Jay L. Lebow

This article reflects on the evolving role of theory in contemporary couple and family therapy. It observes a diminished role of theory today in relation to clinical practice and calls for more attention to theory. It traces the historical development of systemic thinking and examines how shifts in epistemology, research and cultural context have shaped the field's theoretical foundations. The discussion highlights the ongoing tensions between scientific empiricism and constructivist perspectives, strongly arguing for a critical realist perspective that incorporates empirical investigation as a major input in informing practice. It also argues for the importance of common factors and shared strategies in systemic therapy, as well as for considering the cultural context and therapist and client preferences. Rather than advocating for the primacy of any single model of therapy, the paper argues for a pluralistic and integrative stance that acknowledges theory as a living, contextually situated resource for practice. The article concludes by emphasising the continued importance of theoretical reflection in advancing the field's responsiveness to diverse clients, evolving clinical challenges and the broader social environment.

The chapter summarizes reflections of five current or recently retired Editors of Family Therapy journals on publishing in their respective journals on the postmodern therapies. Two additional editors read and commented on the editors’ reflections.