ReviewFamily process2026
Mapping the Ecological Landscape: A Systematized Review of Climate- and Nature-Related Content in Couple and Family Therapy Literature From 2009 to 2025.
Review in Family process, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Attention to climate- and nature-related issues is largely absent from systemic practice and the field of Couple and Family Therapy (CFT). The effects of climate change and the consequences of living as if humans are separate from and dominate over the natural world are compromising health and driving planetary degradation. Ecological distress (including ecological anxiety, grief, and depression) is rising alongside increasing disconnection from nature. As a result, the demand for clinicians competent in addressing these issues is growing. This review examined climate- and nature-related content in 17 peer-reviewed systemic and relational therapy journals published from January 1, 2009 through September 7, 2025. Less than 1% (n = 102) of the total published original articles (N = 14,116) included climate- or nature-related content. These articles addressed seven broad themes: eco-informed thinking and practice; disaster effects and therapeutic responses; environmental and social justice challenges; reproductive and family planning decision-making; migration, immigration, and refugee experiences; cultural and historical contexts; assessment tools and validation. Over half (n = 55) of the included articles at least partially included social justice issues and over a third (n = 35) included diverse samples. Although publications have increased, climate- and nature-related concerns remain under-explored in the CFT literature. Anthropocentrism and the dominant practice of systems theory are discussed as contributing factors to the ongoing inattention to ecological topics. Researchers, educators, and clinicians are encouraged to integrate an eco-centric approach by utilizing eco-informed assessments to screen for ecological distress and facilitating discussions about climate- and nature-related topics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.