{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:28:51Z","timestamp":1791502131895,"version":"4.3.4"},"reference-count":106,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Mentalization-based family therapy and family rehabilitation represent a rich variety of approaches for assisting families with difficult interaction patterns. On the other hand, adventure therapy methods have been successfully used with families to offer them empowering experiences of succeeding together against difficult odds and to improve communication between family members. Further, the health promoting qualities of spending time outdoors are now well established and recognized. The Nordic approach to mentalization-based family rehabilitation combines adventure, outdoor, and systemic therapy. We provide three examples of nature-based family rehabilitation practices that are delivered as brief, multi-family psychological interventions taking place in nearby nature and aiming to support sustainable, systemic change. The current contribution is a description of clinical practice, not a systematic review or a formal evaluation. We propose that recontextualizing mentalization-based family rehabilitation to the outdoors can not only provide added health benefits, but also strengthen intra-familial attuned interaction and emotional connectedness. The outdoor adventure provides the families with embodied, multisensory experiences of verbal and, especially, non-verbal interaction that can be usefully examined through the lens of theory of mentalization. The concreteness of adventure experiences is particularly beneficial for families that have difficulties in verbal communication and\/or utilizing executive functions, perhaps due to neuropsychiatric traits, intellectual disabilities, or learning difficulties. Furthermore, outdoor adventure can support the participants\u2019 connectedness to nature.<\/jats:p>","DOI":"10.3389\/fpsyg.2022.768614","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T09:17:38Z","timestamp":1647249458000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Restoring Connectedness in and to Nature: Three Nordic Examples of Recontextualizing Family Therapy to the Outdoors"],"prefix":"10.3389","volume":"13","author":[{"given":"Markus","family":"Mattsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina Ribe","family":"Fernee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanerva","family":"Lehmuslaakso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pekka","family":"Lyytinen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1080\/17522430902795667","article-title":"Towards a more humanistic psychiatry: development of need-adapted treatment of schizophrenia group psychoses","volume":"1","author":"Alanen","year":"2009","journal-title":"Psychosis"},{"key":"ref2","first-page":"25","article-title":"The client is the expert: a not-knowing approach to therapy","volume-title":"Therapy as Social Construction.","author":"Anderson","year":"1992"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/j.1467-6427.2011.00552.x","article-title":"Mentalization-based therapeutic interventions for families","volume":"34","author":"Asen","year":"2012","journal-title":"J. Fam. Ther."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1111\/jmft.12572","article-title":"Family-based treatments for attention-deficit\/hyperactivity disorder: a review of family functioning outcomes in randomized controlled trials from 2010 to 2019","volume":"48","author":"Babinski","year":"2021","journal-title":"J. Marital. Fam. Ther."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/BF02234066","article-title":"Wilderness family therapy: an innovative treatment approach for problem youth","volume":"3","author":"Bandoroff","year":"1994","journal-title":"J. Child Fam. 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Psychol."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jenvp.2018.08.008","article-title":"Responding to nature: natural environments improve parent-child communication","volume":"59","author":"Cameron-Faulkner","year":"2018","journal-title":"J. Environ. Psychol."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"976","DOI":"10.3389\/fpsyg.2014.00976","article-title":"The relationship between nature connectedness and happiness: a meta-analysis","volume":"5","author":"Capaldi","year":"2014","journal-title":"Front. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1111\/1467-6427.12226","article-title":"Family therapy and systemic interventions for child-focused problems: the current evidence base","volume":"41","author":"Carr","year":"","journal-title":"J. Fam. 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Coord."},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.4324\/9780203805633","volume-title":"The Nature of Adolescence.","author":"Coleman","year":"2011"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1177\/0272431603260882","article-title":"Changing relationships, changing youth: interpersonal contexts of adolescent development","volume":"24","author":"Collins","year":"2004","journal-title":"J. Early Adolescence"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1111\/1467-6427.12177","article-title":"Evidence base for multiple family therapy (MFT) in non-psychiatric conditions and problems: a review (part 2)","volume":"40","author":"Cook-Darzens","year":"2018","journal-title":"J. Fam. Ther."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"101841","DOI":"10.1016\/j.cpr.2020.101841","article-title":"\u2018Into the wild\u2019: a meta-synthesis of talking therapy in natural outdoor spaces","volume":"77","author":"Cooley","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1146\/annurev.psych.48.1.243","article-title":"Families as systems","volume":"48","author":"Cox","year":"1997","journal-title":"Annu. Rev. Psychol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1111\/jcpp.12825","article-title":"Practitioner review: current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder","volume":"59","author":"Daley","year":"2018","journal-title":"J. Child Psychol. 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Work"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1973","DOI":"10.1177\/13623613211005987","article-title":"Intense connection and love: the experiences of autistic mothers","volume":"25","author":"Dugdale","year":"2021","journal-title":"Autism"},{"key":"ref26","volume-title":"Childhood and Society.","author":"Erikson","year":"1950"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1111\/j.1758-0854.2011.01052.x","article-title":"Could exposure to everyday green spaces help treat ADHD? Evidence from children's play settings","volume":"3","author":"Faber Taylor","year":"2011","journal-title":"Appl. Psychol. Health Well-Being"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.15714\/scandpsychol.2.e14","article-title":"Therapy in the open air: introducing wilderness therapy to adolescent mental health services in Scandinavia","volume":"2","author":"Fernee","year":"2015","journal-title":"Scand. Psychol."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1358","DOI":"10.1177\/1049732318816301","article-title":"Therapy the natural way: a realist exploration of the wilderness therapy treatment process in adolescent mental health care in Norway","volume":"29","author":"Fernee","year":"2019","journal-title":"Qual. Health Res."},{"key":"ref30","volume-title":"Social Beings: Core Motives in Social Psychology.","author":"Fiske","year":"2018"},{"key":"ref31","first-page":"932","article-title":"Supporting parents, siblings, and grandparents of individuals with autism spectrum disorders","volume-title":"Handbook of Autism and Pervasive Developmental Disorders: Assessment, Interventions, and Policy.","author":"Fiske","year":"2014"},{"key":"ref32","volume-title":"Affect Regulation, Mentalization, and the Development of the Self.","author":"Fonagy","year":"2002"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1355","DOI":"10.1017\/S0954579409990198","article-title":"A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder","volume":"21","author":"Fonagy","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1017\/s0954579497001399","article-title":"Attachment and reflective function: their role in self-organization","volume":"9","author":"Fonagy","year":"1997","journal-title":"Dev. Psychopathol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1080\/14729670285200241","article-title":"The role of outdoor recreation in family enrichment","volume":"2","author":"Freeman","year":"2002","journal-title":"J. Adventure Educ. 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Rev."},{"key":"ref42","doi-asserted-by":"crossref","first-page":"5","DOI":"10.4324\/9780429352027-2","article-title":"An introduction to outdoor therapies","volume-title":"Outdoor Therapies: an Introduction to Practices, Possibilities, and Critical Perspectives.","author":"Harper","year":"2020"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1080\/0145935X.2021.1938526","article-title":"A closer look at involuntary treatment and the use of transport service in outdoor behavioral healthcare (wilderness therapy)","volume":"42","author":"Harper","year":"2021","journal-title":"Child Youth Serv."},{"key":"ref44","volume-title":"Nature-Based Therapy: A practitioner's Guide to Working Outdoors with Children, Youth, and Families.","author":"Harper","year":"2019"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1146\/annurev-publhealth-032013-182443","article-title":"Nature and health","volume":"35","author":"Hartig","year":"2014","journal-title":"Annu. Rev. Public Health"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1007\/s10584-019-02599-z","article-title":"New stories for a more conscious, sustainable society: claiming authorship of the climate story","volume":"158","author":"Hendersson","year":"2020","journal-title":"Clim. Chang."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1080\/03601270701328425","article-title":"Grandparents of children with autism: a review with recommendations for education, practice, and policy","volume":"33","author":"Hillman","year":"2007","journal-title":"Educ. Gerontol."},{"key":"ref48","first-page":"18","article-title":"The influence of challenging outdoor recreation on parent-adolescent communication","volume":"37","author":"Huff","year":"2003","journal-title":"Ther. Recreat. J."},{"key":"ref49","volume-title":"Attachment-Focused Family Therapy Workbook.","author":"Hughes","year":"2011"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1590\/S1980-65742013000300006","article-title":"Adventurous activities, embodiment and nature: spiritual, sensual and sustainable? Embodying environmental justice","volume":"19","author":"Humberstone","year":"2013","journal-title":"Mot. Rev. de Educ. Fis."},{"key":"ref51","volume-title":"\u201cThe Physical Science Basis. Contribution of Working Group I to the Sixth Assessment Report of the Intergovernmental Panel on Climate ChangeClimate Change.","author":"Masson-Delmotte","year":"2021"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1111\/aphw.12250","article-title":"The affective and conversational benefits of a walk in nature among mother\u2013daughter dyads","volume":"13","author":"Izenstark","year":"2021","journal-title":"Appl. Psychol. Health. Well-Being."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/s40471-015-0043-7","article-title":"A review of the health benefits of greenness","volume":"2","author":"James","year":"2015","journal-title":"Curr. Epidemiol. Rep."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1111\/1467-6427.12231","article-title":"Multiple family therapy: Forever promising? Commentary on Gelin et al. (2018) and Cook-Darzens et al. (2018), The evidence base for multiple family therapy in psychiatric and non-psychiatric conditions: A review (parts 1 and 2)","volume":"40","author":"Jewell","year":"2018","journal-title":"J. Fam. Ther."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1177\/00139169921972056","article-title":"Emotional affinity toward nature as a motivational basis to protect nature","volume":"31","author":"Kals","year":"1999","journal-title":"Environ. Behav."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1007\/s10567-012-0119-6","article-title":"Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation","volume":"15","author":"Karst","year":"2012","journal-title":"Clin. Child. Fam. Psychol. Rev."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1111\/jmft.12152","article-title":"Sympathetic nervous system synchrony in couple therapy","volume":"42","author":"Karvonen","year":"2016","journal-title":"J. Marital. Fam. Ther."},{"key":"ref58","first-page":"20","article-title":"What is video interaction guidance (VIG)?","volume-title":"Video Interaction Guidance. A Relationship-Based Intervention to Promote Attunement, Empathy and Wellbeing.","author":"Kennedy","year":"2011"},{"key":"ref59","volume-title":"Annorlunda barnbarn.","author":"Klas\u00e9n McGrath","year":"2008"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jenvp.2013.11.003","article-title":"Analyzing the mediators between nature-based outdoor recreation and emotional well-being","volume":"37","author":"Korpela","year":"2014","journal-title":"J. Environ. Psychol."},{"key":"ref61","first-page":"322","article-title":"Kehon ja liikkeen merkitys keskusteluterapiassa","volume-title":"Mik\u00e4 Psykoterapiassa Auttaa? Integratiivisen L\u00e4hestymistavan Perusteita.","author":"Kristmannsdottir","year":"2012"},{"key":"ref62","volume-title":"Body Self and Psychological Self: Developmental and Clinical Integration in Disorders of the Self.","author":"Krueger","year":"1989"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"1580","DOI":"10.2105\/AJPH.94.9.1580","article-title":"A potential natural treatment for attention-deficit\/hyperactivity disorder: evidence from a national study","volume":"94","author":"Kuo","year":"2004","journal-title":"Am. J. Public Health"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1080\/10720537.2016.1183538","article-title":"Soft prosody and embodied attunement in therapeutic interaction: A multimethod case study of a moment of change","volume":"30","author":"Kykyri","year":"2017","journal-title":"J. Constr. Psychol."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1176\/appi.ajp.2010.10020223","article-title":"The genetics of autism spectrum disorders and related neuropsychiatric disorders in childhood","volume":"167","author":"Lichtenstein","year":"2010","journal-title":"Am. J. Psychiatry"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1007\/s10591-015-9371-5","article-title":"Enhancing family communication: examining the impact of a therapeutic wilderness program for struggling teens and parents","volume":"38","author":"Liermann","year":"2016","journal-title":"Contemp. Fam. Ther."},{"key":"ref67","author":"Lyytinen","year":"2018"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"2987","DOI":"10.3390\/su12072987","article-title":"Can flow alleviate anxiety? The roles of academic self-efficacy and self-esteem in building psychological sustainability and resilience","volume":"12","author":"Mao","year":"2020","journal-title":"Sustainability"},{"key":"ref69","first-page":"189","article-title":"Towards positions of safe uncertainty","volume":"4","author":"Mason","year":"1993","journal-title":"Human Syst."},{"key":"ref70","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/j.jenvp.2004.10.001","article-title":"The connectedness to nature scale: a measure of individuals\u2019 feeling in community with nature","volume":"24","author":"Mayer","year":"2004","journal-title":"J. Environ. Psychol."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s10802-006-9031-1","article-title":"Differential effectiveness of cognitive- behavioural therapy and behavioural parent-training for antisocial youth: a meta-analysis","volume":"34","author":"McCart","year":"2006","journal-title":"J. Abnorm. Child Psychol."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1080\/15332980802466425","article-title":"Family-directed structural therapy in a therapeutic wilderness family camp: An outcome study","volume":"7","author":"McLendon","year":"2009","journal-title":"Soc. Work. Ment. Health"},{"key":"ref73","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1080\/17439760.2014.994224","article-title":"The effect of contact with natural environments on positive and negative affect: a meta-analysis","volume":"10","author":"McMahan","year":"2015","journal-title":"J. Posit. Psychol."},{"key":"ref74","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1080\/09687599.2012.710008","article-title":"On the ontological status of autism: the \u2018double empathy problem\u2019","volume":"27","author":"Milton","year":"2012","journal-title":"Disabil. Soc."},{"key":"ref75","volume-title":"Ecology, Community and Lifestyle: Outline of an Ecosophy.","author":"N\u00e6ss","year":"1990"},{"key":"ref76","first-page":"43","volume-title":"Kouluik\u00e4inen Tytt\u00f6, In Jo Iso, Viel\u00e4 Pieni \u2013 Kouluik\u00e4isen Lapsen Maailma.","author":"N\u00e4re","year":"2010"},{"key":"ref77","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1177\/0013916508318748","article-title":"The nature relatedness scale: linking individuals\u2019 connection with nature to environmental concern and behavior","volume":"41","author":"Nisbet","year":"2009","journal-title":"Environ. Behav."},{"key":"ref78","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s40653-017-0133-4","article-title":"Family enrichment adventure therapy: a mixed methods study examining the impact of trauma-informed adventure therapy on children and families affected by abuse","volume":"12","author":"Norton","year":"2019","journal-title":"J. Child Adolesc. Trauma"},{"key":"ref79","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/01490400.2019.1627966","article-title":"Role shifts and equalizing experiences through father-child outdoor adventure programs","author":"Overholt","year":"2019","journal-title":"Leis. Sci."},{"key":"ref80","first-page":"1050","article-title":"Mentalisaatio ihmist\u00e4 suojaavana tekij\u00e4n\u00e4","volume":"131","author":"Pajulo","year":"2015","journal-title":"Duodecim"},{"key":"ref81","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s10560-019-00636-5","article-title":"Meditation improves self-control in ADHD-diagnosed children and empowers their primary caregiver grandparents","volume":"37","author":"Pandya","year":"2020","journal-title":"Child Adolesc. Social Work J."},{"key":"ref82","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.copsyc.2017.02.010","article-title":"Intuitive parenting: understanding the neural mechanisms of parents\u2019 adaptive responses to infants","volume":"15","author":"Parsons","year":"2017","journal-title":"Curr. Opin. Psychol."},{"key":"ref83","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s10567-017-0237-2","article-title":"A systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder","volume":"20","author":"Postorino","year":"2017","journal-title":"Clin. Child. Fam. Psychol. Rev."},{"key":"ref001","doi-asserted-by":"publisher","first-page":"2759","DOI":"10.3389\/fpsyg.2019.02759","article-title":"The role of social relational emotions for human-nature connectedness","volume":"10","author":"Petersen","year":"2019","journal-title":"Front Psychol."},{"key":"ref84","first-page":"105","article-title":"Mentalisaatio ja episteeminen luottamus kehityksen mahdollistajina: Kliininen ja yhteiskunnallinen n\u00e4k\u00f6kulma","volume-title":"Mentalisaatio, teoriasta k\u00e4yt\u00e4nt\u00f6\u00f6n.","author":"Pyykk\u00f6nen","year":"2017"},{"key":"ref85","doi-asserted-by":"publisher","first-page":"379","DOI":"10.32598\/irj.16.4.379","article-title":"The effect of family-centered nature therapy on interactions between parent and child with autism spectrum disorder","volume":"16","author":"Ramshini","year":"2018","journal-title":"Iran. Rehabil. J."},{"key":"ref86","volume-title":"Tyt\u00e4r ja \u00e4iti: naisten suhteiden psykologiaa.","author":"Rutanen","year":"1982"},{"key":"ref87","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/978-1-4615-0995-0_4","article-title":"Inclusion with nature: The psychology of human-nature relations","volume-title":"Psychology of Sustainable Development.","author":"Schultz","year":"2002"},{"key":"ref88","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1111\/j.1467-6427.2008.00439.x","article-title":"Inner and outer voices in the present moment of family and network therapy","volume":"30","author":"Seikkula","year":"2008","journal-title":"J. Fam. Ther."},{"key":"ref89","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1375\/anft.32.3.179","article-title":"Becoming dialogical: psychotherapy or a way of life?","volume":"32","author":"Seikkula","year":"2011","journal-title":"Aust. N. Z. J. Fam. Ther."},{"key":"ref90","volume-title":"Pocket Guide to Interpersonal Neurobiology: An Integrative Handbook of the Mind (Norton Series on Interpersonal Neurobiology).","author":"Siegel","year":"2012"},{"key":"ref91","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1080\/10673220390264221","article-title":"Boys will be boys: fathers\u2019 perspectives on ADHD symptoms, diagnosis, and drug treatment","volume":"11","author":"Singh","year":"2003","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref92","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1080\/14616730500245906","article-title":"Parental reflective functioning: An introduction","volume":"7","author":"Slade","year":"2005","journal-title":"Attach Hum. Dev."},{"key":"ref93","first-page":"255","article-title":"Autonomy, conflict, and harmony in the family relationship","volume-title":"At the Threshold. The Developing Adolescent.","author":"Steinberg","year":"1990"},{"key":"ref94","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/1532-7795.00001","article-title":"We know some things: parent\u2013adolescent relationships in retrospect and prospect","volume":"11","author":"Steinberg","year":"2001","journal-title":"J. Res. Adolesc."},{"key":"ref95","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1177\/1066480710372123","article-title":"Multiple family adventure-based therapy groups: an innovative integration of two approaches","volume":"18","author":"Swank","year":"2010","journal-title":"Fam. J. Alex. Va."},{"key":"ref96","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1080\/10481880903231894","article-title":"The intersubjective psychobiology of human meaning: learning of culture depends on interest for co-operative practical work \u2013 and affection for the joyful art of good company","volume":"19","author":"Trevarthen","year":"2009","journal-title":"Psychoanal. Dialogues"},{"key":"ref97","volume-title":"Korkeita Vuoria Ja Suuria Kokemuksia \u2013 Seikkailutoimintaa Perhe- Ja Ryhm\u00e4kuntoutuksessa.","author":"Virtanen","year":"2011"},{"key":"ref98","volume-title":"Psychotherapy, East and West.","author":"Watts","year":"1961"},{"key":"ref99","doi-asserted-by":"publisher","first-page":"17","DOI":"10.18666\/TRJ-2020-V54-I1-9418","article-title":"Changes in family leisure functioning following a family camp for children with autism spectrum disorder (ASD)","volume":"54","author":"Wenzel","year":"2020","journal-title":"Ther. Recreat. J."},{"key":"ref100","doi-asserted-by":"crossref","DOI":"10.4159\/9780674045231","volume-title":"Biophilia.","author":"Wilson","year":"1984"},{"key":"ref101","volume-title":"Mental Health Crisis Services: Promoting Person-Centred and Rights-Based Approaches. (Guidance and Technical Packages on Community Mental Health Services: Promoting Person-Centred and Rights-Based Approaches).","year":"2021"},{"key":"ref102","doi-asserted-by":"publisher","first-page":"169","DOI":"10.2190\/AG.75.2.d","article-title":"Grandparents of grandchildren with autism spectrum disorders (ASD): strengthening relationships through technology activities","volume":"75","author":"Wright","year":"2012","journal-title":"The Int. J. Aging Hum. Dev."},{"key":"ref103","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/j.1552-3934.2011.02100.x","article-title":"SketchUp\u2122: A technology tool to facilitate intergenerational family relationships for children with autism spectrum disorders (ASD)","volume":"40","author":"Wright","year":"2011","journal-title":"Fam. Consum. Sci. Res. J."},{"key":"ref104","doi-asserted-by":"publisher","first-page":"1941","DOI":"10.1007\/s10803-019-03946-w","article-title":"Needs of grandparents of preschool-aged children with ASD in Sweden","volume":"50","author":"Zakirova-Engstrand","year":"2020","journal-title":"J. Autism Dev. Disord."},{"key":"ref105","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10803-021-05189-0","article-title":"Group psychoeducational intervention for grandparents of young children with ASD: an open feasibility study","author":"Zakirova-Engstrand","year":"2021","journal-title":"J. Autism Dev. 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