Lewis & Clark Graduate School of Education & Counseling

Graduate Catalog

Marriage, Couple, and Family Therapy

Family therapy is a distinct profession with its own history, theories, models, professional organizations, and journals. Family therapists are generalists in that we typically treat a wide variety of psychological, emotional, and relational problems. We work with individuals, couples, families, and community groups. The hallmark of family therapy is our systemic and social constructionist approaches, as well as our preferred inclusion of multiple people in the therapeutic process. Family therapists share the premise that human behavior occurs within family, social, and cultural contexts. We understand thoughts, feelings, and behaviors/interactions as interrelated across individual, family, community, societal, and global systems. This includes acknowledging individual psychological, physiological, and genetic factors as well as family and other relational patterns of interaction. Importance is placed on understanding how race, gender, social class, sexual orientation, abilities, language, country of origin, and other social identities/locations interconnect to maintain systems of power and privilege. Family therapists are concerned with how these contextual factors influence well-being and are committed to challenging social structures that maintain individual and family problems.

Accreditation and Licensure

Marriage, Couple, and Family Therapy programs at Lewis & Clark are approved by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE). Graduates are eligible to pursue licensing as marriage and family therapists (LMFT) in Oregon.

Most other states grant eligibility for licensing to graduates of our Marriage, Couple and Family Therapy programs. However, some states may have additional educational requirements that must be met prior to licensure.

Master of Arts in Marriage, Couple, and Family Therapy

The Master of Arts in Marriage, Couple, and Family Therapy (MCFT) program is designed to lead graduates to eventual licensure and employment as marriage and family therapists in a variety of clinical and agency settings. The MCFT curriculum provides the knowledge and skills necessary for practitioners to provide high-quality, effective therapy using active, positive approaches that help individuals, couples, and families build on their strengths, improve their relationships, and generate solutions to mental health and relational problems. The program is unique in its emphasis on taking a social justice perspective in the practice of family therapy.

The MCFT program uses a cohort model which encourages students to build relationships and help each other develop over time. Throughout the program, students complete readings and assignments to prepare for active participation and application exercises in the classroom. Practice skills are integrated throughout courses and students complete an extensive supervised clinical internship during the last 15 months of their program in order to develop core practice competencies.

Lewis & Clark's MCFT program is accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE). It meets the academic requirements for state licensure in Oregon and most other states. Graduates of this program will have met the academic requirements needed to become licensed marriage and family therapists (LMFT) and clinical members of the American Association for Marriage and Family Therapy (AAMFT).

MCFT students can include a special concentration on addictions treatment in the context of families. Since addictions treatment is in great demand across the country, an opportunity to be trained in this area strengthens the practice focus of our students and increases their marketability.  

MCFT students can choose to include a special concentration in international family therapy, which includes courses on global awareness and international family therapy, as well as travel to another country and a capstone course.

Degree Requirements

A minimum of 60 semester hours, including:

Degree Courses
CPSY 504Family Therapy: Theory and Practice3
CPSY 506Life Span Development2
CPSY 514Group Counseling With Children and Adolescents3
or CPSY 515 Group Counseling With Adults
CPSY 516Family Development: Cross-Cultural Perspectives2
CPSY 522Diagnosis of Mental and Emotional Disorders2
CPSY 526Practical Skills in Marriage, Couple, and Family Therapy3
CPSY 530Research Methods and Statistics I3
CPSY 556Equity in Family Therapy3
CPSY 560Couple Therapy3
CPSY 561Assessment and Prevention in Family Therapy and Counseling3
CPSY 562Advanced Family Therapy3
CPSY 563Treatment Issues in Family Therapy3
CPSY 564Treating Addictions in Marriage, Couple, and Family Therapy2
CPSY 566Legal and Ethical Issues in Family Therapy and Counseling2
CPSY 569Introduction to Marriage, Couple, and Family Therapy1
CPSY 578Sex Therapy2
CPSY 584Practicum in Marriage, Couple, and Family Therapy4
CPSY 588Internship in Marriage, Couple, and Family Therapy (three semesters, 4 semester hours each)12
Graduate Core Requirement

A minimum of 2 semester hours of Core Program coursework and one Core convocation

Elective Courses

Any remaining required semester hours may be earned by taking elective courses.

Additional Courses for Concentration in Addictions Treatment (6 semester hours)
CPSY 545Drugs, the Brain, and Behavior3
CPSY 546Models of Addiction and Recovery3
or CPSY 547 Addictions Treatment: Procedures, Skills, and Case Management

Additional Courses for Concentration in International Family Therapy (8 semester hours)
CPSY 557Global Awareness in Professional Practice2
CPSY 567International Family Therapy2
CPSY 568International Family Therapy Capstone2
CPSY 902Culture and Community2

 

Master of Science in Marriage, Couple, and Family Therapy

Students admitted to the Master of Arts in Marriage, Couple, and Family Therapy program may choose to seek an M.S. degree. This option, which is often of interest to students planning to pursue a doctoral degree in psychology, is available only upon formal application to the M.S. program. Students wishing to pursue this degree apply after completing the requirements listed below.

Requirements for Application

Application to the M.S. requires prior admission to the Master of Arts in Marriage, Couple and Family Therapy program.

In addition to prior admission, application to the master of science requires the following:

  • A demonstrated capacity for initiative and independent research
  • Completion of Research Methods and Statistics I (CPSY 530) with a grade of B or better
  • Completion of Research Methods and Statistics II (CPSY 531)
  • Completion of a thesis proposal, including a timeline for completing the project, agreement by a faculty member to serve as chair of a thesis committee, and designation of a three-person faculty committee
  • Formal approval of a thesis proposal by a thesis committee
Degree Requirements

A minimum of 64 semester hours, distributed as follows:

Students must meet all regular requirements for a Master of Arts in Marriage, Couple and Family Therapy

CPSY 594Proposal Writing1
CPSY 595Master's Thesis Research (Satisfactory completion of a thesis—a minimum of 2 semester hours and maximum of 9 semester hours is required)2

 

Practicum and Internship Information

During their final 15 months of a Marriage, Couple, and Family Therapy (MCFT) program, students are involved in direct clinical work with individuals, couples, families, and groups. One semester of practicum is followed by three semesters of internship, moving students toward increasingly independent practice. There are select agencies in Portland and its surrounding areas that are well-suited for training in family therapy. Lewis & Clark faculty and staff work closely with agency supervisors to ensure positive and appropriate placement of MCFT students.

While in their practicum and internship, MCFT students must complete at least 500 hours of direct client contact, half of which must be relational (with couples and families). Students participate in weekly individual and group supervision, which relies heavily on "raw data," including video tape and live observation of students' clinical work.

Prior to enrollment in a practicum or internship, students must complete a portfolio of their work in the program, including coursework, field work, and other professional activities. More information is available in the program handbook, available online.

Master of Arts Courses

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CPSY 504 Family Therapy: Theory and Practice

Content: Overview of the fundamental assumptions and ideas of general systems theory and the basic premises of theoretical orientations within family therapy. Participants explore the application of course material to their work setting or training track.
Prerequisites: For students in the Professional Mental Health Community Counseling or Professional Mental Health Counseling-Addictions programs, CPSY 502 or 503, CPSY 506, CPSY 509 or 511, CPSY 513, CPSY 550, CPSY 530 or CPSY 535. For students in other programs, none.
Credits: 3 semester hours.

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CPSY 506 Life Span Development

Content: Exploration of life span development through the lenses of social, cultural, cognitive, biological, and learning theories and research. Emphasis is on gaining better conceptual understanding of healthy development and better practical understanding of how to help children, adolescents, and adults address the developmental challenges they face across the life span. Particular focus placed on understanding our own developmental processes as well as the role of cultural difference and commonality in the developmental process.
Prerequisites: For Professional Mental Health Counseling and Professional Mental Health Counseling--Addictions students, CPSY 502 or CPSY 503, CPSY 513.
Credits: 2 semester hours.

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CPSY 514 Group Counseling With Children and Adolescents

Content: Instruction and practice in developing group treatments for children and adolescents in clinical and school settings. Students gain practice as group leaders in addressing issues related to group dynamics, cultural diversity, potential problems encountered when running groups, and generalization and maintenance of behavioral change. Students also gain experience constructing curricula for specific issues such as divorce, substance use, grief, and social skills.
Prerequisites: For students in the Professional Mental Health Counseling or Professional Mental Health Counseling-Addictions programs, CPSY 502 or CPSY 503, CPSY 506, CPSY 509 or CPSY 511, CPSY 513, CPSY 522, CPSY 530 or CPSY 535, CPSY 534, CPSY 550. For students in Marriage, Couple, and Family Therapy programs, CPSY 504, CPSY 506, CPSY 526; for students in the School Psychology program, CPSY 507.
Restrictions: Consent of Counseling Psychology department required.
Credits: 3 semester hours.

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CPSY 515 Group Counseling With Adults

Content: Introduction to the major schools of thought regarding group therapy and the common factors associated with positive outcomes. Covers group dynamics, obstacles to success in group therapy, and the stages of group process. Role-playing, outside group membership, and demonstrations illustrate principles of effective group leadership.
Prerequisites: For Professional Mental Health Counseling and Professional Mental Health Counseling--Addictions students, CPSY 502 or CPSY 503, CPSY 506, CPSY 509 or CPSY 511, CPSY 513, CPSY 522, CPSY 530 or 535, CPSY 534, CPSY 550. For Marriage, Couple, and Family Therapy students, CPSY 504, CPSY 506, CPSY 526.
Credits: 3 semester hours.

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CPSY 516 Family Development: Cross-Cultural Perspectives

Content: Family interaction processes and development within cultural contexts. Topics include: family development, diverse family forms, patterns and dynamics of family interaction, and the impact of social context and culture on family life.
Prerequisites: None.
Credits: 2 semester hours.

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CPSY 522 Diagnosis of Mental and Emotional Disorders

Content: Introduction to the structure and uses of the DSM-IV and ICD-9 systems for diagnosing mental and emotional disorders. Limits and weaknesses of these approaches--especially with regard to cultural differences--and alternatives to them. How to use these systems effectively in the context of person-centered, psychosocial, and systemic interventions, and in culturally diverse environments. Current knowledge, theory, and issues regarding selected disorders. Use of technology-based research tools to secure and evaluate contemporary knowledge.
Prerequisites: For Marriage, Couple, and Family Therapy students, CPSY 569. For Professional Mental Health Counseling and Professional Mental Health Counseling--Addictions students, CPSY 502 or CPSY 503, CPSY 506, CPSY 509 or CPSY 511, CPSY 513, CPSY 530 or CPSY 535, CPSY 550.
Credits: 2 semester hours.

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CPSY 526 Practical Skills in Marriage, Couple, and Family Therapy

Content: Overview of basic relational therapy concepts and skills, including skill development through role-playing and simulated counseling experiences.
Prerequisites: CPSY-504, CPSY 566, and CPSY 569.
Credits: 3 semester hours.

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CPSY 530 Research Methods and Statistics I

Content: Introduction to research methods with an emphasis on design, sampling, measurement issues, and introductory data analysis. Topics include (1) research design: elements of the research process, types of designs, program evaluation; (2) ethical considerations of research: informed consent, research with diverse and vulnerable populations, research with children, human subjects review; (3) basic measurement concepts: validity, reliability, norms, score interpretation; (4) basic statistical concepts: frequency distributions, central tendency, measures of variability, correlation. Reviews Web-based resources for conducting research. Note: Taught during the fall semester only, as the first course of a two-semester sequence. Students who wish to pursue the thesis-option M.S. program are advised to take this sequence as early as possible in their course of study.
Prerequisites: None.
Credits: 3 semester hours.

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CPSY 556 Equity in Family Therapy

Content: Development of awareness and knowledge of diversity necessary to practice family therapy from liberation-based and social-justice-based frameworks. This includes interrogating multiple embedded systems of power and privilege relative to interconnections of identity and social position. Focus is on helping students become capable family therapists in diverse contexts, including becoming aware of their own beliefs, biases, and prejudices relative to culture, race, ethnicity, gender, age, sexual orientation, or physical or mental ability.
Prerequisites: None.
Restrictions: Admission to the Marriage, Couple, and Family Therapy program.
Credits: 3 semester hours.

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CPSY 560 Couple Therapy

Content: Systems theory therapies and practices relative to assessment, research, and treatment of couples. Explores cognitive, affective, interactional, and systemic theories of human behavior and change as related to couples.
Prerequisites: CPSY-504.
Credits: 3 semester hours.

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CPSY 561 Assessment and Prevention in Family Therapy and Counseling

Content: Examination of the theoretical assumptions, values, and cultural frameworks underlying individual, couple, and family assessment approaches. Specific assessment techniques and tools are discussed, evaluated, and practiced. Preventative interventions such as premarital counseling and parent education are also explored and critiqued from a critical multicultural perspective.
Prerequisites: CPSY-504.
Credits: 3 semester hours.

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CPSY 562 Advanced Family Therapy

Content: Introduction to the practice of systemic therapy. In this survey course, students learn the history, theoretical assumptions, and primary techniques associated with each of the major family therapy models. Students practice using theory to guide interventions through case examples, video, and role plays.
Prerequisites: CPSY-504.
Credits: 3 semester hours.

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CPSY 563 Treatment Issues in Family Therapy

Content: Applications of family systems approach to treatment of families in crisis and transition. Topics include issues such as substance abuse, domestic violence, sexual abuse, trauma and loss, poverty, and chronic illness. A portion of this course emphasizes clinical case conceptualization and treatment planning.
Prerequisites: CPSY-504.
Credits: 0.5-3 semester hours.

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CPSY 564 Treating Addictions in Marriage, Couple, and Family Therapy

Content: Family systems view of the development and maintenance of substance abusing patterns for family therapists and other health practitioners. Examines the contributions made to the understanding and treatment of substance abuse by family researchers, theorists, and clinicians. Considers clinical intervention methods of substance abuse with attention to the treatment of adolescents, couples, and families.
Prerequisites: CPSY 504 or CPSY 534.
Restrictions: Priority is given to students in the Marriage, Couple, and Family Therapy and Professional Mental Health Counseling-Addictions programs. Permission of the Counseling Psychology Department Office.
Credits: 2 semester hours.

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CPSY 566 Legal and Ethical Issues in Family Therapy and Counseling

Content: Survey of current issues relating to ethical practice and legal responsibilities in family therapy and counseling. Addresses issues such as confidentiality, informed consent, dual relationships, and therapist liability. Includes models for ethical decision making, working with the legal system, and relevant aspects of family law.
Prerequisites: None.
Credits: 2 semester hours.

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CPSY 569 Introduction to Marriage, Couple, and Family Therapy

Content: Basic theoretical assumptions of the profession of marriage, couple and family therapy, with an overview of its historical roots, social and cultural contexts, types of practice, ethical principles, and professional orientation.
Prerequisites: None.
Credits: 1 semester hour.

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CPSY 578 Sex Therapy

Content: Sexual health and introduction to treatment of sexual issues. Topics include sexual development across the lifespan, sexual orientation and identity, critique of the social construction of sex, systemic bio-psycho-social-spiritual assessment of sexual well-being, and treatment of specific sexual problems.
Prerequisites: CPSY 504 or CPSY 534, CPSY 562.
Corequisites: CPSY 560.
Restrictions: Consent of intructor required.
Credits: 2 semester hours.

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CPSY 584 Practicum in Marriage, Couple, and Family Therapy

Content: Supervised practicum bridging theoretical and practical topics, Students apply their emerging skills and understanding of family therapy models to their work with individuals, couples, families, and groups.
Prerequisites: None.
Restrictions: Consent of MCFT program director and MCFT clinical coordinator.
Credits: 4 semester hours.

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CPSY 588 Internship in Marriage, Couple, and Family Therapy

Content: Applied training in family therapy during a calendar-year internship, including supervised clinical practice with individuals, couples, and families using systemic, social constructionist, and critical family therapy models.
Prerequisites: CPSY 584.
Restrictions: Consent of advisor.
Credits: 1-4 semester hours.

Master of Science Courses

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CPSY 530 Research Methods and Statistics I

Content: Introduction to research methods with an emphasis on design, sampling, measurement issues, and introductory data analysis. Topics include (1) research design: elements of the research process, types of designs, program evaluation; (2) ethical considerations of research: informed consent, research with diverse and vulnerable populations, research with children, human subjects review; (3) basic measurement concepts: validity, reliability, norms, score interpretation; (4) basic statistical concepts: frequency distributions, central tendency, measures of variability, correlation. Reviews Web-based resources for conducting research. Note: Taught during the fall semester only, as the first course of a two-semester sequence. Students who wish to pursue the thesis-option M.S. program are advised to take this sequence as early as possible in their course of study.
Prerequisites: None.
Credits: 3 semester hours.

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CPSY 531 Research Methods and Statistics II

Content: Research design and data analysis, inferential statistics. Simple and complex designs, normal distribution, z-test, t-test, analysis of variance, statistical power, simple regression. Overview of nonparametric and multivariate analysis. Note: Taught in spring semester only, as the second course of a two-semester sequence. Students who wish to pursue the thesis-option M.S. program are advised to take this sequence as early as possible in their course of study.
Prerequisites: CPSY-530.
Credits: 3 semester hours.

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CPSY 594 Proposal Writing

Content: Direct instruction and support for the process of preparing a thesis and/or other research or grant proposals. Includes both a colloquium and individual consultations with a thesis chair (or, if not writing a thesis, another faculty member). The colloquium will focus on the refinement of research questions, the specifics of research design, and the Human Subjects in Research application process. Consultations with thesis committee chair or other faculty member will focus on the development of a manuscript that clearly details the purpose of the research, summarizes relevant literature, and identifies the proposed design and methodology for the research project.
Prerequisites: CPSY 530 and CPSY 531, or consent of instructor. .
Restrictions: Permission of thesis coordinator.
Credits: 1 semester hour.

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CPSY 595 Master's Thesis Research

Content: Completion of thesis research project under the direction of the chair of the candidate's thesis committee. Three semester hours, which can be taken in 1-semester hour increments, are required for degree. Grades are deferred until the candidate has successfully defended his or her thesis.
Prerequisites: Consent of thesis committee chair.
Restrictions: Consent of thesis committee chair.
Credits: 1-9 semester hours.

Additional Courses for Addictions Concentration

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CPSY 545 Drugs, the Brain, and Behavior

Content: Psychopharmacology of alcohol and drug abuse. Major drugs and classes of abused substances. Mechanisms of action in the brain, patterns of physiological response in abuse, addiction, and recovery. Impact on brain function, cognition, emotions, behavior, and social effects. Pharmacological adjuncts to detoxification and treatment.
Prerequisites: None.
Restrictions: Permission of the Professional Mental Health Counseling - Addictions program director.
Credits: 3 semester hours.

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CPSY 546 Models of Addiction and Recovery

Content: Theories of the nature, course, causes, and effects of addiction to alcohol and drugs of abuse. Conditions, processes, and patterns of recovery. Emphasis on physiological, social learning, and interpersonal models and theories. Natural history of onset, abuse, addiction, and recovery; effects of intergenerational transmission, genetic predilection, developmental risk, and sociocultural factors; effects on psychosocial development; impact of culture and gender differences. Implications for treatment.
Prerequisites: None.
Restrictions: Permission of the Professional Mental Health Counseling - Addictions program director.
Credits: 3 semester hours.

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CPSY 547 Addictions Treatment: Procedures, Skills, and Case Management

Content: Emphasis on developing detailed understanding and beginning skills in the use of specific strategies, procedures, and interventions in assessment, diagnosis, and treatment of substance abuse and addictive disorders. Topics include multiple modes and models of assessment, intervention and treatment, content and basic assumptions of different treatment modalities, organization of comprehensive treatment strategies, motivational interviewing in the context of stages-of-change models, contracting with clients, consultation, integration of medical and psychosocial treatments, referral processes and standards, issues of moderation versus abstinence, relapse prevention, and case management. Also covers documentation, record keeping and management, confidentiality, and ethical and legal issues.
Prerequisites: None.
Restrictions: Permission of the Professional Mental Health Counseling - Addictions program director.
Credits: 3 semester hours.

Additional Courses for International Family Therapy Concentration

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CPSY 557 Global Awareness in Professional Practice

Content: An overview course designed to enhance global awareness from a systems perspective. By viewing the world as a single place with interconnected social, political, environmental, economic, and biological dynamics, students are encouraged to recognize the impact of the global in all local contexts, including counseling and education.
Prerequisites: None.
Restrictions: Admission to the Marriage, Couple, and Family Therapy program.
Credits: 2 semester hours.

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CPSY 567 International Family Therapy

Content: Introduces students to family work worldwide, including the emerging professionalization of family therapy in many countries. Foci include international family therapy education and clinical practice; transferability of family therapy knowledge across national contexts; and issues of power, resources, and colonization in transnational work.
Prerequisites: CPSY 557.
Restrictions: Admission to the Marriage, Couple, and Family Therapy program.
Credits: 2 semester hours.

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CPSY 568 International Family Therapy Capstone

Content: Culmination of a collection of courses and experiences related to international family therapy. Provides an opportunity for students to integrate their international knowledge and experience into local practice through service delivery to transnational communities.
Prerequisites: CPSY 557.
Restrictions: Admission to the Marriage, Couple, and Family Therapy program.
Credits: 2 semester hours.

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CPSY 902 Culture and Community

Content: An intensive international or intercultural immersion course designed to raise awareness of issues in personal and community well-being in a particular community or region. After pre-visit briefings and readings, students visit professionals at schools, clinics, and NGOs to learn about the cultural and social realities of the community or region. The visit is followed by systematic reflection on implications for local practice and the understanding of one's own self and society. Interdisciplinary approaches and interprofessional collaboration are emphasized.
Prerequisites: None.
Credits: 2 semester hours.