There is a dearth of readily available evidence on the impact of reflecting teams in family therapy. A synthesis of the literature was needed to provide clarity and insight into client experience of the process. A systematic search of the reflecting team literature was conducted and 11 papers using qualitative methodologies were identified. The findings of these studies were synthesised using meta‐ethnography. Three themes were identified; ‘unusual and strange’; ‘unique conversations’ and ‘therapeutic environment’. The reflecting team process was unanticipated and unique, but it could be helpful where people were made to feel safe and understood. Reflecting teams, while initially received as an odd and unusual experience, are typically found to be an effective and helpful approach within family and couples therapy. Extra considerations should be taken to ensure that clients feel able to engage with the process, avoiding it becoming overwhelming and unhelpful.
Practitioner points
Higher levels of self‐awareness and uncertainty are present for the family when first presented with the reflecting team.
A strong rapport with the lead therapist can support family engagement with the team.
Reflecting teams were experienced as more effective when they represent a diverse group of professional, ethnic and cultural backgrounds.
Hope and validation are vital parts of creating a therapeutic space which is effective in introducing difference to a family.