to reduce ambiguity and bolster practitioners’ confidence in serving their clients. The goal is a long-term resource that counsellors can revisit throughout their careers. As they gain experience and encounter diverse family dynamics, counsellors may find new layers of relevance within the manual, enabling them to refine their approaches and deepen their understanding of family systems. By addressing the work's practical and theoretical dimensions, this manual offers a comprehensive tool for counsellors seeking to enhance their ability to meet the needs of families with competence and compassion. 5 Having outlined the goals and intended uses of this facilitator manual, it is equally important to consider the broader significance of such a resource. Beyond offering practical tools, the manual seeks to address systemic gaps in counsellor preparation, enhance the quality of client care, and contribute meaningfully to the professional development of emerging family counsellors. The following section explores the significance of this manual in supporting both practitioners and the families they serve. Significance This facilitator manual addresses a critical need for accessible, practical resources to support new counsellors in family counselling. Bridging the transition from academic learning to real-world practice can be daunting, and having a well-structured and concise manual provides a foundation that enhances both confidence and competence. New counsellors, often fresh from classroom discussions and theoretical exercises, can feel unprepared when encountering the nuanced challenges of family dynamics. This manual serves as an essential toolkit, offering immediate guidance on effective techniques and evidence-based practices so they can navigate these complexities more effectively. For counsellors, this manual offers more than a reference; it finctions as a structured support resource, available when they encounter challenges such as setting boundaries, addressing conflict, and fostering communication within diverse family structures. Each section, from the history and development of family counselling to intake processes and hands-on activities, is designed to deepen understanding while offering concrete tools. This ensures that counsellors not only understand the theories behind family counselling but are also equipped to apply them thoughtfully, adapting to each family's unique dynamics and needs. It is important to emphasize that this manual is meant to supplement the guidance and expertise offered in clinical supervision and is no substitute. 6 This manual enhances both client outcome and counsellor development by fostering competence, confidence, and ethical practice. Families experiencing challenges, such as communication breakdowns, boundary issues, or parenting stressors, benefit from working with a counsellor who feels prepared, supported, and knowledgeable. When counsellors are grounded in their role, the therapeutic alliance is strengthened, which increases client trust and engagement. This, in turn, facilitates deeper exploration of sensitive issues and supports meaningful therapeutic change. The manual’s structure also promotes ethical and professional development by helping counsellors avoid common pitfalls, such as over-identification with clients or insufficient boundaries. The sections on counsellors' potential "spots and pitfalls" and self-awareness encourage reflection and mindful practice, ensuring that new counsellors develop resilience and adaptability from the outset of their careers. The guidance on intake processes and structured checklists further helps counsellors maintain professional standards and deliver consistent care, which is particularly beneficial for clients who may have had varied experiences with mental health services. This manual serves a dual purpose, it supports counsellors in their professional growth while enhancing clients' quality of care. By equipping new practitioners with a comprehensive resource, this project builds a more skilled and empathetic workforce in family counselling, facilitating growth, resilience, and positive change in families across diverse backgrounds and situations. This emphasis on both the counsellor’s and the client’s needs underscores the importance of a resource that values both learning and practical application in a way that benefits the therapeutic community. My hope is that it can be used in conjunction with clinical supervision to guide new counsellors towards success. 7 In developing this manual, it was important to reflect on the theoretical and practical needs of new counsellors but also on the personal journey that informs my approach to family counselling. Understanding one’s own background, motivations, and experiences is essential for creating meaningful, authentic resources, particularly when those resources are intended to support culturally diverse family systems. The next section outlines my personal location, offering insight into the experiences, values, and perspectives that have shaped the development of this project. Personal Location I am 27 years old and currently reside in Prince George, BC, where I am completing a Master’s degree in Counselling at the University of Northern British Columbia. Alongside my studies, I have been working as a Psychometrist for the Adult Forensic Psychiatric Services (AFPS), where I administer psychometric tests for the court system. I have worked there since 2021, and in that time, I have worked with clients who come from very vulnerable backgrounds, many of whom have suffered immense trauma within their family of origin and often through the families that they were adopted into or fostered in. My journey into family counselling began through my experiences working as the Psychometrist for the Ministry of Child and Family Development (MCFD) and Youth Forensic Psychiatric Services (YFPS). This experience opened my eyes to the complexities of family relationships and the impact that effective communication and support can have on family dynamics as well as the development of children. Witnessing firsthand how families can transform and grow when provided with the right tools and strategies or fall apart when neglected has fueled my passion for this field. Through my academic journey, I have developed a keen interest in understanding the various theoretical approaches to family counselling, such as Emotion-Focused Family Therapy 8 (EFFT), Structural Family Therapy (SFT), and Bowenian Family Therapy. These frameworks resonate with my belief in the importance of addressing both individual and relational needs within a family system. I have come to appreciate that effective family counselling requires technical skills and an empathetic understanding of each family member's unique perspective and experiences. As I engage with families, I strive to cultivate an environment that promotes open dialogue, empathy, and mutual respect. This approach aligns with my conviction that fostering strong family bonds is essential for enhancing well-being and resilience. I have observed that by focusing on strengths and positive aspects of family interactions, families can more effectively navigate their challenges and create meaningful connections. In my work, I aim to create resources that equip new counsellors with practical tools and strategies to support families in their counselling journey. This manual is designed to provide an accessible guide for emerging family counsellors, emphasizing key concepts such as effective communication, conflict resolution, and the importance of inclusivity in family dynamics. By highlighting these essential themes, I hope to empower new practitioners to facilitate transformative experiences for families. Recognizing that each family is unique, my approach to developing this manual incorporates flexibility and adaptability, allowing counsellors to tailor their interventions to meet the specific needs of their families. Additionally, understanding the context in which a family operates is crucial; therefore, I have considered the varying sociocultural backgrounds, economic situations, and community resources available to families in Northern British Columbia. Ultimately, my motivation for this project stems from a deep commitment to promoting the health and well-being of families. By equipping new counsellors with the knowledge and skills they need, we can contribute to stronger family units and healthier communities. This 9 manual serves as a reflection of my journey, insights, and aspirations as I continue to grow within the field of family counselling. Chapter 2: Literature Review Family counselling has evolved as a cornerstone of mental health and relational wellbeing, addressing the complexities of familial interactions and systemic challenges. This chapter presents a comprehensive literature review, highlighting foundational theories, key models, and the impact of family counselling across diverse contexts. It also examines cultural considerations and identifies gaps in existing research to provide context for developing a facilitator manual tailored to new practitioners. Gehart (2018) sets the stage for this chapter in saying: Perhaps the most difficult challenge in couple and family work is identifying who you are treating. In individual therapy, it is easy to identify your patient: look at the person sitting in front of you. Couples and families, however, come to therapy with complex complaints. In some instances, they identify one member of the family as the problem who has brought them to you. In other instances, they say that the entire relationship or entire family is struggling. Who is the therapist treating? The question is not just academic. How you answer it will have an impact on how you organize your treatment plan, how you document the case, handle conflict between family members, and even how payment takes place. Indeed, it is likely to reflect your underlying philosophy when it comes to couple and family work. (p. 28) Defining Family Counselling and its Scope Family counselling, or family therapy, encompasses therapeutic practices aimed at improving relationships and resolving conflicts within family systems. It focuses on enhancing 10 communication, fostering emotional closeness, and addressing systemic issues that influence individual and collective well-being (Goldenberg & Goldenberg, 2017). The practice is underpinned by the belief that individual problems often stem from or are influenced by relational dynamics (Walsh, 2014). This systemic perspective emphasizes that families are interconnected units, where one member’s struggles inevitably affect others. Research by Carr (2025) emphasizes that family counselling is particularly effective in addressing behavioural problems in children and adolescents, including improved functioning in young people with eating, anxiety, and mood disorders, as well as psychosis, when delivered either on its own or as part of comprehensive treatment programs involving appropriate medication. Similarly, Demirci (2024) highlights the effectiveness of family counselling in addressing relational conflicts and improving family dynamics, particularly in reconstituted families. By emphasizing the importance of open communication, emotional connectedness, and role clarification, family counselling provides a holistic approach to resolving familial challenges and fostering healthier relationships. It is an invaluable resource in supporting adolescent mental health and promoting well-being across diverse family structures. Historical Development When understanding the diverse scope of Family counselling, it is important to consider its origins. Family counselling dates back to the mid-20th century, influenced by systems theory and early psychoanalytic thought. Murray Bowen introduced his family systems theory, emphasizing the role of multigenerational patterns and emotional processes (Bowen, 1978). This laid the foundation for other approaches, such as Salvador Minuchin’s Structural Family Therapy (Minuchin, 1974) and Jay Haley’s Strategic Family Therapy (Haley, 1976). These frameworks have evolved to incorporate contemporary practices, such as cognitive-behavioural techniques 11 and culturally responsive interventions (Almeida et. al., 1998; Hardy & Laszloffy 1995). The development of family therapy as a field was also marked by institutional milestones, including the establishment of the American Association for Marriage and Family Therapy (AAMFT) in the 1940s and the Journal of Family Therapy in 1961. These platforms facilitated the dissemination of research and practice, fostering innovation and cross-disciplinary collaboration. Positionality Prior to delving into theoretical frameworks, it is vital to understand the importance of positionality in our work as counsellors. What is Positionality? Positionality refers to the ways in which a counsellor’s background, experiences, values, and social identity shape their understanding of clients, therapeutic approaches, and professional decision-making. Every counsellor brings their cultural background, personal history, and worldview into the counselling space, inevitably influencing the therapeutic relationship. Recognizing and critically reflecting on one’s positionality is essential for ensuring ethical, client-centred, and culturally responsive practice. The counselling process does not happen in a vacuum; both the counsellor and the client exist within broader social, cultural, and systemic contexts that impact how they experience the world. Why Does Positionality Matter in Counselling? One of the most important aspects of positionality is the development of self-awareness. Counsellors are not neutral observers; they bring personal and professional biases that can shape how they perceive and interact with clients. By reflecting on their positionality, counsellors can identify biases that may unconsciously affect their clinical decisions. This is particularly important when working with clients whose backgrounds, identities, or values differ from their own. Without self-awareness, counsellors risk projecting their assumptions onto clients rather than fully understanding the client’s lived 12 experience. By engaging in continuous self-reflection, counsellors become more attuned to their perspectives and how these influence the therapeutic process. Building a strong therapeutic alliance requires trust, and positionality plays a key role in fostering this trust. Clients are more likely to engage in therapy when they feel seen, heard, and understood. Recognizing positionality helps counsellors acknowledge the power imbalances inherent in the counselling relationship. A counsellor’s race, gender, socioeconomic status, and professional authority influence how a client perceives them. Being transparent about these dynamics and working towards an equitable, collaborative approach can strengthen the relationship and create a space where clients feel safe to share openly. By acknowledging that each counselling session is shaped by the counsellor’s and the client’s unique worldviews, counsellors can develop a more authentic and attuned presence in their work. Goodman et al. suggest that counsellors should be in constant reflection on the way in which their “sociohistorical and sociopolitical forces shape ... [their] own identities and subsequent understanding of their clients” (p. 799). Positionality is also central to culturally responsive counselling. Instead of assuming a one-size-fits-all approach, counsellors must recognize that clients come from diverse cultural backgrounds that shape their mental health, coping strategies, and willingness to seek help. Morrow (2005) highlights that subjectivity is unavoidable, meaning that instead of striving for complete objectivity, counsellors should practice ongoing selfreflection and engage with different perspectives to better serve clients. This aligns with the concept of cultural humility, which emphasizes that learning about a client’s culture is an ongoing process rather than a fixed achievement. Rather than positioning themselves as experts on a client’s experience, counsellors should approach each session with openness and curiosity, allowing clients to be the experts of their own stories. 13 Beyond the therapeutic relationship, positionality informs ethical decision-making and social justice in counselling. Ethical counselling involves acknowledging the social and systemic factors that impact a client’s mental health. Morrow (2005) discusses how power structures shape interactions, directly applicable to counselling. A counsellor working with marginalized communities, for example, must be aware of how systemic oppression, privilege, and discrimination affect their clients' experiences. Recognizing one’s positionality allows counsellors to advocate for clients, challenge oppressive narratives, and adopt an anti-oppressive framework in therapy. The ethical responsibility of a counsellor is not solely to support individual clients but also to recognize and respond to the broader societal forces that contribute to their struggles. Furthering Our Understanding, A Vignette. In a hypothetical scenario, I imagine working as a young counsellor in my late twenties with a multigenerational South Asian immigrant family. Early in the session, I sense a level of hesitation from the grandparents and parents, who appear uncomfortable discussing family matters openly in front of someone they perceive as both young and less authoritative. They frequently defer to the eldest male family member before answering questions, and I notice that direct questions directed to the teenage daughter are often answered by her parents instead. Reflecting on my own positionality, I recognize my age, South African-Canadian upbringing, and Western training in encouraging individual expression may clash with their cultural expectations around respect for elders, collectivism, and family privacy. To bridge this gap, I adapt my approach by shifting from direct questioning to more narrative, story-based conversations that honour the family’s cultural communication styles. I also become mindful of pacing, hierarchy, and ensuring that all family 14 members feel respected according to their cultural norms, rather than imposing a Western model of open disclosure. This example highlights how a counsellor’s positionality, age, cultural background, and socialization can affect authority, trust, and relational dynamics within sessions. It also reflects how systemic issues, such as migration stress, racialization, and the dominance of Western norms in mental health care, may create barriers for immigrant families engaging with Canadian counselling services. Understanding and addressing this positionality requires counsellors to critically examine their own identities and how these intersect with broader structures of power such as colonialism, racism, and ageism. By doing so, counsellors can begin to shift towards practicing cultural humility, acknowledging their position, adapting flexibly, and co-creating spaces where diverse families feel seen, heard, and respected. Parallels Between Bracketing in Research and Self-Awareness in Counselling. A useful way to conceptualize positionality in counselling is through the phenomenological concept of bracketing (epoche), as described by Leigh-Osroosh (2021). In phenomenological research, bracketing refers to setting aside preconceptions and biases to engage with participants’ experiences as authentically as possible. While researchers can never be completely objective, the act of bracketing encourages them to acknowledge their perspectives and work towards reducing their influence on the research process. This concept has direct relevance to counselling. Just as a researcher must consciously reflect on their assumptions before interpreting data, a counsellor must bracket their personal beliefs, cultural assumptions, and biases when engaging with clients. This does not mean eliminating one’s identity or experiences but rather developing an awareness of how they shape interactions and interpretations. For example, a counsellor with strong personal beliefs about family structures may unintentionally 15 impose these views on a client navigating non-traditional family dynamics. By practicing bracketing, the counsellor can recognize these biases and focus on supporting the client’s unique lived experience rather than filtering it through their worldview. Leigh-Osroosh (2021) describes phenomenological research as a process of deep listening, openness, and intentional reflection, all of which are essential in counselling. The concept of intentionality, understanding how we are meaningfully connected to the world, aligns closely with the self-awareness required in counselling practice. When counsellors engage in intentional self-reflection, they create space for genuine empathy, cultural humility, and more meaningful therapeutic connections. Developing Reflexivity in Counselling Practice. Practicing reflexivity is essential in developing an awareness of positionality. Reflexivity involves regularly examining how personal values, beliefs, and life experiences shape therapeutic interactions. Maintaining a reflexive journal helps counsellors identify moments where their biases, assumptions, or emotional reactions arise in sessions. Supervision and peer consultation can also help counsellors gain external perspectives and recognize blind spots in their work. Supervision provides an opportunity to critically examine ethical dilemmas, explore the implications of one’s positionality, and ensure that clinical decisions are grounded in the best interests of the client rather than personal biases. Counsellors must also develop an awareness of intersectionality, the ways in which multiple aspects of a person’s identity (such as race, gender, sexuality, class, and ability) interact to shape their experiences. Recognizing these intersections helps counsellors move beyond an individual-focused approach to consider the broader social and cultural contexts influencing their clients. Acknowledging one’s power and privilege in counselling is an important step in creating a more equitable therapeutic environment. By fostering self-awareness, engaging in ongoing 16 learning, and maintaining an openness to different perspectives, counsellors can work towards providing ethical and socially conscious care. Positionality is not something to be “overcome” but rather an ongoing commitment to self-examination, ethical responsibility, and cultural humility. The more counsellors engage with their positionality, the more they can provide ethical, client-centred, and socially conscious therapy. By acknowledging that our identities and experiences shape us, we can create therapeutic spaces that honour the diversity of our clients while remaining mindful of the power we hold as mental health professionals. Engaging with positionality strengthens the individual counsellor’s practice and the counselling profession as a whole, ensuring that it evolves to be more inclusive, responsive, and attuned to the lived experiences of diverse clients. Engaging in reflexivity and understanding positionality are foundational to ethical, culturally responsive practice, but they must be paired with a strong grounding in theory. Selfawareness may shape how we engage with clients, but theoretical frameworks shape what we do in the room. Together, they form the backbone of thoughtful, intentional counselling. The next section outlines the core theoretical frameworks that inform family therapy and considers how different counsellors might align with each approach. Theoretical Frameworks The foundation of effective counselling lies in being both grounded and integrated in one’s theoretical approach. Groundedness in a theoretical framework ensures that a counsellor has a clear and consistent foundation to understand and engage with clients, providing structure and direction in the therapeutic process. At the same time, integration acknowledges that no single theory fully captures the complexity of human experiences and family dynamics. 17 Counsellors must be open to drawing from multiple approaches when appropriate, adapting their methods to meet each family's unique needs. There are a few key theoretical frameworks that contribute to Family Therapy. For this project, I will describe and interpret what type of counsellor may best suit each theoretical framework. However, it is important to recognize that theoretical stances are not rigid prescriptions but personal choices that evolve. A counsellor’s theoretical orientation is shaped by their training, experiences, values, and the populations they serve, making it essential to remain committed to foundational principles and open to flexibility in practice. Bowenian Family Therapy. This approach emphasizes the differentiation of self and managing emotional reactivity in family systems. It highlights the significance of addressing unresolved issues across generations (Bowen, 1978). Bowenian Family Therapy is particularly well-suited for counsellors drawn to a systems-oriented approach and value exploring the interconnectedness of family relationships. This approach appeals to practitioners who prioritize fostering self-awareness and emotional regulation in clients, especially within the context of their family dynamics. Counsellors interested in understanding how intergenerational patterns and unresolved issues shape current behaviour often find this framework compelling, as it emphasizes the importance of family history and systemic influences. Additionally, Bowenian therapy requires a counsellor to maintain emotional neutrality, making it an excellent fit for those comfortable taking a calm, non-reactive stance to help clients manage emotional reactivity. For therapists who favour addressing deeply-rooted family issues and facilitating long-term growth over short-term solutions, this approach may be worth exploring. Structural Family Therapy (SFT). Developed by Salvador Minuchin, SFT focuses on modifying family structures to promote healthier dynamics. Techniques include boundary setting 18 and realigning subsystems to improve cohesion and functionality (Minuchin, 1974). Empirical studies demonstrate its effectiveness in addressing behavioural issues, particularly in families with adolescents exhibiting oppositional behaviours (Jiménez, 2019; Szapocznik et. al., 1989). SFT interventions often involve enactments, where family members are guided to interact during sessions to reveal and adjust maladaptive patterns. These real-time adjustments enable families to develop healthier ways of relating. Structural Family Therapy is typically geared towards counsellors who enjoy a hands-on, action-oriented approach to addressing family issues. It is ideal for therapists who enjoy working directly with family interactions, observing their dynamics in real time, and intervening to restructure boundaries and hierarchies. Counsellors who are comfortable taking an active role in guiding families toward healthier patterns of interaction will resonate with Minuchin's approach. Additionally, this framework appeals to practitioners skilled at identifying and addressing imbalances in power dynamics and fostering collaboration among family members. Structural Family Therapy may be a fit for counsellors who value practical, immediate interventions to create lasting change in the family system. Narrative Therapy. Narrative therapy, pioneered by White and Epston (1990), helps families construct empowering narratives that reshape their understanding of challenges. This approach is particularly effective in fostering resilience and reframing negative perceptions (O’Connor, 2020). Techniques such as externalization enable clients to view problems as separate from their identity, fostering a sense of agency (Walsh, 2016). Narrative Therapy works well for counsellors who enjoy collaboration and creativity in their sessions. This approach is excellent for those who want to help families view problems as separate from themselves, encouraging them to reframe their experiences in a way that feels empowering and aligned with their values. Counsellors aim to work with a family’s strengths and aspirations. Narrative 19 Therapy allows therapists to guide families in exploring and rewriting their stories, creating a sense of agency and hope. It could be a good fit for those who prefer a non-directive, supportive role while encouraging clients to take the lead in shaping their own lives. Strategic Family Therapy. Strategic therapy employs directive techniques to resolve specific problems within family systems. Addressing interaction patterns and implementing behavioural changes facilitates functional adaptations (Haley, 1976). Research supports its utility in managing crises, such as substance abuse and marital conflict (Ahluwalia, Anand, & Suman, 2018). A distinctive feature of this approach is its focus on problem-solving and pragmatic interventions, often emphasizing brevity and targeted outcomes (Sharf, 2015). The approach’s adaptability makes it suitable for diverse family configurations and cultural contexts. Strategic is best suited for directive, problem-solving counsellors who thrive in structured, goal-oriented settings. It appeals to those who prefer brief, solution-focused interventions and are comfortable guiding families through behavioural changes and interaction patterns, especially in crises like substance abuse or marital conflict. This works well for therapists who can adapt interventions across diverse cultural contexts and effectively challenge resistance using strategic and sometimes paradoxical techniques. Ideal for action-oriented clinicians, it emphasizes efficiency, pragmatism, and measurable change in family dynamics. Emotionally Focused Therapy (EFT). Finally, developed by Sue Johnson, EFT focuses on emotional connection and attachment security within relationships. Studies highlight its success in improving intimacy and resolving interpersonal conflicts, making it highly effective for couples and families (Johnson, 2004; Leichsenring, 2005). Its emphasis on emotional accessibility and responsiveness aligns well with attachment theories and relational neuroscience (Siegel, 2012). The approach’s structured nature, which includes stages like de-escalation, 20 restructuring, and consolidation, provides a clear roadmap for therapists (Johnson, 2002). EFT’s adaptability to cultural contexts further enhances its applicability. This approach may appeal to counsellors who prioritize fostering deep emotional connections and repairing relational bonds. Grounded in attachment theory, EFT aims to help clients understand and transform the underlying emotional patterns that drive relational distress. This approach may be good for those who value working with emotions as a pathway to healing and who are comfortable guiding structured, emotionally charged interventions. Although each theoretical model offers distinct strengths, families' lived experiences often require more than a single lens. Counsellors must remain flexible, drawing from multiple frameworks to meet the evolving needs of diverse family systems. The following section explores how integration across theoretical models can enhance therapeutic effectiveness and responsiveness in real-world family counselling. Integrating Theoretical Frameworks in Family Counselling The Need for Integration. While grounding oneself in a primary theoretical framework offers structure and consistency, effective family counselling often requires thoughtful integration of multiple models. No single approach can fully capture the diverse, layered realities that families bring into the therapeutic space. Integrating theories allows counsellors to flexibly adapt their interventions, tailoring their methods to fit each family system’s unique dynamics, goals, and cultural contexts. Integration does not mean randomly blending techniques; it requires intentional reflection on theoretical compatibility and coherence. For instance, a counsellor may draw from Bowenian Family Therapy's focus on differentiation of self to help family members manage emotional 21 reactivity, while also incorporating Emotionally Focused Therapy (EFT) strategies to enhance emotional accessibility and secure attachment bonds. Examples of Integration Bowenian and EFT Integration. Consider a family where a teenage daughter is withdrawing from her parents after a major move to a new city. A Bowenian-informed counsellor might work on strengthening the daughter's ability to differentiate her emotions from the family’s anxiety around the move. Simultaneously, using EFT techniques, the counsellor could help the parents recognize and express their deeper fears of losing connection with their child, fostering more responsive emotional engagement. Integration here addresses both systemic and emotional layers of the family’s distress. Structural and Narrative Integration. Another integration could involve blending Structural Family Therapy (SFT) with Narrative Therapy. A counsellor working with a blended family struggling with unclear roles might use SFT enactments to restructure family boundaries and realign subsystems. Concurrently, Narrative Therapy techniques would help family members re-author their identities within the new family system, moving from deficit-based stories (i.e., "we are a broken family") toward strength-based narratives (i.e.,"we are building new traditions together"). Strategic Interventions with Broader Frameworks. Strategic Family Therapy can also complement other models when immediate, targeted interventions are needed. For example, if a family is in acute crisis due to a teenager’s substance use, a counsellor might initially apply Strategic interventions, such as reframing or assigning paradoxical tasks, to stabilize the situation, then shift toward relational healing using EFT or Bowenian approaches once the immediate risk has lessened. 22 Considerations in Integration. Integrative practice demands that counsellors maintain clarity about the theoretical foundations guiding their clinical choices. Ethical integration is not about eclecticism or convenience; rather, it is a thoughtful response to a client’s needs while preserving fidelity to foundational models. Counsellors must ensure that techniques from multiple frameworks are combined in ways that enhance, rather than confuse, the therapeutic direction. Regular supervision, self-reflection, and a commitment to continual learning are crucial for integrating approaches responsibly. While integrating theoretical frameworks provides counsellors with flexible strategies to support change, truly effective intervention requires a deep understanding of the family’s existing relational patterns. Before applying any model or technique, it is essential to carefully assess the underlying roles, communication styles, and conflict approaches that shape the family system. The following section explores how counsellors can thoughtfully assess and navigate family dynamics as a foundation for meaningful therapeutic work. Family Dynamics Understanding family dynamics is an integral part of the therapy process. New counsellors may feel compelled to begin intervention early; however, taking time to assess the existing roles and relationships, communication patterns, approaches to conflict resolution and overall family dynamics is essential. One way of establishing this takes place in the first session. Dividing the first session up evenly to have a one-on-one with each family member provides an opportunity to gain perspective on what brought the clients to counselling and what their desired outcomes are. This also gives each family member an opportunity to share their subjective experience free of judgment from other family members and affords an opportunity for vulnerable clients to disclose any important information such as abuse or other relevant concerns. 23 From these initial conversations, we can start to piece together the roles and relationships that exist within the family. Roles and Relationships. Once familial roles have been established, we can decipher how these roles influence behaviours and relational dynamics, with imbalances often contributing to conflict and dysfunction. For instance, rigid roles or enmeshments can lead to decreased autonomy and heightened dependency among family members (Minuchin, 1985). Understanding these roles is critical for facilitating healthier interactions. Research highlights the impact of role shifts during family transitions, such as divorce or remarriage, emphasizing the need for therapeutic support to help families navigate these changes (Walsh, 2016). Gehart (2018) notes that fostering role flexibility within family systems can mitigate conflict and promote resilience, enabling individuals to adjust more effectively to new dynamics. For new counsellors, approaching these transitions can be particularly challenging, especially when stepping into the family system as an outsider. One common oversight among emerging practitioners is failing to fully understand the existing family roles and relationships before intervening, as it can be very tempting to rush to solutions without fully grasping entrenched patterns (Saroca & Sargent, 2022; Minuchin, 1974). Taking the time to sit down with clients and map out their roles and relational dynamics can be instrumental in identifying entrenched patterns and guiding families toward healthier interactions. By doing so, counsellors can foster greater awareness, flexibility, and adaptation, ultimately supporting a smoother transition for all family members. Communication Patterns. A key component in a smooth transition lies in the client’s ability to utilize effective communication. It is a cornerstone of functional family systems, influencing relational stability and overall well-being. Therapy often targets maladaptive 24 communication patterns that contribute to conflict and disconnection. John Gottman’s research highlights four particularly destructive behaviours—criticism, defensiveness, contempt, and stonewalling—collectively known as the "Four Horsemen of the Apocalypse" (Gottman, 1999). These behaviours, when frequent and unresolved, significantly predict relationship distress and divorce, with contempt being the most corrosive. While occasional conflict is natural in any relationship, Gottman’s findings emphasize that the ability to repair negative interactions and maintain a high ratio of positive to negative exchanges is what sets successful couples apart. Therapeutic interventions focus on replacing these damaging patterns with constructive communication strategies. Active listening, reflective statements, and intentional nonverbal cues help family members feel heard and validated, reducing defensiveness and fostering emotional safety. Encouraging expressions of appreciation, using “I” statements instead of blame, and cultivating an environment of mutual respect can counteract the Four Horsemen and promote healthier dynamics. By emphasizing positive communication cycles, therapy mitigates conflict and strengthens relational resilience, helping families build deeper connections and navigate challenges more effectively. Conflict Resolution. Conflict is an inevitable aspect of family life. Family counselling equips members with tools for managing disputes constructively, emphasizing emotional regulation and collaborative problem-solving (Walsh, 2016). Techniques such as reflective listening and reframing are commonly employed to foster mutual understanding (Tuerk, McCart, & Henggeler, 2012). Studies show that families who learn conflict resolution skills through therapy report higher satisfaction and reduced tension, indicating the long-term benefits of these interventions (Carr, 2019). Impact of Family Counselling 25 Family therapy significantly reduces psychological distress, improving emotional wellbeing and fostering resilience. It has been shown to alleviate symptoms of anxiety, depression, and trauma among family members aiming to “reduce the emotional intensity in the family” (Asen, 2002. p. 232). Additionally, systemic interventions often improve coping mechanisms, enhancing individual and collective adaptability (Asen, 2002). Social Outcomes. Improved familial relationships enhance social functioning, fostering supportive networks and community integration. Strengthened communication and understanding contribute to long-term relational stability (Sharf, 2015). Enhanced familial cohesion often translates into better academic and occupational outcomes for younger members, as well as increased quality of peer-to-peer interactions (Zhao & Zhao, 2022). Long-term Effects. Family counselling’s benefits extend across generations, creating a ripple effect that promotes intergenerational health and resilience. Research highlights sustained improvements in family cohesion and reduced conflict over time (Barber and Buheler, 1996; Olson, 2000). Addressing systemic patterns also reduces the recurrence of maladaptive dynamics in subsequent generations (Walsh, 2014). A key factor in achieving these long-term benefits is the strength of the therapeutic alliance. Studies show that a strong therapeutic alliance, characterized by trust, collaboration, and emotional connection between the therapist and clients, enhances treatment effectiveness and fosters lasting change. In family counselling, where multiple relationships are at play, the therapist must navigate and balance these alliances to encourage engagement and cooperation among family members. When alliances are wellestablished, therapy not only leads to immediate improvements but also helps families develop healthier communication patterns and coping strategies that endure across generations. Conversely, research indicates that split alliances, where family members feel disconnected from 26 the therapist or therapy process, are associated with poorer outcomes and unresolved conflict (Friedlander et al., 2018).By prioritizing the therapeutic alliance, family counselling strengthens relationships, reduces long-standing tensions, and equips future generations with the tools to maintain positive and adaptive family dynamics. Cultural Considerations in Family Counselling Cultural diversity shapes family dynamics, necessitating culturally sensitive approaches in therapy. Counsellors must adapt interventions to align with clients’ cultural values and traditions. In some instances, cultural perceptions of mental health influence how families seek and engage in counselling. Some communities may view mental illness as a private matter or associate it with stigma, leading to reluctance in seeking professional help. In contrast, Indigenous families may prefer traditional healing practices over Western therapeutic models. Research highlights that ethnic and racial minority families often face systemic barriers, including a lack of culturally competent providers, language obstacles, and mistrust of mental health institutions (Alegria et al., 2010). To provide effective support, counsellors must recognize the role of the cultural context in shaping help-seeking behaviours, family structures, and communication patterns. For example, in some cultures, decision-making is a collective rather than an individual process, requiring therapists to engage extended family members in treatment. Similarly, differing views on authority, emotional expression, and problem-solving necessitate flexible therapeutic strategies that respect cultural norms while fostering engagement (Alegria et al., 2010). However, cultural counselling presents complexities, as therapists must be aware of their biases, avoid overgeneralizations, and navigate cultural differences that may conflict with standard therapeutic approaches. Misalignment between a client’s cultural worldview and the therapist’s methods can 27 hinder trust and progress, making cultural humility and adaptability essential in providing meaningful, effective care. By integrating culturally responsive techniques, therapists can build stronger alliances with families, reduce disparities in mental health care, and ensure that counselling interventions are meaningful and effective within diverse cultural frameworks. Adaptation of Therapeutic Models. Integrating cultural contexts into therapeutic models enhances their relevance and efficacy. For example, multicultural counselling competencies emphasize the importance of cultural humility and ongoing self-reflection among practitioners (Sue et al., 2022). Tailoring interventions to cultural narratives ensures alignment with client values and enhances therapeutic engagement. However, considering many current mental health approaches are focused on the needs of a Western colonial individual, we are faced with a reality in which these methods of treatment can be ineffective when it comes to meeting the needs of many First Nations individuals. One of the difficulties researchers face when examining effective First Nation-centred methods of therapeutic delivery is approaching from a non-Western colonial point of view. Nelson, S. (2011) reveals a problem when conducting this research in that, “[m]ental health research involving Aboriginal peoples has historically been undertaken from a Western point of view – that is, because such systematized research efforts are largely the product of ‘Western’ ways of knowing” (p. 2). This creates a challenge within the realms of Canadian mental healthcare research, as it is founded upon colonialism. However, this does not condemn the advancement of First Nation-centred healthcare. I see it as a call for all counsellors to take a collaborative approach with their clients. Certain initiatives in Canada have chosen to employ a participatory action approach in hopes of facilitating the integration of traditional First Nations healing methods with counselling services in a clinical setting while creating a collaborative and empowering project design with their 28 stakeholders (Maar et al., 2009). Such an informed approach works well as it allows for a reflexive and decolonizing approach to the subject of Indigenous-centred mental health initiatives. According to the authors “[a]cademic researchers, community-based researchers, and local stakeholders collaborated closely during all phases of the research… The Knaw Chi Ge Win Team (i.e. the core mental health team) provided technical advice and valuable background information that informed our methods” (Maar et al., 2009. p. 2). The Knaw Chi Ge Win Team was comprised of healthcare professionals with expertise in psychology, nursing, social work and traditional Aboriginal medicine and healing (Maar et al., 2009). This core team was coordinated by two Aboriginal health organizations, Mnaamodzawin Health Services (MHS) and Noojmowin Teg Health Access Centre (NT), both of which emphasize community-based First Nations approaches to care (Maar et al., 2009). This research emphasizes the importance of seeking cultural guidance and maintaining cultural humility as new counsellors when working with diverse populations. Ethical Considerations Ethical practice in family counselling requires more than respecting cultural differences and maintaining confidentiality; it demands a deep commitment to cultural humility, selfreflection, and the recognition of diverse worldviews. Counsellors, especially those new to the field, must remain vigilant in identifying and addressing personal biases, ensuring that professional standards are upheld without imposing Western-centric frameworks (Nichols & Davis, 2017; Beaulieu & Reeves, 2022). Ethical dilemmas frequently arise when navigating the tension between cultural norms and evidence-based practices, particularly when working with clients from historically marginalized communities. Such dilemmas call for nuanced decision-making that honours the client’s cultural knowledge and practices (Corey et al., 2015; 29 Beaulieu & Reeves, 2022). For instance, Indigenous approaches to healing emphasize holism, spirituality, and community relationships, which may not align neatly with Western models that prioritize individual pathology and standardized interventions. Counsellors must, therefore, adopt an epistemologically hybrid approach, valuing multiple ways of knowing without demanding validation through Western empiricism (Beaulieu & Reeves, 2022). Moreover, the integration of Indigenous healing practices—such as ceremonies, plant medicines, and teachings from Elders—into counselling can foster cultural safety and trust, which are essential components of ethical care. However, this integration must be approached with respect for cultural protocols, ensuring that sacred knowledge and practices are not appropriated or trivialized (Beaulieu & Reeves, 2022). Finally, ongoing clinical and peer supervision, alongside constant reflexivity, is of the utmost importance. Engaging in critical selfexamination of one’s social location, cultural assumptions, and therapeutic approaches is crucial for providing ethical, culturally responsive care. In line with the principles of truth and reconciliation, counsellors must remain committed to transformative learning and mutually respectful relationships that support the self-determination of the families they serve (Beaulieu & Reeves, 2022). Dual Relationships Dual relationships occur when a counsellor engages in more than one role with a client, either simultaneously or sequentially, which may impair professional judgment, risk client welfare, or create a conflict of interest. The potential for dual or multiple relationships is heightened in family counselling, where multiple individuals and complex relational systems are involved. Such relationships can emerge, for example, when counsellors have overlapping social, community, or professional ties with one or more family members. 30 The British Columbia Association of Clinical Counsellors (BCACC) Guide to Ethical Standards (2023) instructs counsellors to exercise caution when encountering dual relationships that could impair their objectivity or risk the exploitation of clients. Specifically, the BCACC emphasizes that counsellors are to “obtain professional guidance, supervision, and assistance to manage increased risk of boundary crossing/violations and multiple relationships” (BCACC, 2023, p. 12). For many rural counsellors in remote and often Northern communities, dual relationships are unavoidable. Therefore, it is up to the counsellor to ensure they engage in the appropriate level of reflection and supervision when navigating these complex relationships. Similarly, the Canadian Counselling and Psychotherapy Association (CCPA) Standards of Practice (2021) outline clear expectations regarding dual relationships. The CCPA advises counsellors should avoid entering into relationships that could lead to a conflict of interest, compromise the counsellor’s objectivity, or risk harm to the client (CCPA, 2021, p. 26). When dual relationships cannot be avoided for example in, rural, small, or marginalized communities, the CCPA stresses that counsellors must engage in rigorous ethical reflection, seek informed consent from all parties involved, and demonstrate that any decisions made are in the best interest of the client. In the context of family counselling, dual relationships require particularly careful navigation. Examples might include knowing a family member socially outside of therapy, encountering clients through religious, cultural, or professional networks, or being invited to family events. Counsellors must assess whether such overlap could influence the therapeutic relationship, confidentiality, or impartiality. Setting clear, early boundaries, revisiting these conversations over time, and maintaining ongoing ethical consultation are critical practices. Maintaining strict professional boundaries preserves the therapeutic alliance, protects client 31 welfare, and upholds public trust in the counselling profession. Ethical practice demands ongoing self-reflection, consultation, and an unwavering commitment to prioritizing the client’s needs above the counsellor’s own interests or obligations. Impasses Impasses in family counselling occur when progress stalls, communication breaks down, or resistance from one or more family members prevents meaningful therapeutic change. These roadblocks can be frustrating for counsellors and clients, but they are also opportunities to deepen the therapeutic work. Recognizing impasses, understanding their causes, and implementing strategies to overcome them are essential skills for family counsellors. Understanding Impasses in Therapy. An impasse can manifest in various ways, including repetitive conflicts that do not resolve, emotional disengagement, refusal to participate, or resistance to therapeutic interventions. Families may arrive at therapy feeling stuck, and when they perceive that counselling is not leading to immediate change, frustration can set in. Impasses often arise due to unresolved power dynamics, deeply ingrained relational patterns, or a fear of change. In some cases, an impasse reflects an underlying family secret, unspoken trauma, or conflicting individual goals that have not yet surfaced in therapy (Spindel, 2020). Impasses can also be a result of therapist-client mismatch, where the counsellor’s approach does not align with the family’s needs, or when the therapist unknowingly reinforces dysfunctional patterns. Recognizing when a therapeutic strategy is ineffective and being willing to shift approaches is key to navigating these difficult moments. Strategies for Overcoming Impasses Addressing the Resistance Directly. Resistance is a natural part of therapy, especially in family counselling, where multiple perspectives and relational histories are at play. Instead of 32 viewing resistance as an obstacle, Shaw (2011) suggests reframing it as valuable information about the family’s dynamics. A direct approach (i.e., naming the resistance in a nonjudgmental way and exploring its function within the family system) can open the door for deeper reflection. For example, a counsellor might say "I’ve noticed that we seem to return to the same concerns without making much movement forward. What do you think is keeping us stuck?" This creates space for family members to acknowledge their frustrations and may reveal fears, underlying loyalties, or unspoken tensions that need attention. Shifting Perspectives Through Reframing. A key strategy for breaking through impasses is helping family members see their situation from a different perspective. Reframing involves offering an alternative interpretation of events that reduces blame and increases empathy. Lebow (1984) discusses how integrative family therapy often relies on reframing to help clients recognize how their behaviors, rather than being personal attacks, are often coping mechanisms. For example, a child’s defiance might be reframed as an attempt to regain control in a chaotic environment, shifting the parental response from punishment to understanding. Utilizing the Family’s Strengths. Returning to the family’s strengths and resources can help build momentum when therapy reaches an impasse. Highlighting past successes—whether in therapy or the family’s history—can reinforce their ability to create change. Volk et al. (2008) suggest using solution-focused techniques to amplify what is already working rather than staying stuck in what is not. Questions like, “Can you think of a time when you handled this situation differently? What was different then?” can help families recognize their capacity for progress. Examining the Role of the Counsellor. Sometimes, therapist factors contribute to the impasse. Countertransference, mismatched therapeutic styles, or an overemphasis on logic rather 33 than emotion can create a disconnect. Murphy (2013) emphasizes the importance of selfreflection and supervision when therapists feel stuck, as well as being open to modifying interventions to better suit the family’s needs. If necessary, a referral to another counsellor or a co-therapist approach may be beneficial. Increasing Emotional Engagement. Impasses often arise when family members intellectualize issues rather than engaging emotionally. Rasic (2010) suggests that creating emotionally powerful moments—through experiential techniques, role-playing, or structured communication exercises—can help break through defences and deepen the connection. For example, using an empty chair technique to express unspoken emotions to an absent or deceased family member may unlock unresolved grief that is keeping the family system stuck. Taking a Break or Changing the Format. Sometimes, the best way to resolve an impasse is to step back. This might mean spacing out sessions, assigning reflective exercises between sessions, or temporarily shifting from full-family meetings to individual or dyadic work. Spindel (2020) notes that shifting formats allows individuals to process their experiences without the pressure of group dynamics, which can be particularly useful in highconflict families. Revisiting Goals and Expectations. When progress stalls, revisiting the family’s original goals can re-establish clarity. Sometimes, therapy is at an impasse because the therapist’s goals differ from the family’s priorities. Checking in with questions such as "What were you hoping to achieve when we started? Have your goals changed?" can help realign the process with what is most meaningful to the family. If a family feels that therapy is more focused on “fixing” them rather than empowering them, they may disengage. Shifting to a collaborative, goal-oriented model can reignite their investment in the process. 34 Final Thoughts on Impasses. Impasses are not failures; they are inflection points that indicate where deeper work is needed. Instead of seeing them as roadblocks, counsellors should view them as invitations to explore hidden dynamics, shift therapeutic strategies, and engage in creative problem-solving. By recognizing resistance as information, using reframing techniques, adjusting therapeutic approaches, and staying attuned to emotional engagement, new family therapists can turn impasses into breakthroughs, ultimately leading to deeper and more lasting change. Common Pitfalls in Family Counselling Family counselling presents unique challenges that require practitioners to navigate complex interpersonal dynamics, ethical considerations, and professional boundaries. While the field offers opportunities for deep transformation and healing, it is also fraught with potential pitfalls that can impact the effectiveness of therapy. These challenges include issues of alignment with specific family members, maintaining confidentiality, managing transference and countertransference, working with resistant or hostile families, and prioritizing self-care to prevent burnout. Understanding these pitfalls and developing strategies to mitigate them is essential for ethical and effective family counselling. Alignment with Specific Family Members. One of the most significant risks in family therapy is the tendency for counsellors to align too closely with one family member at the expense of others. New professionals may unconsciously favor a family member whose values or experiences resonate with their own, or they may align with a particular individual due to a perceived power imbalance in the family dynamic (Margolin, 1982). This is particularly problematic in cases of separation, divorce, or custody disputes, where a therapist may unintentionally reinforce one parent’s perspective over the other. Spindel (2020) further cautions 35 that alignment with one member of the family can make the counsellor appear biased and hinder the therapy’s effectiveness. To prevent this, counsellors should remain attuned to their own biases and consistently engage all family members in a balanced, systemic manner, ensuring that no single perspective dominates the therapeutic process. Confidentiality and Ethical Considerations. Confidentiality is a particularly challenging aspect of family counselling due to the involvement of multiple individuals. Unlike individual therapy, where confidentiality is strictly between the therapist and the client, family therapy requires careful management of what information can and cannot be shared between family members. The American Association for Marriage and Family Therapy (2012) provides ethical guidelines emphasizing that therapists must inform families about their rights regarding confidentiality and its limitations. For example, family members should be aware that private disclosures made to the counsellor may not be kept confidential if they are relevant to the overall family system. However, counsellors must also maintain professional discretion to prevent harming trust between family members. This balance is especially crucial when working with minors, where the ethical obligation to maintain confidentiality may conflict with parental rights to information (Shaw, 2011). Transference and Countertransference. Transference and countertransference can significantly impact the therapeutic process. Transference can be understood as the redirection of feelings from past relationships onto the counsellor (Howes, 2012). For example, a client may unconsciously view the therapist as a parental figure, replicating past relational patterns. While transference can provide valuable insights into family dynamics, it must be carefully managed to avoid reinforcing unhealthy patterns. Conversely, countertransference occurs when the therapist projects their own emotions onto the client. Murphy (2013) highlights that countertransference is 36 particularly risky in family therapy, where therapists may relate too closely to a client’s experiences. A therapist who sees themselves in a struggling parent may become overly protective, while one who identifies with a rebellious adolescent may become dismissive of parental concerns. These unconscious emotional reactions can distort the therapeutic process if left unchecked. Therapists experiencing strong emotional reactions, whether feelings of overidentification, frustration, or attraction, should seek supervision to maintain professional objectivity (Rasic, 2010). Resistance and Hostility from Families. Counsellors frequently encounter resistance, particularly when families are mandated to attend therapy through court orders or child protection agencies. Spindel (2020) notes that some families may resist intervention due to fear, shame, or previous negative experiences with professionals. Resistance can manifest in subtle ways, such as avoiding certain discussions, missing appointments, or providing minimal engagement. In extreme cases, family members may exhibit outright hostility toward the counsellor, including verbal aggression or intimidation tactics (British Columbia Ministry of Health, 2013). To manage resistance, it is essential for therapists to establish trust, validate concerns, and clearly explain the therapeutic process. A trauma-informed approach can help families understand that therapy is a space for growth rather than judgment. However, in cases where hostility escalates to threats or safety concerns, therapists may need to involve external support systems, such as legal authorities or co-therapists (British Columbia Ministry of Children and Family Development, 2010). The Challenge of Cultural Competence and Ethnocultural Transference. Ethnicity and cultural background can influence both the counsellor-client relationship and the internal dynamics of the family itself. Comas-Diaz and Jacobsen (1991) discuss how professionals may 37 unknowingly project cultural stereotypes onto clients, shaping their expectations and therapeutic interventions in ways that are not always beneficial. Families may also project their cultural assumptions onto the counsellor, expecting them to share their worldview or misunderstand their experiences. To mitigate these challenges, cultural humility must be a core principle of family counselling. Rather than assuming expertise on a family’s cultural background, therapists should adopt a stance of curiosity, openness, and willingness to learn from the family’s lived experiences. Engaging in ongoing cultural competency training and seeking supervision when working with families from unfamiliar backgrounds can help therapists avoid the pitfalls of ethnocultural projection. Navigating cultural dynamics and ethnocultural transference requires ongoing reflection and humility. However, even with strong cultural awareness, the emotional toll of this work can be significant. This leads to another critical consideration in family counselling: the importance of self-care and burnout prevention. Self-Care and Burnout Prevention. Given the emotional demands of family counselling, implementing proactive self-care strategies is essential for sustainable practice. Professionals, especially new counsellors, working with high-conflict families, trauma survivors, and individuals in crisis are particularly vulnerable to compassion fatigue, vicarious trauma, and burnout (Volk et al., 2008). Without proper self-care, therapists may experience emotional exhaustion, irritability, sleep disturbances, and a diminished ability to engage effectively with clients (Babbel, 2012). Maintaining healthy professional boundaries, engaging in peer consultation, and practicing mindfulness techniques are critical strategies for preventing burnout (Walker, Morin, & Labrie, 2012). Additionally, organizations should ensure 38 that therapists have access to regular supervision, structured debriefing sessions, and workload management strategies to support long-term well-being in the field. Family counselling is a complex and deeply impactful field that requires practitioners to be mindful of their professional boundaries, ethical obligations, and emotional well-being. Common pitfalls such as alignment with specific family members, breaches of confidentiality, countertransference, resistance from families, and cultural misinterpretations can significantly hinder therapy’s effectiveness if not carefully managed. Additionally, neglecting self-care places counsellors at risk of burnout, which can compromise both personal and professional functioning. Family counsellors can navigate these challenges by maintaining professional neutrality, engaging in reflexivity, setting clear boundaries, and practicing cultural humility while providing ethical and effective care to the families they serve. To aid in this process, seeking training programs may be a useful option for many new counsellors. Training Programs for Family Counsellors in Canada Training programs for family counsellors within Canada are designed to equip professionals with the skills and knowledge needed to support families and couples effectively. These programs typically offer a combination of theoretical knowledge and practical experience while adhering to professional accreditation standards. Many programs are geared to individuals who already have a master’s degree and are looking to further their scope of practice, although there are some that are an entire degree. What They Offer. Family counselling training programs often include a mix of academic coursework, supervised clinical practice, and opportunities for professional development. Coursework typically covers topics such as family systems theory, ethics in counselling, cultural competence, and specific therapeutic approaches like narrative, solution- 39 focused, or cognitive-behavioural therapy. Many programs also emphasize the importance of evidence-based practices and provide access to experienced supervisors who guide students through clinical challenges. Practical training is a cornerstone of these programs, with most requiring students to complete a set number of clinical hours. For example, the University of Calgary’s Professional Certificate in Couple and Family Therapy includes a supervised practicum requiring 350 hours of clinical experience over the course of one year from May to April (University of Calgary, n.d.). Similarly, the University of Guelph’s Master of Relational and Family Therapy program offers hands-on training at their on-site therapy center, enabling students to apply their learning in real-world settings. This program takes place over the course of two years with a strong emphasis on clinical skills, providing students with a master’s degree that is accredited by the Canadian Association for Couple and Family Therapy (CACFT) (University of Guelph, n.d.). Each program will differ slightly in its intensity, though the overall goal is to provide students with a robust understanding of family therapy. What Students Get from Training Programs. Students in family counselling training programs gain an array of skills and knowledge essential for their professional development. These programs provide a solid foundation in family systems theory and evidence-based therapeutic approaches, equipping students with the theoretical knowledge needed to understand and address complex relational dynamics. Additionally, students acquire clinical skills through hands-on experience, working with diverse families and couples under the guidance of experienced supervisors. This practical training ensures that they are well-prepared for realworld counselling scenarios. Programs also emphasize professional competence, preparing graduates to meet the certification requirements of organizations such as the Canadian Association for Marriage and Family Therapy (CAMFT). Furthermore, these programs enhance 40 career readiness by building confidence and equipping students with the expertise necessary for various roles, including private practice, community organizations, and healthcare settings. Marriage and Family Therapy Programs. Marriage and family therapy (MFT) programs focus specifically on addressing relational dynamics within families and couples. These programs are often accredited by organizations like CAMFT, the College of Registered Psychotherapists of Ontario (CRPO), or the College of Alberta Psychologists (CAP). They offer specialized training in areas like conflict resolution, communication strategies, and working with complex family structures. For example, Trinity Western University provides an MCS in Marriage and Family Therapy, blending faith-based perspectives with rigorous clinical training (Trinity Western University, n.d.). Wilfred Laurier University offers a Family and Couples Counselling Certificate that provides a broad overview of various counselling approaches to working with families and couples. While this program does not provide a qualification to become registered with CRPO, it is recognized by the regulatory college (Wilfrid Laurier University, n.d.). What Is Still Missing? Graduates of these programs emerge with strong competencies in family systems therapy, ethical decision-making, and clinical interventions. However, some gaps remain. For instance, while programs include foundational teachings on diversity, there is a need for more nuanced training focused on working with marginalized or underserved populations to enhance cultural competence. Additionally, greater emphasis on trauma-informed care is necessary, particularly in addressing intergenerational trauma, which is often underrepresented in current curricula. Furthermore, programs could better integrate content on emerging trends, such as the impact of digital technology on family dynamics, an increasingly relevant area in modern family counselling. 41 What Is Not Offered. Despite their comprehensive design, the few Canadian family counselling programs listed in this project still fall short in certain areas. For instance, most programs pay little attention to financial literacy for practitioners looking to manage their own private practices, let alone the complexities of navigating insurance systems. New clinicians may consider seeking business-related courses to aid in the venture of starting a private practice if that interests them. These programs are also fairly limited in their scope of practice. Programs such as these tend to gloss over niche areas of practice, such as working with neurodiverse families or addressing substance abuse in family contexts. So new counsellors may wish to seek specific courses or seminars that focus on these specialties. Finally, certain programs tend to provide a lot of support throughout the duration of a student’s studies. However, post-graduation mentorship or networking opportunities are often minimal, leaving practitioners to navigate their early careers alone. Chapter Summary This chapter reviews key literature on family counselling, emphasizing its systemic nature and historical foundations. It explores core theoretical frameworks such as Bowenian, Structural, Narrative, and Emotionally Focused Therapy, along with practical models for addressing familial conflict and improving relationships. The role of positionality is highlighted, stressing self-awareness, cultural humility, and ethical considerations in practice. The chapter also examines family dynamics, communication patterns, and conflict resolution while addressing challenges such as resistance, countertransference, and ethical dilemmas. Finally, an overview of Canadian training programs identifies strengths and gaps, underscoring the need for culturally responsive, trauma-informed approaches. This project builds on these insights to support new practitioners in navigating family counselling effectively. 42 Chapter 3: Project Description This chapter presents the development and purpose of the facilitator manual designed for new family counsellors. Grounded in current literature and enriched by personal experience, the manual offers practical tools, theoretical foundations, and reflective prompts to support emerging professionals in navigating the complexities of family therapy. It was created through a selfdirected, thematic synthesis of relevant literature, clinical guidance, and personal insight gained through practicum experience. The manual aims to bridge the gap between academic training and clinical realities, especially for those working in diverse and underserved communities. Target Audience This manual is intended for counsellors at the beginning stages of their family counselling careers, including graduate students, recent graduates, and early career practitioners navigating their first experiences in family therapy. It may also serve supervisors, educators, and training institutions seeking accessible, practice-based resources to complement clinical training. The manual is adaptable to a range of clinical settings, including community agencies, private practices, forensic services, and child and family welfare programs. However, it is especially focused on those entering the field without extensive post-graduation mentorship. Goals and Objectives The primary aim of my manual is to help new family counsellors in building a confident, ethical, and reflexive foundation for practice and is guided by five overarching goals: 1. To provide a structured, evidence-informed resource for understanding and applying core family counselling theories and techniques. 2. To foster critical self-awareness and cultural humility through reflection on positionality, dual relationships, and the complexities of intersectionality. 43 3. To support counsellors in navigating common challenges such as communication breakdowns, impasses in therapy, and therapist-client mismatches. 4. To offer practical tools for assessing family dynamics, encouraging role flexibility, and promoting effective conflict resolution. 5. To deliver a sustainable resource that evolves with the practitioner, supporting long-term professional development and ethical care. Development Process This manual was created through a multi-phase, self-directed process grounded in reflective practice, theoretical integration, and real-world relevance. The process began with an extensive literature review, detailed in Chapter 2, which synthesized current research on family therapy approaches, ethical frameworks, positionality, and Canadian training programs. These findings shaped the manual's structure and thematic priorities. These findings not only informed the manual’s structure and thematic priorities but also shaped how theory is translated into practice throughout the guide. For example, systemic models and ethical decision-making frameworks explored in Chapter 2 are woven into applied tools for managing family dynamics, navigating dual relationships, and addressing cultural complexities. The next phase involved identifying content areas that reflect the most frequent challenges faced by new practitioners, such as managing family dynamics, conducting intake sessions, addressing therapeutic impasses, and practicing with cultural humility. These themes were developed through the integration of personal and clinical insights. Outcome The resulting manual offers a comprehensive guide that summarizes foundational theories and provides practical guidance on how and when to apply them. It includes tools for 44 assessing family roles, communication patterns, and conflict styles, as well as guidance for managing impasses, ethical dilemmas, dual relationships, and practitioner burnout. It also includes exercises and prompts to promote self-reflection, cultural responsiveness, and professional development. Visual elements and a clear layout to support intuitive navigation and usability. While it does not replace clinical supervision or formal training, the manual is intended to function as a steady reference point and reflective aid, particularly in settings with limited access to mentorship. Contribution to the Field. This manual addresses several critical gaps in the training and early professional support of family counsellors. Many new practitioners, especially those intending to work in Northern, rural, or underserved communities, enter the field with limited access to post-graduate supervision and mentorship. This manual helps fill that gap by offering structured guidance, reflective prompts, and decision-making tools that support independent learning and ethical practice. It also responds to the need for culturally responsive resources by integrating activities that promote reflection on power, privilege, and intersectionality, including case examples that highlight cultural tensions, systemic barriers, and identity-based challenges. Finally, the manual bridges the often-cited divide between theory and practice by pairing accessible summaries of core family therapy models with applied techniques for real-world use, such as strategies for navigating therapeutic impasses, managing family conflict, and assessing relational dynamics. In doing so, it provides a practical, flexible, and sustainable resource designed to evolve with the practitioner. Summary This manual was developed to address the practical and ethical challenges faced by new family counsellors early in their careers. Rooted in systemic theory, cultural humility, and 45 professional integrity, it functions as both a toolkit and a compass, helping practitioners navigate diverse family systems with confidence and compassion. By offering accessible guidance and reflective strategies, it supports emerging practitioners in cultivating awareness, resilience, and flexibility necessary for ethical and effective family counselling. Chapter Summary This chapter outlines the purpose, development, and intended use of a facilitator manual created to support new family counsellors. Aimed at graduate students, recent graduates, and early-career practitioners, particularly those in underserved or mentorship-limited settings, the manual bridges the gap between academic learning and clinical practice. Drawing from current literature, practicum experiences, and reflective practice, it provides evidence-informed frameworks, practical tools, and strategies to support ethical, culturally responsive, and confident family counselling. The manual emphasizes self-awareness, systemic thinking, and professional development, offering accessible guidance on core theories, family dynamics, communication, impasses, and therapist challenges. Ultimately, it serves as a flexible and sustainable resource designed to grow with the practitioner throughout their career. 46 References Ahluwalia, H., Anand, T., & Suman, L. N. (2018). Marital and family therapy. Indian Journal of Psychiatry, 60(Suppl 4), S501–S505. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_19_18 Almeida, R., Woods, R., Messineo, T., & Font, R. (1998). The context model. In M. McGoldrick (Ed.), Revisioning family therapy: Race, gender, and culture in clinical practice. New York: Guilford Press. American Association for Marriage and Family Therapy. Code of ethics. Retrieved from https://aamft.org/Legal_Ethics/Code_of_Ethics.aspx Asen, E. (2002). Outcome research in family therapy. Advances in Psychiatric Treatment, 8(3), 230–238. doi:10.1192/apt.8.3.230 Association for Family Therapy and Systemic Practice. (2024). What is family therapy? Retrieved from https://www.aft.org.uk Babbel, S. (2012). Compassion fatigue: Bodily symptoms of empathy. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/somaticpsychology/201207/compassion-fatigue Barber, B. K. and Buehler, C. (1996) Family cohesion and enmeshment: Different constructs, different effects. Journal of Marriage and the Family, 58: 433–41. https://doi.org/10.2307/353507 Beaulieu, T., & Reeves, A. (2022). Integrating Indigenous Healing and Western Counseling: Clinical cases in Culturally Safe practice. In Springer eBooks (pp. 255– 281). https://doi.org/10.1007/978-3-030-71346-1_15 Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson. 47 British Columbia Association of Clinical Counsellors. (2023). BCACC Code of Ethical Conduct and Standards of Clinical Practice. https://bcacc.ca/wpcontent/uploads/2023/07/BCACC-COEC-Effective-Nov.-1-2023.pdf British Columbia Ministry of Health. (2013). Trauma-Informed Practice Guide. Retrieved from https://www2.gov.bc.ca/assets/gov/health/child-teen-mental-health/traumainformed_practice_guide.pdf British Columbia Ministry of Children and Family Development. (2010). Best Practice Approaches: Child Protection and Violence Against Women. Retrieved from https://www2.gov.bc.ca/assets/gov/public-safety-and-emergency-services/publicsafety/protecting-children/best_practice_approaches_policy.pdf Canadian Counselling and Psychotherapy Association. (2021). Standards of Practice (6th ed.). https://www.ccpa-accp.ca/wp-content/uploads/2021/10/CCPA-Standards-of-PracticeENG-Sept-29-Web-file.pdf Carr, A. (2025) Family therapy and systemic interventions for child-focussed problems: The evidence base. Journal of Family Therapy, 47, e12476. Available from: https://doi.org/10.1111/1467-6427.12476 Carr, A. (2019). Family therapy: Concepts, process, and practice (4th ed.). Wiley. Comas-Diaz, L., & Jacobsen, F. M. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61(3), 392– 402. https://doi.org/10.1037/h0079251 Corey, G., Corey, M. S., & Callanan, P. (2015). Issues and ethics in the helping professions (9th ed.). Cengage Learning. 48 Demirci, Z. (2024). The Relationship Between Family Interaction Quality and Adolescent Mental Health with a Focus on Parental Roles in Reconstituted Families. tudies in ocial cience ∓ umanities, 3(11), 34–38. retrieved from https://www.paradigmpress.org/SSSH/article/view/1413 Goldenberg, H., & Goldenberg, I. (2017). Family therapy: An overview (9th ed.). Cengage Learning. Gehart, D. R. (2018). Mastering competencies in family therapy: A practical approach to theory and clinical case documentation. Cengage Learning. Goodman, L.A., Liang, B., Helms, J.E., Latta, R.E., Sparks, E., & Weintraub, S.R. (2004). Training counseling psychologists as social justice agents: Feminist and multicultural principles in action. The Counseling Psychologist, 32(6), 793-837. doi:10.1177/0011000004268802 Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. Harmony Books. Gottman, J. M. (1999). The marriage clinic: A scientifically based marital therapy. New York: Norton. Haley, J. (1976). Problem-solving therapy. Jossey-Bass. Hardy, K. V., & Laszloffy, T. A. (1995). The cultural genograms: Key to training culturally competent family therapists. Journal of Marital and Family Therapy, 21, 221–237. Howes, R. (2012). A client’s guide to transference. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/in-therapy/201206/clients-guidetransference 49 Jiménez, L., Hidalgo, V., Baena, S., León, A., & Lorence, B. (2019). Effectiveness of Structural– Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families. International Journal of Environmental Research and Public Health, 16(7), 1255. https://doi.org/10.3390/ijerph16071255 Johnson, S. M. (2004). The practice of emotionally focused couple therapy: Creating connection. Routledge. Johnson, S. (2002). Emotionally Focused Couple Therapy with Trauma Survivors: Strengthening Attachment Bonds. New York: Guilford Press. Kazdin, A. (2010) Problem solving skills training and parent management training for oppositional defiant disorder and conduct disorder. In J. Weisz and A. Kazdin (eds) Evidence-based Psychotherapies for Children and Adolescents (2nd edn) (pp. 211–226). New York: Guilford. Kim, J.S. (2008). Examining the Effectiveness of Solution-Focused Brief Therapy: A MetaAnalysis. Research on Social Work Practice, 18(2), 107-116. Kolko, D. and Swenson, C. (2002). Assessing and Treating Physically Abused Children and Their Families: A Cognitive Behavioural Approach. Thousand Oaks: Sage Publications Lebow, J. L. (1984). On the value of integrating approaches to family therapy. Journal of Marital and Family Therapy, 10(3), 127–138. https://doi.org/10.1111/j.17520606.1984.tb00003.x Leichsenring, F. (2005). Are psychodynamic and psychoanalytic therapies effective? A review of empirical data. International Journal of Psychoanalysis, 86(3), 841–868. https://doi.org/10.1516/RFEE-LKPN-B7TF-KPDU 50 Leigh-Osroosh, K. T. (2021). The phenomenological house: A metaphoric framework for descriptive phenomenological psychological design and analysis. The Qualitative Report, 26(6), 1817–1829. https://doi.org/10.46743/2160-3715/2021.4815 Maar, M., Erskine, B., McGregor, L., Larose, T., Sutherland, M., & Graham, D. et al. (2009). Innovations on a shoestring: a study of a collaborative community-based Aboriginal mental health service model in rural Canada. International Journal Of Mental Health Systems, 3(1), 27. doi: 10.1186/1752-4458-3-27 Magliano, L. Fiorillo, A., Fadden, G., Gair, F., Economou, M., Kallert, T., Schellog, J., Xavier, M., Pereiram M.C., Gonzales, F.T., Palma-Crespo, A. & Maj, M. (2005) Effectiveness of a psychoeducational intervention for families of patients with schizophrenia: preliminary results of a study funded by the European Commission. World Psychiatry, 4 (1), 45–49. Margolin, G. (1982). Ethical and legal considerations in marital and family therapy. American Psychologist, 37(7), 788–801. https://doi.org/10.1037/0003-066X.37.7.788 Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 56(2), 289–302. https://doi.org/10.2307/1129720 Minuchin, S. (1974). Families and family therapy. Harvard University Press. Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52(2), 250– 260. https://doi.org/10.1037/0022-0167.52.2.250 Murphy, S. N. (2013). Attending to countertransference. Counseling Today. Retrieved from https://www.counseling.org/publications/counseling-today-magazine/articlearchive/article/legacy/attending-to-countertransference Nelson, S. (2011). Challenging Hidden Assumptions: Colonial Norms as Determinants of 51 Aboriginal Mental Health, 1–16. Retrieved from http://www.nccahccnsa.ca/Publications/Lists/Publications/Attachments/70/colonial_norms_EN_web.pdf Nichols, M. P., & Davis, S. D. (2017). Family therapy: Concepts and methods (11th ed.). Pearson. O’Connor, T.S.J. (2020). Narrative Therapy. In: Leeming, D.A. (eds) Encyclopedia of Psychology and Religion. Springer, Cham. https://doi.org/10.1007/978-3-030-243487_455 Olson, D. H. (2000) Circumplex model of marital and family systems. Journal of Family Therapy, 22: 144–67. https://doi.org/10.1111/1467-6427.00144 Ransom, D. C. (1986). Pitfalls and breakthroughs for family therapists teaching in family practice settings. Family Systems Medicine, 4(4), 448-456. https://doi.org/10.1037/h0090051 Rasic, D. (2010). Countertransference in child and adolescent psychiatry: A forgotten concept? Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(4), 249–254. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2962536/ Saroca, K., & Sargent, J. (2022). Understanding Families as Essential in Psychiatric Practice. Focus, 20(2), 204–209. https://doi.org/10.1176/appi.focus.20210035 Sharf, R. S. (2015). Theories of psychotherapy and counseling: Concepts and cases (6th ed.). Cengage Learning. Shaw, E. (2011). Australian Psychological Society Ethics and the practice of couple and family therapy. Retrieved from https://www.psychology.org.au/publications/inpsych/2011/feb/ shaw/ 52 Siegel, D. J. (2012). The developing mind: How relationships and the brain interact to shape who we are (2nd ed.). Guilford Press. Spindel, P. (2020). Working with families: A guide for health and human services professionals (2nd ed.). Canadian Scholars. Retrieved from http://public.eblib.com/choice/PublicFullRecord.aspx?p=6282088 Starling, M. A. (2024). “Thrown in cold turkey”: Perceived preparedness and self-efficacy in counseling trainees transitioning to the application of theory in a practicum or internship [Doctoral dissertation, Liberty University]. https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=6316&contex t=doctoral Sue, D. W., Sue, D., Neville, H. A., & Smith, L. (2022). Counseling the culturally diverse: Theory and practice (9th ed.). Wiley. Szapocznik, J., Rio, A., Murray, E.; Cohen, R., Scopetta, M., Rivas-Vazquez, A., Hervis, O., Posada, V., Kurtines, W. (1989). Structural family versus psychodynamic child therapy for problematic Hispanic boys. J. Consult. Clin. Psychol. 57, 571–578. Trinity Western University. (n.d.). Marriage and Family Therapy. Retrieved January 27, 2025, from https://www.twu.ca Tuerk, E. H., McCart, M. R., & Henggeler, S. W. (2012). Collaboration in family therapy. Journal of Clinical Psychology, 68(2), 168–178. https://doi.org/10.1002/jclp.21833 University of Calgary. (n.d.). Professional Certificate in Couple and Family Therapy. Retrieved from https://socialwork.ucalgary.ca University of Guelph. (n.d.). Master of Relational and Family Therapy. Retrieved January 27, 2025, from https://www.uoguelph.ca 53 Volk, K. T., Guarino, K., Grandin, M. E., & Clervil, R. (2008). What about you? A workbook for those who work with others. The National Center on Family Homelessness. Retrieved from https://www.homelesshub.ca/resource/what-about-you-workbook-those-who-work-others Walsh, F. (2016). Strengthening family resilience (3rd ed.). Guilford Press. Walsh, F. (2014). Family therapy: Systemic approaches to practice. In J. R. Brandell (Ed.), Essentials of clinical social work (pp. 160–185). Sage Publications, Inc. https://doi.org/10.4135/9781483398266.n7 Walker, E., Morin, C., & Labrie, N. (2012). Supporting staff at risk for compassion fatigue. Region of Peel Public Health. Retrieved from https://www.peelregion.ca/health/library/pdf/cf-rapid-review.pdf White, M., & Epston, D. (1990). Narrative means to therapeutic ends. Norton. Wilfrid Laurier University. (n.d.). Family and couples counselling. Laurier Continuing Education. Retrieved January 27, 2025, from https://continuingeducation.wlu.ca/public/category/courseCategoryCertificateProfile.do?c ertificateId=4932351&method=load Zhao, L., & Zhao, W. (2022). Impacts of family environment on adolescents’ academic achievement: The role of peer interaction quality and educational expectation gap. Frontiers Media SA. https://doi.org/10.3389/fpsyg.2022.911959 1 Byron Finkelstein, M.Ed. 2 Table of Contents Introduction to the Manual............................................................................................................ 5 What is Family Counselling? ................................................................................................... 5 Historical Foundations .............................................................................................................. 6 Learning Objectives .................................................................................................................. 7 Getting Started: Self-Awareness, Positionality, & Theoretical Orientation................................. 8 Self-Awareness ........................................................................................................................... 8 Positionality................................................................................................................................ 8 What is Positionality? .............................................................................................................. 8 Why Does Positionality Matter in Counselling? ..................................................................... 8 Furthering Our Understanding, A Vignette........................................................................... 10 Developing Reflexivity in Counselling Practice ................................................................... 10 Ways to Practice Reflexivity ................................................................................................. 10 Intersectionality and Positionality ......................................................................................... 11 Theoretical Frameworks......................................................................................................... 11 Bowenian Family Therapy .................................................................................................... 12 Structural Family Therapy (SFT), ......................................................................................... 12 Narrative Therapy ................................................................................................................. 13 Strategic Family Therapy ...................................................................................................... 13 Emotionally Focused Therapy (EFT),................................................................................... 13 Working with Families: Intake & Assessment ............................................................................ 15 Foundations of Engagement: Intake ..................................................................................... 15 Assessing Family Dynamics .................................................................................................... 15 Establishing Roles ................................................................................................................. 15 Roles and Relationships ........................................................................................................ 15 Communication Patterns ....................................................................................................... 17 The Lasting Value in Family Therapy .................................................................................. 18 Common Challenges & Responsive Strategies ............................................................................ 19 Ethical Decision-Making Model ............................................................................................. 19 Principle-Based Ethical Decision-Making ............................................................................ 20 Virtue-Based Ethical Decision-Making ................................................................................ 20 Quick Check ...........................................................................Error! Bookmark not defined. Ethical Decision-Making Vignette: Confidentiality and Financial Harm in a Small Northern Community ............................................................................................................................ 22 3 Impasses ....................................................................................................................................24 Understanding Impasses in Therapy ......................................................................................24 Strategies for Overcoming Impasses ......................................................................................24 Final Thoughts on Impasses. ..................................................................................................26 Dual Relationships....................................................................................................................26 Ethical Standards ....................................................................................................................26 Navigating Dual Relationships in Family Counselling ..........................................................27 Alignment with Specific Family Members .............................................................................27 Confidentiality and Ethical Considerations ...........................................................................27 Transference and Countertransference..................................................................................28 Resistance and Hostility from Families ..................................................................................28 Cultural Competence and Ethnocultural Transference .......................................................28 Ethical Considerations ............................................................................................................30 Cultural Considerations in Family Counselling ....................................................................30 Responding to Safety Concerns: Abuse, Suicidality, and Family Violence ........................31 Duty to Report ........................................................................................................................31 Risk Assessment .....................................................................................................................31 Informed Consent and Limits of Confidentiality ...................................................................31 Documentation .......................................................................................................................32 Consultation and Supervision.................................................................................................32 Practice Note ..........................................................................................................................32 Supervision & Professional Growth .............................................................................................34 Self-Care and Burnout Prevention .........................................................................................34 Practical Ways to Engage in Self-Care ..................................................................................34 Training Programs ...................................................................................................................35 What They Offer ....................................................................................................................35 What Students Gain ................................................................................................................36 Marriage and Family Therapy Programs................................................................................36 Gaps and Limitations..............................................................................................................37 Conclusion .....................................................................................................................................38 Glossary .........................................................................................................................................39 Additional Resources .....................................................................................................................41 References ......................................................................................................................................43 4 5 Introduction to the Manual This facilitator manual was created to support new and early-career family counsellors, particularly those working in underserved, rural, or Northern communities, by providing accessible, practical guidance rooted in systemic theory, cultural humility, and ethical care. Designed as both a reference and reflective tool, the manual includes theoretical summaries, applied strategies, case vignettes, and prompts for self-examination. It is organized to follow a typical clinical progression, from developing self-awareness to navigating complex family dynamics and managing common challenges. While it does not replace supervision or formal training, it serves as a companion resource to help practitioners build confidence, deepen cultural responsiveness, and approach their work with greater clarity and care. What is Family Counselling? Family counselling, also known as family therapy, couple and family therapy, or marriage and family therapy, plays a vital role in supporting healthy relationships by improving intrafamilial behaviours and addressing complex dynamics. According to the Association for Family Therapy and Systemic Practice (2024), family counselling helps people in close relationships support one another by safely exploring difficult emotions, understanding perspectives, appreciating needs, building on strengths, and making meaningful changes. Today’s families face increasing pressures from shifting societal expectations, financial stress, parenting demands, and cultural blending (Walsh, 2016). These stressors can weaken communication, increase conflict, and lead to emotional disconnection. Left unresolved, such issues may cause lasting harm to individual well-being and the family system. Family counselling offers a structured, safe environment where members can express themselves, rebuild trust, and strengthen relationships. Therapeutic work often focuses on shifting from individual blame to examining relational patterns (Goldenberg & Goldenberg, 2017; Nichols & Davis, 2017). Research consistently supports the effectiveness of family counselling in improving emotional regulation, conflict resolution, and overall family functioning (Kazdin, 2010; Kolko & Swenson, 2002; Kim, 2008; Leichsenring, 2005; Magliano et al., 2005; Sharf, 2015). Whether working with families navigating divorce, addressing behavioural concerns, or managing mental health conditions like ADHD, the counsellor’s role is both diverse and essential. Success in this work requires cultural sensitivity and a deep understanding of both systemic theory and therapeutic practice (Gehart, 2018). 6 This manual was created in response to the need for practical guidance. It aims to help emerging counsellors bridge theory and practice by offering tools and insights that support meaningful, practical work with families. Historical Foundations When understanding the diverse scope of Family counselling, it is important to consider its origins. Family counselling dates back to the mid-20th century, influenced by systems theory and early psychoanalytic thought. Murray Bowen introduced his family systems theory, emphasizing the role of multigenerational patterns and emotional processes (Bowen, 1978). This laid the foundation for other approaches, such as Salvador Minuchin’s Structural Family Therapy (Minuchin, 1974) and Jay Haley’s Strategic Family Therapy (Haley, 1976). These frameworks have evolved to incorporate contemporary practices, such as cognitive-behavioural techniques and culturally responsive interventions (Almeida et. al., 1998; Hardy & Laszloffy, 1995). The development of family therapy as a field was also marked by institutional milestones, including the establishment of the American Association for Marriage and Family Therapy (AAMFT) in the 1940s and the Journal of Family Therapy in 1961. These platforms facilitated the dissemination of research and practice, fostering innovation and cross-disciplinary collaboration. 7 Learning Objectives 1 2 3 4 Develop a foundational understanding of core family counselling theories and demonstrate the ability to identify their preferred frameworks, such as Bowenian, Structural, Narrative, Strategic, and Emotionally Focused Therapy, in real-world practice with diverse systems. Cultivate critical self-awareness and cultural humility by engaging in reflective practices that examine personal positionality, power dynamics, and intersectionality, ensuring ethical, client-centred care in culturally responsive counselling contexts. Identify and navigate common challenges in family counselling practice, including managing dual relationships, addressing therapeutic impasses, maintaining professional boundaries, and mitigating countertransference and burnout. Utilize the manual as an evolving professional resource to support longterm development, integrating theory with practical tools, ethical guidelines, and self-reflective exercises tailored to the unique needs of graduate practicum students and new counsellors. 8 Getting Started: Self-Awareness, Positionality, & Theoretical Orientation Self-Awareness Self-awareness is the foundation of ethical and effective counselling. It involves a continuous process of noticing, examining, and reflecting on one’s internal responses, values, assumptions, and emotional triggers within the therapeutic relationship. As family counsellors, our personal history, cultural identity, and lived experiences inevitably shape how we perceive clients and interpret family dynamics. Developing self-awareness allows us to recognize when our reactions may be rooted in our narratives rather than the client’s reality. It also supports emotional regulation, prevents countertransference from clouding our judgment, and enhances our capacity for empathy and attunement. By cultivating this internal awareness, counsellors are better equipped to hold space for diverse family systems with humility, curiosity, and integrity. This foundation naturally extends into the concept of positionality. Positionality What is Positionality? Positionality refers to how our background, experiences, values, and social identity shape our understanding of clients, therapeutic approaches, and professional decision-making. Every counsellor brings their cultural background, personal history, and worldview into the counselling space, inevitably influencing the therapeutic relationship. Recognizing and critically reflecting on our positionality is essential for ensuring ethical, client-centred, and culturally responsive practice. The counselling process does not happen in a vacuum; we and the client exist within broader social, cultural, and systemic contexts that impact how we experience the world. Why Does Positionality Matter in Counselling? One of the most important aspects of positionality is the development of self-awareness. We are not neutral observers; we bring personal and professional biases that can shape how we perceive and interact with clients. By reflecting on our positionality, we can identify biases that may unconsciously affect our clinical decisions. This is particularly important when working with clients whose backgrounds, identities, or values differ from our own. Without self-awareness, we risk projecting our assumptions onto clients rather than fully understanding their lived experience. By engaging in continuous self-reflection, we become more attuned to our perspectives and how these influence the therapeutic process. 9 Building a strong therapeutic alliance requires trust, and positionality helps foster that trust. Clients engage more when they feel seen and understood. Recognizing how race, gender, socioeconomic status, and professional authority shape the counselling dynamic allows us to address power imbalances and build safer, more collaborative spaces. Goodman et al. (2004) emphasize that counsellors must constantly reflect on how “sociohistorical and sociopolitical forces shape ... [their] own identities and subsequent understanding of their clients” (p. 799). Positionality also underpins culturally responsive counselling. Clients bring diverse cultural backgrounds that influence their mental health, coping styles, and openness to therapy. Morrow (2005) notes that subjectivity is unavoidable, so we as counsellors must engage in ongoing selfreflection and cultural humility, approaching each client with openness and curiosity. Beyond the session, positionality informs ethical practice by aiding in the recognition of systemic oppression and advocating for social justice, particularly when supporting clients from marginalized communities. 10 Furthering Our Understanding, A Vignette. In a hypothetical scenario, I imagine working as a young counsellor in my late twenties with a multigenerational South Asian immigrant family. Early in the session, I sense a level of hesitation from the grandparents and parents, who appear uncomfortable discussing family matters openly in front of someone they perceive as both young and less authoritative. They frequently defer to the eldest male family member before answering questions, and I notice that questions directed to the teenage daughter are often answered by her parents instead. Reflecting on my positionality, I recognize my age, South African-Canadian upbringing, and Western training in encouraging individual expression may clash with their cultural expectations around respect for elders, collectivism, and family privacy. To bridge this gap, I adapt my approach by shifting from direct questioning to more narrative, story-based conversations that honour the family’s cultural communication styles. I also become mindful of pacing, hierarchy, and ensuring that all family members feel respected according to their cultural norms, rather than imposing a Western model of open disclosure. This example highlights how a counsellor’s positionality, age, cultural background, and socialization can affect authority, trust, and relational dynamics within sessions. It also reflects how systemic issues, such as migration stress, racialization, and the dominance of Western norms in mental health care, may create barriers for immigrant families engaging with Canadian counselling services. Understanding and addressing this positionality requires counsellors to critically examine their own identities and how these intersect with broader structures of power such as colonialism, racism, and ageism. By doing so, counsellors can begin to shift towards practicing cultural humility, acknowledging their position, adapting flexibly, and co-creating spaces where diverse families feel seen, heard, and respected. Developing Reflexivity in Counselling Practice. Practicing reflexivity is essential in developing an awareness of positionality. Reflexivity involves regularly examining how personal values, beliefs, and life experiences shape therapeutic interactions. Ways to Practice Reflexivity 11 Keeping a reflexive journal can be an effective way for new counsellors to document moments where their biases, assumptions, or emotional reactions arise in sessions. Supervision and peer consultation can also help counsellors gain external perspectives and recognize blind spots in their work. Supervision provides an opportunity to critically examine ethical dilemmas, explore the implications of one’s positionality, and ensure that clinical decisions are grounded in the best interests of the client rather than personal biases. Intersectionality and Positionality Counsellors must also develop an awareness of intersectionality, the ways in which multiple aspects of a person’s identity (such as race, gender, sexuality, class, and ability) interact to shape their experiences. Recognizing these intersections helps us move beyond an individual-focused approach to consider the broader social and cultural contexts influencing our clients. Understanding intersectionality lays the foundation for deeper engagement with our positionality. As counsellors become more attuned to the intersecting identities that shape clients’ lives, it becomes equally essential to reflect on how our own identities, social locations, and power dynamics enter the therapeutic space. Intersectionality reminds us that systemic forces shape client experiences; positionality challenges us to recognize how we, too, are situated within those systems. Together, these frameworks call for a practice rooted in cultural humility, ethical awareness, and a commitment to equity, both in how we understand others and in how we understand ourselves. Positionality is not something to be “overcome” but rather an ongoing commitment to selfexamination, ethical responsibility, and cultural humility. The more we engage with our positionality, the more we can provide ethical, client-centred, and socially conscious therapy. By acknowledging that our identities and experiences shape us, we can create therapeutic spaces that honour the diversity of our clients while remaining mindful of the power we hold as mental health professionals. Engaging with positionality strengthens the individual counsellor’s practice and the counselling profession as a whole, ensuring that it evolves to be more inclusive, responsive, and attuned to the lived experiences of diverse clients. Theoretical Frameworks Effective family counselling relies on being both grounded and flexible in one's theoretical orientation. Groundedness ensures structure, clarity, and consistency, while integration allows counsellors to adapt to the diverse and complex realities of family systems. No single theory fully captures all family dynamics; therefore, counsellors benefit from drawing on multiple frameworks to meet each family's unique needs. 12 Theoretical orientation is not a rigid prescription but an evolving reflection of a counsellor’s training, values, experiences, and the populations they serve. The following section summarizes key family therapy models and identifies the types of counsellors each might suit best. Bowenian Family Therapy Emphasizes differentiation of self and managing emotional reactivity, particularly across generations (Bowen, 1978). It appeals to systems-oriented counsellors who value calm, reflective work and long-term growth through understanding intergenerational patterns and maintaining emotional neutrality. Structural Family Therapy (SFT), Developed by Minuchin (1974), focuses on restructuring family interactions and boundaries. It is ideal for action-oriented counsellors who enjoy in-session enactments and actively guiding families through real-time changes to improve cohesion and functioning. 13 Narrative Therapy Helps clients re-author their stories and externalize problems (White & Epston, 1990). It suits collaborative and creative counsellors who prioritize empowering clients, fostering agency, and engaging with strengths-based, culturally sensitive perspectives. Strategic Family Therapy Employs directive techniques and brief, problem-focused interventions (Haley, 1976). This approach fits counsellors who are pragmatic, goal-oriented, and comfortable with structured, sometimes paradoxical, techniques to resolve crises and behavioural issues. Emotionally Focused Therapy (EFT), Developed by Sue Johnson (2004), centers on attachment and emotional connection. It resonates with counsellors who prioritize deep emotional work, structured processes, and helping clients build secure, responsive relationships. Though each framework offers distinct strengths, integration enhances flexibility and effectiveness. Counsellors can combine models to address layered family challenges, tailoring interventions to match both relational patterns and cultural contexts. Key Takeaways 14 Self-awareness is essential for ethical, effective counselling, allowing practitioners to regulate emotions, prevent countertransference, and remain attuned to client realities. Positionality refers to how a counsellor’s background, social identity, and lived experiences shape their perceptions and clinical decisions. Reflecting on positionality helps counsellors identify personal biases, build trust, and create culturally responsive, client-centred care. Practicing reflexivity, through journaling, supervision, and peer consultation, supports ongoing awareness of personal values, assumptions, and professional blind spots. Intersectionality acknowledges that clients’ experiences are shaped by multiple, overlapping identities such as race, gender, class, and ability. Positionality is a continuous process; it requires a long-term commitment to self-examination, cultural humility, and ethical responsibility. Integrating multiple theoretical frameworks (e.g., Bowenian, Structural, Narrative, Strategic, EFT) enhances flexibility and effectiveness in family counselling, allowing for tailored interventions that respect both relational patterns and cultural contexts 15 Working with Families: Intake & Assessment Foundations of Engagement: Intake Intakes occur in a variety of formats depending on the clinical setting, the needs of the family, and the counsellor’s approach. Regardless of the structure, the intake process is a foundational stage for building rapport, establishing safety, and beginning to understand the family’s presenting concerns within a broader relational context. It provides an early opportunity to observe interaction patterns, clarify goals, and identify potential barriers to engagement. A wellconducted intake not only gathers critical information but also sets the tone for collaboration and transparency. For family counsellors, this phase is critical in recognizing the complex interplay of roles, relationships, and cultural influences that shape family functioning. The following section outlines key considerations and tools for conducting thoughtful, systemic assessments that support effective therapeutic work. Assessing Family Dynamics Understanding family dynamics is an integral part of the therapeutic process. Often, as new counsellors, we want to jump right in and get the work going. However, it is important to establish the existing roles and relationships, communication patterns, approaches to conflict resolution and overall family dynamics. Establishing Roles One way of establishing these roles takes place in the first session. Dividing the first session up evenly to have a one-on-one with each family member provides an opportunity to gain perspective on what brought the clients to counselling and what their desired outcomes are. This also allows each family member to share their subjective experience free of judgment from other family members and allows vulnerable clients to disclose any important information, such as abuse or other relevant concerns. From these initial conversations, we can start to piece together the roles and relationships that exist within the family. Roles and Relationships Once familial roles have been established, we can decipher how these roles influence behaviours and relational dynamics, with imbalances often contributing to conflict and dysfunction. For instance, rigid roles or enmeshments can lead to decreased autonomy and heightened dependency among family members (Minuchin, 1985). Understanding these roles is critical for facilitating healthier interactions. Gehart (2018) notes that fostering role flexibility within family systems can mitigate conflict and promote resilience, enabling individuals to adjust more effectively to new dynamics (i.e. divorce or remarriage). For new counsellors, approaching these 16 transitions can be particularly challenging, especially when stepping into the family system as an outsider. Encouraging Role Flexibility: A Vignette During a session with a blended family, the counsellor meets with Sarah (a mother of two teenagers), her new partner David, and Sarah’s children, Maya and Liam. The children have been resistant to David’s involvement, often undermining his authority and refusing to acknowledge his efforts to connect. Tension builds in sessions as David expresses frustration at “not being taken seriously,” while Maya and Liam insist that “he is not our dad.” Sensing the rigidity in family roles and expectations, the counsellor introduces a discussion on role flexibility. Rather than framing David as a replacement father, the counsellor invites the family to co-create a new understanding of David’s role, perhaps as a supportive adult or mentor figure rather than an enforcer. Sarah is encouraged to reflect on her role as a bridge between her children and her partner, while Maya and Liam explore what they need from David to feel safe and respected. In the example above, reframing reduces power struggles and opens space for more adaptive dynamics. The counsellor models curiosity and non-judgment, allowing each family member to voice their needs while acknowledging the discomfort of change. By normalizing evolving roles and providing language for navigating them, the counsellor fosters greater empathy, connection, and resilience in the family system. 17 An Easy Oversight One common oversight among emerging practitioners is failing to fully understand the existing family roles and relationships before intervening, as it can be very tempting to rush to solutions without fully grasping entrenched patterns (Saroca & Sargent, 2022; Minuchin, 1974). Taking the time to sit down with clients and map out their roles and relational dynamics can be instrumental in identifying entrenched patterns and guiding families toward healthier interactions. By doing so, counsellors can foster greater awareness, flexibility, and adaptation, ultimately supporting a smoother transition for all family members. Communication Patterns A key component in a smooth transition lies in the client’s ability to utilize effective communication. It is a cornerstone of functional family systems, influencing relational stability and overall well-being. John Gottman’s research highlights four particularly destructive behaviours, criticism, defensiveness, contempt, and stonewalling, collectively known as the "Four Horsemen of the Apocalypse" (Gottman, 1999). These behaviours, when frequent and unresolved, significantly predict relationship distress and divorce, with contempt being the most corrosive. While occasional conflict is natural in any relationship, Gottman’s findings emphasize that the ability to repair negative interactions and maintain a high ratio of positive to negative exchanges is what sets successful couples apart. By setting the therapeutic stage with our clients to focus on replacing damaging patterns with constructive communication strategies, we can become more effective. Active listening, reflective statements, and intentional nonverbal cues help family members feel heard and validated, reducing defensiveness and fostering emotional safety. Encouraging expressions of appreciation, using “I” statements instead of blame, and cultivating an environment of mutual respect can counteract the Four Horsemen and promote healthier dynamics. 18 The Lasting Value in Family Therapy Family counselling’s benefits extend across generations, creating a ripple effect that promotes intergenerational health and resilience. A key factor in achieving these long-term benefits is the strength of the therapeutic alliance. Studies show that a strong therapeutic alliance, characterized by trust, collaboration, and emotional connection between the therapist and clients, enhances treatment effectiveness and fosters lasting change. In family counselling, where multiple relationships are at play, the therapist must navigate and balance these alliances to encourage engagement and cooperation among family members. When alliances are well-established, therapy not only leads to immediate improvements but also helps families develop healthier communication patterns and coping strategies that endure across generations. 19 Key Takeaways The intake process sets the foundation for rapport, safety, and understanding family concerns within their relational context. Early assessment focuses on family roles, relationships, and communication patterns before initiating interventions. One-on-one intake conversations help surface individual experiences, hidden dynamics, and critical disclosures. Rigid or unclear family roles often contribute to conflict; fostering role flexibility supports healthier dynamics and resilience. Effective communication is central to family health, and addressing destructive patterns like criticism, defensiveness, contempt, and stonewalling is essential. Building a strong therapeutic alliance through trust and collaboration enhances both immediate progress and long-term family resilience. Common Challenges & Responsive Strategies Family counselling presents unique challenges that require practitioners to navigate complex interpersonal dynamics, ethical considerations, and professional boundaries. While the field offers opportunities for profound transformation and healing, it is also fraught with potential pitfalls that can impact the effectiveness of therapy. These challenges include issues of impasses, dual relationships, alignment with specific family members, maintaining confidentiality, managing transference and countertransference, working with resistant or hostile families, and prioritizing self-care to prevent burnout. Understanding these pitfalls and developing strategies to mitigate them is essential for ethical and effective family counselling. Ethical Decision-Making Model 20 For family counsellors practicing in Canada, the Canadian Counselling and Psychotherapy Association (CCPA) provides a structured ethical decision-making process aligned with national standards. This model helps practitioners navigate complex dilemmas by balancing legal obligations, professional ethics, cultural contexts, and client welfare. It emphasizes clarity, consultation, and thoughtful action rather than relying solely on personal judgment or theoretical allegiance. Integrating this model into practice supports culturally responsive, legally sound, and ethically consistent care in diverse family counselling settings. The following models have been outlined by the CCPA (Canadian Counselling and Psychotherapy Association, 2020). Principle-Based Ethical Decision-Making What are the key issues in this situation? What plan of action will be most helpful in this situation? Follow up to evaluate the appropriateness, adequacy, and effectiveness of the course of action taken. What ethical articles from the CCPA Code of Ethics are relevant to this situation? What do my feelings and intuitions tell me to do in this situation? Which of the six ethical principles are of major importance in this situation? How can the relevant ethical articles be applied in this circumstance? How might any conflict between ethical principles be resolved? What are the potential risks and benefits of this application and resolution? Virtue-Based Ethical Decision-Making Virtue ethics emphasizes counsellors' ability to make ethical decisions through moral character, prioritizing fairness, awareness of others, and acceptance of complexity. Rather than following a 21 set process, counsellors can use guiding questions to support context-specific, virtue-informed decisions (Canadian Counselling and Psychotherapy Association, 2020). What emotions and intuition am I aware of as I consider this ethical dilemma and what are they telling me to do? How can my values best show care for the client’s wellbeing? How will my decision affect other relevant individuals in this ethical dilemma? What decision would I feel best about publicizing? What decision would best reflect who I am as a person and practitioner within cultural/intercultural contexts? Quick Check 1. Publicity - Would I want this ethical decision announced on the front page of a major newspaper? 2. Universality - Would I make the same decision for everyone? If every counsellor/therapist made this decision, would it be a good thing? 3. Justice - Is everyone being treated fairly by my decision? 22 Ethical Decision-Making Vignette: Confidentiality and Financial Harm in a Small Northern Community A family counsellor in a remote Northern community is providing therapy to a couple experiencing marital strain after having their first child. During an individual session, one partner discloses secret gambling behaviour that has resulted in significant personal debt. The client explicitly requests confidentiality, fearing relationship breakdown and community stigma. The counsellor is aware that while no child protection laws are implicated, there is potential financial and relational harm to the family unit. Application of the CCPA Principle-Based Ethical Decision-Making Model 1 Identify Key Issues The central issue is balancing the ethical obligation to maintain client confidentiality with the potential harm caused by undisclosed gambling-related debt impacting family stability. 2 Relevant Ethical Articles and Laws The CCPA Code of Ethics emphasizes confidentiality (Article B) but allows for exceptions when there is risk of serious harm (Article C). No laws mandate reporting in this context. 3 Relevant Ethical Principles Autonomy, fidelity, and nonmaleficence are most relevant. Consultation with a supervisor confirms that respecting confidentiality while encouraging voluntary disclosure aligns with ethical expectations. 4 Application and Resolution The ethical conflict between fidelity (maintaining confidentiality) and nonmaleficence (avoiding harm) is resolved by prioritizing harm reduction through client-led disclosure. Potential risks include loss of trust; benefits include family system transparency and reduced financial harm. 5 Emotional and Intuitive Response The counsellor experiences discomfort related to potential family harm but recognizes a professional responsibility to respect the client's autonomy. 6 Action Plan and Follow-Up The counsellor works collaboratively with the client to develop a disclosure plan and prepares for relational impact within therapy. Follow-up sessions monitor both partners’ adjustment and ensure appropriate referrals if needed. 23 Application of the CCPA Virtue-Based Ethical Decision-Making Model 1 Awareness of Emotions and Intuition The counsellor notices a strong internal pull toward protecting the family from hidden harm, balanced by a sense of duty to honour the client’s confidentiality. 2 Showing Care for Client’s Wellbeing Supporting the client’s autonomy while guiding them toward disclosure reflects care for both their individual integrity and relational health. 3 Impact on Other Relevant Individuals The spouse and wider family system could be adversely affected if the gambling behaviour remai ns secret. Community trust in professional services could also be impacted. 4 Publicity Reflection If this decision were publicized, the counsellor would want it to reflect careful consideration of confidentiality, relational ethics, and community norms. 5 Reflecting Personal and Professional Identity Choosing a collaborative, client-centered path toward disclosure aligns with the counsellor’s identity as a culturally responsive, ethically grounded practitioner. Quick Check Summary Publicity: The decision aligns with standards the counsellor would stand by publicly. Universality: The decision would hold consistent in similar cases across diverse settings. Justice: Both clients are treated with fairness, balancing confidentiality with transparency and harm reduction. 24 Impasses Impasses in family counselling occur when progress stalls, communication breaks down, or resistance from one or more family members prevents meaningful therapeutic change. These roadblocks can be frustrating for counsellors and clients, but they are also opportunities to deepen the therapeutic work. Recognizing impasses, understanding their causes, and implementing strategies to overcome them are essential skills for family counsellors. Understanding Impasses in Therapy An impasse can manifest in various ways, including repetitive conflicts that do not resolve, emotional disengagement, refusal to participate, or resistance to therapeutic interventions. Families may arrive at therapy feeling stuck, and when they perceive that counselling is not leading to immediate change, frustration can set in. Impasses often arise due to unresolved power dynamics, deeply ingrained relational patterns, or a fear of change. In some cases, an impasse reflects an underlying family secret, unspoken trauma, or conflicting individual goals that have not yet surfaced in therapy (Spindel, 2020). Impasses can also be a result of therapist-client mismatch, where the counsellor’s approach does not align with the family’s needs, or when the therapist unknowingly reinforces dysfunctional patterns. Recognizing when a therapeutic strategy is ineffective and being willing to shift approaches is key to navigating these difficult moments. Strategies for Overcoming Impasses Addressing the Resistance Directly. Resistance is a natural part of therapy, especially in family counselling, where multiple perspectives and relational histories are at play. Instead of viewing resistance as an obstacle, Shaw (2011) suggests reframing it as valuable information about the family’s dynamics. A direct approach (i.e., naming the resistance in a nonjudgmental way and exploring its function within the family system) can open the door for deeper reflection. For example, a counsellor might say, "I have noticed that we seem to return to the same concerns without making much movement forward. What do you think is keeping us stuck?" This creates space for family members to acknowledge their frustrations and may reveal fears, underlying loyalties, or unspoken tensions that need attention. Shifting Perspectives Through Reframing. A key strategy for breaking through impasses is helping family members see their situation from a different perspective. Reframing involves offering an alternative interpretation of events that reduces blame and increases empathy. Lebow (1984) discusses how integrative family therapy 25 often relies on reframing to help clients recognize how their behaviours, rather than being personal attacks, are often coping mechanisms. For example, a child’s defiance might be reframed as an attempt to regain control in a chaotic environment, shifting the parental response from punishment to understanding. Utilizing the Family’s Strengths. Returning to the family’s strengths and resources can help build momentum when therapy reaches an impasse. Highlighting past successes—whether in therapy or the family’s history— can reinforce their ability to create change. Volk et al. (2008) suggest using solution-focused techniques to amplify what is already working rather than staying stuck in what is not. Questions like, “Can you think of a time when you handled this situation differently? What was different then?” can help families recognize their capacity for progress. Examining the Role of the Counsellor. Sometimes, therapist factors contribute to the impasse. Countertransference, mismatched therapeutic styles, or an overemphasis on logic rather than emotion can create a disconnect. Murphy (2013) emphasizes the importance of self-reflection and supervision when therapists feel stuck, as well as being open to modifying interventions to suit the family’s needs better. If necessary, a referral to another counsellor or a co-therapist approach may be beneficial. Increasing Emotional Engagement. Impasses often arise when family members intellectualize issues rather than engaging emotionally. Rasic (2010) suggests that creating emotionally powerful moments— through experiential techniques, role-playing, or structured communication exercises—can help break through defences and deepen the connection. For example, using an empty chair technique to express unspoken emotions to an absent or deceased family member may unlock unresolved grief that is keeping the family system stuck. Taking a Break or Changing the Format. Sometimes, the best way to resolve an impasse is to step back. This might mean spacing out sessions, assigning reflective exercises between sessions, or temporarily shifting from full-family meetings to individual or dyadic work. Spindel (2020) notes that shifting formats allows individuals to process their experiences without the pressure of group dynamics, which can be particularly useful in high-conflict families. Revisiting Goals and Expectations. When progress stalls, revisiting the family’s original goals can re-establish clarity. Sometimes, therapy is at an impasse because the therapist’s goals differ from the family’s priorities. Checking in with questions such as "What were you hoping to achieve when we started? Have 26 your goals changed?" can help realign the process with what is most meaningful to the family. If a family feels that therapy is more focused on “fixing” them rather than empowering them, they may disengage. Shifting to a collaborative, goal-oriented model can reignite their investment in the process. Final Thoughts on Impasses. Impasses are not failures; they are inflection points that indicate where deeper work is needed. Instead of seeing them as roadblocks, counsellors should view them as invitations to explore hidden dynamics, shift therapeutic strategies, and engage in creative problem-solving. By recognizing resistance as information, using reframing techniques, adjusting therapeutic approaches, and staying attuned to emotional engagement, new family therapists can turn impasses into breakthroughs, ultimately leading to more profound and more lasting change. Dual Relationships Dual relationships are often referred to as the most common ethical dilemma within the realms of counselling. This occurs when a counsellor engages in more than one role with a client, either simultaneously or sequentially, which may impair professional judgment, risk client welfare, or create a conflict of interest. The potential for dual or multiple relationships is heightened in family counselling, where multiple individuals and complex relational systems are involved. Such relationships can emerge, for example, when counsellors have overlapping social, community, or professional ties with one or more family members. Ethical Standards The British Columbia Association of Clinical Counsellors (BCACC) Guide to Ethical Standards (2023) instructs counsellors to exercise caution when encountering dual relationships that could impair their objectivity or risk the exploitation of clients. Specifically, the BCACC emphasizes that counsellors are to “obtain professional guidance, supervision, and assistance to manage increased risk of boundary crossing/violations and multiple relationships” (BCACC, 2023, p. 12). For many rural counsellors in remote and often Northern communities, dual relationships are unavoidable. Therefore, it is up to the counsellor to ensure they engage in the appropriate level of reflection and supervision when navigating these complex relationships. Similarly, the Canadian Counselling and Psychotherapy Association (CCPA) Standards of Practice (2021) outline clear expectations regarding dual relationships. The CCPA advises that counsellors should avoid entering into relationships that could lead to a conflict of interest, compromise the counsellor’s objectivity, or risk harm to the client (CCPA, 2021, p. 26). When dual relationships cannot be avoided (i.e. rural, small, or marginalized communities), the CCPA 27 stresses that counsellors must engage in rigorous ethical reflection, seek informed consent from all parties involved, and demonstrate that any decisions made are in the best interest of the client. Navigating Dual Relationships in Family Counselling In the context of family counselling, dual relationships require cautious navigation. Examples might include knowing a family member socially outside of therapy, encountering clients through religious, cultural, or professional networks, or being invited to family events. Counsellors must assess whether such overlap could influence the therapeutic relationship, confidentiality, or impartiality. Setting clear, early boundaries, revisiting these conversations over time, and maintaining ongoing ethical consultation are critical practices. Maintaining strict professional boundaries preserves the therapeutic alliance, protects client welfare, and upholds public trust in the counselling profession. Ethical practice demands ongoing self-reflection, consultation, and an unwavering commitment to prioritizing the client’s needs above the counsellor’s interests or obligations. Alignment with Specific Family Members One of the most significant risks in family therapy is the tendency for counsellors to align too closely with one family member at the expense of others. New professionals may unconsciously favour a family member whose values or experiences resonate with their own, or they may align with a particular individual due to a perceived power imbalance in the family dynamic (Margolin, 1982). This is particularly problematic in cases of separation, divorce, or custody disputes, where a therapist may unintentionally reinforce one parent’s perspective over the other. Spindel (2020) further cautions that alignment with one member of the family can make the counsellor appear biased and hinder the therapy’s effectiveness. To prevent this, counsellors should remain attuned to their own biases and consistently engage all family members in a balanced, systemic manner, ensuring that no single perspective dominates the therapeutic process. Confidentiality and Ethical Considerations Confidentiality is a particularly challenging aspect of family counselling due to the involvement of multiple individuals. Unlike individual therapy, where confidentiality is strictly between the therapist and the client, family therapy requires careful management of what information can and cannot be shared between family members. The American Association for Marriage and Family Therapy (2012) provides ethical guidelines emphasizing that therapists must inform families about their rights regarding confidentiality and its limitations. For example, family members should be aware that private disclosures made to the counsellor may not be kept confidential if 28 they are relevant to the overall family system. However, counsellors must also maintain professional discretion to prevent harming trust between family members. This balance is especially crucial when working with minors, where the ethical obligation to maintain confidentiality may conflict with parental rights to information (Shaw, 2011). Transference and Countertransference Transference and countertransference can significantly impact the therapeutic process. Transference can be understood as the redirection of feelings from past relationships onto the counsellor (Howes, 2012). For example, a client may unconsciously view the therapist as a parental figure, replicating past relational patterns. While transference can provide valuable insights into family dynamics, it must be carefully managed to avoid reinforcing unhealthy patterns. Conversely, countertransference occurs when the therapist projects their own emotions onto the client. Murphy (2013) highlights that countertransference is particularly risky in family therapy, where therapists may relate too closely to a client’s experiences. A therapist who sees themselves in a struggling parent may become overly protective, while one who identifies with a rebellious adolescent may become dismissive of parental concerns. These unconscious emotional reactions can distort the therapeutic process if left unchecked. Therapists experiencing strong emotional reactions, whether feelings of over-identification, frustration, or attraction, should seek supervision to maintain professional objectivity (Rasic, 2010). Resistance and Hostility from Families Counsellors frequently encounter resistance, particularly when families are mandated to attend therapy through court orders or child protection agencies. Spindel (2020) notes that some families may resist intervention due to fear, shame, or previous negative experiences with professionals. Resistance can manifest subtly, such as avoiding specific discussions, missing appointments, or providing minimal engagement. In extreme cases, family members may exhibit outright hostility toward the counsellor, including verbal aggression or intimidation tactics (British Columbia Ministry of Health, 2013). To manage resistance, therapists need to establish trust, validate concerns, and clearly explain the therapeutic process. A trauma-informed approach can help families understand that therapy is a space for growth rather than judgment. However, in cases where hostility escalates to threats or safety concerns, therapists may need to involve external support systems, such as legal authorities or co-therapists (British Columbia Ministry of Children and Family Development, 2010). Cultural Competence and Ethnocultural Transference 29 Ethnicity and cultural background can influence both the counsellor-client relationship and the internal dynamics of the family itself. Comas-Diaz and Jacobsen (1991) discuss how professionals may unknowingly project cultural stereotypes onto clients, shaping their expectations and therapeutic interventions in ways that are not always beneficial. Families may also project their cultural assumptions onto the counsellor, expecting them to share their worldview or misunderstand their experiences. To mitigate these challenges, cultural humility must be a core principle of family counselling. Rather than assuming expertise on a family’s cultural background, therapists should adopt a stance of curiosity, openness, and willingness to learn from the family’s lived experiences. Engaging in ongoing cultural competency training and seeking supervision when working with families from unfamiliar backgrounds can help therapists avoid the pitfalls of ethnocultural projection. Adaptation of Therapeutic Models. Integrating cultural contexts into therapeutic models enhances their relevance and efficacy. For example, multicultural counselling competencies emphasize the importance of cultural humility and ongoing self-reflection among practitioners (Sue et al., 2022). Tailoring interventions to cultural narratives ensures alignment with client values and enhances therapeutic engagement. However, considering many current mental health approaches are focused on the needs of a Western colonial individual, we are faced with a reality in which these methods of treatment can be ineffective when it comes to meeting the needs of many First Nations individuals. One of the difficulties researchers face when examining effective First Nation-centred methods of therapeutic delivery is approaching from a non-Western colonial point of view. Nelson, S. (2011) reveals a problem when conducting this research in that, “[m]ental health research involving Aboriginal peoples has historically been undertaken from a Western point of view – that is, because such systematized research efforts are largely the product of ‘Western’ ways of knowing” (p. 2). This creates a challenge within the realms of Canadian mental healthcare research, as it is founded upon colonialism. However, this does not condemn the advancement of First Nation-centred healthcare. It is a call for all counsellors to take a collaborative approach with their clients. Certain initiatives in Canada have chosen to employ a participatory action approach in hopes of facilitating the integration of traditional First Nations healing methods with counselling services in a clinical setting while creating a collaborative and empowering project design with their stakeholders (Maar et al., 2009). Such an informed approach works well as it allows for a reflexive and decolonizing approach to the subject of Indigenous-centred mental health initiatives. According to the authors “[a]cademic researchers, community-based researchers, and local stakeholders collaborated closely during all phases of the research… The Knaw Chi Ge Win Team (i.e. the core mental health team) provided technical advice and valuable background information that informed our methods” (Maar et al., 2009. p. 2). The Knaw Chi Ge Win Team was comprised of healthcare professionals with expertise in psychology, nursing, social work and traditional Aboriginal medicine and healing (Maar et al., 2009). This core team was coordinated by two 30 Aboriginal health organizations, Mnaamodzawin Health Services (MHS) and Noojmowin Teg Health Access Centre (NT), both of which emphasize community-based First Nations approaches to care (Maar et al., 2009). This research emphasizes the importance of seeking cultural guidance and maintaining cultural humility as new counsellors when working with diverse populations. Ethical Considerations Ethical practice in family counselling requires more than respecting cultural differences and maintaining confidentiality; it demands a deep commitment to cultural humility, self-reflection, and the recognition of diverse worldviews. We have a duty to remain vigilant in identifying and addressing personal biases, ensuring that professional standards are upheld without imposing Western-centric frameworks (Nichols & Davis, 2017; Beaulieu & Reeves, 2022). Ethical dilemmas frequently arise when navigating the tension between cultural norms and evidencebased practices, particularly when working with clients from historically marginalized communities. Such dilemmas call for nuanced decision-making that honours the client’s cultural knowledge and practices (Corey et al., 2015; Beaulieu & Reeves, 2022). For instance, Indigenous approaches to healing emphasize holism, spirituality, and community relationships, which may not align neatly with Western models that prioritize individual pathology and standardized interventions. Therefore, we have to adopt an epistemologically hybrid approach, valuing multiple ways of knowing without demanding validation through Western empiricism (Beaulieu & Reeves, 2022). Moreover, the integration of Indigenous healing practices—such as ceremonies, plant medicines, and teachings from Elders—into counselling can foster cultural safety and trust, which are essential components of ethical care. However, this integration must be approached with respect for cultural protocols, ensuring that sacred knowledge and practices are not appropriated or trivialized (Beaulieu & Reeves, 2022). Finally, ongoing clinical and peer supervision, alongside constant reflexivity, is of the utmost importance. Engaging in critical selfexamination of one’s social location, cultural assumptions, and therapeutic approaches is crucial for providing ethical, culturally responsive care. In line with the principles of truth and reconciliation, counsellors must remain committed to transformative learning and mutually respectful relationships that support the self-determination of the families they serve (Beaulieu & Reeves, 2022). Cultural Considerations in Family Counselling Cultural diversity shapes family dynamics, necessitating culturally sensitive approaches in therapy. We must adapt interventions to align with clients’ cultural values and traditions. In some instances, cultural perceptions of mental health influence how families seek and engage in 31 counselling. Some communities may view mental illness as a private matter or associate it with stigma, leading to reluctance in seeking professional help. In contrast, Indigenous families may prefer traditional healing practices over Western therapeutic models. Research highlights that ethnic and racial minority families often face systemic barriers, including a lack of culturally competent providers, language obstacles, and mistrust of mental health institutions (Alegria et al., 2010). To provide effective support, we need to recognize the role of the cultural context in shaping help-seeking behaviours, family structures, and communication patterns. For example, in some cultures, decision-making is a collective rather than an individual process, requiring therapists to engage extended family members in treatment. Similarly, differing views on authority, emotional expression, and problem-solving necessitate flexible therapeutic strategies that respect cultural norms while fostering engagement (Alegria et al., 2010). However, cultural counselling presents complexities, as therapists must be aware of their biases, avoid overgeneralizations, and navigate cultural differences that may conflict with standard therapeutic approaches. Misalignment between a client’s cultural worldview and the therapist’s methods can hinder trust and progress, making cultural humility and adaptability essential in providing meaningful, effective care. By integrating culturally responsive techniques, therapists can build stronger alliances with families, reduce disparities in mental health care, and ensure that counselling interventions are meaningful and effective within diverse cultural frameworks. Responding to Safety Concerns: Abuse, Suicidality, and Family Violence While family counselling focuses on promoting relational health, practitioners must remain vigilant for situations where immediate safety concerns arise, such as suspected abuse, suicidality, or family violence. In these instances, client welfare takes precedence over maintaining family privacy or therapeutic neutrality. Key Principles for Responding to Safety Concerns: Duty to Report In all Canadian jurisdictions, counsellors have a legal and ethical obligation to report suspected child abuse, neglect, or imminent harm to the appropriate authorities. Refer to provincial child welfare laws and the CCPA Code of Ethics (2020, Article B) for guidance. Risk Assessment Use structured tools such as the Columbia Suicide Severity Rating Scale (C-SSRS) and clinical judgment to assess the risk of suicide, self-harm, or interpersonal violence. When risk is identified, develop a safety plan collaboratively with the client and family where appropriate. Informed Consent and Limits of Confidentiality 32 Clearly communicate the boundaries of confidentiality at the outset of therapy, including mandatory reporting requirements and procedures for managing safety risks. Documentation Maintain thorough, objective documentation of disclosures, assessments, consultations, and actions taken. This protects both client welfare and professional accountability. Consultation and Supervision Engage in immediate consultation with supervisors when navigating complex safety-related decisions, particularly in small or rural communities where dual relationships and limited resources complicate response protocols. Practice Note When working in small Northern communities, additional care must be taken to balance client privacy with public safety, considering community size, limited services, and potential overlap between professional and personal roles. Culturally responsive safety planning may involve integrating traditional supports alongside formal interventions. Key Takeaways 33 Family counselling involves navigating ethical dilemmas, confidentiality, dual relationships, impasses, and practitioner self-care. Use structured ethical decision-making models (CCPA Principle-Based, Virtue-Based) to guide complex choices while balancing client welfare and cultural context. Manage impasses by addressing resistance, reframing issues, leveraging family strengths, adjusting approach, and revisiting goals. Maintain clear boundaries in dual relationships, especially in small or Northern communities, with supervision and informed consent. Balance engagement with all family members to avoid alignment with one person at the expense of others. Communicate confidentiality limits clearly; manage disclosures with discretion and cultural sensitivity. Monitor and address transference and countertransference through supervision and reflexivity. In addition to the takeaways mentioned above, counsellors should always prioritize safety the safety of their clients. 34 Supervision & Professional Growth Self-Care and Burnout Prevention Due to the emotionally demanding nature of family counselling, self-care is not just advisable— it is essential. Professionals, especially new counsellors, working with high-conflict families, trauma survivors, and individuals in crisis, are particularly vulnerable to compassion fatigue, vicarious trauma, and burnout (Volk et al., 2008). Without proper self-care, therapists may experience emotional exhaustion, irritability, sleep disturbances, and a diminished ability to engage effectively with clients (Babbel, 2012). Maintaining healthy professional boundaries, engaging in peer consultation, and practicing mindfulness techniques are critical strategies for preventing burnout (Walker, Morin, & Labrie, 2012). Additionally, organizations should ensure that therapists have access to regular supervision, structured debriefing sessions, and workload management strategies to support long-term well-being in the field. Practical Ways to Engage in Self-Care Self-care must be intentional and tailored to your personal needs, lifestyle, and the challenges you face in your counselling practice. Below are several evidence-informed strategies to support emotional, physical, and professional well-being: Develop a Sustainable Routine Establish regular sleep, nutrition, and exercise habits. These foundational elements have a direct impact on cognitive functioning, mood regulation, and energy levels. Counsellors should treat their wellness routines with the same care they encourage in clients. Create Emotional Check-In Practices Set aside time daily or weekly to reflect on how your work is affecting you emotionally. Journaling, mood-tracking apps, or brief mindfulness meditations can help you stay attuned to early signs of burnout or emotional fatigue. Maintain Clear Professional Boundaries Avoid overextending yourself with scheduling or emotional labour. Be mindful of how much of your identity and energy you are investing into sessions. Learning to say “no” or deferring tasks when overwhelmed is a protective act, not a failure. 35 Engage in Peer Support and Consultation Regular case consultation or peer supervision can provide emotional relief and professional clarity. Being able to debrief with trusted colleagues helps normalize difficult experiences and reduce isolation. Incorporate Creative or Restorative Outlets Pursue activities outside of counselling that replenish you, such as art, music, nature, reading, or time with loved ones. These outlets allow for emotional expression and reconnection with your identity beyond the role of therapist. Practice Mindfulness and Grounding Techniques Incorporate brief grounding or mindfulness practices between sessions or at the end of the workday. Even 5 minutes of deep breathing, a body scan, or stepping outside for fresh air can regulate your nervous system and foster presence. Utilize Supervision Intentionally Approach supervision not just for client guidance but as a space to process personal reactions, explore countertransference, and reflect on your professional development. Supervision should support both your competence and your care. Build a Personalized Safety Plan for High-Stress Periods Identify signs that indicate when you are approaching burnout, and pre-plan actions to take (e.g., reducing caseload, scheduling time off, prioritizing rest). Having a proactive plan can reduce the likelihood of reaching a crisis point. Access Therapy for Yourself Engaging in your own counselling can help you process the emotional residue of the work, improve self-awareness, and model the value of therapeutic support. Training Programs Family counselling training programs in Canada are designed to provide professionals with both theoretical knowledge and practical experience. While some programs offer full graduate degrees, many are advanced certificates for those already holding a Master’s degree and seeking to expand their scope of practice. What They Offer 36 Programs typically include coursework in family systems theory, ethics, cultural competence, and therapeutic approaches such as narrative, CBT, and solution-focused therapy. A strong emphasis is placed on evidence-based practice and supervised clinical training. For example, the University of Calgary’s Certificate in Couple and Family Therapy includes 350 hours of supervised practicum. At the same time, the University of Guelph’s Master of Relational and Family Therapy provides two years of hands-on training in a clinical setting. What Students Gain Students develop key competencies in theory, ethics, and intervention, and gain practical experience working with families and couples. Training is aligned with professional standards and can prepare graduates for registration with organizations such as the Canadian Association for Marriage and Family Therapy (CAMFT). These programs build both clinical skills and career readiness for work in private practice, community, and healthcare settings. Marriage and Family Therapy Programs MFT programs focus on relational dynamics and are often accredited by CAMFT or provincial colleges such as CRPO and CAP. Examples include Trinity Western University’s MCS in Marriage and Family Therapy, which integrates clinical and faith-based perspectives, and Wilfrid Laurier University’s Family and Couples Counselling Certificate, which offers a broader approach to relational counselling. 37 Gaps and Limitations While graduates are well-prepared in systems theory and clinical work, some areas remain underdeveloped. These include specialized training in trauma-informed care, working with marginalized communities, and understanding the impact of digital technology on family life. Programs also tend to overlook business skills needed for private practice and provide limited focus on niche areas such as neurodiversity or substance use in families. Post-graduation mentorship is also often lacking, leaving new counsellors to navigate the early stages of their careers with limited support. Key Takeaways Self-care is essential in family counselling to prevent burnout, compassion fatigue, and vicarious trauma. Key self-care strategies: maintain healthy routines, set clear boundaries, engage in supervision, use mindfulness, and access peer support. Regular supervision supports both client care and counsellor wellbeing; it should include space for processing emotional reactions and countertransference. Counsellors benefit from creating a personal stress management plan and seeking therapy themselves when needed. Canadian family counselling training programs focus on systems theory, ethics, and supervised clinical practice. Programs vary in focus; most prepare students for certification but may lack training in trauma-informed care, cultural safety, private practice skills, and postgraduation mentorship. 38 Conclusion Family counselling is a complex and deeply impactful field that requires practitioners to be mindful of their professional boundaries, ethical obligations, and emotional well-being. Common pitfalls such as alignment with specific family members, breaches of confidentiality, countertransference, resistance from families, and cultural misinterpretations can significantly hinder therapy’s effectiveness if not carefully managed. Additionally, neglecting self-care places counsellors at risk of burnout, which can compromise both personal and professional functioning. We can navigate these challenges by maintaining professional neutrality, engaging in reflexivity, setting clear boundaries, and practicing cultural humility while providing ethical and practical care to the families they serve. To aid in this process, seeking training programs may be a valuable option for many new counsellors. 39 Glossary Alignment: In family counselling, the tendency for a therapist to unconsciously favour or side with one family member’s perspective, which can undermine neutrality and therapeutic effectiveness. Attachment Theory: A psychological framework that explains how emotional bonds between individuals, especially in close relationships, influence behaviours, emotions, and relational patterns. Cultural Competence: The ability of counsellors to effectively work with clients from diverse cultural backgrounds by understanding, respecting, and integrating cultural values and practices into the therapeutic process. Cultural Humility: A process of ongoing self-reflection and learning about one’s own biases and perspectives, combined with a commitment to understanding and respecting the diverse cultural backgrounds and experiences of clients. Countertransference: The therapist’s emotional reactions and responses to a client, which can be influenced by their own personal experiences and unresolved issues. Differentiation of Self: A core concept in Bowenian Family Therapy referring to an individual’s ability to separate their own thoughts and emotions from those of the family system. Dual Relationships: Situations where a counsellor holds multiple roles with a client, which may impair professional judgment, risk client welfare, or create conflicts of interest. Emotionally Focused Therapy (EFT): A family therapy model focusing on attachment, emotional connection, and restructuring interactional patterns to build secure relationships. Enmeshment: A relational pattern in which family members have blurred boundaries and excessive emotional involvement, often leading to reduced autonomy. Ethnocultural Transference: The unconscious projection of cultural assumptions or stereotypes onto a client by the therapist, or vice versa, affecting the therapeutic relationship. Family Dynamics: The patterns of interaction, roles, communication styles, and power structures that shape how family members relate to each other. Family Systems Theory: A theoretical approach that views the family as an interconnected system where each member’s behaviours and emotions affect the whole group. Impasses: Moments in therapy where progress stalls due to resistance, unresolved dynamics, or ineffective interventions. Intersectionality: The understanding that individuals have multiple, interconnected social identities (like race, gender, class, sexual orientation, etc.) that shape their experiences and perspectives. Narrative Therapy: A collaborative therapeutic approach that helps clients re-author their stories and externalize problems to foster empowerment and resilience. Positionality: Awareness of how a counsellor’s social identity, cultural background, and life experiences shape their understanding, biases, and clinical practice. 40 Reflexivity: The practice of critically reflecting on one’s own values, biases, and experiences, and how these influence the therapeutic relationship and professional decisions. Resistance: A client or family’s conscious or unconscious avoidance of therapeutic engagement or change, often stemming from fear, mistrust, or entrenched patterns. Self-Awareness: The continuous process of noticing and reflecting on one’s internal responses, values, assumptions, and emotional triggers within the therapeutic context. Structural Family Therapy (SFT): A family therapy model focused on restructuring family interactions and boundaries to improve functioning and resolve conflicts. Systemic Therapy: An approach that considers individuals within the context of their relational, social, and cultural systems, emphasizing patterns and interactions rather than isolated behaviours. Transference: The unconscious redirection of feelings from past relationships onto the therapist by the client, often revealing significant relational patterns. Truth and Reconciliation Commission (TRC) Calls to Action: A set of recommendations aimed at redressing the legacy of residential schools and advancing the process of Canadian reconciliation, including mandates for culturally safe mental health services for Indigenous peoples. United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP): An international document affirming Indigenous peoples’ rights to maintain and strengthen their cultural, spiritual, and social institutions, including family systems and healing practices. 41 Additional Resources Aron, E. N. (2002). The highly sensitive child: Helping our children thrive when the world overwhelms them. Broadway Books Faber, A., & Mazlish, E. (2012). How to talk so kids will listen & listen so kids will talk. Scribner. Gibson, L. C., & Perry, R. (2023). Self-care for adult children of emotionally immature parents: Honor your emotions, nurture your self, and live with confidence. New Harbinger Publications. Harvey, P., & Penzo, J. (2009). Parenting a child who has intense emotions: Dialectical behavior therapy skills to help your child regulate emotional outbursts and aggressive behaviors. New Harbinger Publications. Harvey, P., & Rathbone, B. H. (2015). Parenting a teen who has intense emotions: DBT skills to help your teen navigate emotional and behavioral challenges. New Harbinger Publications. Harwood, E. (2024). Raising securely attached kids: Using connection-focused parenting to create confidence, empathy, and resilience. Sasquatch Books. Hooks, B. (2000). All about love: New visions. William Morrow. Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families. The Guilford Press. Nagoski, E., & Nagoski, A. (2019). Burnout: The secret to unlocking the stress cycle (1st ed.). Ballantine Books. Parry, S. (Ed.). (2019). The Handbook of Brief Therapies: A practical guide. Sage Publications Ltd. 42 Rogers, C. R. (1995). On becoming a person: A therapist’s view of psychotherapy (2nd ed.). Houghton Mifflin. Snyder, S. (2025). Effective self regulation strategies for parents: Reduce family stress through DBT skills that master anger management, reduce emotional outbursts and improve parent-child relationships. Independently published. Yalom, I. D. (2009). The gift of therapy: An open letter to a new generation of therapists and their patients (1st Harper Perennial ed.). Harper Perennial. 43 References Ahluwalia, H., Anand, T., & Suman, L. N. (2018). Marital and family therapy. Indian Journal of Psychiatry, 60(Suppl 4), S501–S505. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_19_18 Almeida, R., Woods, R., Messineo, T., & Font, R. (1998). The context model. In M. McGoldrick (Ed.), Revisioning family therapy: Race, gender, and culture in clinical practice. New York: Guilford Press. American Association for Marriage and Family Therapy. Code of ethics. Retrieved from https://aamft.org/Legal_Ethics/Code_of_Ethics.aspx Asen, E. (2002). Outcome research in family therapy. Advances in Psychiatric Treatment, 8(3), 230– 238. doi:10.1192/apt.8.3.230 Association for Family Therapy and Systemic Practice. (2024). What is family therapy? Retrieved from https://www.aft.org.uk Babbel, S. (2012). Compassion fatigue: Bodily symptoms of empathy. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/somatic-psychology/201207/compassion-fatigue Barber, B. K. & Buehler, C. (1996). Family cohesion and enmeshment: Different constructs, different effects. Journal of Marriage and the Family, 58: 433–41. https://doi.org/10.2307/353507 Beaulieu, T., & Reeves, A. (2022). Integrating Indigenous Healing and Western Counselling: Clinical cases in Culturally Safe practice. In Springer eBooks (pp. 255–281). https://doi.org/10.1007/9783-030-71346-1_15 Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson. British Columbia Association of Clinical Counsellors. (2023). BCACC Code of Ethical Conduct and Standards of Clinical Practice. https://bcacc.ca/wp-content/uploads/2023/07/BCACC-COECEffective-Nov.-1-2023.pdf British Columbia Ministry of Health. (2013). Trauma-Informed Practice Guide. Retrieved from https://www2.gov.bc.ca/assets/gov/health/child-teen-mental-health/traumainformed_practice_guide.pdf British Columbia Ministry of Children and Family Development. (2010). Best Practice Approaches: Child Protection and Violence Against Women. Retrieved from https://www2.gov.bc.ca/assets/gov/public-safety-and-emergency-services/publicsafety/protecting-children/best_practice_approaches_policy.pdf Canadian Counselling and Psychotherapy Association. (2021). Standards of Practice (6th ed.). https://www.ccpa-accp.ca/wp-content/uploads/2021/10/CCPA-Standards-of-Practice-ENG-Sept29-Web-file.pdf Canadian Counselling and Psychotherapy Association. (2020). Code of ethics (Rev. ed.). Canadian Counselling and Psychotherapy Association. https://www.ccpa-accp.ca Carr, A. (2025). Family therapy and systemic interventions for child-focused problems: The evidence base. Journal of Family Therapy, 47, e12476. Available from: https://doi.org/10.1111/14676427.12476 Carr, A. (2019). Family therapy: Concepts, process, and practice (4th ed.). Wiley. Comas-Diaz, L., & Jacobsen, F. M. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61(3), 392– 402. https://doi.org/10.1037/h0079251 44 Corey, G., Corey, M. S., & Callanan, P. (2015). Issues and ethics in the helping professions (9th ed.). Cengage Learning. Demirci, Z. (2024). The Relationship Between Family Interaction Quality and Adolescent Mental Health with a Focus on Parental Roles in Reconstituted Families. tudies in ocial cience ∓ umanities, 3(11), 34–38. retrieved from https://www.paradigmpress.org/SSSH/article/view/1413 Goldenberg, H., & Goldenberg, I. (2017). Family therapy: An overview (9th ed.). Cengage Learning. Gehart, D. R. (2018). Mastering competencies in family therapy: A practical approach to theory and clinical case documentation. Cengage Learning. Goodman, L.A., Liang, B., Helms, J.E., Latta, R.E., Sparks, E., & Weintraub, S.R. (2004). Training counselling psychologists as social justice agents: Feminist and multicultural principles in action. The Counselling Psychologist, 32(6), 793–837. doi:10.1177/0011000004268802 Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. Harmony Books. Gottman, J. M. (1999). The marriage clinic: A scientifically based marital therapy. New York: Norton. Haley, J. (1976). Problem-solving therapy. Jossey-Bass. Hardy, K. V., & Laszloffy, T. A. (1995). The cultural genograms: Key to training culturally competent family therapists. Journal of Marital and Family Therapy, 21, 221–237. Howes, R. (2012). A client’s guide to transference. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/in-therapy/201206/clients-guide-transference Jiménez, L., Hidalgo, V., Baena, S., León, A., & Lorence, B. (2019). Effectiveness of Structural– Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families. International Journal of Environmental Research and Public Health, 16(7), 1255. https://doi.org/10.3390/ijerph16071255 Johnson, S. M. (2004). The practice of emotionally focused couple therapy: Creating connection. Routledge. Johnson, S. (2002). Emotionally Focused Couple Therapy with Trauma Survivors: Strengthening Attachment Bonds. New York: Guilford Press. Kazdin, A. (2010). Problem solving skills training and parent management training for oppositional defiant disorder and conduct disorder. In J. Weisz and A. Kazdin (eds) Evidence-based Psychotherapies for Children and Adolescents (2nd edn) (pp. 211–226). New York: Guilford. Kim, J.S. (2008). Examining the Effectiveness of Solution-Focused Brief Therapy: A Meta-Analysis. Research on Social Work Practice, 18(2), 107–116. Kolko, D. & Swenson, C. (2002). Assessing and Treating Physically Abused Children and Their Families: A Cognitive Behavioural Approach. Thousand Oaks: Sage Publications Lebow, J. L. (1984). On the value of integrating approaches to family therapy. Journal of Marital and Family Therapy, 10(3), 127–138. https://doi.org/10.1111/j.1752-0606.1984.tb00003.x Leichsenring, F. (2005). Are psychodynamic and psychoanalytic therapies effective? A review of empirical data. International Journal of Psychoanalysis, 86(3), 841–868. https://doi.org/10.1516/RFEE-LKPN-B7TF-KPDU Leigh-Osroosh, K. T. (2021). The phenomenological house: A metaphoric framework for descriptive phenomenological psychological design and analysis. The Qualitative Report, 26(6), 1817– 1829. https://doi.org/10.46743/2160-3715/2021.4815 Maar, M., Erskine, B., McGregor, L., Larose, T., Sutherland, M., & Graham, D. et al. (2009). Innovations on a shoestring: a study of a collaborative community-based Aboriginal mental health service model in rural Canada. International Journal Of Mental Health Systems, 3(1), 27. doi: 10.1186/1752-4458-3-27 45 Magliano, L. Fiorillo, A., Fadden, G., Gair, F., Economou, M., Kallert, T., Schellog, J., Xavier, M., Pereiram M.C., Gonzales, F.T., Palma-Crespo, A. & Maj, M. (2005). Effectiveness of a psychoeducational intervention for families of patients with schizophrenia: preliminary results of a study funded by the European Commission. World Psychiatry, 4 (1), 45–49. Margolin, G. (1982). Ethical and legal considerations in marital and family therapy. American Psychologist, 37(7), 788–801. https://doi.org/10.1037/0003-066X.37.7.788 Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 56(2), 289–302. https://doi.org/10.2307/1129720 Minuchin, S. (1974). Families and family therapy. Harvard University Press. Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counselling psychology. Journal of Counseling Psychology, 52(2), 250–260. https://doi.org/10.1037/00220167.52.2.250 Murphy, S. N. (2013). Attending to countertransference. Counseling Today. Retrieved from https://www.counseling.org/publications/counseling-today-magazine/articlearchive/article/legacy/attending-to-countertransference Nelson, S. (2011). Challenging Hidden Assumptions: Colonial Norms as Determinants of Aboriginal Mental Health, 1–16. Retrieved from http://www.nccahccnsa.ca/Publications/Lists/Publications/Attachments/70/colonial_norms_EN_web.pdf Nichols, M. P., & Davis, S. D. (2017). Family therapy: Concepts and methods (11th ed.). Pearson. O’Connor, T.S.J. (2020). Narrative Therapy. In: Leeming, D.A. (eds) Encyclopedia of Psychology and Religion. Springer, Cham. https://doi.org/10.1007/978-3-030-24348-7_455 Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22: 144–67. https://doi.org/10.1111/1467-6427.00144 Ransom, D. C. (1986). Pitfalls and breakthroughs for family therapists teaching in family practice settings. Family Systems Medicine, 4(4), 448–456. https://doi.org/10.1037/h0090051 Rasic, D. (2010). Countertransference in child and adolescent psychiatry: A forgotten concept? Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(4), 249–254. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2962536/ Saroca, K., & Sargent, J. (2022). Understanding Families as Essential in Psychiatric Practice. Focus, 20(2), 204–209. https://doi.org/10.1176/appi.focus.20210035 Sharf, R. S. (2015). Theories of psychotherapy and counseling: Concepts and cases (6th ed.). Cengage Learning. Shaw, E. (2011). Australian Psychological Society Ethics and the practice of couple and family therapy. Retrieved from https://www.psychology.org.au/publications/inpsych/2011/feb/ shaw/ Siegel, D. J. (2012). The developing mind: How relationships and the brain interact to shape who we are (2nd ed.). Guilford Press. Spindel, P. (2020). Working with families: A guide for health and human services professionals (2nd ed.). Canadian Scholars. Retrieved from http://public.eblib.com/choice/PublicFullRecord.aspx?p=6282088 Starling, M. A. (2024). “Thrown in cold turkey”: Perceived preparedness and self-efficacy in counseling trainees transitioning to the application of theory in a practicum or internship [Doctoral dissertation, Liberty University]. https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=6316&context=docto ral 46 Sue, D. W., Sue, D., Neville, H. A., & Smith, L. (2022). Counseling the culturally diverse: Theory and practice (9th ed.). Wiley. Szapocznik, J., Rio, A., Murray, E.; Cohen, R., Scopetta, M., Rivas-Vazquez, A., Hervis, O., Posada, V., Kurtines, W. (1989). Structural family versus psychodynamic child therapy for problematic Hispanic boys. J. Consult. Clin. Psychol. 57, 571–578. Trinity Western University. (n.d.). Marriage and Family Therapy. Retrieved January 27, 2025, from https://www.twu.ca Tuerk, E. H., McCart, M. R., & Henggeler, S. W. (2012). Collaboration in family therapy. Journal of Clinical Psychology, 68(2), 168–178. https://doi.org/10.1002/jclp.21833 University of Calgary. (n.d.). Professional Certificate in Couple and Family Therapy. Retrieved from https://socialwork.ucalgary.ca University of Guelph. (n.d.). Master of Relational and Family Therapy. Retrieved January 27, 2025, from https://www.uoguelph.ca Volk, K. T., Guarino, K., Grandin, M. E., & Clervil, R. (2008). What about you? A workbook for those who work with others. The National Center on Family Homelessness. Retrieved from https://www.homelesshub.ca/resource/what-about-you-workbook-those-who-work-others Walsh, F. (2016). Strengthening family resilience (3rd ed.). Guilford Press. Walsh, F. (2014). Family therapy: Systemic approaches to practice. In J. R. Brandell (Ed.), Essentials of clinical social work (pp. 160–185). Sage Publications, Inc. https://doi.org/10.4135/9781483398266.n7 Walker, E., Morin, C., & Labrie, N. (2012). Supporting staff at risk for compassion fatigue. Region of Peel Public Health. Retrieved from https://www.peelregion.ca/health/library/pdf/cf-rapidreview.pdf White, M., & Epston, D. (1990). Narrative means to therapeutic ends. Norton. Wilfrid Laurier University. (n.d.). Family and couples counselling. Laurier Continuing Education. Retrieved January 27, 2025, from https://continuingeducation.wlu.ca/public/category/courseCategoryCertificateProfile.do?certifica teId=4932351&method=load Zhao, L., & Zhao, W. (2022). Impacts of family environment on adolescents’ academic achievement: The role of peer interaction quality and educational expectation gap. Frontiers Media SA. https://doi.org/10.3389/fpsyg.2022.911959