Culturally responsive couples and family therapy requires incorporating spirituality into clinical practice at the clients’ request. Researchers led a focus group with Buddhist practitioners who work in clinical care settings to better understand the degree of fit between Buddhist practices and narrative family therapy interventions. Compatible practices included mindfulness, externalization, and self of therapist work. While narrative family therapy's model of change has points of divergence from Buddhism, there are ways to incorporate Buddhist beliefs into narrative practices.

Researchers conducted a focus group to explore the epistemological intersections between Buddhism and narrative family therapy (NFT). The data's themes indicate areas of overlap as well as potential disconnect regarding NFT's systemic understanding, evolving stories, and empowering epistemologies. These areas of convergence and divergence point to possibilities for the meaningful incorporation of Buddhist teachings and principles within the context of spiritually integrated NFT practice.