Measurement, Classification, and Prediction of Paradigm Adherence of Marriage and Family Therapists

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Abstract
This study assessed the theoretical perspectives of marriage and family practitioners using the Paradigm Adherence Scale (PAS), which measures practitioner adherence to the psychological, systems, and social constructionist paradigms associated with marriage and family therapy. Results from a survey of clinical members of AAMFT ( N = 204) indicated that a majority of therapists were primarily adhering to the systems paradigm (43.6%) or practicing from a combination of paradigms (42.2%), while the social constructionism approach was used by a smaller but significant percentage of therapists (13.7%). Factors predicting membership in paradigm adherence groups included the current or most recent supervisor's preferred paradigm (most predictive), therapist gender, and years of clinical experience. While only 16.5% of the variance in paradigm adherence was accounted for by the set of predictor variables, this was viewed as having some practical significance in the difficult task of explaining choice and utilization of theoretical framework.